乳腺癌患者疼痛与生活质量的调查研究

Survey of pain and quality of life of breast cancer patients

目的调查乳腺癌患者的疼痛及生活质量情况,分析疼痛对其生活质量的影响以及患者生活质量的影响因素。方法选择乳腺癌患者100例为调查对象,其中疼痛组42例,58例为非疼痛组。采用中国人癌症疼痛评估工具对疼痛进行评估,采用生活质量调查问卷进行调查,分析影响患者生活质量的主要因素。结果疼痛组和非疼痛组的疼痛评分比较,差异有统计学意义(P<0.05)。两组生活质量比较,躯体功能、角色功能、社会功能方面,非疼痛组均明显高于疼痛组(P<0.05)。而在情绪功能、认知功能比较,差异无统计学意义(P>0.05)。疼痛评分和年龄与整体生活质量呈负相关,而文化程度和家庭收入与患者的整体生活质量呈正相关。结论疼痛是影响乳腺癌患者质量的主要因素之一,临床治疗中应有效控制疼痛以提高患者的生活质量。

Objective To survey pain and quality of life of breast cancer patients. Methods A total of 100 cases with breast cancer were selected and surveyed. 42 cases suffered from pain, 58 cases without pain. Pain was evaluated by the Chinese cancer pain assessment tools. Quality of life was surveyed by quality of Life questionnaire. Main influenc- ing factors were analyzed. Results Pain score had significant difference between pain group and painless group（P 〈 0.05）. Compared quality of life of two groups, physical functioning, role function, social function of painless group were higher than pain group（P 〈 0.05）. Emotional function,cognitive function had no significant difference between two groups （P 〉 0.05）. Pain score and age was negatively correlated with quality of life. And cultural degree and family income were positively correlated with quality of life. Conclusion Pain is one of main influencing factors of quality of life of breast cancer patients. Clinical treatment should be effective pain control in order to improve the quality of life of the patients.