乳腺癌术后化疗患者生命质量的现状调查和影响因素分析.pdfVIP

引起的烦恼维度处于中度和重度的患者人数最多，为57人(91．94％)，气促维度 人数最少，仅18人(29．03％)。 2、乳腺癌患者的躯体功能、情绪功能、认知功能、总体健康状况、疲倦、恶 心呕吐、失眠、食欲丧失、腹泻、经济困难、体形、性功能、性乐趣、系统疗法 副作用、手臂症状、脱发引起的烦恼维度，化疗前后生命质量状况比较有统计学 差异。 3、影响患者生命质量的因素有：年龄、临床分期、经济状况、医疗保障形式、 文化程度和职业状况。 结论耋口 ≯匕： 1、化疗前后生命质量功能领域的多数维度处于好和非常好的状态，性功能、 性乐趣受损严重；总体健康状况在化疗前后均受到一定程度的损害；随着化疗的 进行，症状领域的问题日益突出，呈加重趋势，脱发引起的烦恼、食欲丧失和系 统疗法副作用维度受损严重，处于中重度水平。 2、乳腺癌患者化疗前后生命质量状况比较，多数维度得分有显著不同。 3、年龄、临床分期、经济状况、医疗保障形式、文化程度和职业状况是生命 质量状况的影响因素。 关键词 乳腺癌；化疗；生命质量；影响因素 2 ·英文论著摘要· Quality of Life ofPostoperative Breast Cancer Patients with Chemotherapy and the Analysis of the Influential Factors 0bjectives To define quality of life status of breast cancer patients、析tll before and after chemotherapy；descripe the changes of quality of life status of breast cancer patients 晰th before and after chemotherapy；explore the influential factors of quality of life of breast cancer patients．This study will provide theoretical support and practical guidance for the care of breast cancer patients、析m before and after chemotherapy,in order to improve the quality of life ofpatients． Methods Subjects were 84 breast cancer patients in April—November 2008 at hepatobiliary breast surgical department of South Lake Hospital District and the second breast surgical department of huaxiang Hospital District of Shengiing Hospital affiliated China Medical University．The descriptive research was used．Three questionnaires were used to collect data in this study．The demographic and medical data of subj ects were received by the general state questionnaire of self-designed，and Quality of Life Core Questionnaire QLQ-C30(3．0)and the Breast cancer—specific scale QLQ-BR23 (1．O)developed by the European Organizations for Research and Treatment of Cancer were used to evaluate quality of life of breast cancer patients、析tll before and after chemotherapy．The data were caculated by SPSS 1 3．0．Quality of life status witll before and after chemotherapy were compared by using paired samples t-test and signed—rank test，and the infl