消化道肿瘤患者癌因性疲乏及生活质量调查

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摘要目的探讨消化道肿瘤肿瘤患者癌因性疲乏（CRF）的生活质量状况及影响因素。方法随机抽样选取2014年6月～2016年6月安徽中医药大学第一附属医院肿瘤科接受化疗的100例消化道肿瘤患者，采用Piper疲乏调查量表及生活质量调查量表进行测定，取得各自得分，利用SPSS软件进行分析。测量研究对象的一般状况指标、CRF指标及生活质量指标。结果总体疲乏指数为5.26±0.90，其中无疲乏或轻度疲乏的人数为8例，占8％；中等度疲乏72例，占72％；而重度疲乏20例，占20％。CRF总体得分为（117.92±22.88）分，4个分量表的得分从低到高进行排序，行为维度最高为（33.23±6.37）分，其次为认知维度为（32.04±6.43）分，情感维度为（26.69±5.59）分，最低为感知维度为（25.96±4.73）分，行为上的变化在CRF中体现最明显。睡眠质量与CRF程度具有相关性，睡眠质量越差其CRF程度越重，差异有统计学意义（F=6.700，P＜0.01）；食欲情况与CRF程度具有相关性，食欲情况越差其CRF程度越重，差异有统计学意义（F=9.609，P＜0.01）；疼痛程度与CRF程度具有相关性，疼痛程度越重其CRF程度越重，差异有统计学意义（F=11.773，P＜0.01）。结论医护人员应密切关注患者的失眠、食欲丧失及疼痛的控制情况，采取针对性措施，提高患者的生活质量，改善CRF情况。

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	纪超凡
	夏黎明

关键词 ：消化道肿瘤, 癌因性疲乏, 生活质量, 睡眠, 食欲, 疼痛

Abstract：Objective To investigate quality of life(QOL)and its influencing factors of cancer related fatigue(CRF)in patientswith digestive tract tumor.M ethods 100 patients with the digestive tract tumor were selected in Department of Oncology of the First Affiliated Hospital of Anhui University of Traditional Chinese Medicine were randomly selected from June 2014 to June 2016 and their scoresweremeasured by atigue self-assessment scale of Piper and QOL survey scale.SPSS software analysis was used.The general condition index,CRF index and QOL of the research objects were measured.Results The overall fatigue index was 5.26＋0.90,ofwhich there were 8 cases of no fatigue or slight fatigue,accounting for 8％;72 cases ofmoderate degree of fatigue,72％of the total,and 20 cases of severe fatigue,accounting for 20％.The overall score of CRFwas(117.92＋22.88)scores,4 subscale scores from low to high ranking,the highest for the behavior dimension was(33.23＋6.37)scores,followed by the cognitive dimension with(32.04＋6.43)scores,emotional dimension with(26.69＋5.59)scores,the lowest perceived dimension with(25.96＋4.73)scores,behavioral changes in CRF was themost obvious.Sleep quality and CRF degree was correlative,sleep quality wasworse,CRF degree wasmore serious,and the difference was statistically significant(F=6.700,P＜0.01);appetite condition and CRF degree was correlative, appetite condition wasworse,CRF degree wasmore serious,and the difference was statistically significant(F=9.609,P＜0.01);degree of pain and CRF degree was correlative,degree of pain was worse,CRF degree wasmore serious,and the difference was statistically significant(F=11.773,P＜0.01).Conclusion The Medical staff should pay close attention to patients′sleep,appetite and pain,and take targetedmeasures to improve QOL and the status of CRF in the digestive tract tumor patients.

Key words： Digestive tract tumors Cancer-related fatigue Quality of life Sleep Appetite Pain

引用本文:

纪超凡;夏黎明. 消化道肿瘤患者癌因性疲乏及生活质量调查[J]. 中国当代医药, 2016, 23(32): 142-145转149.
JIChao-fan;XIA Li-ming. Investigation on the status of cancer-related fatigue and quality of life in the digestive tract tumor patients. 中国当代医药, 2016, 23(32): 142-145转149.

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http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2016/V23/I32/142

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