山西省两家肿瘤医院晚期癌症患者尊严现状及其情绪、生命质量的比较研究

Dignity Situation of Patients with Advanced Cancer and Comparative Study of Their Emotions and Quality of Life in two Cancer Hospitals in Shanxi Province

目的:调查晚期癌症患者的尊严现状,比较有无尊严丧失者其情绪及生命质量状况的差异。方法:采用一般调查问卷、综合性医院焦虑抑郁情绪测定表(HAD)、癌症患者生命质量测定量表(EORTC QLQC30)以及患者尊严量表(PDI)对150名诊断为恶性肿瘤的患者进行问卷调查。结果:有63.3%的癌症患者尊严明显丧失;不同性别及肿瘤病理分期的患者其尊严得分差异有统计学意义(P<0.05);有无丧失尊严的患者的焦虑抑郁水平得分差异有统计学意义(P<0.01),除恶心与呕吐、腹泻两个条目外,其余生命质量状况得分差异均有统计学意义(P<0.001)。结论:晚期癌症患者尊严丧失比较明显,女性和Ⅳ期患者的尊严丧失更多,且尊严丧失的患者体验到更强的焦虑抑郁情绪和更差的生命质量。

Objective： To investigate the dignity situation of advanced cancer patients and explore the differences of their emotions and quality of life situation with and without loss of dignity. Methods： A sample of 150 cancer patients who were pathologically diagnosed with malignant tumor was recruited in the study, to complete general questionnaire, the Hospital Anxiety and Depression Scale （ HAD）, Quality of Life Instrument Questionnaire for Cancer Patients C30 and Patient Dignity inventory （PDI）. Results： （1） The ratio of obvious dignity loss in patients with advanced cancer is 63.3%. （2）There are statistical significance between different genders and classifications on patient＇s dignity score（P〈0.05）. （3）There are statistical significance between patients with or without dignity loss on anxiety score（P〈0.01）and the quality of life situation（P〈0.001 ）except for the two items of nausea and diarrhea or vomiting. Conclusion： The patients with advanced cancer suffered dignity loss obviously, among which women and patients of stage Ⅳ lost more dignity, and they experienced more anxiety, depression and worse quality of life.