肺癌术后化疗病人的疾病不确定感与生活质量的相关性研究

Study on correlation between uncertainty in illness and quality of life of lung cancer patients receiving postoperative chemotherapy

[目的]调查肺癌术后化疗病人疾病不确定感、生活质量状况,探讨疾病不确定感与生活质量的相关性。[方法]选取广州医科大学附属第一医院收治的肺癌术后化疗病人110例。采用中文版疾病不确定感量表(MUIS)和中文版肺癌病人生活质量量表(QLQ-LC43)进行测评。[结果]肺癌术后化疗病人疾病不确定感总分为80.50分,中位数为77.50分,疾病不确定感得分处于中等水平;肺癌术后化疗病人生活质量得分:躯体功能和认知功能得分相对较低,社会功能和角色功能得分相对较高,情绪功能得分处于中等水平;总健康状况子量表均分为2.93分,中位数为3.00分。不明确性与认知功能、情绪功能、躯体功能、角色功能、总体健康感觉呈正相关;信息缺乏与认知功能、情绪功能、角色功能、总体健康感觉呈正相关;不可预测性与总体健康感觉呈正相关;MUIS总分与认知功能、情绪功能、角色功能、总体健康感觉呈正相关。[结论]肺癌术后化疗病人的疾病不确定感处于中等水平,疾病不确定感和生活质量呈负相关;提示降低疾病不确定感有利于提高肺癌术后化疗病人的生活质量。

Objective:To investigate the uncertainty in illness and quality of life of lung cancer patients receiving postoperative chemotherapy and probe into the correlation between uncertainty in illness and quality of life.Methods:A total of 110 cases of lung cancer patients receiving postoperative chemotherapy admitted in First Affiliated Hospital of Guangzhou Medical University were selected.Chinese version of uncertainty fin Illness Scale(MUIS)and quality of life in patients with lung cancer Chinese version scale(QLQ-LC43)were used to evaluate.Results:The total score of uncertainty in illness of lung cancer patients receiving postoperative chemotherapy was 80.50,the median was 77.50,uncertainty in illness score was in the medium level;quality of life score of lung cancer patients receiving postoperative chemotherapy:physical function and cognitive function scores were relatively low,social function and role function have relatively high scores,emotional function score was in the medium level;general health subscale score was 2.93,a median of 3.00.Ambiguity was positively correlated with cognitive function and emotional function,physical function,role function and general health perceptions;lack of information was positively correlated with cognitive function,emotional function,role function and general health perceptions;unpredictability was positively correlated with general health perceptions,total MUIS score was positively correlated with cognitive function,emotional function,role function and general health perceptions.Conclusion:Total score of uncertainty in illness of lung cancer patients receiving postoperative chemotherapy was at the middle level;the uncertainty in illness of lung cancer patients with postoperative chemotherapy was negatively correlated with quality of life;it prompts that to reduce uncertainty in illness will help improve the quality of life of lung cancer patients receiving postoperative chemotherapy.