北京市癌症相关5类人群健康相关生活质量分析
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摘要
目的:分析北京市癌症相关5类人群(普通人群、接受单一筛查高危人群、接受两种及以上筛查高危人群、癌前病变患者、癌症患者)生活质量及人群的差异性。方法:运用欧洲五维健康量表(EQ-5D)对5类人群的健康相关生活质量进行调查,并进行描述性统计分析。结果:5类人群的健康生活质量的问题主要是疼痛和焦虑,癌症患者高达58.40%和42.78%;普通人群和接受单一筛查的高危人群,接受两种及以上筛查的高危人群和癌前病变患者的健康效用值相似,都高于癌症患者人群。结论:疼痛和焦虑是5类人群健康生活质量最突出的问题,尤以癌症患者为甚。健康生活质量随患癌风险增大而显著下降,可作为癌症早诊、早治和干预效果的重要评价指标。
Objective: To analyze health-related quality-of-life of five groups( general population,high-risk population with single cancer screening,high-risk population with multiple screenings,patients with precancerous lesions and patients with cancer) in relation to several cancers in Beijing urban areas. Methods: A cross-sectional survey was carried out to interview participants by applying EQ-5 D scale.Descriptive analyses of health statuses of five dimensions,health utility and EQ-VAS score were conducted among those five groups. Results: The major health problems in EQ-5 D five dimensions among five groups were pain and anxiety,which were prominent in cancer patients with reported rates of 58.40% and 42.78%. The health utility scores between general population and high-risk population with single cancer screening,high-risk population with multiple screenings and patients with precancerous lesions were similar,which were all higher than patients with cancer. Conclusion: Pain and anxiety were the major health problems of five groups,especially for patients with cancer. With the increasing risk of having cancer,health-related quality-of-life was decreasing,indicating that health-related quality-of-life should be an important evaluation index for cancer screening and early diagnosis and treatment.
Objective: To analyze health-related quality-of-life of five groups( general population,high-risk population with single cancer screening,high-risk population with multiple screenings,patients with precancerous lesions and patients with cancer) in relation to several cancers in Beijing urban areas. Methods: A cross-sectional survey was carried out to interview participants by applying EQ-5 D scale.Descriptive analyses of health statuses of five dimensions,health utility and EQ-VAS score were conducted among those five groups. Results: The major health problems in EQ-5 D five dimensions among five groups were pain and anxiety,which were prominent in cancer patients with reported rates of 58.40% and 42.78%. The health utility scores between general population and high-risk population with single cancer screening,high-risk population with multiple screenings and patients with precancerous lesions were similar,which were all higher than patients with cancer. Conclusion: Pain and anxiety were the major health problems of five groups,especially for patients with cancer. With the increasing risk of having cancer,health-related quality-of-life was decreasing,indicating that health-related quality-of-life should be an important evaluation index for cancer screening and early diagnosis and treatment.
引文
[1]杨光成.肿瘤被称为慢性病的重要意义[J].中国实用医药,2011,6(29):243-244.
[2]王平平,李晶华,孔璇,等.吉林省城乡慢性病患者健康相关生命质量及影响因素分析[J].医学与社会,2015,28(11):54-57.
[3]丁晗玥,杨玉洁,程萱,等.EQ-5D-3L和FACT量表对北京癌症及癌前病变患者生活质量评估的信度和效度研究[J].肿瘤,2017,37(9):953-959.
[4]LIU G G,WU H,LI M.Chinese time trade-off values for EQ-5D health states[J].Value in Health,2014,17(5):597-604.
[5]官海静,刘国恩.中国四地城乡居民生命质量的比较分析[J].中国卫生经济,2015,34(2):5-12.
[6]仇蓉,周娟,郭煜华,等.希望疗法对癌症晚期患者自我效能的影响[J].护理学杂志,2017,32(13):73-74.
[7]刘立煌,丁晗玥,严晓玲,等.居民健康相关生活质量的影响因素分析:基于北京市城市癌症早诊早治项目[J].公共卫生与预防医学,2017,28(5):6-10.
[8]HERDMAN M,GUDEX C,LLOYD A,et al.Development and preliminary testing of the new five-level version of EQ-5D(EQ-5D-5L)[J].Quality of Life Research,2011,20(10):1727-1736.
[2]王平平,李晶华,孔璇,等.吉林省城乡慢性病患者健康相关生命质量及影响因素分析[J].医学与社会,2015,28(11):54-57.
[3]丁晗玥,杨玉洁,程萱,等.EQ-5D-3L和FACT量表对北京癌症及癌前病变患者生活质量评估的信度和效度研究[J].肿瘤,2017,37(9):953-959.
[4]LIU G G,WU H,LI M.Chinese time trade-off values for EQ-5D health states[J].Value in Health,2014,17(5):597-604.
[5]官海静,刘国恩.中国四地城乡居民生命质量的比较分析[J].中国卫生经济,2015,34(2):5-12.
[6]仇蓉,周娟,郭煜华,等.希望疗法对癌症晚期患者自我效能的影响[J].护理学杂志,2017,32(13):73-74.
[7]刘立煌,丁晗玥,严晓玲,等.居民健康相关生活质量的影响因素分析:基于北京市城市癌症早诊早治项目[J].公共卫生与预防医学,2017,28(5):6-10.
[8]HERDMAN M,GUDEX C,LLOYD A,et al.Development and preliminary testing of the new five-level version of EQ-5D(EQ-5D-5L)[J].Quality of Life Research,2011,20(10):1727-1736.