乳腺癌术后存活10年以上病人自我感受负担与生活质量的相关性
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摘要
目的探讨乳腺癌术后存活10年以上病人自我感受负担(SPB)与生活质量的相关性。方法选取乳腺癌术后存活10年以上的病人60例为研究对象,采用中文版自我感受负担量表(SPBS)和乳腺癌病人生命质量评价表(FACT-B)判定病人的SPB和生活质量。采用直线相关分析SPBS量表各维度和FACT-B量表各维度间的相关性。结果 (1)乳腺癌术后存活10年以上的病人SPB得分为(35.78±4.19)分,处于中等水平,其中条目平均分最高的维度为情感负担[(3.33±0.40)分],最低的为身体负担[(3.04±0.43)分];生活质量得分为(114.53±14.71)分,处于中上水平,其中条目平均分最高的为附加关注[(3.81±0.49)分],最低的为功能状况[(2.76±0.52)分]。(2)年龄、婚姻状况、文化程度、个人月收入、肿瘤分期及手术方式对病人SPB评分有影响,差异有统计学意义(P=0.000、0.025、0.000、0.000、0.000、0.001);年龄、文化程度、肿瘤分期及手术方式对病人的生活质量评分有影响,差异有统计学意义(P=0.003、0.001、0.000、0.000)。(3)直线相关分析显示,病人SPB与生活质量各维度及总分均呈负相关,其中,相关性最高的为社会/家庭状况(r=-0.674,P=0.000);病人生活质量与SPB各维度及总分均呈负相关,其中相关性最高的为情感负担(r=-0.783,P=0.000)。结论乳腺癌术后存活10年以上的病人SPB处于中等水平,生活质量处于中上水平,病人的年龄、文化程度、肿瘤分期及手术方式可对病人的SPB和生活质量造成影响;SPB与生活质量呈负相关,对于乳腺癌术后存活10年以上的病人应增加社会和家庭支持,缓解情感负担,提高病人生活质量。
Objective To investigate the correlation between self-percevied burden and quality of life for over 10 years after breast cancer surgery.Methods The 60 cases with breast cancer surgery over 10 years were recruited,and the Self-Percevied Burden Scale(SPBS) and Functional Assessment of Cancer Therapy-Breast(FACT-B) were used to determine self-percevied burden and quality of life.The correlation between the dimensions of the SPB scale and FACT-B scale were analyzed by linear correlation analysis.Results(1)The SPB score of patients with breast cancer surgery more than 10 years was(35.78±4.19),which was at the medium level,and the highest average score was emotional burden(3.33±0.40).The lowest average score was body burden(3.04±0.43).The FACT-B score was(114.53±14.71),which was at the upper level,and the highest average score was additional attention(3.81±0.49).The lowest average score was functional status(2.76±0.52);(2)Age,marital status,education level,personal monthly income,pathological stage and operation mode had influence on SPB score,and the difference was statistically significant(P=0.000,0.025,0.000,0.000,0.000,0.001);Age,education level,pathological stage and operation methods had influence on on quality of life,and the difference was statistically significant(P=0.003,0.001,0.000,0.000);(3)Linear correlation analysis showed that SPB and quality of life showed a negative correlation and among them the highest correlation was social/family status(r=-0.674,P=0.000);quality of life and SPB showed a negative correlation.The highest correlation was emotional burden(r=-0.783,P=0.000).Conclusions The SPB score is at the medium level and FACT-B score is at the upper level in patients with breast cancer surgery more than 10 years.The age,education level,pathological staging and operation mode can affect the SPB and quality of life.SPB is positively correlated with quality of life,so patients with breast cancer surgery more than 10 years should increase social and family support,relieve emotional burden to improve the quality of life.
Objective To investigate the correlation between self-percevied burden and quality of life for over 10 years after breast cancer surgery.Methods The 60 cases with breast cancer surgery over 10 years were recruited,and the Self-Percevied Burden Scale(SPBS) and Functional Assessment of Cancer Therapy-Breast(FACT-B) were used to determine self-percevied burden and quality of life.The correlation between the dimensions of the SPB scale and FACT-B scale were analyzed by linear correlation analysis.Results(1)The SPB score of patients with breast cancer surgery more than 10 years was(35.78±4.19),which was at the medium level,and the highest average score was emotional burden(3.33±0.40).The lowest average score was body burden(3.04±0.43).The FACT-B score was(114.53±14.71),which was at the upper level,and the highest average score was additional attention(3.81±0.49).The lowest average score was functional status(2.76±0.52);(2)Age,marital status,education level,personal monthly income,pathological stage and operation mode had influence on SPB score,and the difference was statistically significant(P=0.000,0.025,0.000,0.000,0.000,0.001);Age,education level,pathological stage and operation methods had influence on on quality of life,and the difference was statistically significant(P=0.003,0.001,0.000,0.000);(3)Linear correlation analysis showed that SPB and quality of life showed a negative correlation and among them the highest correlation was social/family status(r=-0.674,P=0.000);quality of life and SPB showed a negative correlation.The highest correlation was emotional burden(r=-0.783,P=0.000).Conclusions The SPB score is at the medium level and FACT-B score is at the upper level in patients with breast cancer surgery more than 10 years.The age,education level,pathological staging and operation mode can affect the SPB and quality of life.SPB is positively correlated with quality of life,so patients with breast cancer surgery more than 10 years should increase social and family support,relieve emotional burden to improve the quality of life.
引文
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[14] 李娟.女性乳腺癌患者自我感受负担及影响因素的研究[D].衡阳:南华大学,2013.
[15] 刘晓倩.乳腺癌术后患者生活质量评估及影响因素分析[D].苏州:苏州大学,2016.
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[17] 王大遒,王爱平.乳腺癌患者自我感受负担现状及其影响因素调查[J].护理学杂志,2015,30(14):87-89.
[18] 宋梅,李倩,宋雪艾,等.乳腺癌手术类型对患者远期生活质量及心理的影响[J].护士进修杂志,2014,29(16):1497-1498.
[19] ABU-SAAD HUIHERH,ABBOUD S.Health-related quality of life among breast cancer patients in Lebanon[J].Eur J Oncol Nurs,2012,16(5):491-497.
[2] 陈万青,郑荣寿.中国女性乳腺癌发病死亡和生存状况[J].中国肿瘤临床,2015,42(13):668-674.
[3] CHEN W,ZHENG R,BAADE PD,et al.Cancer statistics in China,2015[J].CA Cancer J Clin,2016,66(2):115-132.
[4] YU KD,DI GH,WU J,et al.Development and trends of surgical modalities for breast cancer in China:a review of 16-year data[J].Ann Surg Oncol,2007,14(9):2502-2509.
[5] FAN L,ZHENG Y,YU KD,et al.Breast cancer in a transitional society over 18 years:trends and present status in Shanghai,China[J].Breast Cancer Res Treat,2009,117(2):409-416.
[6] 陈华,李素云,邹咏伟,等.上海周桥社区老年人患病率调查与分析[J].老年医学与保健,2013,19(3):186-188.
[7] 田秀丽,吕秀花,刘化侠.晚期癌症病人自我感受负担体验的质性研究[J].解放军护理杂志,2011(1):28.
[8] 宋桂云,刘宇.老年慢性病病人的自我感受负担与抑郁情绪的相关性研究[J].护理研究,2012,26(6):1650-1652.
[9] 武燕燕,姜亚芳.癌症患者自我感受负担的调查与分析[J].护理管理杂志,2010,10(6):405-407.
[10] 万崇华,张冬梅,汤学良,等.乳腺癌患者生命质量测定量表(FACTB)中文版的修订[J].中国心理卫生杂志,2003,17(5):298-300.
[11] 罗丽蓉,刘沫.老年脑卒中患者自我感受负担影响因素研究及干预策略[J].医学与哲学,2013,34(4B):79-81.
[12] WANG XS,ZHAO F,FISCH MJ,et al.Prevalence and characteristics of moderate to severe fatigue:a multicenter study in cancer patients and survivors[J].Cancer,2014,120(3):425-432.
[13] TAGHIAN NR,MILLER CL,JAMMALLO LS,et al.Lymphedema following breast cancer treatment and impact on quality of life:a review[J].Crit Rev Oncol Hematol,2014,92(3):227-234.
[14] 李娟.女性乳腺癌患者自我感受负担及影响因素的研究[D].衡阳:南华大学,2013.
[15] 刘晓倩.乳腺癌术后患者生活质量评估及影响因素分析[D].苏州:苏州大学,2016.
[16] HARRINGTON S,PADUA D,BATTAGLINI C,et al.Upper extremity strength and range of motion and their relationship to function in breast cancer survivors[J].Physiother Theory Pract,2013,29(7):513-520.
[17] 王大遒,王爱平.乳腺癌患者自我感受负担现状及其影响因素调查[J].护理学杂志,2015,30(14):87-89.
[18] 宋梅,李倩,宋雪艾,等.乳腺癌手术类型对患者远期生活质量及心理的影响[J].护士进修杂志,2014,29(16):1497-1498.
[19] ABU-SAAD HUIHERH,ABBOUD S.Health-related quality of life among breast cancer patients in Lebanon[J].Eur J Oncol Nurs,2012,16(5):491-497.