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接受自体造血干细胞移植的急性髓系白血病和恶性淋巴瘤患者生活质量的社会心理、健康及人口统计学特征

Psychosocial, health and demographic characteristics of quality of life among patients with acute myeloid leukemia and malignant lymphoma who underwent autologous hematopoietic stem cell transplantation.

作者信息

Slovacek Ladislav, Slovackova Birgita, Jebavy Ladislav, Macingova Zuzana

机构信息

Second Department of Internal Medicine, Charles University, Hradec Kralove, Czech Republic.

出版信息

Sao Paulo Med J. 2007 Nov 1;125(6):359-61. doi: 10.1590/s1516-31802007000600012.

Abstract

CONTEXT AND OBJECTIVE

This study evaluated the effect of selected psychosocial, health and demographic characteristics of quality of life (QOL) among patients treated with autologous hematopoietic stem cell transplantation (HSCT).

DESIGN AND SETTING

This was a retrospective study at Charles University Hospital, Hradec Kralove.

METHODS

The Czech version of the international generic European Quality-of-Life questionnaire (EQ-5D) was applied to evaluate QOL among patients with acute myeloid leukemia (AML) and malignant Hodgkins and non-Hodgkins lymphoma (ML). The total number of respondents was 36: 12 with AML (seven males and five females) and 24 with ML (11 males and 13 females). The mean age of AML respondents was 46 years and the mean age of ML respondents was 44.5 years.

RESULTS

Age, smoking status and education level had statistically significant effects on QOL among AML respondents (p < 0.05), and age had a statistically significant effect on QOL among ML respondents (p < 0.05). The overall QOL among AML and ML respondents was generally good: the mean EQ-5D score among AML respondents was 71.5% and among ML respondents it was 82.7%.

CONCLUSION

The QOL among AML and ML respondents treated with autologous HSCT was good. However, patients more than 50 years old, smokers and patients with lower education levels presented worse QOL. These findings need to be better evaluated in longitudinal studies, using large samples.

摘要

背景与目的

本研究评估了自体造血干细胞移植(HSCT)治疗患者的某些社会心理、健康及人口统计学特征对生活质量(QOL)的影响。

设计与地点

这是一项在赫拉德茨克拉洛韦查理大学医院开展的回顾性研究。

方法

应用国际通用的欧洲生活质量问卷(EQ - 5D)的捷克语版本,评估急性髓系白血病(AML)、恶性霍奇金淋巴瘤和非霍奇金淋巴瘤(ML)患者的生活质量。受访者总数为36人:12例AML患者(7例男性和5例女性)以及24例ML患者(11例男性和13例女性)。AML受访者的平均年龄为46岁,ML受访者的平均年龄为44.5岁。

结果

年龄、吸烟状况和教育水平对AML受访者的生活质量有统计学显著影响(p < 0.05),年龄对ML受访者的生活质量有统计学显著影响(p < 0.05)。AML和ML受访者的总体生活质量普遍良好:AML受访者的平均EQ - 5D得分为71.5%,ML受访者为82.7%。

结论

接受自体HSCT治疗的AML和ML受访者生活质量良好。然而,50岁以上的患者、吸烟者以及教育水平较低的患者生活质量较差。这些发现需要在纵向研究中使用大样本进行更好的评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0a6/11020567/08b8833790ca/1806-9460-spmj-125-06-359-gf01.jpg

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