乳腺癌患者影响心身症状与生活质量的相关分析

摘要

目的：探讨乳腺癌患者身心身症状与生活质量的相关因素，并进行统计分析。方法：对85例符合入组标准的乳腺癌患者进行调查，应用病人健康问卷抑郁量表（ PHQ～9）及癌症患者生命质量测定量表（ QLQ－C30）对患者进行调查问卷，并对有效数据进行了分析。结果：乳腺癌患者躯体症状的严重程度与抑郁、焦虑均呈正相关；在躯体症状较重的患者中，有41．3％的患者发现有抑郁症状，而焦虑症状的检出率也达到了51％；生存期5年以上的乳腺癌患者只有焦虑分数低于5年以内的患者（ P＜0．01），而在躯体症状、抑郁和生活质量方面两组并没有统计学差异。结论：乳腺癌患者抑郁、焦虑的心理症状与其躯体症状和总体健康状况相关，生存期5年以上的患者焦虑水平低于5年以内的患者，但躯体症状、抑郁以及生活质量与生存期的延长未见相关。%Objective:To investigate and analyse the related factors of the physical and mental symp-toms affected the quality of life in the breast cancer patients.Method:PHQ~9 and QLQ-C30 were used in the 85 breast cancer patients.And the valid data was analyzed.Result: It was a positive correlation in the patients between severity of somatic symptoms and anxiety.41.3%of patients were depression and 51%pa-tients were anxiety.The anxiety scores of the patients who were survival over 5 years were lower than that sur-vival less than 5 years ( P <0.01) .There were no statistical differences in the other factors.Conclusion:There's relationship between the depression and psychological symptoms and anxiety and somatic symptoms. The anxiety level of the patients who were survival over 5 years are lower than that survival less than 5 years. But there are no statistical differences of the patients in body symptoms, depression, quality of life and life time.