上海市徐汇区癌症生存者孤独感现状及对其生活质量影响的横断面调查  

Loneliness among cancer survivors and its impact on the quality of life in Xuhui District, Shanghai: a cross-sectional survey

作　　者：赵琴 邢唯杰[1] 况艺 袁潇逸 荣心怡 孙艳玲 朱菁[3] 顾海雁[3] ZHAO Qin;XING Wei-jie;KUANG Yi;YUAN Xiao-yi;RONG Xin-yi;SUN Yan-ling;ZHU Jing;GU Hai-yan(School of Nursing,Fudan University,Shanghai 200032,China;Department of Health Economics,School of Public Health,Fudan University,Shanghai 200032,China;Chronic Disease Prevention and Control Department,Shanghai Municipal Center for Disease Control and Prevention of Xuhui District,Shanghai 200237,China)

机构地区：[1]复旦大学护理学院,上海200032 [2]复旦大学公共卫生学院卫生经济学教研室,上海200032 [3]上海市徐汇区疾病预防控制中心慢病防治科,上海200237

出　　处：《复旦学报（医学版）》2023年第1期87-93,153,共8页Fudan University Journal of Medical Sciences

基　　金：国家自然科学基金青年项目(72004034);美国中华医学基金会公开竞争项目(20-371)。

摘　　要：目的 调查上海市徐汇区癌症生存者孤独感现状并分析其对生活质量的影响。方法 采用方便抽样法,选取2021年5月—10月上海市3个社区卫生服务中心和1个病友团体的癌症生存者,用一般资料问卷、癌症孤独量表及癌症患者生命质量测定量表进行调查。单因素分析、相关分析及回归分析癌症生存者生活质量的影响因素及孤独感对生活质量的影响。结果 共纳入1 065份有效问卷,仅有13.1%的被调查者表示从无孤独感,其余生存者都报告了不同程度的孤独感,癌症生存者孤独感得分为(15.20±5.49)分,生活质量得分为(71.82±15.51)分。相关分析结果显示,孤独感与生活质量呈负相关(r=-0.517,P<0.001)。采用分层回归控制人口社会学因素和疾病治疗因素后,结果显示,孤独感对癌症生存者的生活质量存在显著的影响,可解释生活质量变异的16.3%(F=53.545,P<0.001)。结论 上海市徐汇区癌症生存者具有普遍孤独感;在控制人口社会学因素、疾病治疗因素后,孤独感与患者的生活质量显著相关。护理人员应关注癌症生存者的孤独情况并采取积极的应对措施减轻其孤独感,改善生活质量。Objective To investigate the current status of the loneliness of cancer survivors in Xuhui District, Shanghai and analyze its impact on quality of life. Methods The convenience sampling method was used to select cancer survivors from 3 neighborhood community health service centers and 1 patient group in Shanghai from May to Oct 2021. General information questionnaire,Cancer Loneliness Scale(CLS)and FACT-G(Version 4) were used for investigation. Statistical methods including single factor analysis, correlation analysis and regression analysis were used to analyze the influencing factors of cancer survivors’ quality of life and the impact of loneliness on quality of life. Results A total of 1 065 valid questionnaires were included in this study. Only 13.1% of the respondents said they had never felt lonely.The rest of the survivors reported varying degrees of loneliness. The loneliness score of cancer survivors was(15.20±5.49) and the quality of life score was(71.82±15.51). The results of correlation analysis showed that loneliness was negatively correlated with quality of life(r=-0.517,P<0.001). After controlling for demographic sociological factors and disease treatment factors by hierarchical regression, the results showed that loneliness had a significant impact on the quality of life of cancer survivors,and the explanatory variation was 16.3%(F=53.545,P<0.001). Conclusion In Xuhui District, Shanghai,cancer survivors have a general sense of loneliness. After controlling demographic factors, diseases and treatment factors, loneliness was significantly correlated with patients’ quality of life. We should pay attention to the loneliness of cancer survivors and take positive countermeasures to reduce loneliness and improve the quality of life of cancer survivors.

关 键 词：癌症 生存者 孤独感 生活质量 上海市徐汇区 

分 类 号：R395.1[哲学宗教—心理学]