首都医科大学学报 ›› 2004, Vol. 25 ›› Issue (3): 363-365.

• 论著·临床研究 • 上一篇    下一篇

影响晚期癌症病人生活质量因素的探讨

贾爱华, 邵军, 马振山   

  1. 首都医科大学附属北京天坛医院宁养院
  • 收稿日期:2003-07-08 修回日期:1900-01-01 出版日期:2004-07-15 发布日期:2004-07-15

Factors Affecting Quality of Life in Patients with Advanced Cancer

Jia Aihua, Shao Jun, Ma Zhenshan   

  1. Hospice of Beijing Tiantan Hospital, Affiliate of Capital University of Medical Sciences
  • Received:2003-07-08 Revised:1900-01-01 Online:2004-07-15 Published:2004-07-15

摘要: 为了解晚期癌症病人的心理社会需求,探讨影响晚期癌症病人生活质量的因素,以控制疼痛为核心,配合心理辅导及护理指导,对268例晚期癌症患者及家属进行全方位的系统干预,并对病人整体生活质量进行评估.结果:病人的生活质量明显提高,但7%病人癌痛没有获得有效的控制.此外乏力、恶心、呕吐及便秘是常见的躯体症状;不了解自己真实病情的人负性情绪的比率高于知情者.提示:系统干预提高了癌症病人的生活质量,但目前癌痛控制不尽如人意,癌痛及其他躯体症状是影响病人情绪的主要问题之一.医护人员要多方面地衡量和评估病人及其家人的需求,使宁养服务更加完善.

关键词: 晚期癌症, 生活质量, 心理辅导

Abstract: The aim was to discuss the factors that might affect the quality of life of patients with advanced cancer, and to find out the social-psychological demands of advanced cancer patients.A total of 268 advanced cancer patients and their family had been systematic intervened comprehensively.Based on pain-controlling, psychological guiding and nursing instruction were provided as assistance, and the overall quality of life of the patients were evaluated.After systematic intervention, quality of life of the patients had been improved significantly.But pain in 7% patients had not been effectively controlled.In addition, fatigue, nausea, vomiting and constipation were the most common symptoms in the patients.Negative moods were more common in patients who were not aware of their actual condition than the self-aware patients.Systematic intervention can improve the quality of life in patients.But currently, pain in cancer patients has not been controlled satisfyingly.Pain and other somatic symptoms are major factors to affect the mood of patients.Medical staff should evaluate and balance the demands of patients and their family from multiple aspects, to provide better service in consolatory treatment in advanced cancer patients.

Key words: advanced cancer, quality of life, psychological guiding

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