宫颈癌放疗患者生活质量及配偶家庭功能相关性研究
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摘要
目的探讨宫颈癌放疗患者生活质量与配偶家庭功能的相关性,为提升患者生活质量提供依据。方法采用方便抽样抽取四川省肿瘤医院放疗科95组宫颈癌放疗患者及其配偶。采用生活质量量表(Quality of Life QuestionnaireC30,QLQ-C30)评估宫颈癌放疗患者的生活质量,采用家庭功能问卷(Family Assessment Device,FAD)对宫颈癌患者配偶进行问卷调查,采用SPSS 20.0软件进行Pearson相关分析、分层回归分析,检验水准α=0.05。结果宫颈癌放疗患者角色功能(47.26±18.61)与情绪功能(49.00±17.74)得分较低,失眠(41.26±15.38)、食欲下降(50.13±13.29)症状较明显;31例(32.6%)宫颈癌患者配偶家庭功能处于较低水平。配偶家庭功能与患者生活质量存在正相关(r=0.590,P<0.05),与患者症状存在负相关(r=-0.688,P<0.05)。回归分析结果显示,配偶家庭功能进入宫颈癌放疗患者生活质量的回归方程并能解释31.2%的变异。结论宫颈癌放疗患者生活质量与配偶家庭功能有关,应关注患者配偶家庭功能,提升支持水平,从而改善患者生活质量。
Objective To explore the relationship between the living quality and spouse family function among cervical cancer patients receiving radiation therapy, and to provide the basis to improve their living quality. Methods Ninety-five pairs of cervical cancer patients and their spouses were enrolled from the Department of Radiotherapy of Sichuan Cancer Hospital. To assess the life quality of patients and spouse family function, we administered the Quality of Life Questionnaire C30 (QLQ-C30) and Family Assessment Device (FAD) to survey on patients and their spouse respectively. Results Participants reported low levels of role function (47.26 ± 18.61) and emotion function (49.00 ± 17.74), and the relatively higher levels of insomnia (41.26±15.38) and low appetite (50.13 ± 13.29)| were the obvious symptoms.Thirty-one cases (32.6%) were under lower levels of family function. Higher levels of spouse family function were associated the higher levels of life quality (P<0.05) and less severe of cancer-related symptoms (P<0.05). In the regression model,family function was found to be predictive and the total regression model explained 31.2% variance of quality of life among cervical cancer patients undergoing radiation therapy. Conclusion Spouse family functions are related with quality of life and it should be paid attention to improve.
Objective To explore the relationship between the living quality and spouse family function among cervical cancer patients receiving radiation therapy, and to provide the basis to improve their living quality. Methods Ninety-five pairs of cervical cancer patients and their spouses were enrolled from the Department of Radiotherapy of Sichuan Cancer Hospital. To assess the life quality of patients and spouse family function, we administered the Quality of Life Questionnaire C30 (QLQ-C30) and Family Assessment Device (FAD) to survey on patients and their spouse respectively. Results Participants reported low levels of role function (47.26 ± 18.61) and emotion function (49.00 ± 17.74), and the relatively higher levels of insomnia (41.26±15.38) and low appetite (50.13 ± 13.29)| were the obvious symptoms.Thirty-one cases (32.6%) were under lower levels of family function. Higher levels of spouse family function were associated the higher levels of life quality (P<0.05) and less severe of cancer-related symptoms (P<0.05). In the regression model,family function was found to be predictive and the total regression model explained 31.2% variance of quality of life among cervical cancer patients undergoing radiation therapy. Conclusion Spouse family functions are related with quality of life and it should be paid attention to improve.
引文
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[14]郑晓玲,魏清风,王晓松,等.育龄期宫颈癌子宫切除术后患者配偶创伤后成长状况及其影响因素分析[J].中国护理管理,2016,16(2):174-179.
[15]牛爱芳,付菊芳,王宏玫,等.住院癌症患者配偶照顾者焦虑抑郁状况及影响因素分析[J].护理学报,2015(13):4-9.
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[17]鲁华,叶佳,董元玲,等.家庭功能对宫颈癌放疗患者癌因性疲乏的影响研究[J].护理管理杂志,2014,14(7):465-468.
[18]李灵,周雯娟,戴云云.宫颈癌患者治疗后性功能状况及其影响因素的研究[J].中国护理管理,2015,15(11):1309-1312.
[19]Jeppesen MM,Mogensen O,Dehn P,et al. Needs and priorities of women with endometrial and cervical cancer[J]. J Psychosom Obstet Gynaecol,2015,36(3):122-132.
[20]石娟,王维利,宋瑰琦,等.宫颈癌病人生命质量影响因素的研究进展[J].护理研究,2015,26(11):3969-3972.
[21]Osann K,Hsieh S,Nelson EL,et al. Factors associated with poor quality of life among cervical cancer survivors:implications for clinical care and clinical trials[J]. Gynecol Oncol,2014,135(2):266-272.
[22]Li CC,Chen ML,Chang TC,et al. Social support buffers the effect of self-esteem on quality of life of early-stage cervical cancer survivors in Taiwan[J].Eur J Oncol Nurs,2015,19(5):486-494.
[23]马迪.心灵关怀对宫颈癌患者配偶应激压力社会支持及生活质量的影响[D].衡阳:南华大学,2013.
[24]钱苗红,徐彬彬.配偶的阶段性护理干预对宫颈癌患者生存质量及总体幸福感的影响[J].护理学报,2016(24):56-59.
[25]Ashing-Giwa KT,Tejero JS,Kim J,et al. Cervical cancer survivorship in a population based sample[J].Gynecol Oncol,2009,112(2):358-364.
[2]潘祯,冯素文.宫颈癌放射治疗并发放射性直肠炎的预防进展[J].护理与康复,2014,13(10):937-939.
[3]杨赛.宫颈癌放化疗患者生活质量及其影响因素的研究[J].护理学杂志,2016,31(4):23-25.
[4]王建平,陈仲庚,林文娟,等.中国癌症病人生活质量的测定——EORTC QLQ-C30在中国的试用[J].心理学报,2000,32(4):438-442.
[5]姜宝法,刘春晓,崔永春,等.EORTC QLQ-C30的信度、效度研究[J].中国临床心理学杂志,2005,13(1):31-32,36.
[6]苏银花,段功香.家庭功能评定量表及临床应用进展[J].护理研究,2008,22(20):1794-1796.
[7]栾风焕,杜亚松.家庭功能评估量表的应用现状[J].中国儿童保健杂志,2016,24(12):1287-1289.
[8]胡少华,洪静芳,左雪峰,等.老年肝癌患者家庭功能对生活质量的影响研究[J].中华护理杂志,2016,51(10):1180-1184.
[9]王云,雷俊,周莲清,等.妇科恶性肿瘤患者应对方式、癌因性疲乏与生活质量的结构方程模型[J].护理学报,2014(15):35-38.
[10]Ding Y,Hu Y,Hallberg IR. Health-related quality of life and associated factors in Chinese women with cervical cancer:a 9-month follow-up[J].Cancer Nurs,2013,36(4):18-26.
[11]赵慧玲.宫颈癌放疗后并发放射性直肠炎的护理进展[J].护理研究,2013,27(14):1291-1293.
[12]Kashima K,Yahata T,Fujita K,et al. Analysis of the complications after radical hysterectomy for stage IB, IIA and IIB uterine cervical cancer patients[J].J Obstet Gynaecol Res,2010,36(3):555-559.
[13]Mirabeau-Beale KL,Viswanathan AN. Quality of life(QOL)in women treated for gynecologic malignancies with radiation therapy:a literature review of patientreported outcomes[J]. Gynecol Oncol,2014,134(2):403-409.
[14]郑晓玲,魏清风,王晓松,等.育龄期宫颈癌子宫切除术后患者配偶创伤后成长状况及其影响因素分析[J].中国护理管理,2016,16(2):174-179.
[15]牛爱芳,付菊芳,王宏玫,等.住院癌症患者配偶照顾者焦虑抑郁状况及影响因素分析[J].护理学报,2015(13):4-9.
[16]崔云峰.宫颈癌放疗后患者生活质量调查分析[D].太原:山西医科大学,2010.
[17]鲁华,叶佳,董元玲,等.家庭功能对宫颈癌放疗患者癌因性疲乏的影响研究[J].护理管理杂志,2014,14(7):465-468.
[18]李灵,周雯娟,戴云云.宫颈癌患者治疗后性功能状况及其影响因素的研究[J].中国护理管理,2015,15(11):1309-1312.
[19]Jeppesen MM,Mogensen O,Dehn P,et al. Needs and priorities of women with endometrial and cervical cancer[J]. J Psychosom Obstet Gynaecol,2015,36(3):122-132.
[20]石娟,王维利,宋瑰琦,等.宫颈癌病人生命质量影响因素的研究进展[J].护理研究,2015,26(11):3969-3972.
[21]Osann K,Hsieh S,Nelson EL,et al. Factors associated with poor quality of life among cervical cancer survivors:implications for clinical care and clinical trials[J]. Gynecol Oncol,2014,135(2):266-272.
[22]Li CC,Chen ML,Chang TC,et al. Social support buffers the effect of self-esteem on quality of life of early-stage cervical cancer survivors in Taiwan[J].Eur J Oncol Nurs,2015,19(5):486-494.
[23]马迪.心灵关怀对宫颈癌患者配偶应激压力社会支持及生活质量的影响[D].衡阳:南华大学,2013.
[24]钱苗红,徐彬彬.配偶的阶段性护理干预对宫颈癌患者生存质量及总体幸福感的影响[J].护理学报,2016(24):56-59.
[25]Ashing-Giwa KT,Tejero JS,Kim J,et al. Cervical cancer survivorship in a population based sample[J].Gynecol Oncol,2009,112(2):358-364.