癌症患者住院放化疗期生存质量与家庭功能的调查分析

摘要

Objective To explore the quality of life and family function of hospitalized cancer patients during or after chemotherapy or (and) radiotherapy and their relationship, to provide an effective intervention for the improvement of family function and survival quality. Methods Three hundred and two cancer patients were investigated by WHOQOL-100 (World Health Organization of Life Assessment) and APGAR (Adaptation, Partnership, Growth, Affection and Resolve). Single factor analysis and Pearson correlation analysis were applied for the analysis of quality of life, family function and their relationship. Results The quality of life of cancer patients was significantly lower than norms in terms of physiology, psychology, independence, spiritual pillar and total survival quality (P<0.05). The total score of perceived family function of patients with different age, treatment methods and professions indicated statistical significance (P<0.05). There was positive relationship among patients ’ physiology, psychology, social relationships, environment, spiritual pillar/religion/belief and total family function ( P<0.05). Conclusion Hospitalized cancer patients during or after chemotherapy or (and) radiotherapy have lower quality of life. Great importance should be attached to family function of young patients, patients with both chemotherapy and radiotherapy and patients from rural areas and the improvement of family cooperation function and growth function will benefit the fostering of patients ’ survival quality.%目的：研究住院癌症患者放化疗期生存质量及家庭功能情况，并分析两者之间的关系，为医疗机构和癌症家庭提供一个提高癌症患者家庭功能和生存质量的有效方向。方法抽取在西安市长安医院和省肿瘤医院住院的癌症放化疗患者302例，采用世界卫生组织生存质量测定量表（World Health Organization of Life Assessment, WHOQOL-100）和家庭功能指数问卷（Adaptation, Partnership, Growth, Affection and Resolve, APGAR）作为调查工具，采用单因素分析和Pearson相关分析探讨癌症患者住院放化疗期的生存质量、家庭功能及两者的相关性。结果癌症患者住院放化疗期的生存质量在生理、心理、独立性、精神支柱领域及总生存质量方面显著低于常模（P＜0.05），不同的年龄段、治疗方式、职业的患者感知的家庭功能总得分差异均有统计学意义（P＜0.05）；患者生理、心理、社会关系、环境、精神支柱/宗教/个人信仰与总的家庭功能呈正相关（P＜0.05）。结论癌症患者住院放化疗期的生存质量普遍较差，青年患者、同步放化疗患者、农村患者的家庭功能应重点关注，提高患者的家庭合作功能及成长功能可能会改善患者的生存质量。