上海市部分社区癌症患者生活质量影响因素的研究

Study on factors affecting the quality of life to cancer patients at the community level in Shanghai

目的探讨社区癌症患者生活质量的主要影响因素。方法应用癌症患者功能量表(FACT-G)及癌症患者疾病和社会信息的一般状况登记表对上海市社区癌症患者进行抽样问卷调查。调查方法包括自评和访谈,统计学方法采用单因素方差分析和线性模型等分析。结果共收回有效问卷7580份,对上海市社区癌症患者的生活质量(QOL)各维度均有显著影响的因素有家庭收入、本人受教育程度、职业状况、知情状况、体育活动状况、医疗费来源和疼痛状况(P<0.01)。而患者年龄、婚姻状况、肿瘤类型、肿瘤分期等因素对上述癌症患者QOL部分维度评分有非常显著影响。KPS评分与FACT-G各维度评分具有显著相关性(P<0.000)。结论年龄大、肿瘤分期晚、伴有疼痛、受教育水平低、收入低、离异或丧偶、不参加体育锻炼以及医疗费用来源为合作医疗者,QOL相应较差。

Objective A survey on cancer patients at the community level in Shanghai was performed, in order to study the factors affecting the quality of life（QOL） on them. Methods To evaluate the QOL of cancer patients, self-administered Functional Assessment of Cancer Therapy-General（FACT-G） questionnaire and personal interview methods were used. Data analysis was performed by SPSS software （SPSS, Chicago, IL） ,including one-way ANOVA and linear regression methods. Results There were 7580 valid questionnaires retrieved. Many factors were certificated to have significant relationship with QOL of cancer patients, such as family incomes, education, occupation, awareness of disease, physical exercise, cost of health care and pain（P 〈 0.01 ）. Some factors however,only affecting certain aspects of the QOL,of which age, marriage state, type of tumor and stage were also noticed. KPS had strong Linear correlation with every aspectof FACT-G（P〈 0.000）. Conclusion Patients having a poor KPS, metastasis, low educational level,divorced or lost of spouse, pain,poor income,little exercise and old age would tend to have a poor QOL outcome.