初诊妇科恶性肿瘤住院患者支持性照顾需求与生存质量的相关性研究  

Correlation between supportive care needs and quality of life of first-visit patients diagnosed with gynecologic cancer

作　　者：操帅 谢莉玲[1] 王富兰[1] 王琼[2] 吴治敏[3] 

机构地区：[1]重庆医科大学附属第一医院妇科,重庆400016 [2]第三军医大学大坪医院妇科,重庆400042 [3]第三军医大学西南医院妇科,重庆400038

出　　处：《上海交通大学学报（医学版）》2015年第11期1655-1660,共6页Journal of Shanghai Jiao tong University:Medical Science

基　　金：2010年国家临床重点专科护理建设项目(2010-305)~~

摘　　要：目的了解初诊妇科恶性肿瘤住院患者支持性照顾需求及生存质量状况,探讨两者相关性。方法采用便利抽样法,抽取2014年6月—2015年2月在重庆市3所三级甲等医院首次确诊的妇科恶性肿瘤住院患者123例,采用癌症患者支持性照顾需求问卷(SCNS)和癌症治疗功能评价量表(FACT-G,V4.0)对其进行调查。结果初诊妇科恶性肿瘤住院患者支持性照顾需求平均分为(2.63±0.65)分,各维度未满足率最高的为健康信息需求,生存质量总分为(71.53±10.74)分,支持性照顾需求各维度(除社会家庭状况外)与生存质量各维度均呈负相关(P<0.01),其中生理与日常生活需求及心理需求对生存质量影响显著。结论初诊妇科恶性肿瘤住院患者存在不同程度的支持性照顾需求,生理与日常生活需求及心理需求是生存质量的重要影响因素,医护人员应提供针对性帮助及心理疏导,以改善其生存质量。Objective To understand the supportive care needs and quality of life of first-visit patients diagnosed with gynecologic cancer and explore the correlation between supportive care needs and quality of life. Methods The convenience sampling method was adopted to select 123 first-visit patients who were diagnosed with gynecologic cancer from June 2014 to February 2015 in 3 grade A tertiary general hospitals. Patients were surveyed by questionnaires of supportive care needs survey （SCNS） and functional assessment of cancer therapy （ FACT-G, V4.0）. Results The average score of supportive care needs of first-visit patients diagnosed with gynecologic cancer was 2.63 ±0.65 and the unsatisfactory rate of health information needs was the highest. The total score of quality of life was 71.53 ± 10.74. Dimensions of supportive care needs （ except social/family circumstances） negatively correlated with those of quality of life （P 〈0.01） and physical and daily living needs and psychological needs significantly affected the quality of life. Conclusion The degree of supportive care needs of first-visit patients diagnosed with gynecologic cancer is different. Physical and daily living needs and psychological needs are key influencing factors of the quality of life. Medical staff should provide personalized assistance and psychological guidance to improve the quality of life.

关 键 词：妇科恶性肿瘤 支持性照顾需求 生存质量 

分 类 号：R737.3[医药卫生—肿瘤]