肿瘤患者放疗前癌痛发生率及其对生活质量的影响调查分析

Investigation and Analysis of the Incidence of Cancer Pain before Radiotherapy in Cancer Patients and its Influence on Quality of Life

目的:探讨肿瘤患者放疗前癌痛发生率及其对生活质量的影响调查结果,并分析其原因,提出解决意见。方法:选取2018年6月—2020年6月驻马店市中心医院收治的200例恶性肿瘤患者作为研究对象,应用基本信息资料收集表调查表、简明疼痛调查表(BPI)、美国简明健康状况调查表(SF-36)分别调查患者基本情况、疼痛、生活质量。结果:患者中前四位病种是消化道肿瘤、肉瘤、淋巴癌、泌尿系统肿瘤,其中消化道肿瘤、肉瘤患者多中重度疼痛,淋巴癌多轻中度疼痛,泌尿系统肿瘤多轻重度疼痛。肺癌无重度疼痛,多无痛。本组患者疼痛率为93.50%。200例放疗肿瘤患者中无痛者13例(6.5%)、轻度疼痛46例(23.0%)、中度疼痛73例、(36.5%)重度疼痛68例(34.0%),疼痛率为93.50%。相关性分析发现,疼痛与疾病分期、肺、肝、软组织、胸膜、脑转移部位之间不具相关性,但与骨转移有相关性。PF、RP、GH、VT、SF、RE、MH无痛比较差异无统计学意义(P>0.05),轻中重度比较差异有统计学意义(P<0.05)。随着放疗疼痛程度加重,患者躯体运动状态、精神状态指标呈下降趋势。结论:消化道肿瘤、肉瘤患者放疗前癌痛发生率较高,肺癌疼痛发生率较低。疼痛程度直接影响患者生活质量,不利于躯体运动状态、精神状态提高。

Objective:To investigate the incidence of cancer pain and its influence on quality of life before radiotherapy,so as to analyze the reasons and propose solutions.Methods:A total of 200 malignant tumor patients admitted to the hospital from June2018 to June 2020 were selected as the research subjects.The Basic Information Data Collection Form Questionnaire,BPI Questionnaire and SF-36 Questionnaire were used to investigate the patients’basic conditions,pain and quality of life respectively.Results:The top four diseases in the patients were digestive tract tumor,sarcoma,lymphoma,and urinary system tumor.Among them,most patients with gastrointestinal tumors and sarcomas had moderate to severe pain,most patients with lymphoma had mild to moderate pain,and most patients with urinary system tumors had mild to severe pain.Lung cancer patients had no severe pain,and most were painless.Among the 200 radiotherapy tumor patients,13(6.5%)had no pain,46(23%)had mild pain,73 had moderate pain,and 68(36.5%)had severe pain,with a pain rate of 93.50%.Correlation analysis showed that there was no correlation between pain and disease stage,lung,liver,soft tissue,pleura,and brain metastases.However,there was a correlation with bone metastasis.There was no statistically significant difference in painless comparison among PF,RP,GH,VT,SF,RE,and MH(P>0.05).There was statistically significant difference between mild,moderate and severe(P<0.05).With the aggravation of radiotherapy pain,the patients’physical movement state and mental state indicators showed a downward trend.Conclusion:The incidence of cancer pain before radiotherapy is higher in patients with gastrointestinal tumors and sarcomas,and the incidence of lung cancer pain is lower.The degree of pain directly affects the quality of life of patients,and is not conducive to the improvement of physical movement state and mental state.