Duffy Sonia A, Khan Mumtaz J, Ronis David L, Fowler Karen E, Gruber Stephen B, Wolf Gregory T, Terrell Jeffrey E
VA HSR&D Center for Practice Management and Outcomes Research, VA Ann Arbor Healthcare System, Ann Arbor, Michigan, USA.
Head Neck. 2008 Jan;30(1):93-102. doi: 10.1002/hed.20665.
This prospective, cohort study is the first to describe 5 health behaviors of head and neck cancer patients the first year after diagnosis.
Patients (N = 283) were recruited in otolaryngology clinic waiting rooms and asked to complete written surveys. A medical record audit was also conducted. Descriptive statistics and multivariate analyses were conducted to determine which variables were associated with the 5 health behaviors.
Half of the patients smoked and 25% were problem drinkers. Over half of the smokers and drinkers quit 1 year post-diagnosis. Smoking and problem drinking were highly associated and both were associated with lower body mass index (BMI) (p < .01). Moreover, physical activity and sleep were associated with each other (p < .01). Low SLEEP (Medical Outcomes Study Sleep Scale) scores were common and highly associated with depression (p < .01).
The health behaviors of head and neck cancer patients are interrelated, and assessing and treating these behaviors together may be beneficial.
这项前瞻性队列研究首次描述了头颈癌患者在确诊后第一年的5种健康行为。
在耳鼻喉科诊所候诊室招募患者(N = 283),并要求他们完成书面调查。还进行了病历审核。进行描述性统计和多变量分析以确定哪些变量与这5种健康行为相关。
一半的患者吸烟,25%为问题饮酒者。超过一半的吸烟者和饮酒者在确诊后1年戒烟或戒酒。吸烟和问题饮酒高度相关,且两者均与较低的体重指数(BMI)相关(p < 0.01)。此外,身体活动和睡眠相互关联(p < 0.01)。低睡眠(医学结局研究睡眠量表)得分很常见,且与抑郁高度相关(p < 0.01)。
头颈癌患者的健康行为相互关联,同时评估和治疗这些行为可能有益。