中晚期肺癌患者影响生活质量相关因素分析  

Analyzing the Factors Affected the QOL of Patients with Middle-late Lung Cancer

作　　者：翁薇琼 颜美琼[1] 沈文君[1] 张琴[1] 孙加源[1] 

机构地区：[1]上海市胸科医院内镜中心,上海200030

出　　处：《河北医学》2015年第11期1798-1802,共5页Hebei Medicine

基　　金：上海市卫计委科研项目;(编号:20114329)

摘　　要：目的:对中晚期肺癌患者的生活质量进行评价及相关影响因素分析。方法:选取在上海胸科医院住院的中晚期肺癌患者154例,采用我院设计的针对肺癌患者生活质量的调查表(包括8个维度66个条目),对患者进行调查。用QLQ-C30表的记分方法来描述认知功能、情绪功能、躯体功能、角色功能和社会功能5个功能维度。另选取性别、年龄、文化程度、经济状况、婚姻、吸烟等10个变量,根据数据的正态性和方差齐性,对二分类变量采取t检验或秩和检验。结果:不同年龄的患者在角色得分和社会功能得分都有显著的统计学意义(P<0.05),被动吸烟患者在认知功能、角色功能和社会功能方面均与无被动吸烟的患者表现出明显的差异。此外负面情绪与患者的生活质量息息相关(P<0.05)。结论:对于中晚期肺癌患者的年龄,吸烟情况与负面情绪是医务工作者需要密切注意的环节,这些因素对患者的生活质量产生重要的影响。Objective： To evaluate the life quality of middle-late stage lung cancer patients and analyze related factors. Method： Selected 154 cases of middle-late stage lung cancer patients in Shanghai Chest Hospital, using our questionnaire to survey the life quality of lung cancer patients （ including eight dimensions and 66 entries）. QLQ-C30 table scoring method is used to describe five dimensions, including cognitive function, emotional function, physical function, role function and social function. On the other side, select 10 variables including gender, age, educational level, economic status, marriage, smoking or not etc, according to the data of normality and homogeneity of variance, the binary classification variables take t test or rank and inspection. Result： The patients of different ages had significant statistical significance （ P 〈 0. 05） in role and social function scores, passive smoking patients showed significant differences in terms of cognitive function, role function and social function. In addition, negative emotion is closely related to the patientls quality of life （ P 〈 0.05 ）. Conclusion： Medical workers need to pay close attention to middle-late stage lung cancer patients on age, smoking status and negative emotions, which are important influence on the patient＇s life quality.

关 键 词：中晚期 肺癌 生活质量 

分 类 号：R734.2[医药卫生—肿瘤]