复发卵巢癌患者生活质量与社会支持相关性分析

Correlative analysis between the quality of life and social support in patients with recurrent ovarian cancer

目的:调查分析复发卵巢癌患者的生活质量与社会支持状况,并分析两者间的相关性。方法:采用生活质量核心量表(QLQ-C30)和领悟社会支持量表(PSSS)对122例复发卵巢癌患者进行调查分析。结果:复发卵巢癌患者生活质量下降,总健康状况评分(56.48±22.02)不高,正向评分的功能领域中社会功能(64.48±25.70)得分最低,反向评分的经济领域(49.45±34.61)是降低生活质量的重要原因。但复发卵巢癌患者的社会支持较好,总体支持因子分为5.64±0.94,其中家庭内支持因子分(6.14±0.84)要高于家庭外支持因子分(5.39±1.16),差异有统计学意义(P<0.01)。社会支持与经济领域呈负相关性,家庭内支持与认知功能、社会功能呈正相关性,与疲乏、疼痛呈负相关性(P<0.05)。结论:复发卵巢癌患者生活质量较差,社会支持与生活质量密切相关,医务工作者要重视并利用患者的社会支持系统,来提高患者的生活质量。

Objective：To evaluate the quality of life（QOL） and the social support in patients with recurrent ovarian cancer,and to analyze the relationship between them.Methods：122 patients with recurrent ovarian cancer were interviewed with two questionnaires：Quality of Life Questionnaire C30（QLQ-C30） and Perceived Social Support Scale（PSSS）.Results：QOL declined in recurrent ovarian cancer,with poor global health score（56.48±22.02）.Among positive ratings in five functional domains,social functioning score（64.48±25.70） was the lowest.And among reverse ratings,financial difficulties（49.45±34.61） were the most main factors reducing QOL.The social support in patients with recurrent ovarian cancer was good.The mean score of total social support was 5.64±0.94,but the mean score of family support inside（6.14±0.84） was higher than that of family support outside（5.39±1.16）.The difference was statistically significant（P〈0.01）.It showed a negative correlation between social support and financial difficulties.Family support inside had positive correlation with score of cognitive functioning and social functioning,and negative correlation with score of fatigue and pain（P〈0.05）.Conclusion：Patients with recurrent ovarian cancer have poor QOL.The social support of them closely related with QOL,and we should use the social support sufficiently to improve QOL of patients.