| 刘莹莹,李惠艳,苑冬鹤.老年前列腺癌病人支持性照顾需求与生活质量的纵向研究[J].安徽医药,2019,23(10):1987-1990. |
| 老年前列腺癌病人支持性照顾需求与生活质量的纵向研究 |
| A longitudinal study on the supportive care needs and quality of life of older patients with prostate cancer |
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| DOI：10.3969/j.issn.1009?6469.2019.10.020 |
| 中文关键词: 前列腺肿瘤 生活质量 老年人 支持性照顾需求 |
| 英文关键词: Prostatic neoplasms Quality of life Aged Supportive care needs |
| 基金项目:黑龙江省哲学社会科学研究规划项目( 15GLB07) |
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| 中文摘要: |
| 目的了解老年前列腺癌病人在病程的各阶段、各节点的支持性照顾需求和生活质量上的变化趋势。方法采用纵向调查方法，纳入哈尔滨医科大学附属肿瘤医院泌尿外科 55例首次诊断为前列腺癌的 55岁及以上老年病人为研究对象，分别在手术前1d、术后第 3天、术后 3~5周首次入院化疗时，使用支持性照顾需求量表和世界卫生组织生活质量测定量表评估老年前列腺癌病人的支持性照顾需求和生活质量。使用重复测量方差分析，分析支持性照顾需求和生活质量的变化情况。结果支持性照顾需求有显著变化(F＝18.726，P＜0.001)且生理与日常活动(F＝8.214，P＝0.001)、心理(F＝5.440，P＝0.014)、性( F＝6.633，P＝ 0.005)、照顾与支持(F＝3.801，P＝0.037、健康信息( F＝3.763，P＝0.039)各维度均有显著变化。入组病人的支持性照顾需求量表评分在术前 1d、术后 3d和术后首次化疗时分别为(49.36±7.18)分、(50.16±7.08)分和(49.30±6.99)分。病人生活质量显著改变( F＝17.233，P＜0.001)生理( F＝8.045，P＝0.002)、心理( F＝5.921，P＝0.005)、社会( F＝17.377，P＜0.001)、环境( F＝10.246， )，P＜0.001)各维度均有显著变，化。入组病人的世界卫生组织生活质量测定量表评分在术前 1d、术后 3d和术后首次化疗时分别为( 52.09±8.87)分、(50.16±7.08)分和( 50.63±8.40)分。结论前列腺癌病人的支持性照顾需求在术前 1d、术后 3d和术后首次化疗时均未得到满足，且支持性照顾需求和生活质量各维度呈现不同的变化趋势。总的来说，病人在术后 3d时，支持性照顾需求最高，生活质量最差。医护工作者应对病人各阶段未满足的需求，主动提供针对性的支持与照顾，以提高其生活质量。 |
| 英文摘要: |
| Objective To explore the trends in supportive care needs and quality of life of older prostate cancer patients during the different stages.Methods A longitudinal investigation method was used to include 55 patients aged 55 and older who were diag?nosed with prostate cancer for the first time in Department of Urological Surgery，Harbin Medical University Cancer Hospital.The subjects were assessed on the day before surgery，the third day after surgery，and the first chemotherapy which lasted 3?5 weeks af? ter surgery with the Supportive Care Need Survey Short Form(SCNS?SF)and World Health Organization Quality of Life?Brief Scale(WHOQOL?BRIEF).Repeated measures analysis of variance was adopted to analyze supportive care needs and changes in quality of life.Results Supportive care needs changed significantly(F＝18.726，P＜0.001)，and the dimensions of physiological and daily activities(F＝8.214，P＝0.001)，mentality(F＝5.440，P＝0.014)，sex(F＝6.633，P＝0.005)，care and support(F＝3.801，P＝0.037)，health information(F＝3.763，P＝0.039)showed significant changes.The mean values of SCNS?SF34 scores of patients on the day before surgery，three days after surgery，and the first?time chemotherapy after surgery were(49.36±7.18)points，(50.16±7.08)points and(49.30±6.99)points，respectively.The quality of life of patients changed significantly too(F＝17.233，P＜ 0.001)，and the dimensions of physiology(F＝8.045，P＝0.002)mentality(F＝5.921，P＝0.005)，society(F＝17.377，P＜0.001)， and environment(F＝10.246，P＜0.001)allshowedsignificantch，anges.The mean values of WHOQOL?BRIEF scores of patients on the day before surgery，three days after surgery，and the first?time chemotherapy after surgery were(52.09±8.87)points，(50.16± 7.08)points and(50.63±8.40)points，respectively.Conclusion The supportive care needs of patients with prostate cancer were not met on the day before surgery，three days after surgery，and the first?time chemotherapy after surgery.There were different trends in supportive care needs and quality of life.Generally，on the third day after surgery，patients’supportive care needs were the high?est and their quality of life was the lowest.Needs of patients at various stages should be met by providing targeted support and careto improve their quality of life. |
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