上海市不同区域结直肠癌患者生命质量的聚类分析

Cluster Analysis on Quality of Life in Colorectal Cancer Patients with Various Areas

[目的]评价上海市不同区域结直肠癌患者生命质量的差异,为采取地域性的防治措施提供参考依据。[方法]2013年4~7月在上海进行横断面调查研究,共回收有效问卷1398份,调查内容包括社会人口学、肿瘤诊疗、行为生活方式等,以及EORTC QLQ-C30和FACT-G量表中文版评测。[结果]根据聚类分析将上海区县分为两类：Ⅰ类以中心城区为主;Ⅱ类以郊区或郊县为主。调整社会人口学和肿瘤诊断治疗情况等因素,Ⅰ类区域的结直肠癌患者的EORTC QLQ-C30和FACT-G量表评分得分均显著性低于Ⅱ类区域患者（Padjusted〈0.05）。[结论]上海中心城区的结直肠癌患者总体生命质量可能低于郊区或郊县的患者,应给予中心城区的结直肠癌患者更多的关注。

[Purpose] To investigate the difference of quality of life in colorectal cancer patients with various areas in Shanghai city,and to provide reference for taking regional measures. [Methods] A cross-sectional study was conducted from April to July 2013 in Shanghai. Data was collected using a questionnaire,which included socio-demographic situation,the diagnosis and treatment of tumour,cancer survival,health behaviours and EORTC QLQ-C30 and FACT-G Simplified Chinese version. Total 1398 out of 1466 questionnaires were available. [Results] According to cluster analysis,Shanghai was divided into two classes. Class Ⅰ mainly concentrated in the city center,and class Ⅱ was mainly in suburb. After adjusted socio-demographic and cancer diagnosis and treatment,the score of EORTC QLQ-C30 and FACT-G in the people lived in ClassⅠ areas was lower than those in class Ⅱ areas（Padjusted〈0.05）. [Conclusion] The quality of life of colorectal cancer patients who live in city center may be lower than those around the outside. Much attention must be paid to the patients in the city center.