大肠癌患者癌因性疲乏与生存质量的相关性分析  

Correlation analysis between cancer-related fatigue and quality of life of the colorectal cancer patients

作　　者：李智[1] 胡秋兰[1] 黄明君[2] 李卡[2] 

机构地区：[1]四川大学华西临床医学院/华西医院,成都 610041 [2]四川大学华西医院胃肠外科中心

出　　处：《中国实用护理杂志》2013年第20期20-23,共4页Chinese Journal of Practical Nursing

基　　金：四川省科技厅支撑项目（2012SZ0039）

摘　　要：目的探讨大肠癌患者癌因性疲乏与生存质量的相关性。方法选取2010年11月至2011年1月四川大学华西医院胃肠外科中心诊治的大肠癌患者，采用Piper疲乏量表和欧洲癌症研究与治疗组织的生命质量核心量表（EORTCQLQ-C30）对其疲乏和生存质量情况进行评估。结果共纳入患者74例，28例出现疲乏（Pipers总分〉0），疲乏发生率37．84％；疲乏组生存质量低于无疲乏组；生存质量中功能领域的躯体功能、角色功能、社会功能、情绪功能以及总健康情况均与疲乏存在负相关，而症状领域的疼痛、疲倦、食欲丧失则与疲乏存在正相关。结论癌因性疲乏从生理、心理及社会功能等方面影响大肠癌患者的生存质量，为临床护理人员制订大肠癌患者癌因性疲乏的干预性护理措施、提高患者生存质量提供了相关参考依据。Objective To investigate the relationship between cancer-related fatigue （CRF） and quality of life （QOL） of the colorectal Cancer patients. Methods In this study, patients diagnosed definitely as colorectal cancer were enrolled from November 2010 to January 2011 in this hospital. Piper Fatigue Scale was used to assess the CRF and QLQ-C30 was used to assess the QOL. Results 74 patients were enrolled in this study, and among them 28 patients had CRF（37.84%）. Patients with CRF was significantly worse in QOL than patients without CRF. Physical function, role function, emotional function, social function and the general health subscale had a negative correlation with CRF, while pain, fatigue and loss of appetite had a positive correlation with it. Conclusions CRF had an impact on QOL, and this study will provide some reference information when the nurses take measures to intervene CRF and improve QOL of the colorectal cancer patients.

关 键 词：大肠癌 癌因性疲乏 生存质量 

分 类 号：R473.73[医药卫生—护理学]