宫颈癌同步放化疗期间生活质量现状调查分析  

Investigation and Analysis of Life Quality Status during Concurrent Chemoradiotherapy for patients with cervical cancer

作　　者：杨英珍[1] 袁亚萍 李芳芳[1] 吕银[1] 潘发明[2] YANG Ying-zhen;YUAN Ya-ping;LI Fang-fang;LV Yin;PAN Fa-ming(Daytime surgery ward,the First Affiliated Hospital of Anhui Medical University,Hefei 230022;Public Health College of Anhui Medical University,Hefei 230032)

机构地区：[1]安徽医科大学第一附属医院日间手术病房,230022 [2]安徽医科大学公共卫生学院,合肥230032

出　　处：《临床护理杂志》2019年第6期12-15,共4页Journal of Clinical Nursing

基　　金：安徽省高校自然科学重大项目(KJ2016SD26)

摘　　要：目的调查了解中晚期宫颈癌同步放化疗患者的生活质量现状及影响因素,探讨改善患者生活质量和满意度的干预措施。方法采用癌症患者生活质量量表(QLQ-C30)、家庭关怀指数问卷(PAGAR)、社会支持量表(SSRS)、贝克抑郁自评量表(BDI)和自行设计的一般情况调查表。对2016年8月~2017年5月在合肥市3所三级甲等医院住院行同步放化疗的217例宫颈癌患者进行调查。结果217例患者整体生活质量总分为(47.81±13.05)分;BDI总分(20.93±8.81)分;PAGAR总分(7.75±2.04)分;SSRS总分(36.78±6.65)分。单因素分析结果显示,年龄、诊断分级、治疗方式、抑郁是生活质量的影响因素(P<0.05,P<0.01)。多因素回归分析结果显示,诊断分级和抑郁是生活质量的主要影响因素(P<0.05)。结论宫颈癌患者同步放化疗期间生活质量整体较差,提示临床医护人员应重视宫颈癌患者心理问题,早期干预,改善负性情绪,提高患者生活质量。Objective To investigate the status of life quality and the influencing factors for patients with cervical cancer(CC)during concrrent radiotherapy and chemotherapy,and to explore interventions to improve the quality and satisfaction of life for patients.Methods A total of 217 hospitalized patients,who were with CC during concurrent radiotherapy and chemotherapy from three tertiary hospitals of Hefei during August 2016 to May 2017,were surveyed by utilizing Quality of life questionnaire-core(EORTC QLQ-30),Family APGAR Index(PAGAR),Social Support Rate Scale(SSRS),Beck Depression Inventory(BDI)and a self-designed general situation questionnaire.Results The score of overall quality of life for all the patients was(47.81±13.05).The total scores of BDI,PAGAR,and SSRS for patients with CC were(20.93±8.81),(7.75±2.04)and(36.78±6.65),respectively.Single-factor analysis showed that age,diagnosis stages and treatments were related to the overall quality of life after radiotherapy and chemotherapy(P<0.05)and the diagnosis grades and treatment method and depression were the main influencing factors of life quality,with statistically significant differences(P<0.05).Multi-factor analysis showed that diagnosis grade and depression were the main influencing factors of quality of life,and the difference was statistically significant(P<0.05,P<0.01).Conclusions The overall quality of life of patients with CC during concurrent radiotherapy and chemotherapy was relatively low,which suggested that clinical medical staff should pay attention to the psychological problems of patients with CC,and should conduct early intervention,improve negative emotions and the life quality of patients.

关 键 词：宫颈肿瘤/放射疗法 宫颈肿瘤/药物疗法 

分 类 号：R737.33[医药卫生—肿瘤]