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头颈部癌症患者生活质量与痛苦关系的描述性分析。

A descriptive analysis of the relationship between quality of life and distress in individuals with head and neck cancer.

机构信息

Laboratory for Well-Being and Quality of Life in Oncology, Rehabilitation Sciences, The University of Western Ontario, London, ON, Canada.

出版信息

Support Care Cancer. 2012 Sep;20(9):2157-65. doi: 10.1007/s00520-011-1326-2. Epub 2011 Nov 30.

Abstract

PURPOSE

Both short- and long-term outcomes for individuals with head and neck cancer (HNCa) may be influenced by multiple factors. Identification of distress in those with HNCa may provide a critical dimension that influences quality of life (QoL). Consequently, this investigation assessed distress and QoL in those with HNCa.

METHODS

This study utilized a cross-sectional, self-report survey design. Participants included 49 adults diagnosed with HNCa. Upon assessment, post-diagnosis time ranged between 3-12 months. All participants completed a validated distress screening measure, the Brief Symptom Inventory 18 (BSI-18), and the EORTC general QoL assessment tool (EORTC-QLQ-C30) and HNCa module (EORTC-QLQ-H&N35).

RESULTS

Approximately 22% of participants demonstrated clinically significant distress. Additionally, distress was significantly related to QoL status and specific symptoms.

CONCLUSIONS

Screening for distress in those with HNCa may permit early identification of problems that influence QoL outcomes. The ability to identify distress early may also facilitate timely intervention to reduce distress and optimize QoL.

摘要

目的

头颈部癌症(HNCa)患者的短期和长期预后可能受到多种因素的影响。识别 HNCa 患者的痛苦可能提供一个关键的维度,影响生活质量(QoL)。因此,本研究评估了 HNCa 患者的痛苦和 QoL。

方法

本研究采用了横断面、自我报告的调查设计。参与者包括 49 名被诊断为 HNCa 的成年人。评估时,诊断后时间在 3-12 个月之间。所有参与者都完成了一个经过验证的痛苦筛查量表,即简明症状量表 18 项(BSI-18),以及 EORTC 一般 QoL 评估工具(EORTC-QLQ-C30)和 HNCa 模块(EORTC-QLQ-H&N35)。

结果

约 22%的参与者表现出明显的痛苦。此外,痛苦与 QoL 状况和特定症状显著相关。

结论

对 HNCa 患者进行痛苦筛查可能允许早期识别影响 QoL 结果的问题。早期识别痛苦的能力也可能有助于及时干预,以减轻痛苦并优化 QoL。

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