消化道恶性肿瘤病人确诊初期生命质量纵向研究

目的探讨消化道恶性肿瘤病人确诊初期生命质量的纵向变化 ,为针对性护理干预提供理论依据。方法采用癌症康复评价简表 (CARES SF)、MSAS量表、社会支持评定量表、状态焦虑自评量表、贝克抑郁量表对 10 7例消化道恶性肿瘤病人进行 6个月的追踪调查。结果生命质量中生理、心理社会及与医务人员的关系评分在 6个月中较稳定 (均数变化 ,P >0 .0 5 ,相关性分析 ,P <0 .0 1) ;婚姻关系、性功能评分均显著增加 (均P <0 .0 1)。确诊初期的生命质量、疾病时间长短、性别、教育层次是 6个月后生命质量的预测变量 (P <0 .0 5 ,P <0 .0 1)。结论病人确诊初期的生命质量为中等 ,6个月后婚姻关系、性功能问题加重 ;生命质量的影响因素为确诊初期的生命质量、疾病时间长短、性别、教育层次。制订针对性的干预方案可望提高病人的生命质量。

Quality of Life of Patients Newly Diagnosed with Gastrointestinal Cancer: A Longitudinal Study

Objective To investigate the longitudinal changes in quality of life (QOL) of the patients newly diagnosed with gastrointestinal (GIT) cancer.Methods One hundred and seven patients newly diagnosed with GIT cancers were subjected to a tracing survey of 6 months by using. CARES-SF, MSAS, SSQ, SAI, and BDI-13. Results There was stability on most of the measures in 6 months (P<0.01). The scores were increased in marital relationship and sexual relationships(P<0.01). The main predictors of QOL during 6 months were QOL at the first time, gender, and level of education (P<0.05,P<0.01). Conclusion GIT cancer patients reported moderate level of QOL. Marital relationship and sexual relationships were aggrevated 6 months later. The effective factors of QOL during 6 months were QOL at the first time, gender and level of education. It is important to assess the ongoing QOL and develop intervention to improve their QOL.