摘要
目的:分析影响乳腺癌患者生存质量的相关危险因素。方法:将2019年1月—2023年1月南通瑞慈医院普外科收治的106例乳腺癌患者作为研究对象,根据乳腺癌患者癌症生活质量调查表(QLQ-C30),分为状况优组(n=80)和状况差组(n=26),并采取问卷调查法收集一般资料,对其进行单因素分析、logistic多因素分析及受试者操作特征(ROC)曲线分析。结果:状态差组的内分泌治疗(否)、经济因素(自费)、家庭人均月收入(<5000元)、PSQI量表评分(<15分)、婚姻状态(已婚)、治疗费用(>5万元)、临床分期(>Ⅱ期)及患者认为影响生存质量的因素(家庭支持态度)比例均高于状态优组,差异均有统计学意义(P<0.05);logistic回归分析结果显示,内分泌治疗、经济因素、家庭人均月收入、临床分期、患者认为影响生存质量的因素均为影响乳腺癌生存质量的独立危险因素,差异均有统计学意义(P<0.05)。结论:导致乳腺癌患者生存质量下降的危险因素较多,针对未进行内分泌治疗、自费经济因素、家庭人均月收入<5000元、临床分期>Ⅱ期及患者认为影响生存质量的因素(家庭支持态度)的乳腺癌患者,需采取针对性的照护措施,以实现改善治疗期间的生存质量。
Objective:To analyze the risk factors related to the quality of life of breast cancer patients.Method:A total of 106 patients with breast cancer who were admitted to the General Surgery Department of Nantong Rich Hospital from January 2019 to January 2023 were selected as the research subjects.According to the cancer quality of life questionnaire for breast cancer patients(QLQ-C30),they were divided into the excellent group(n=80)and the poor group(n=26).The general data were collected by questionnaire survey method,and were analyzed by single factor analysis,logistic multifactor analysis,and receiver operating characteristic(ROC)curve.Result:The proportion of endocrine therapy(no),economic factors(self funded),per capita monthly family income(<5,000 yuan),PSQI score(<15 points),marital status(married),treatment cost(>50,000 yuan),clinical stage(>stageⅡ),and factors that patients believe affect quality of life(family support attitude)in the poor status group were higher than those in the good status group,the differences were statistically significant(P<0.05);logistic regression analysis showed that endocrine therapy,economic factors,per capita monthly family income,clinical stage,factors that patients think affect the quality of life were all independent risk factors affecting the quality of life of breast cancer,the differences were statistically significant(P<0.05).Conclusion:There are many risk factors leading to the decline of the quality of life of breast cancer patients.Targeted care measures should be taken to improve the quality of life during treatment for breast cancer patients who have no endocrine therapy,self-paid economic factors,per capita monthly income of the family<5,000 yuan,clinical stage>stageⅡand factors that patients think affect the quality of life(family support attitude).
作者
陈春国
杨松
倪陈婷
张一心
CHEN Chunguo;YANGSong;NI Chenting;ZHANG Yixin(Department of General Surgery,Nantong Rich Hospital,Nantong 226010,China)
出处
《中国医学创新》
CAS
2024年第4期87-91,共5页
Medical Innovation of China
关键词
乳腺癌
生存质量
因素分析
Breast cancer
Quality of life
Factor analysis
