首页|农村老年癌症患者症状群与生活质量的相关性研究

农村老年癌症患者症状群与生活质量的相关性研究

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目的 调查陕西省农村老年癌症患者住院期间的常见症状,分析患者症状群的种类及其与生活质量的相关性.方法 采用整群抽样法,选取 2022 年 7 月至 8 月在陕西省 9 家不同医疗机构住院的 597 例农村老年癌症患者作为调查对象,采用一般资料调查表、中文版安德森症状测评量表(M.D.Anderson symptom inventory,MDASI)、中文版癌症治疗功能评价系统量表(functional assessment of cancer therapy,FACT)进行症状群和生活质量的调查并采用Pearson相关性分析两者相关性.结果 陕西省住院的农村老年癌症患者其症状发生率最高的前 4 个分别为:疲劳(乏力)(75.88%)、胃口变差(75.54%)、睡眠不安(66.83%)、苦恼(66.33%).情绪是农村老年癌症患者发生率最高的症状困扰(393 例,65.83%).4 个症状群分别为胃肠道症状群(恶心、呕吐)、神经相关症状群(瞌睡、口干、身体麻木、健忘、气短)、疲乏症状群(疼痛、疲乏、胃口变差)及情绪症状群(苦恼、悲伤、睡眠不安).生活质量总分为(55.33±8.46)分,处于中等水平,并与 4 个症状群呈负相关(均P<0.001).结论 陕西省住院的农村老年癌症患者面临多种症状困扰,症状之间协同形成4个症状群,与生活质量呈负相关,应给予更多关注,实施精准化干预措施,减少症状群负担,以提高其生活质量.
Correlationship of symptoms and quality of life among elderly cancer patients from rural areas
Objective To investigate common symptoms during hospitalisation in aged cancer patients from the rural areas in Shanxi Province,analyse the relationship of symptom groups and the quality of life,therefore to explore the influencing factors of the quality of life.Methods A total of 597 hospitalised aged cancer patients in 9 hospitals,between 1st July and 8th August,2022,from rural areas in Shanxi Province were included in the study by convenience sampling method.The M.D.Anderson Symptom Inventory(Chinese version)MDASI)and the functional assessment of cancer therapy(FACT-Chinese version)were employed in the investigation.The correlation between them was analyzed by Pearson correlation.Results The top 4 symptoms of hospitalized rural aged cancer patients in Shanxi Province were fatigue(75.88%),poor appetite(75.54%),restless sleep(66.83%)and distress(66.33%).Emotion was the with the highest incidence(65.83%)in rural aged cancer patients.The four symptom groups of aged cancer patients in rural areas were gastrointestinal symptoms(nausea and vomiting),neuro-related symptoms(sleepiness,dry mouth,numbness,forgetfulness,shortness of breath),fatigue symptoms(pain,fatigue,appetite loss)and emotional symptoms(distress,sadness,restless sleep).The total score of quality of life of rural aged cancer patients in hospital was(55.33±8.46),which was in the middle level.The four symptom groups of rural aged cancer patients were significantly negatively correlated with their quality life(all P<0.001).Conclusion Aged rural cancer patients hospitalized in Shanxi Province are plagued by a variety of symptoms,which synergistically form four symptom groups,and the scores of each symptom group are negatively correlated with the quality of life,which has a certain impact on their quality of life.We should timely evaluate and actively manage them to reduce the burden of symptoms and improve the quality of life of patients.

the agedrural areacancersymptom grouplife quality

常利、赵将、杨志华、樊春秀、岳勤、沈红红、谢娟

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陕西省肿瘤医院,陕西西安,710061

蒲城县医院,陕西渭南,715500

府谷县人民医院,陕西榆林, 719400

汉阴县人民医院,陕 西安康,725100

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老年 农村 癌症 症状群 生活质量

陕西省科技计划

2022SF-156

2024

现代临床护理
中山大学

现代临床护理

CSTPCD
影响因子:1.317
ISSN:1671-8283
年,卷(期):2024.23(3)
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