首页|雄激素剥夺治疗的前列腺癌患者健康相关生活质量的影响研究

雄激素剥夺治疗的前列腺癌患者健康相关生活质量的影响研究

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目的 探讨接受雄激素剥夺治疗(ADT)的前列腺癌患者健康相关生活质量(HRQoL)的影响因素,尤其是积极思维对其的影响。方法 采用横断面调查,选取2020年12月至2022年12月丽水市中心医院收治的90例采用ADT的前列腺癌患者作为研究对象,收集患者一般资料,并采用积极思维量表、社会支持量表和前列腺癌治疗功能评估量表(FACT-P)对生活质量进行调查,分析HRQoL的影响因素。结果 不同婚姻状况、职业状态、病程、癌症分期、并发症、最近一次血清前列腺特异性抗原(PSA)水平、自评健康状况、积极思维状况前列腺癌患者的HRQoL比较,差异具有统计学意义(P<0。05)。年龄、最近一次血清PSA水平与前列腺癌患者HRQoL呈负相关(P<0。05),自评健康状况、积极思维状况与前列腺癌患者HRQoL呈正相关(P<0。05)。结论 接受ADT的前列腺癌患者HRQoL受到多种因素影响,临床可根据不同影响因素采取个性化措施,以便提高患者的健康水平及生活质量。
A study on the impact of androgen deprivation therapy on health related quality of life in prostate cancer patients
Objective To explore the influencing factors of health-related quality of life(HRQoL)in prostate cancer patients undergoing androgen deprivation therapy(ADT),particularly the impact of positive thinking.Methods A cross-sectional survey was conducted,a total of 90 prostate cancer patients treated with ADT at Lishui Central Hospital from December 2020 to December 2022 were selected as the research subjects.General information of the patients was collected,and the positive thinking scale,social support scale,and functional assessment of cancer therapy-prostate(FACT-P)were used to investigate their quality of life and analyze the factors affecting their quality of life.Results The HRQoL of prostate cancer patients with different marital status,occupational status,disease duration,cancer stage,complications,the most recent serum prostate specific androgen(PSA)level,self-rated health status,and positive thinking showed statistically significant differences(P<0.05).Age and the most recent serum PSA level were negatively correlated with HRQoL in prostate cancer patients(P<0.05),while self-rated health status and positive thinking were positively correlated with HRQoL in prostate cancer patients(P<0.05).Conclusions The HRQoL of prostate cancer patients receiving ADT is affected by various factors.In clinical practice,personalized measures can be taken according to different influencing factors to improve the health level and quality of life of patients.

Androgen deprivation treatmentProstate cancerQuality of lifePositive thinking

周烨煜、易雄英、李玲、颜建飞

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温州医科大学附属第五医院(丽水市中心医院)肿瘤中心泌尿生殖乳腺中心,浙江丽水 323000

温州医科大学附属第五医院(丽水市中心医院)超声医学科,浙江丽水 323000

雄激素剥夺治疗 前列腺癌 生活质量 积极思维

2024

中国性科学
中国性学会

中国性科学

CSTPCD
影响因子:1.394
ISSN:1672-1993
年,卷(期):2024.33(12)