广州市宫颈癌患者生存质量及其影响因素分析

Cervical cancer patients quality of life and affecting factors analysis of Guangzhou city

目的调查广州市宫颈癌患者生存质量,分析其影响因素。方法采用中文版宫颈癌生存质量评估量表（FACT-Cx）对237名从广州市癌症登记数据库中随机抽取的女性宫颈癌患者进行调查,使用单因素分析和非条件logistic回归评估关联。结果认为获得了医生更多关注的患者总的生存质量得分更高（OR=4.65,95%CI：1.69-12.87）,有更高的生理状况评分（OR=5.88,95%CI：2.17-16.06）,更高的社交状况评分（OR=5.88,95%CI：2.16-16.05）,更高的情感状况评分（OR=4.77,95%CI：1.93-11.89）,更高的功能状况评分（OR=5.26,95%CI：1.91-14.53）。知道全部或大部分病情的患者相比不知道病情的患者的生存质量评分更高（OR=2.36,95%CI：1.05-5.34）。结论医患关系,主要是医生的态度,而不是患者的参与,是宫颈癌患者生存质量的重要影响因素。有效的干预需要建立良好的医患关系。

Objective To evaluate the quality of life（ QOL） among cervical cancer patients and explore its affecting factors. Methods With Chinese version FACT-Cx Questionnaire,the quality of life was evaluated on 237 women cervical cancer patients randomly selected from Guangzhou cancer registries database by sampling method,non-conditional logistic regression method wag used to choice the main affecting factors. Results Patients who gained more attention from doctors have higher FACT-Cx scores（ OR = 4. 65,95% CI： 1. 69 -12. 87）,higher psychological status scores（ OR = 5. 88,95% CI： 2. 17 - 16. 06）,higher social well-being scores（ OR = 5. 88,95% CI： 2. 16 - 16. 05）,higher emotional well-being scores（ OR = 4. 77,95% CI：1. 93 - 11. 89）,higher social functional well-being scores（ OR = 5. 26,95% CI： 1. 91 - 14. 53） compared to the patients who gained less attention from the doctor. Quality of life scores of patients who know all of or most of the illness are higher than those who don＇t know the illness（ OR =2. 36,95% CI： 1. 05 -5. 34）. Conclusions Doctor-patient relationship,especially doctors＇ attitude,had significant association with the QOL of cervical cancer survivors,but not the patients＇ participation. Effective intervention need to carry out for the development of doctor-patient relationship.