上海市女性肺癌患者生命质量影响因素分析

The Investigation of Factors Influencing the life Quality of Female Lung Cancer Patients in Shanghai

目的了解上海市女性肺癌患者生命质量情况及其影响因素。方法根据《上海市恶性肿瘤登记报告系统》资料,随机选取上海市户籍、经临床确诊(组织学诊断)的原发性肺癌女性患者作为病例组对象,并选择年龄±2岁的非癌症女性作为对照组对象,采用问卷调查收集资料,调查患者的生命质量采用SF-36量表。采用中文版EpiData3.0数据管理软件建立数据库并进行数据录入,SPSS11.5分析,多因素分析采用一般线性模型(GLM)。结果本次随机抽取女性肺癌患者144人,并调查对照组对象144人。发现病例组SF-36各维度评分均低于对照组,差异有统计学意义。其中93.06%的病例组对象希望家人给予更多的支持,88.89%的病例组对象自觉比别人需要更多关心,86.11%的病例组对象希望提供健康咨询。多因素分析结果发现病例组生理机能明显比对照组差;年龄越大,生理机能越差;睡眠情况越差,则生理机能越差;运动者的生理机能好于不运动的对象。结论关注肺癌患者的对症治疗及合并其他疾病的治疗,有利于提高肺癌患者生理机能及生理职能;应关注文化程度低及老年的患者生命质量,重视心理咨询,给予患者更多的社会关心和支持,提供可能的医疗咨询。

Objective To further investigate the factors influencing the life quality of female lung cancer patients in Shanghai.Methods We selected randomly the female lung cancer patients living in Shanghai who were diagnosed clinically and by histology according to the data of Shanghai Cancer Registration System,and selected ± 2-year-old females as a non-cancer control group.We used a questionnaire survey to collect information and investigate the life quality of the patients by SF-36 scale table.Database and data entry were established by Chinese EpiData 3.0 Data Management Software,and the data were analyzed with SPSS 11.5 and multifactor by general linear model（GLM）.Results We randomly selected 144 female lung cancer patients and 144 controls.The results showed that SF-36 scores of patient group were significantly lower than those of the control group,in which 93.06% of the patient group wanted to get more support from family members,88.89% of the patients felt to need more care than others,and 86.11% wanted to be provided with health counseling.Multifactor analysis data indicated that physiological function of the patient group was significantly worse than that of the control group：the older,the worse physiological function;the worse sleep,the worse physiological function;and the physiological function in exercisers was better than that in non-exercisers.Conclusions Physiological function and effect of lung cancer patients can be greatly improved if they are given more care of symptomatic treatment and other related treatment.More concern should be given to the elder and low education level patients to improve their life quality,with emphasizing on psychological counseling,more social care,support and possible medical counseling.