首都医科大学学报 ›› 2011, Vol. 32 ›› Issue (5): 661-666.doi: 10.3969/j.issn.1006-7795.2011.05.016

• 基础研究 • 上一篇    下一篇

甘肃武威地区农村出院胃癌患者生命质量及其影响因素研究

林晨曦1, 叶延程2, 张志镒2, 王军贤2, 梁晓云2, 刘玉琴3, 罗冰芝2, 邹珺4, 王涛1   

  1. 1. 北京大学公共卫生学院流行病与卫生统计学系,北京 100191;2. 甘肃省武威肿瘤医院,武威 733000;3. 甘肃省肿瘤医院流行病学研究室,武威 733000;4. 卫生部卫生发展研究中心卫生政策研究室,北京 100191
  • 收稿日期:2011-05-23 修回日期:1900-01-01 出版日期:2011-10-21 发布日期:2011-10-21
  • 通讯作者: 王 涛

The quality of life and its influential factors among discharged patients with gastric cancer in rural area, Wuwei, Gansu

LIN Chen-xi1, YE Yan-cheng2, ZHANG Zhi-yi2, WANG Jun-xian2, LIANG Xiao-yun2, LIU Yu-qin3, LUO Bing-zhi2, ZOU Jun4, WANG Tao1   

  1. 1. Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100191, China;2. Gansu Wuwei Tumor Hospital, Wuwei 733000, China;3. Department of Epidemiology, Gansu Provincial Tumor Hospital, Wuwei 733000, China;4. Department of Health Policy Research, China National Health Development Research Center, Beijing 100191, China
  • Received:2011-05-23 Revised:1900-01-01 Online:2011-10-21 Published:2011-10-21

摘要: 目的 了解胃癌高发区农村出院胃癌患者生命质量的总体情况并分析其影响因素,为提高和改善胃癌患者生命质量提供依据。方法 选取甘肃省武威地区作为研究现场,采用现况调查的方法,利用欧洲癌症研究与治疗组织(European Organization for Research and Treatment Cancer,EORTC)(QLQ-C30 3.0)生命质量问卷(中文版)和胃癌患者生命质量特异性问卷(QLQ-STO22)(中文版)对随机抽取的135名农村地区胃癌患者进行入户随访调查,同时了解患者的一般情况。结果 农村地区胃癌患者生命质量总体状况得分为56.17±20.23。单因素分析结果显示:性别、婚姻状况、教育水平、职业、家庭年收入、肿瘤分化程度、对医疗服务和费用的满意程度是农村胃癌患者生命质量总体状况得分的影响因素;生命质量总体状况得分多重回归分析显示男性患者生命质量好于女性患者,家庭年收入、教育水平和对医疗费用的满意程度越高,患者生命质量总体状况越好。结论 农村胃癌患者生命质量总体情况有待改善。针对农村地区胃癌患者生命质量的影响因素采取相应措施,有助于提高和改善胃癌患者的生命质量。

关键词: 胃癌患者, 生命质量, 影响因素, 农村

Abstract: Objective To evaluate and explore overall condition of quality of life and the influential factors among discharged patients with gastric cancer in rural area. Methods Wuwei city of Gansu province was selected as the field. Based on the cross-sectional study, 135 gastric cancer patients in rural areas were interviewed face-to-face to explore their quality of life. The questionnaires used were the EORTC QLQ-C30 3.0 and QLQ-STO22(Chinese version) and multiple linear regression model was used to explore the main factors influencing the quality of life of patients with gastric cancer. Results The overall scores of quality of life of discharged gastric cancer patients were 56.17±20.23. The results of one-way analysis of influential factors of quality of life suggest that gender, marital status, educational background, occupation, family income, degree of tumor differentiation, degree of satisfaction with medical services and medical services were influential factors of the overall quality of life. The results of multiple linear regression suggest that family income, the degrees of the satisfaction with medical fees and educational background had positive correlation with quality of life, the quality of life of male patients was better than that of female patients. Conclusion The overall quality of life of the discharged gastric cancer patients from rural areas which was surveyed needs to be improved. Treating and taking care of rural patients with gastric cancer of different genders, education backgrounds, family income will help to improve their quality of life.

Key words: gastric cancer patients, quality of life, influential factor, rural area

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