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乳腺癌长期幸存者生活质量的影响因素分析

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目的 通过分析乳腺癌长期幸存者生活质量状况,探讨影响乳腺癌长期幸存者生活质量的相关因素.以期为乳腺癌长期幸存者生活质量的提高,提供参考依据.方法 结合美国癌症协会对癌症长期幸存者的定义,乳腺癌长期幸存者为自诊断以来,生存期≥5 年的乳腺癌个体.以山西医科大学第一医院 2017 年 1~12 月诊断为乳腺癌的 202 例乳腺癌患者为研究对象.采用欧洲癌症研究与治疗组织生活质量核心调查表(EORTC QLQ-C30)对 202例乳腺癌长期幸存者进行调查,调查时间 2023 年 1~4 月.通过SPSS 26.0 软件对数据结果进行分析.结果 202 例乳腺癌长期幸存者的整体生活质量得分为 65.88 分;EORTC QLQ-C30 功能量表中,认知功能得分最低;症状量表中,经济困难得分最高.多重线性回归分析显示乳腺癌长期幸存者的生活质量与体重指数、居住地、居住方式、工作状态、家庭月收入、付费方式、费用影响、临床分期以及手术方式呈显著相关.结论 乳腺癌患者 5 年存活率较高,生活质量高低对评价乳腺癌患者预后尤为重要.可通过控制患者体重指数,改善居住环境,重视早期诊治,选择合适的治疗方案,调整工作状态,提高其工作的可持续性,以改善乳腺癌患者的长期生活质量.
Analysis of factors influencing quality of life in long-term breast cancer survivors
Objective To provide reference for improving the quality of life in long-term breast cancer survivors by analyzing its influencing factors.Methods Based on the American Cancer Society guideline,a long-term breast cancer survivor was defined as an individual with breast cancer who had survived for at least 5 years since being diagnosed.A total of 202 patients diagnosed with breast cancer in the First Hospital of Shanxi Medical University from January 2017 to December 2017 were recruited.The 202 long-term breast cancer survivors were surveyed between January 2023 and April 2023 using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire(EORTC QLQ-C30).Data were analyzed by SPSS 26.0 software.Results The mean score of the overall quality of life of 202 long-term breast cancer survivors was 65.88 points.In the EORTC QLQ-C30 functional scale,the cognitive function score was the lowest.Financial hardship scored was the highest in the EORTC QLQ-C30 symptom scale.Multiple linear regression analysis showed that the quality of life of long-term breast cancer survivors was significantly correlated with body mass index,residence,living style,working status,monthly family income,payment method,cost impact,clinical stage and surgical method.Conclusion The 5-year survival rate of breast cancer patients is high,and the quality of life is particularly important to evaluate their prognosis.The long-term quality of life of breast cancer patients can be improved by controlling the body mass index,improving the living environment of patients,emphasizing the early diagnosis and treatment,selecting the appropriate treatment plan,adjusting the working status,and improving the sustainability of their work.

breast cancerlong-term survivorsquality of lifeimpact factors

李坤艳、李璐璐、董涧桥、高雅楠、南璐、贾红燕

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030001 太原市,山西医科大学公共卫生学院

山西医科大学第一医院

乳腺癌 长期幸存者 生活质量 影响因素

山西省回国留学人员科研资助项目

2021-157

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(1)
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