首页|乳腺癌患者术后生活质量的影响因素分析

乳腺癌患者术后生活质量的影响因素分析

扫码查看
目的 分析乳腺癌患者术后生活质量的影响因素.方法 收集107例乳腺癌患者的病历资料,包括年龄、体重指数、文化程度、月收入、高血压情况、糖尿病情况、肿瘤部位、病理类型、雌激素受体(ER)表达情况、孕激素受体(PR)表达情况、人表皮生长因子受体2(HER2)表达情况、淋巴结转移情况、TNM分期、手术方法以及放疗、化疗、内分泌治疗、靶向治疗情况.术后3个月随访时,采用乳腺癌患者生命质量测定量表(FACT-B)评估生活质量.乳腺癌患者术后生活质量的影响因素采用多重线性Logistic回归分析.结果 单因素分析结果显示,文化程度为高中及以下、TNM分期为Ⅱ~Ⅲ期、行改良根治术、接受放疗、未接受靶向治疗乳腺癌患者的术后FACT-B评分分别低于文化程度为大专及以上、TNM分期为Ⅰ期、行保乳手术、未接受放疗、接受靶向治疗的患者,差异均有统计学意义(P<0.05).多重线性Logistic回归分析结果显示,TNM分期为Ⅱ~Ⅲ期、行改良根治术、接受放疗均是乳腺癌患者术后生活质量的独立危险因素(P<0.05),接受靶向治疗和文化程度大专及以上均是乳腺癌患者术后生活质量的独立保护因素(P<0.05).结论 TNM分期为Ⅱ~Ⅲ期、行改良根治术、接受术后放疗乳腺癌患者的术后生活质量较差,接受靶向治疗和文化程度较高患者的术后生活质量较好.
Analysis of influencing factors for the quality of life of breast cancer patients after operation
Objective To analyze the influencing factors for the quality of life of breast cancer patients after opera-tion.Method The medical records of 107 patients with breast cancer were collected,including the age,body mass in-dex,education level,monthly income,hypertension,diabetes,tumor location,pathological type,estrogen receptor(ER)expression,progesterone receptor(PR)expression,human epidermal growth factor receptor 2(HER2)expression,lymph node metastasis,TNM staging,surgical methods,radiotherapy,chemotherapy,endocrine therapy and targeted therapy.The quality of life was assessed by functional assessment of cancer therapy-breast(FACT-B)during the follow-up 3 months after operation.Multiple linear Logistic regression analysis was used to analyze the influencing factors of postop-erative quality of life of breast cancer patients.Result Univariate analysis showed that the postoperative FACT-B scores of breast cancer patients with education level of high school or below,TNM stage Ⅱ-Ⅲ,modified radical surgery,radio-therapy,and no targeted therapy were lower than those with college or above education,TNM stage Ⅰ,breast conserving surgery,no radiotherapy,and targeted therapy,respectively(P<0.05).Multiple linear Logistic regression analysis showed that TNM stage Ⅱ-Ⅲ,modified radical surgery and radiotherapy were independent risk factors for the quality of life of breast cancer patients after surgery(P<0.05),and targeted therapy and college or above education were independent pro-tective factors for the quality of life of breast cancer patients after surgery(P<0.05).Conclusion Breast cancer patients with TNM stage Ⅱ-Ⅲ,modified radical surgery,and radiotherapy have poorer quality of life,while those who received targeted therapy and higher education have better quality of life.

breast cancerquality of lifeinfluencing factor

戚青花、郭丽萍、蔡会霞、贾二莉、韩苗苗

展开 >

驻马店市第一人民医院普外科,河南驻马店 463000

乳腺癌 生活质量 影响因素

2024

癌症进展
中国医学科学院,北京协和医学院

癌症进展

影响因子:1.004
ISSN:1672-1535
年,卷(期):2024.22(3)