晚期肿瘤患者生活质量及疼痛调查分析

Survey of quality of life and pain in advanced cancer patients

目的研究晚期肿瘤患者生活质量及疼痛现状和相关因素。方法选择100例晚期肿瘤患者为研究组和100例健康者为正常对照组,采用QLQ30和BPI量表评价研究组生活质量和疼痛状态,并分析相关因素。结果研究组QLQ30量表的功能项、症状项、单项及整体生活质量得分显著低于正常对照组(P<0.01)。不同年龄、肿瘤部位、家庭支持患者BPI评分差异有统计学意义(P<0.05)。不同年龄、教育程度、肿瘤部位、家庭月收入、家庭支持患者整体生活质量评分差异有统计学意义(P<0.05)。其中,年龄、家庭支持对晚期肿瘤患者疼痛有显著影响(P<0.05),年龄、教育程度、家庭支持对晚期肿瘤患者整体生活质量有显著影响(P<0.05)。结论晚期肿瘤姑息治疗应关注患者生活质量的提高,缓解癌痛是提高生活质量的重要内容。

Objective To study quality of life and pain status and related factors in advanced cancer patients. Methods A total of 100 cases of advanced cancer patients for the study group and 100 cases of healthy normal for the control group, used the QLQ30 and BPI scale to evaluate quality of life and pain states, and analyzed the relevant factors in study group. Results The research group QLQ30 scale function, symptoms, individual and overall quality of life score were significantly lower than the normal control group （P 〈 0.01）. Different age, tumor location, family support BPI score differences in ad- vanced patients were significant （P 〈 0.05）. Different age, education level, tumor location, family income, family support, the overall quality of life in patients with differences were significant （P 〈 0.05）. Among them, age, family support had the sig- nificant effect in advanced cancer patients with pain （P 〈 0.05）; age, educational level, family support significantly affected the overall quality of life in patients with advanced tumors （P 〈 0.05）. Conclusion Late cancer palliative care should be concerned about the improved quality of life of patients, to ease the pain is important to improve the quality of life.