癌症患者自我感知歧视的现状、影响因素及与生命质量的相关性

Current situation and influencing factors of self-perceived discrimination in cancer patients and its correlation with quality of life

目的:探讨癌症患者自我感知歧视的现状及影响因素,并分析其与生命质量的相关性。方法:选取2023年9月至2024年5月在3家综合性三甲医院就诊的342例癌症患者为研究对象,采用CSPDS量表和EORTCQLQ-C30问卷对其进行调查。采用多元逐步线性回归分析自我感知歧视的影响因素,采用Pearson相关分析研究其与生命质量的相关性。结果:342例癌症患者的自我感知歧视得分为14~67分,中位得分M(P_(25),P_(75))为35(20,44);经济压力、肿瘤分期、性别、年龄是癌症患者自我感知歧视的影响因素(P<0.05);CSPDS总分与EORTCQLQ-C30总分、总体健康状况、功能维度、症状维度,以及除腹泻外的5个单一维度得分均呈线性正相关(P<0.05)。结论:癌症患者普遍存在较高水平的自我感知歧视。针对影响因素及时实施干预,将有助于降低癌症患者自我感知歧视水平,改善其身心健康和生命质量。

Objective:To explore the current situation and influencing factors of self-perceived discrimination in cancer patients,and analyze its correlation with quality of life.Methods:A total of 342 cancer patients treated in three comprehensive 3Alevel hospitals from September 2023 to May 2024 were selected as the research objects,and they were investigated using the CSPDS scale and the EORTC QLQ-C30 questionnaire.Multiple stepwise linear regression was used to analyze the influencing factors of self-perceived discrimination,and Pearson correlation analysis was used to study its correlation with quality of life.Results:The self-perceived discrimination scores of 342 cancer patients ranged from 14 to 67 points,and the median score of M(P_(25),P_(75))was 35(20,44).Economic pressure,tumor stage,gender,and age were the influencing factors of self-perceived discrimination in cancer patients(P<O.05).The total score of CSPDS was linearly and positively correlated with the total score of EORTC QLQC30,overall health status,functional dimensions,symptom dimensions,and the scores of five single dimensions except diarrhea(P<0.05).Conclusion:Cancer patients generally have a high level of self-perceived discrimination.Timely implementation of interventions for influencing factors will help reduce the level of self-perceived discrimination in cancer patients and improve their physical and mental health and quality of life.