摘要
目的探讨卵巢上皮癌患者疾病不确定感对生活质量的影响。方法选择我院住院的卵巢上皮癌59例为观察组,同期住院的非卵巢癌45例为对照组,分别在入院后1周内及出院前1 d接受M issals疾病不确定感量表和世界卫生组织生存质量测定量表(WHO-QOL-BREF)评估,并以疾病不确定感评分62.5分为界,第2次评估数据为依据,将观察组分为高分组和低分组,行生活质量评价。结果 2次疾病不确定感评估≥62.5分观察组分别为29例(49.15%)和17例(28.81%),对照组分别为8例(17.78%)和5例(11.11%),差异均有统计学意义(P<0.01);观察组2次不确定感各维度评分及总分均高于对照组,差异有统计学意义(P<0.05,P<0.01);两组第2次疾病不确定感各维度评分及总分均低于第1次,差异有统计学意义(P<0.05,P<0.01)。卵巢上皮癌高分组4个领域评分和总生活评分、总健康评分均显著低于低分组,差异有统计学意义(P<0.05,P<0.01)。结论加强初治卵巢癌患者的健康教育,及早帮助其掌握疾病相关常识及治疗情况,使其积极配合治疗,可降低疾病不确定感,提高生活质量。
Objective To investigate the assessment of sense of disease uncertainty in patients with epithelial ovarian cancer,and to discuss the influences of disease uncertainty on life quality.Methods 59 hospitalized patients with epithelial ovarian cancer were chosen as observation group,and 45 non-epithelial ovarian cancer patients were chosen as control group at the same time.The patients in the two groups received the assessment of Missals MUIS and WHO-QOL-BREF respectively within 1 week after hospitalization and 1 d before being discharged from hospital.Using the second assessment data as a judgment and 62.5 of the disease uncertainty score as a dividng line,the observation group was divided into high-score group and low-score group to assess life quality.Results 29 patients（49.15%） and 17（28.81%） in the observation group were higher than 62.5 in two assessments of the disease uncertainty,while 8（17.78%） and 5（11.11%） were respectively in the control group,and there were significant differences between the two groups（P0.01）.All dimension scores and total score in the two assessments of the disease uncertainty in the observation group were higher than those in the control group,and the differences were significant（P0.05,P0.01）.The dimension scores and the total score in the second assessment of the disease uncertainty in the two groups were lower than those at the first time,and the differences were significant（P0.05,P0.01）.The four-field scores,total life scores and health scores in the high-score group were obviously lower than those in the low-score group,and the differences were significant（P0.05,P0.01）.Conclusion The health education should be enhanced in patients during inifial treatment of epithelial ovarian cancer,knowledge and therapy information about the disease in addition to active coroperaion may reduce the disease uncertainty and improve life quality.
出处
《临床误诊误治》
2011年第6期96-98,共3页
Clinical Misdiagnosis & Mistherapy
关键词
卵巢肿瘤
疾病不确定感
生活质量
Ovarian neoplasm
Disease uncertainty
Life quality
