乳腺癌、宫颈癌及卵巢癌居家宁养患者的生存质量调查分析

A Survey on the Quality of Life of Patients with Breast Cancer,Cervical Cancer and Ovarian Cancer in Home Hospice Care

目的探讨乳腺癌、宫颈癌和卵巢癌等影响女性健康的常见肿瘤居家宁养患者的生存质量及不同肿瘤、不同收入来源及人均收入水平等因素对生存质量的影响。方法应用《癌症疼痛及生活质量调查表》,由宁养院专科护士对某宁养院2008、2009年收治的居家宁养的乳腺癌、宫颈癌、卵巢癌患者,在第一次巡诊探访时进行填表调查。调查结果采用Epidata建立数据库录入数据,应用SPSS软件进行单因素方差分析。结果患者的生存质量状况普遍较差,生存质量总分平均得分仅28.02,生存质量被评为差和极差的患者比值高达81.38%。各条目中仅家庭的理解与配合得分较高。不同的肿瘤种类和患者不同的生活来源对其生存质量有影响。结论关注居家宁养的晚期肿瘤患者的生存质量,帮助其获得更多的家庭支持和社会支持,是癌症患者姑息治疗的重要内容和有效手段。

Objective To investigate the life quality of patients with breast cancer, cervical cancer and ovarian cancer in home hospice care,and to explore the influence of types of tumor,souree of income and per capita personal income on patients＇ quality of life. Methods 102 patients with breast cancer, cervical cancer and ovarian cancer in home hospice care were requested to complete Investigation Form of Pain and Quality of Life of Cancer Patients on the first mobile medical treatment for them during the period of 2008 and 2009. Epidata was used for data entry and SPSS for a one-way analysis of variance. Results The life quality of the patients was largely poor. The average score of life quality was only 28.02. The proportion of the patients who were rated as living in poor or extremely poor conditions accounted for 81.38%. High scores were only found in the items of understanding and support from their family. Different types of tumor and sources of income had influence on the life quality of the patients. Conclusion Concerns on the quality of life for patients with gynecologic cancers of late stage and family and social support are effective measures in the hospice care for cancer patients.