Ege University, Faculty of Medicine, Physical Therapy and Rehabilitation Department, Tulay Aktas Oncology Hospital, Supportive Care Unit, 35100 Bornova-Izmir, Turkey.
Arch Gerontol Geriatr. 2010 Nov-Dec;51(3):e57-61. doi: 10.1016/j.archger.2009.11.018. Epub 2009 Dec 30.
As the proportion of older adults in the population continues to grow, the number of patients with cancer is expected to increase proportionally. In the previously conducted studies, data on elderly cancer patients were generally compared with the QoL scores of elderly patient group and with the data of non-cancer individuals. The purpose of this study was to examine differences in reported pain, fatigue, sleep problems and QoL between middle-aged and elderly hospitalized patients with cancer. We included 53 middle-aged (between 18 and 50 years) hospitalized cancer patients and 47 elderly (>60 years) hospitalized cancer patients in this study. Pain (visual analog scale=VAS, verbal pain rating), fatigue (brief fatigue inventory=BFI), sleep problems, QoL (Short Form 36=SF36), and European Organization for Research and Treatment of Cancer (EORTC)-QoL-C30 data were gathered using standardized measures. In the elderly group, no significant difference was detected in terms of VAS, verbal pain rating, fatigue, fatigue type, sleep problems and QoL scores (p>0.05). When the two age groups were compared, BFI scores were found to be significantly high among the elderly patients (p<0.05). A significant relationship was observed in both age groups between the scores of pain, fatigue and sleep problems, and QoL (p<0.05). Elderly hospitalized cancer patients did not demonstrate a distinctive difference in terms of pain, sleep and QoL compared to the younger group. The relationship between pain, fatigue, sleep and QoL should be definitely kept in mind in clinical practice.
随着人口中老年人口比例的持续增长，癌症患者的数量预计将相应增加。在之前的研究中，老年癌症患者的数据通常与老年患者组的生活质量评分以及非癌症个体的数据进行比较。本研究旨在检查中年和老年住院癌症患者报告的疼痛、疲劳、睡眠问题和生活质量之间的差异。我们纳入了 53 名中年（18-50 岁）住院癌症患者和 47 名老年（>60 岁）住院癌症患者。使用标准化测量方法收集疼痛（视觉模拟量表=VAS，口头疼痛评分）、疲劳（简要疲劳量表=BFI）、睡眠问题、生活质量（36 项简短健康调查问卷=SF36）和欧洲癌症研究与治疗组织（EORTC）-生活质量核心 30 问卷（EORTC-QoL-C30）数据。在老年组中，VAS、口头疼痛评分、疲劳、疲劳类型、睡眠问题和生活质量评分均无显著差异（p>0.05）。当比较两个年龄组时，老年患者的 BFI 评分显著较高（p<0.05）。两个年龄组的疼痛、疲劳和睡眠问题与生活质量评分之间均存在显著相关性（p<0.05）。与年轻组相比，老年住院癌症患者在疼痛、睡眠和生活质量方面没有表现出明显的差异。在临床实践中，应牢记疼痛、疲劳、睡眠和生活质量之间的关系。
