乳腺癌患者生存质量影响因素分析

目的对乳腺癌患者生存质量进行测量和综合评价，筛选出影响乳腺癌患者生存质量的因素，为提高患者生存质量提供建议。方法利用癌症治疗方法评估表-乳腺癌分量表（FACT—B）、症状自评量表SCL-90和社会支持量表，采用调查病例、面访与问卷相结合的方法对260例乳腺癌住院患者的生存质量进行测量和评价。采用SPSS13．0软件对数据进行统计学分析，筛选出影响乳腺癌患者生存质量的主要因素。结果影响生存质量总分因素为经济状况（偏回归系数β=2．024，P=0．003）、情绪调节能力（β=4．993，P=0．000）以及婚姻质量自我评价（β=-3．954，P=0．001）；影响生理领域得分的因素为情绪调节能力（β=0．987，P：0．008）以及应激事件次数（β=-0．866，P=0．011）；影响社会家庭领域得分的因素为经济状况（β=1．016，P=0．000）、婚姻状况（β=-1．018，P=0．041）、情绪调节能力（β=0．971，P=0．008）以及婚姻质量自我评价（β=-1．382，P=0．001）；影响情感领域得分的因素为情绪调节能力（β=1．094，P=0．000）和婚姻质量自我评价（β=-0．892，P=0．006）；影响功能领域得分的影响因素为地区因素（β=1．653，P=0．008）、情绪调控能力（β=0．962，P=0．01）以及生活质量自我评价（β=-1．705，P=0．000）。结论指导患者正确认识乳腺癌，坚定生活信心，加强康复锻炼，并使患者拥有良好的家庭环境和必要的社会福利保证等可促进其功能恢复，进而提高生存质量。

Study on the factors influencing the quality of life among patients with breast cancer

Objective To describe the quality of life of breast cancer patients and explore the risk factors for their quality of life (QOL). Methods QOL of 260 patients with breast cancer were studied using FACT-B, SCL-90, Social Support Rating Scale and multiple linear regression models to study the main factors influencing the QOL of patients with breast cancer on functional scales (physical, social, emotional, role). Results Economic conditions (β =2.024, P =0.003), emotion regulation ability (β =4.993, P =0.000) and self-evaluation of marital quality (β =-3.954, P =0.001) were associated with total QOL scores, emotion regulation ability (β =0.987, P =0.008), the number of emergency incidents (β=-0.866, P =0.011) were associated with physical domain scores, economic conditions (β =1.016, P =0.000), marital status (β =-1.018, P =0.041), emotion regulation ability (β =0.971, P =0.008), self-evaluation of marital quality (β =-1.382, P =0.001) were associated with social and family domain scores, emotion regulation ability (β =1.094, P =0.000), self-evaluation of marital quality (β =-0.892, P =0.006) were associated with emotional domain scores, regional factors(β =1.653, P =0.008), emotion regulation ability (β =0.962, P=0.01), self-evaluation of the QOL (β =-1.705, P =0.000) were associated with function domain scores. Conclusion Guiding the patients to have a correct understanding of the breast cancer, strengthening their confidence of life, increasing physical activity, having a good family environment and necessary social welfare so that improving the QOL of the patients.