肺癌患者症状体验对生活质量影响的研究

Effects of symptom experience on life quality of patients with lung cancer

目的研究肺癌患者症状体验对生活质量评分的影响。方法采用肺癌患者生活质量量表(FACT-L)对178例肺癌住院患者的症状感受与生活质量的相关性进行调查分析。结果呼吸急促、体质量下降、思维不清、食欲下降、咳嗽、胸闷、呼吸困难的评分差异对生理状况的影响有显著统计学意义(P<0.01);思维不清的评分差异对家庭/社会状况的影响有显著统计学意义(P<0.01);呼吸急促、思维不清、食欲下降、胸闷的评分差异对情感状况的影响有显著统计学意义(P<0.01);呼吸急促、体质量下降、思维不清、食欲下降、脱发、胸闷的评分差异对功能状况的影响有显著统计学意义(P<0.01);呼吸急促、体质量下降、思维不清、食欲下降、胸闷和呼吸困难的评分差异对FACT-L量表总分的影响有显著统计学意义(P<0.01)。结论症状体验是患者自评生活质量的主要依据,医疗方案选择应充分考虑患者主观感受。

Objective To explore the effects of symptom experience on life quality of patients with lung cancer.Methods The functional assessment of cancer therapy-lung cancer（ FACT-L） scale was adopted to analyze the correlation of symptom experience and life quality for 178 inpatients with lung cancer. Results The effects of different scores of breath shortness, weight loss, unclear thinking, appetite loss, cough, chest tightness, and breathing difficulty on physiological status were statistically significant（ P〈0. 01）. The effects of different scores of unclear thinking on family / social status were statistically significant（ P〈0. 01）. The effects of different scores of breath shortness, unclear thinking, appetite loss, and chest tightness on emotional status were statistically significant（ P〈0. 01）. The effects of different scores of breath shortness, weight loss, unclear thinking, appetite loss, hair loss, and chest tightness on functional status were statistically significant（ P〈0. 01）. The effects of different scores of breath shortness, weight loss, unclear thinking, appetite loss, chest tightness, and breathing difficulty on the overall score of FACT-L scale were statistically significant（ P〈0. 01）. Conclusion The symptom experience is the main basis for self-evaluating the life quality of patients. Subjective feelings of patients should be taken into consideration in selecting treatment plans.