中华物理医学与康复杂志
中華物理醫學與康複雜誌
중화물리의학여강복잡지
CHINESE JOURNAL OF PHYSICAL MEDICINE AND REHABILITATION
2012年
3期
220-224
,共5页
刘青%于世英%席青松%赵荆%戴宇翃
劉青%于世英%席青鬆%趙荊%戴宇翃
류청%우세영%석청송%조형%대우굉
恶性肿瘤%骨转移%症状负荷%情绪%生活质量%影响因素
噁性腫瘤%骨轉移%癥狀負荷%情緒%生活質量%影響因素
악성종류%골전이%증상부하%정서%생활질량%영향인소
Cancer%Metastasis%Symptom burden%Emotional status%Quality of life%Influencing factors
目的 了解恶性肿瘤骨转移住院患者的生活质量现状及其相关影响因素.方法 采用自行设计的问卷调查2011年3月至9月间在我院肿瘤中心确诊的恶性肿瘤骨转移的住院患者82例,调查内容包括患者一般情况、临床诊疗相关信息、癌症患者生活质量核心调查量表( QLQ-C30)、症状负荷量表中文版(MDASI-C)、医院焦虑抑郁量表(HADS).结果 82例骨转移患者完成调查,QLQ-C30量表中生活质量标准化得分(53.28±19.20)分,功能子量表中得分最低的是社会功能,平均(47.54±32.47)分；在症状子量表中得分最高的是乏力,平均(56.65±25.23)分.在MDASI-C量表中症状负荷最重的是乏力、苦恼与疼痛,分数依次为(5.28±2.56)分、(3.67±3.18)分、(3.59±3.25)分；干扰生活最重的方面是家务劳动与走路,平均得分为(6.18±3.43)分与(4.79±3.37)分.Spearman相关分析示症状负荷中疼痛、乏力、苦恼、悲伤、气短、麻木显著影响患者生活质量.24例(29.3％)诊断为焦虑,17例(20.7％)诊断为抑郁,焦虑和抑郁情绪影响总体生活质量和多维度功能.结论 疼痛、乏力等症状负荷以及负性情绪显著影响恶性肿瘤骨转移患者生活质量,干扰生活最严重的是家务劳动与走路.恶性肿瘤骨转移患者的综合治疗应重视心理康复,同时给予相应康复治疗以改善功能、减轻症状,提高生活质量.
目的 瞭解噁性腫瘤骨轉移住院患者的生活質量現狀及其相關影響因素.方法 採用自行設計的問捲調查2011年3月至9月間在我院腫瘤中心確診的噁性腫瘤骨轉移的住院患者82例,調查內容包括患者一般情況、臨床診療相關信息、癌癥患者生活質量覈心調查量錶( QLQ-C30)、癥狀負荷量錶中文版(MDASI-C)、醫院焦慮抑鬱量錶(HADS).結果 82例骨轉移患者完成調查,QLQ-C30量錶中生活質量標準化得分(53.28±19.20)分,功能子量錶中得分最低的是社會功能,平均(47.54±32.47)分；在癥狀子量錶中得分最高的是乏力,平均(56.65±25.23)分.在MDASI-C量錶中癥狀負荷最重的是乏力、苦惱與疼痛,分數依次為(5.28±2.56)分、(3.67±3.18)分、(3.59±3.25)分；榦擾生活最重的方麵是傢務勞動與走路,平均得分為(6.18±3.43)分與(4.79±3.37)分.Spearman相關分析示癥狀負荷中疼痛、乏力、苦惱、悲傷、氣短、痳木顯著影響患者生活質量.24例(29.3％)診斷為焦慮,17例(20.7％)診斷為抑鬱,焦慮和抑鬱情緒影響總體生活質量和多維度功能.結論 疼痛、乏力等癥狀負荷以及負性情緒顯著影響噁性腫瘤骨轉移患者生活質量,榦擾生活最嚴重的是傢務勞動與走路.噁性腫瘤骨轉移患者的綜閤治療應重視心理康複,同時給予相應康複治療以改善功能、減輕癥狀,提高生活質量.
목적 료해악성종류골전이주원환자적생활질량현상급기상관영향인소.방법 채용자행설계적문권조사2011년3월지9월간재아원종류중심학진적악성종류골전이적주원환자82례,조사내용포괄환자일반정황、림상진료상관신식、암증환자생활질량핵심조사량표( QLQ-C30)、증상부하량표중문판(MDASI-C)、의원초필억욱량표(HADS).결과 82례골전이환자완성조사,QLQ-C30량표중생활질량표준화득분(53.28±19.20)분,공능자량표중득분최저적시사회공능,평균(47.54±32.47)분；재증상자량표중득분최고적시핍력,평균(56.65±25.23)분.재MDASI-C량표중증상부하최중적시핍력、고뇌여동통,분수의차위(5.28±2.56)분、(3.67±3.18)분、(3.59±3.25)분；간우생활최중적방면시가무노동여주로,평균득분위(6.18±3.43)분여(4.79±3.37)분.Spearman상관분석시증상부하중동통、핍력、고뇌、비상、기단、마목현저영향환자생활질량.24례(29.3％)진단위초필,17례(20.7％)진단위억욱,초필화억욱정서영향총체생활질량화다유도공능.결론 동통、핍력등증상부하이급부성정서현저영향악성종류골전이환자생활질량,간우생활최엄중적시가무노동여주로.악성종류골전이환자적종합치료응중시심리강복,동시급여상응강복치료이개선공능、감경증상,제고생활질량.
Objective To investigate factors influencing the quality of life (QOL) of cancer patients with bone metastases. Methods Eighty-two cancer patients with hone metastasis were investigated.A questionnaire designed according to European Organization for Treatment of Cancer quality of life questionnaire ( EORTC QLQ-C30),Monroe Dunaway Anderson symptom inventory-Chinese edition (MADSI-C) and hospital anxiety and depression scale (HADS) standards was used to collect the information. Results The average total standardized QOL score of these cancer patients was 53.28±19.20.Among the function subscales,social function got the lowest average score (47.54),while among the symptom subscales fatigue got the highest average score (56.65).According to the MDASI-C,the most serious symptom burdens were fatigue,distress and pain; working and walking experienced the most interference.The symptom burdens correlated significantly with the QOL results.Twenty-four of the patients (29.3％) had been diagnosed with anxiety,and 17 (20.7％) were diagnosed with depression.Anxiety and depression continued to be significantly associated with overall QOL and its various dimensions. Conclusions The results show that the burden of fatigue and pain,as well as of anxiety and depression are significantly associated with impaired QOL among cancer patients with bone metastasis.Work (housework) and walking were the most severely affected activities.Psychological rehabilitation should be focused on the comprehensive treatment of patients with bone metastasis along with other appropriate rehabilitation strategies to enhance their overall functioning,relieve their symptoms and improve their QOL.
