社区晚期肿瘤患者生存质量与症状的调查分析

A survey on the quality of life and symptoms of community patients with advanced cancer

目的了解社区晚期肿瘤患者生存质量与症状的现状，分析两者之间的相关性，为制订有针对性的护理干预措施提供指导。方法选取上海市杨浦区3个社区的晚期恶性肿瘤患者94例，采用自制的调查问卷、癌症治疗功能评价系统量表体系中的共性模块（FACT-G）以及安德森症状评估表（MDASI），对其一般资料、生存质量和症状进行现状调查，并分析患者生存质量与症状之间的关系。结果社区晚期肿瘤患者生存质量总体不佳，影响生存质量的因素有性别、年龄、肿瘤分期、卡氏评分、婚姻状况、疾病负担等。患者症状得分与生存质量得分呈显著负相关。疲乏、健忘、睡眠不安、麻木感、苦恼、口干等为患者主诉较为严重的症状。结论对于晚期肿瘤患者，应做好生存质量各影响因素的评估，并重点控制影响其生存质量的主要症状，以便维持功能，保持较好的生存质量。

Objective To investigate the quality of life（QOL） and symptoms of community patients with advanced cancer, and analyze their correlation. Methods 94 advanced cancer patients in 3 commu- nities of Yangpu district in Shanghai were surveyed by self- designed questionnaire, FACT- G and MDASI. The correlation between QOL and symptoms was analyzed. Results QOL of advanced cancer patients was poor, and the main influencing factors were gender, age, stage of cancer, KPS score, marital status and economic burden. There was significant negative correlation between symptoms and QOL. Fatigue, amnesia, uneasy sleep, insensible feeling, distress and dry mouth were the symptoms patients suffered mostly. Conclusions For patients with advanced cancer, evaluation of the influencing factors of QOL and better control of symptoms could improve their QOL.