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下尿路症状的患病率、相关因素及其与生活质量的关系:一项横断面、问卷调查癌症患者的研究。

Prevalence, associated factors, and relationship to quality of life of lower urinary tract symptoms: a cross-sectional, questionnaire survey of cancer patients.

机构信息

Department of Internal Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.

出版信息

Int J Clin Pract. 2013 Jun;67(6):566-75. doi: 10.1111/ijcp.12141.

Abstract

BACKGROUND

Few studies conducted outside of Asia have shown that lower urinary tract symptoms (LUTS) could be a concern for cancer patients. This gap necessitates more research on LUTS among cancer patients in Asia, particularly regarding associated factors and the relationship between quality of life and LUTS.

OBJECTIVES

This study investigates the prevalence, associated factors, and relationship to quality of life of LUTS based on a sample of cancer patients.

DESIGN

A cross-sectional, questionnaire survey.

SETTINGS/PARTICIPANTS: This study was conducted at two oncology outpatient departments in two hospitals in Taiwan, and included 134 Asian cancer patients.

METHODS

We collected information about each participant's individual characteristics, personal habits, LUTS, and quality of life by using a questionnaire. We calculated descriptive statistics to demonstrate the distribution of collected information, and used multivariate logistic regression to identify the factors associated with LUTS. We used Student's t-test to compare the mean quality of life scores for participants with and without LUTS.

RESULTS

Ninety-nine (73.9%) participants experienced at least one type of LUTS, and the prevalence rates for various types of LUTS ranged from 3.7% to 52.2%. Radiotherapy and the time since the diagnosis of cancer were associated with LUTS. Participants with LUTS reported lower quality of life scores than participants without LUTS.

CONCLUSIONS

The high prevalence of LUTS suggests that cancer treatment might be linked to LUTS, which in turn has a negative effect on a patient's quality of life. These results suggest that future research should involve studies in larger, more homogeneous samples. Health care providers should monitor the presence of LUTS and deliver the management and treatments of LUTS to optimise cancer patients' quality of life.

摘要

背景

亚洲以外的少数研究表明,下尿路症状(LUTS)可能是癌症患者关注的问题。这一差距需要在亚洲癌症患者中进行更多关于 LUTS 的研究,特别是关于相关因素以及生活质量与 LUTS 之间的关系。

目的

本研究根据癌症患者样本调查 LUTS 的患病率、相关因素以及与生活质量的关系。

设计

横断面、问卷调查。

设置/参与者:本研究在台湾的两家医院的两个肿瘤门诊进行,共纳入 134 名亚洲癌症患者。

方法

我们使用问卷收集每位参与者的个人特征、个人习惯、LUTS 和生活质量信息。我们计算描述性统计数据来展示收集信息的分布,并使用多变量逻辑回归来确定与 LUTS 相关的因素。我们使用学生 t 检验比较有和无 LUTS 的参与者的平均生活质量评分。

结果

99 名(73.9%)参与者至少经历过一种类型的 LUTS,各种类型的 LUTS 的患病率从 3.7%到 52.2%不等。放射治疗和癌症诊断后的时间与 LUTS 相关。有 LUTS 的参与者报告的生活质量评分低于没有 LUTS 的参与者。

结论

LUTS 的高患病率表明癌症治疗可能与 LUTS 有关,而 LUTS 反过来又对患者的生活质量产生负面影响。这些结果表明,未来的研究应该涉及更大、更同质的样本。医疗保健提供者应监测 LUTS 的存在,并提供 LUTS 的管理和治疗,以优化癌症患者的生活质量。

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