肿瘤晚期患者治疗方案选择及其生存质量问卷调查分析

Analysis on treatment options and life qualities of patients with advanced neoplasms by questionnaire survey

目的观察肿瘤晚期患者治疗方案的选择情况,为提高其生存质量提供参考依据。方法选用调查问卷的方式,对诊断为肿瘤晚期患者进行调查,共发放问卷80份,有效问卷63份,观察肿瘤晚期患者对治疗方案的选择情况、对综合治疗(药物、郭林气功、针灸/艾灸、太极)的认知程度、选择不同治疗方案患者的卡诺夫斯基能力状态(KPS)评分。结果选择综合治疗和中西医结合治疗的患者比例相对其他较高,中医、西医、中西医、综合、姑息治疗选择比例分别是15.87%、11.11%、22.22%、42.86%、7.94%。患者对综合治疗的认知度较高,特别在针灸、艾灸治疗方面,占比为73.02%。对比调查时和六个月治疗后患者生存质量,中西医治疗和综合治疗的患者KPS评分均显著提高,差异有统计学意义(P<0.001)。结论肿瘤晚期患者选择中西医治疗和综合治疗的比率大,两者在一定程度上显著提高患者的生存质量。

Objective To observe the treatment options of patients with advanced neoplasms and to provide references for improving their life qualities. Methods The questionnaire was used to investigate the patients who were diagnosed as advanced neoplasm.Eighty questionnaires were distributed,of which 63 copies were valid.The selection of treatment options,the recognition of comprehensive treatments（medicine,Guolin Qigong,acupuncture/moxa-wool moxibustion,Tai Chi）and the Karnofsky Performance Status（KPS）scores of patients treated with different regimens were observed for all the patients with advanced neoplasms. Results The proportions of patients who chose the comprehensive treatment and the integration of traditional Chinese and western medicine treatment were relatively high.The proportion of patients who selected Chinese medicine,western medicine,integration of traditional Chinese and western medicine,comprehensive treatment,palliative treatment was 15.87%,11.11%,22.22%,42.86%and 7.94%,respectively.Patients had higher recognition for comprehensive treatment,especially in acupuncture/moxa-wool moxibustion treatment,accounting for 73.02%.Comparison of the life qualities of patients between pre-treatment（at the time of survey）and six months of post-treatment yielded that the KPS scores of patients who selected the integration of traditional Chinese and western medicine treatment and comprehensive therapy were significantly increased.The difference was statistically significant（P〈0.001）. Conclusion A large proportion of patients with advanced neoplasms choose the integration of traditional Chinese and western medicine treatment and comprehensive therapy which can improve the quality of life of patients to a certain extent.