大肠癌病人症状负担与生活质量的相关性研究

Study on correlation between symptom burden and quality of life of patients with colorectal cancer

[目的]了解大肠癌病人症状负担状况和生活质量水平,并探讨症状负担与生活质量的相关性。[方法]采用MDASI症状评估量表和简明健康状况量表(SF-36)对天津市某医院的大肠癌病人84例进行调查。[结果]84例病人13项症状评分为29.71分±4.11分,6项症状对病人生活的影响程度评分为14.95分±2.34分;大肠癌病人生活质量低于四川常模(P<0.05或P<0.01);13项症状评分与生理健康总评及生理功能、躯体疼痛、总体健康、活力维度评分呈负相关,6项症状对病人生活的影响程度评分与精神健康总评及总体健康、社会功能、精神健康3个维度评分呈负相关。[结论]大肠癌病人均有不同程度的症状负担,生活质量有待提高;应重视病人症状的评估和管理,缓解症状,提高病人生活质量。

Objective： To know about the symptom burden and quality of life of colorectal patients and probe into the correlation between symptom burden and quality of life. Methods： A total of 84 cases of colorectal patients in a hospital in Tianjin were investigated by using M D Anderson Symptom Inventory （MDASI） and the MOS 36 - item Short Form Health Survey （SF - 36）. Results：The 13 symptom score in all patients was 29.714± 4.11 and the influencing score of six symptoms for patients＇ life was 14. 95±2.34. The quality of life of colorectal patients was lower than normal peo- ple in Sichuan （P〈0.05 or P〈0.01） ;Pearson correlation analysis demonstrated that 13 symptoms score was negatively correlated with the scores of physiological health, physical function, bodily pain, general health, and vitality dimension score. While the influencing score of six symptoms for patients＇ life was negatively correlated summary and general health, society with the scores of mental component function and mental health. Conclusion：The colorectal patients have different levels of symptom burden, and quality of life of them is to be improved in the future. We should pay more attention to the assessment and management of patients＇ symptoms,so as to relieve the symptom and improve the quality of life of colorectal pa tlents.