临终晚期癌症患者生活质量及其影响因素调查分析

Quality of life in patients with advanced cancer in terminal stage and its influence factors

目的探讨临终晚期癌症患者生活质量影响因素。方法回顾性分析88例临终晚期癌症患者临床资料，包括生活质量评价结果、疼痛程度、年龄、性别、医疗费用支付情况、社会支持、疾病情况等，将所得数据经专业统计学检验后获得结论。结果若患者存在化疗、疼痛、无社会支持、自费医疗、高龄、复发及转移等情况，则其QLQ—C30量表均较低，提示上述各项均属于临终晚期癌症患者生活质量主要影响因素，对比结果P〈0．05。结论临床医生应准确掌握临终晚期癌症患者生活质量影响因素，根据患者实际情况提供针对性的干预措施，从而有利于保障其生活质量。

Objective To explore the factors influencing the quality of life in patients with advanced cancer in terminal stage. Methods The clinical data, including the results of the evaluation of quality of life, pain, age, sex, payment of medical expense, social support, disease and so on, of 88 patients with advanced cancer in terminal stage were retrospectively analyzed. The resulting data were statistically tested. Results If the patients were in the presence of chemotherapy, pain, no social support, payment for health care, old age, recurrence, and metastasis, their scores of QLQ-C30 scale were low, suggesting that the above indicators were the main factors influencing the quality of life in patients with advanced cancer in terminal stage （P 〈0.05）. Conclusions Clinicians should accurately command the factors influencing the quality of life in patients with advanced cancer in terminal stage and provide targeted interventions basing on the actual situation of the patients so as to protect their quality of life.