宫颈癌患者生命质量及影响因素分析

Influence factors of qualities of life in patients withcervical cancer based on QLS-CCP

摘要:

目的 调查住院宫颈癌患者远期生命质量，并探讨其影响因素。方法 选取2015年2月—2017年6月 在海口市琼山区妇幼保健院治疗的120例宫颈癌患者，采用宫颈癌患者的生命质量评价量表（QLS-CCP）评价 患者的生命质量。比较患者一般资料、生命质量各领域评分的差异。以一般资料为自变量，以生命质量各领域评 分为因变量进行多元线性回归分析，评估患者生命质量的影响因素。结果 患者躯体功能得分（21.50±5.52）分， 心理功能得分（39.31±7.23）分，社会功能得分（18.26±6.12）分，共性症状和作用得分（16.82±5.10）分，特异 性模块得分（14.43±5.91）分，量表总分（110.41±20.67）分。多因素回归分析结果显示，躯体功能的影响因素 为临床分期和婚姻状况（P <0.05）；心理功能的影响因素为婚姻、文化程度及临床分期（P <0.05）；社会功能的 影响因素为婚姻（P <0.05）；共性症状和副作用分的影响因素为文化程度和临床分期（P <0.05）；宫颈癌特异性 模块及量表总分的影响因素为婚姻、文化程度和临床分期（P <0.05）。结论 宫颈癌患者在接受治疗的过程中应 密切关注身体状况、心理状态及社会功能。影响患者生命质量的因素较多，针对个性化特点给予患者积极的心理 干预和社会支持，减轻患者的症状和治疗的不良反应，提高生命质量。

Abstract:

Objective To investigate the qualities of life of hospitalized patients with cervical cancer, and to explore its influence factors. Methods Totally 120 cases of cervical cancer patients from February 2015 to June 2017 in our hospital were selected as the research object, and the cervical cancer scale (quality of life scale for cervical cancer patients, QLS-CCP) was used to evaluate the quality of life of patients. The general data and the quality of life scores in various fields of patients were compared. The general data were used as independent variable, the scores of various domains of life quality were dependent variables, and multiple linear regression analysis was carried out to evaluate the influencing factors of patients' quality of life. Results The patient's somatic function score was (21.50 ± 5.52); the psychological function score was (39.31 ± 7.23); the social function score was (18.26 ± 6.12); the common symptoms and side effect score was (16.82 ± 5.10); the specific module score was (14.43 ± 5.91); the total score was (110.41 ± 20.67). The results of multi-factor regression analysis showed that the factors influencing somatic function were clinical staging and marital status (P < 0.05), and the influence factors of psychological function dimension score were marriage, education level and clinical staging of the disease (P < 0.05). The influence factors of social functional dimension score were marriage (P < 0.05); the influence factors of the dimension score of common symptoms and side effects were the level of education and the clinical staging of the disease (P < 0.05). The factors influencing the dimension score of cervical cancer specific module and the total score of quality of life scale were marriage, education level and clinical staging of the disease (P < 0.05). Conclusion The attention should be paid to physical condition, psychological state and social function of patients with cervical cancer in the process of receiving treatment. Due to a number of factors influencing the quality of life of patients scores, it is necessary to give positive psychological intervention and social support based on the individualized characteristics of patients with the purpose of relieving the symptoms of patients and adverse reactions, and improving the quality of life of patients.