晚期癌症患者的生活质量调查

目的通过调查了解家居晚期癌症患者的生活质量现状,提出改善其生活质量的对策.方法参照宁养服务综合评估表和我国1990年制定的癌症患者生活质量评分试行草案拟定问卷,对南宁市及周围地区的312例家居晚期癌症患者的生活质量进行调查.结果疼痛发生率为83.7%,其中中、重度疼痛发生率分别为39.7%和32.7%;心理症状方面,焦虑、孤独、抑郁的发生率分别为63.5%、34.9%和31.1%;总的生活质量评价,差以下占59.6%,一般占32.7%,好以上仅占7.7%.结论晚期癌症患者的生活质量差;加强癌症姑息治疗知识宣传,保证麻醉止痛药的供应,发展宁养服务是提高家居晚期癌症患者生活质量的关键.

Survey of quality of life in patients with advanced malignant tumor

Objective To understand the quality of life(QOL) in patients with advanced malignant tumor staying at home and to propose the measures for improving QOL. Methods 312 patients with advanced malignant tumor were investigated in Nanning city and suburban area. Hospice care QOL instrument and suggestion on QOL assessment issued by China Anti-cancer Association (1990) were referred to draw up a questionnaire. Results Incidence of cancer pain was 83.7% ,of which,moderate and severe pain were 39.7% and 32.7% respectively. Incidences of anxiety, loneliness and depression were 63. 5 % , 34. 9 % and 31.1% respectively. The condition of QOL in patients with advanced malignant tumor was poor in 59.6% .medium in 32.7 % and good in 7.7% .Conclusion To propagate further the knowledge about hospice care, to supply enough analgesic drug and to develop family hospice care service are important for improving QOL in patients with advanced malignant tumor.