205例宫颈癌患者生存质量分析

Analysis of Quality of Life in patients with uterus cervical cancer

目的 调查宫颈癌患者治疗前、后生存质量 (QOL) ,分析影响因素 ,探讨提高QOL的措施。方法 用自行设计的宫颈癌患者生存质量评估量表 (QOL UCC)调查 81例治疗前及 12 4例治疗后宫颈癌患者 ,用SPSS 9.0统计数据。结果 治疗前患者心理状况差 ( 2 .11± 0 .3 4) ,治疗后患者社会职能差 ( 2 .0 1±0 .3 3 ) ,其中工作情况 ( 1.87)及性生存质量 ( 1.0 0 )最为明显。经济状况、复发或初治未控为宫颈癌患者QOL主要影响因素。结论 提高宫颈癌患者QOL ,治疗前应加强心理治疗 ,治疗后以帮助患者恢复社会职能为主 ,即工作与性生活的恢复。提高治疗费用 效益比 。

Objective To investigate the quality of life (QOL) of cervical cancer patients and its influential factors as well as to explore the method for improving the QOL in this population of patients. MethodsA QOL questionnaire for uterus cervical cancer (QOL-UCC) was designed and used in a survey of 81 UCC patients before they got any treatment and 124 UCC patients after they were treated for a period of time. SPSS 9.0 software was used to analyze data. ResultsThe patients got poor score with psychological status items(2.11± 0.34 ) before treatment, while those who had been treated for a period of time got poor score with social characteristics items(2.01± 0.33 ), especially with the work(1.87)and sexuality (1.00) items. Economic status of the patients, unsuccessful control of progress of the disease and recurrence were the main influential factors of the QOL in the UCC patients. ConclusionPsychosocial factors play very important roles in QOL of the UCC patients. As a result, psychosocial interventions should be stressed in the rehabilitation of this population of patients.