Matsuda Ayako, Kobayashi Mika, Sakakibara Yumi, Tamaoka Meiyo, Furuiye Masashi, Inase Naohiko, Matsushima Eisuke
Departments of Liaison Psychiatry and Palliative Medicine, and.
Exp Ther Med. 2011 Mar;2(2):291-294. doi: 10.3892/etm.2011.185. Epub 2011 Jan 5.
An increasing number of cancer patients receive outpatient chemotherapy as an alternative to inpatient chemotherapy. The aim of this study was to investigate whether quality of life (QOL) during outpatient chemotherapy was better than QOL prior to hospital discharge, and to explore possible related factors prior to hospital discharge that affected the QOL of lung cancer patients who received outpatient chemotherapy. Lung cancer inpatients who were scheduled for outpatient chemotherapy were assessed two times (prior to hospital discharge and during outpatient chemotherapy) using the Functional Assessment of Cancer Therapy-Lung and Hospital Anxiety and Depression Scale. A total of 40 patients completed all assessments, both prior to hospital discharge and during outpatient chemotherapy. In the present study, QOL during outpatient chemotherapy was not significantly different when compared with the QOL prior to hospital discharge, and predictors prior to hospital discharge for a better QOL of patients during outpatient chemotherapy included better social, emotional and physical well-being. These results suggest that medical staff, in particular those involved in outpatient chemotherapy, need to recognize social and emotional as well as physical well-being prior to hospital discharge, regardless of cancer-related factors and the personal characteristics of the patients.
越来越多的癌症患者接受门诊化疗以替代住院化疗。本研究的目的是调查门诊化疗期间的生活质量(QOL)是否优于出院前的生活质量,并探索出院前可能影响接受门诊化疗的肺癌患者生活质量的相关因素。对计划接受门诊化疗的肺癌住院患者使用癌症治疗功能评估-肺癌量表和医院焦虑抑郁量表进行了两次评估(出院前和门诊化疗期间)。共有40名患者在出院前和门诊化疗期间完成了所有评估。在本研究中,门诊化疗期间的生活质量与出院前相比无显著差异,出院前预测患者门诊化疗期间生活质量较好的因素包括更好的社会、情感和身体健康状况。这些结果表明,医务人员,尤其是参与门诊化疗的人员,需要在出院前认识到患者的社会、情感以及身体健康状况,而不论癌症相关因素和患者的个人特征如何。