口腔癌患者的生存质量评价分析
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摘要
目的:对口腔癌患者的生存质量进行调查、评价与分析。方法:采用中文版华盛顿大学生存质量问卷第四版(UW-QOL,V4. 0)对200例符合纳入标准的口腔癌患者进行问卷调查,应用SPSS 20. 0对数据进行统计学分析。结果:此次调查共发放问卷200份,实际回收有效问卷145份(72. 50%)。躯体功能得分60. 29±15. 62,社会情绪健康得分46. 65±23. 21(P <0. 05);躯体健康与社会情绪健康得分呈正相关(r=0. 584)。结论:口腔癌患者社会支持及心理状态比较差,必要的辅以心理干预及临床干预对改善患者的生存质量具有重要的意义,不断加强患者的社会支持和心理支持可以提高患者的躯体健康感受。
Objective: To evaluate the life quality of the patients with oral cancer. Methods: A questionnaire survey was conducted on 200 patients with oral cancer who met the inclusion criteria by the Chinese version of the University of Washington Quality of Life Questionnaire( UW-QOL,V4. 0). The data were statistically analyzed by SPSS 20. 0. Results: A total of 200 questionnaires were issued and 145 valid questionnaires( 72. 50%) were returned. The scores of somatic function domain and social emotional health domain were 60. 29 ± 15. 62 and 46. 65 ± 23. 21 respectively( P < 0. 05). Physical health scores and social emotional health scores were positively correlated( r = 0. 584). Conclusion: Oral cancer patients have poor social and psychological status. Necessary psychological intervention and clinical intervention are of great significance to improve the life quality of the patients. Strengthening of social support can improve their physical health of the patients.
Objective: To evaluate the life quality of the patients with oral cancer. Methods: A questionnaire survey was conducted on 200 patients with oral cancer who met the inclusion criteria by the Chinese version of the University of Washington Quality of Life Questionnaire( UW-QOL,V4. 0). The data were statistically analyzed by SPSS 20. 0. Results: A total of 200 questionnaires were issued and 145 valid questionnaires( 72. 50%) were returned. The scores of somatic function domain and social emotional health domain were 60. 29 ± 15. 62 and 46. 65 ± 23. 21 respectively( P < 0. 05). Physical health scores and social emotional health scores were positively correlated( r = 0. 584). Conclusion: Oral cancer patients have poor social and psychological status. Necessary psychological intervention and clinical intervention are of great significance to improve the life quality of the patients. Strengthening of social support can improve their physical health of the patients.
引文
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[21]黄江峰,王靖雯,何保昌,等.口腔鳞状细胞癌患者生存影响因素研究[J].中华预防医学杂志,2016,50(10):880-886.
[22]郭伟,邱蔚六,张志愿,等.口腔癌临床流行病学调查[C].第二届中国国际暨第五届全国口腔颌面外科学术会议论文集,1998.
[23]经典,贾燕飞,刘传霞,等.口腔癌患者情绪异常与下丘脑-垂体-肾上腺轴的调节障碍[J].国际口腔医学杂志,2012,39(5):628-630.
[24]经典,贾燕飞,周红梅,等.口腔癌的情绪异常与HPA轴昼夜节律紊乱[C].全国时间生物医学学术会议,2011.
[25]陈红艳,吴迪宾,彭郁林,等.口腔癌患者围手术期心理状况调查及护理干预[J].中华现代护理杂志,2013,19(11):1267-1269.
[26]蒋梁.口腔癌患者生存质量与相关影响因素的动态研究[D].长沙:中南大学口腔医学院,2010.
[2]Efunkoya AA,Adebola RA,Omeje KU,et al.Quality of life following surgical treatment of oral cancers[J].J Korean Assoc Oral Maxillofac Surg,2015,41(1):19-25.
[3]Yan YB,Meng L,Liu ZQ,et al.Quality of life in longterm oral cancer survivors:An 8-year prospective study in China[J].Oral Surg Oral Med Oral Pathol Oral Radiol,2017,123(1):67-75.
[4]胥加斌,毛驰,王佃灿,等.关于口腔癌生存质量测评量表的系统性回顾[J].现代口腔医学杂志,2015,29(5):274-278.
[5]Hassan SJ,Weymuller EA Jr.Assessment of quality of life in head and neck cancer patients[J].Head Neck,1993,15(6):485-496.
[6]Rogers SN,Lowe D.Screening for dysfunction to promote multidisciplinary intervention by using the university of washington quality of life questionnaire[J].Arch Otolaryngol Head Neck Surg,2009,135(4):369-375.
[7]严颖彬,毛驰,彭歆,等.应用UW-QOL评价口腔鳞癌患者的生存质量[J].中国口腔颌面外科杂志,2009,7(6):495-499.
[8]邹敏.中文版安德森吞咽困难量表的信效度及临床应用评价[D].上海:复旦大学护理学院,2013.
[9]Dzebo S,Mahmutovic J,Erkocevic H.Quality of life of patients with oral cavity cancer[J].Mater Sociomed,2017,29(1):30-34.
[10]Bhanja A,Souza D,Roy C,et al.Assessment of quality of life in oral cancer patients following pectoralis major myocutaneous flap reconstruction[J].Inte J Contemp Med Res,2016,3(5):1366-1371.
[11]Varela-Centelles P,Castelo-Baz P,Seoane-Romero J.Oral cancer:Early/delayed diagnosis[J].Br Dent J,2017,222(9):643.
[12]Zhang SK,Zheng R,Chen Q,et al.Oral cancer incidence and mortality in China,2011[J].Chin J Cancer Res,2015,27(1):44-51.
[13]D'Arcy C,Siddique CM.Psychological distress among Canadian adolescents[J].Psychol Med,1984,14(3):615-628.
[14]Atkinson A B.Multidimensional deprivation:Contrasting social welfare and counting approaches[J].J Econ Ine,2003,1(1):51-65.
[15]刘善廷,吴俊福,郑荣寿,等.2009年中国口腔癌和咽喉癌发病与死亡情况分析[J].中华预防医学杂志,2013,47(7):586-591.
[16]Kademani D,Bell RB,Bagheri S,et al.Prognostic factors in intraoral squamous cell carcinoma:The influence of histologic grade[J].J Oral Maxillofac Surg,2005,63(11):1599-1605.
[17]Lin CW,Chou YE,Yeh CM,et al.A functional variant at the miRNA binding site in HMGB1 gene is associated with risk of oral squamous cell carcinoma[J].Oncotarget,2017,8(21):34630-34642.
[18]韩晟,陈衍,谢诚,等.576例口腔癌患者的流行病危险因素研究[J].实用口腔医学杂志,2012,28(1):74-78.
[19]李军.540例口腔癌及口咽癌的临床病例分析[D].福州:福建医科大学口腔医学院,2014.
[20]刘宇,罗治彬,王彝,等.212例口腔癌患者的流行病学危险因素分析[J].实用癌症杂志,2014,29(2):160-167.
[21]黄江峰,王靖雯,何保昌,等.口腔鳞状细胞癌患者生存影响因素研究[J].中华预防医学杂志,2016,50(10):880-886.
[22]郭伟,邱蔚六,张志愿,等.口腔癌临床流行病学调查[C].第二届中国国际暨第五届全国口腔颌面外科学术会议论文集,1998.
[23]经典,贾燕飞,刘传霞,等.口腔癌患者情绪异常与下丘脑-垂体-肾上腺轴的调节障碍[J].国际口腔医学杂志,2012,39(5):628-630.
[24]经典,贾燕飞,周红梅,等.口腔癌的情绪异常与HPA轴昼夜节律紊乱[C].全国时间生物医学学术会议,2011.
[25]陈红艳,吴迪宾,彭郁林,等.口腔癌患者围手术期心理状况调查及护理干预[J].中华现代护理杂志,2013,19(11):1267-1269.
[26]蒋梁.口腔癌患者生存质量与相关影响因素的动态研究[D].长沙:中南大学口腔医学院,2010.