胃癌患者生命质量及其影响因素研究

The quality of life and its influencing factors among patients with stomach tumor

目的了解胃癌患者生命质量情况并分析其影响因素,为提高和改善患者生命质量提供依据。方法以2015年7-8月江苏省肿瘤医院住院胃癌患者为研究对象,使用一般情况调查表和癌症病人生命质量测定量表体系-胃癌量表QLICP-ST,对胃癌患者进行一对一的问卷调查。结果胃癌患者生命质量总体状况得分为72.51。影响因素分层分析结果显示,性别、BMI、肿瘤分期、性格、对待疾病的信心、治疗情况、对医疗服务和费用的满意程度是胃癌患者生命质量总体状况得分的影响因素。生命质量状况得分多重回归分析显示:BMI越高的患者,总体生命质量越高;而医疗服务满意度越差、对待疾病的信心越低、性格越内向、治疗后疗效越差的患者,总体生命质量越差。结论胃癌患者生命质量总体情况有待改善,根据相关影响因素采取有针性的措施,有助于提高和改善胃癌患者的生命质量。

Objective To study quality of life and its influencing factors among patients with stomach tumor to provide ba- sis for improving patients＇ quality of life. Methods Stomach tumor patients taking hospitalized treatment in Jiangsu Provincial Cancer Hospital from Jul to Aug in 2015 were chosen as subjects, general questionnaire and cancer patients Quality of Life Sys- tem （QLICP-ST） were used for face to face interview. Results Total score of overall quality of life among stomach tumor patients was 72.51 points. Stratified analysis showed that gender, BMI, tumor stage, confidence and character, treatment, sat-isfaction degree for medical services and cost were influencing factors of overall quality of life among stomach tumor patients. Multiple regression analysis for score of overall quality of life showed that patients with higher BMI had higher overall quality of life while patients with poorer satisfaction for medical services or lower confidence for treatment, whose character was more introverted, with worse curative treatment effect had lower overall quality of life. Conclusion The overall quality of life for patients with stomach tumor should be improved. Appropriate measures targeting influencing factors would be beneficial to enhance quality of life of stomach tumor patients.