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癌症患者伴侣的生活质量。

Quality of life in partners of patients with cancer.

作者信息

Bergelt Corinna, Koch Uwe, Petersen Corinna

机构信息

Institute of Medical Psychology, Center for Psychosocial Medicine, University Medical Center Hamburg-Eppendorf, Martinistr. 52, S 35, 20246 Hamburg, Germany.

出版信息

Qual Life Res. 2008 Jun;17(5):653-63. doi: 10.1007/s11136-008-9349-y. Epub 2008 May 6.

Abstract

OBJECTIVES

Cancer affects patients' quality of life (QOL) but might also influence their partners' QOL. We investigated QOL in partners of patients with different cancer types and examined potential predictors of partners' QOL.

METHODS

Three hundred seventy-three partners completed the SF-36 QOL questionnaire. Descriptive statistics, t-tests and linear regressions were performed. Potential predictors of partners' QOL included sociodemographic (sex, age, income), psychosocial (social support, quality of partner relationship, patient's QOL) and clinical variables (tumour stage, treatment, time since diagnosis).

RESULTS

Male partners reported better QOL than female partners on most SF-36 subscales. Both male and female partners reported significantly lower mental QOL than the norm population. Higher quality of the relationship predicted higher mental QOL in partners of patients with cancers of digestive organs (P = 0.039) and breast cancer patients' partners (P = 0.001). Higher mental QOL of the patient predicted higher physical (P = 0.012) and mental QOL (P = 0.011) in partners of breast cancer patients. For partners of patients with cancers of the male genital organs, none of the variables in the model was of predictive value.

CONCLUSION

Mental, rather than physical, QOL of partners was impaired. Stage and other clinical variables of the patient did not influence partners' mental or physical QOL.

摘要

目的

癌症会影响患者的生活质量(QOL),但也可能会影响其伴侣的生活质量。我们调查了不同癌症类型患者的伴侣的生活质量,并研究了伴侣生活质量的潜在预测因素。

方法

373名伴侣完成了SF-36生活质量问卷。进行了描述性统计、t检验和线性回归分析。伴侣生活质量的潜在预测因素包括社会人口统计学因素(性别、年龄、收入)、心理社会因素(社会支持、伴侣关系质量、患者生活质量)和临床变量(肿瘤分期、治疗、确诊后的时间)。

结果

在大多数SF-36分量表上,男性伴侣报告的生活质量高于女性伴侣。男性和女性伴侣报告的心理生活质量均显著低于正常人群。较高的关系质量预示着消化器官癌症患者的伴侣(P = 0.039)和乳腺癌患者的伴侣(P = 0.001)具有较高的心理生活质量。患者较高的心理生活质量预示着乳腺癌患者的伴侣具有较高的生理(P = 0.012)和心理生活质量(P = 0.011)。对于男性生殖器官癌症患者的伴侣,模型中的变量均无预测价值。

结论

伴侣的心理生活质量而非生理生活质量受到损害。患者的分期和其他临床变量并未影响伴侣的心理或生理生活质量。

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