膀胱癌患者生存质量分析及应对策略

The coping strategy and analysis of quality of life in patients with bladder cancer

目的调查膀胱癌患者的生存质量,探讨提升其生存质量的应对策略。方法采用医学应对问卷(medical coping modes questionnaire,MCMQ)、焦虑自评量表(self-rating anxiety scale,SAS)、抑郁自评量表(self-rating depression scale,SDS)和欧洲癌症研究与治疗组织肺癌患者生存质量量表(european organization for research and treatment of cancer,quality life quesitionnaire C30,EORTC QLQ-C30)对90例膀胱癌患者(患者组)和配对选取同一时期90名健康体检者(对照组)进行调查。结果患者组生存质量评分(除呼吸困难和腹泻外)、SAS及SDS得分均较对照组差,且差异有统计学意义(P<0.05)。SAS、SDS评分与面对、回避应对策略呈负相关(P<0.05),与屈服应对呈正相关(P<0.05);生存质量中躯体、情绪、社会功能和整体健康状况与面对应对策略呈正相关(P<0.05),与屈服应对呈负相关(P<0.05);疲倦、疼痛、睡眠障碍、食欲下降与屈服应对呈正相关(P<0.05)。结论膀胱癌患者普遍存在焦虑和抑郁,生存质量较差,治疗过程中可引导患者采取积极的应对策略,以达到提高生存质量的目的。

Objective To survey the quality of life status of patients with bladder cancers and explore the coping strategies to enhance their quality of life. Methods We adopted medical coping modes questionnaire（MCMQ）, self-rating anxiety scale（SAS）, self-rating depression scale（SDS）and european organization for research and t reat ment of cancer,qualit y life quesition naire C30（EORTC QLQ-C30）to investigate 90 patients with bladder cancer as patients group and 90 healthy persons as the control group. Results The scores of EORTC QLQ-C30（except dyspnea and diarrhea）and SAS, SDS of the patients were lower than those of healthy persons. The difference was statistically significant（P〈0.05）. The score of SAS and SDS had a negative connection with confrontation and avoiding scale（P〈0.05）, and had a positive connection with yielding scale（P〈0.05）; the body, emotion, social function, whole healthy status had a positive connection with the confrontation scale（P〈0.05）, and had a negative connection with the yielding scale（P〈0.05）. Fatigue, pain, sleep disorder, loss of appetite had a positive connection with yielding scale（P〈0.05）. Conclusion Patients with bladder cancer generally have been anxiety and depression and poor quality of life. Reasonable coping strategies should be adopted to improve their patients＇ quality of life during the treatment should be adopted.