摘要
作者对６９例癌症合并疼痛的患者进行了生活质量问卷调查，其中包括躯体、心理和社会人际关系等三方面的因素。男性４９例，女性２０例，均为明确诊断的中、晚期癌症患者。结果：轻度疼痛对患者的生活质量影响较小，而中、重度疼痛对患者的生活质量影响明显增大；疼痛时间≤６月的患者生活质量评分与＞６月的患者生活质量评分比较有明显差异；镇痛治疗有效者生活质量有改善，与治疗无效者比较有非常显著性差异。结论：１．疼痛是癌症患者尤其是中、晚期癌症患者的主要症状之一。疼痛对机体的躯体、精神心理、社会人际关系等方面均可产生不同程度的影响，从而全面影响患者的生活质量。２．中度以上的疼痛持续时间超过６月者可严重影响生活质量，有效的止痛治疗明显改善患者的生活质量。因此努力减轻患者的疼痛，是提高患者生活质量的重要措施之一。
The authors investigated the quality of life in 69 patients with cancer pain by the form of questionnaires. 12 indexes were included in 3 factors. The somatic factors include 7 parts: orexia, somnus, lassitude, routine living status, side effect of drugs, algetic degree and expression. Psycological factors included 3 parts: such as spiritstatus, their own cognition to cancer and attitude to treatments. The socialogical factors were families and collegues comprehension and collaboration. The whole group included 49 males and 20 females. All were definitely diagnosed cancer patients in metaphase and advanced stage. Results: Scores of quality of life were significantly different (P<0.05) between those patients with mild cancer pain and those with moderate or severe pain. Theres significant difference in scores between those cancer patiens with algetic duration no more than 6 months and those longer than 6 months. Very significant difference was also found between scores of quality of life in cancer patients who gained effective analgetic treatments and those with noneffective analgesic treatments. Conclusions: 1. Cancer pain in patients, especially those in metaphase and advanced stage, was one of their main symptoms. Cancer pain could produce effects on patients somatic, psycological and solialogical facets in different degrees and affect their quality of life. 2. Moderate cancer pain, longer than 6 months, could cause grave effects on their quality of life. Effective analgetic treatments could obviously improve patients quality of life. Therefore, striving to relieve patients cancer pain was one of those important steps to improve patients quality of life.
出处
《中国疼痛医学杂志》
CAS
CSCD
1998年第1期10-12,共3页
Chinese Journal of Pain Medicine
关键词
疼痛
癌症
生活质量
Pain
Cancer
Quality of life
