妇科恶性肿瘤患者的生存质量调查分析(1)
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2010年8月1日
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【摘要】目的探讨妇科恶性肿瘤患者的生存质量。方法选用妇科恶性肿瘤患者生存质量量表,评估192例妇科恶性肿瘤患者的生活质量,并与190例同龄妇科良性肿瘤患者进行对比分析。结果妇科恶性肿瘤患者生活质量子量表的疾病特征、家庭经济状况、生理状态、心理状态、躯体性焦虑、社会生活状态、自身满意程度、诊查时表现及综合评价等分值明显高于妇科良性肿瘤的对照组(P<0.001),影响因素分析表明,有无配偶、是否由配偶照顾、夫妻关系、家人的健康状况、负性生活事件的有无、学历、原职业及患病后有无工作均对其生存质量有影响。结论妇科恶性肿瘤患者生存质量较良性肿瘤患者差,在临床治疗工作中,既要重视延长生存期,也要重视提高患者的生存质量。
【关键词】 妇科肿瘤生存质量调查分析
中国图分类号:R737.3 文献标识码:A 文章编号:1005-0515(2010)08-037-03
Gynecology department m alignant tumor patients survival quality diagnosis
CHEN XiaojuZHU peiyi
【Abstract】 ObjectiveTO investigatethelife quality of women with m alignant gynecologic tumors.MethodeUse the scale about the life quality of women with m alignant gynecologic tumors to evaluate the life quality of one hundred and ninety-two cases with m alignant gynecologic tumors,and to contrast with one hundred and ninety cases withgynecologicbenign tumors . ResultsThe score ofthe genius morbi , the economic status of the family、the physiological status , the psychic status , the somaticanxiety , thestateofsocial life ,the satisfaction degree ofoneself , the representation for the examination andthe compositiveevaluationin the scale about the life quality of women with m alignant gynecologic tumors are all obviously higher than that of the control group (P<0.001).The analyses of influencing factorindicated that have a spouse or not ,look aftered by spouse or not , the relationship of couple , the health status of the family members、have a negative life events or not , the academic career, the virgin vocation and have a job or not after with the disease are all can effect the life quality. ConclusionThe life quality ofthe cases with m alignant gynecologic tumors is worse than that of the cases with gynecologicbenign tumors. In the clinic works ,we must reconstruct to extend the life span ofthe sufferersand to raise the life quality of the sufferers .
【Key words】gynecologic tumorlife qualitySurvey
妇科肿瘤(宫颈癌、卵巢癌、子宫内膜癌和外阴癌)是严重威胁妇女健康和生命的恶性肿瘤,患病后不仅影响正常的生理功能,而且会引起心理、社会生活等功能改变,导致自身满意程度下降,降低患者的生存质量。在当前妇科恶性肿瘤发病率仍较高的情况下,如何提高患病群体的生存质量,已成为妇科肿瘤研究领域研讨的重要课题之一。生活质量(QOL)是指个体根据其所处的文化背景、价值系统对自身生活的主观感受,它受个体目标、期望值、标准和个体的关注点等因素的影响。为了解妇科肿瘤特别是恶性肿瘤患者的生存质量状况,我们于2006年1月至2008年6月对来我院门诊或住院的妇科肿瘤患者进行了生存质量调查,现将结果报告如下: ......
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