Götze Heide, Ernst Jochen, Brähler Elmar, Romer Georg, von Klitzing Kai
Department of Medical Psychology and Medical Sociology, University of Leipzig, Leipzig, Germany.
Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Mainz, Mainz, Germany.
Psychooncology. 2015 Jul;24(7):787-95. doi: 10.1002/pon.3725. Epub 2014 Dec 8.
OBJECTIVE: The objective of this study is to assess the quality of life (QOL) of cancer patients and their family members over 1-year period post therapy. METHODS: We evaluated QOL in cancer patients (N = 161) (Short Form-8 Health Survey (SF-8), European Organization for Research and Treatment of Cancer 30- Item Core Quality of Life Questionnaire (EORTC QLQ-C30)), their partners (N = 110) (SF-8), and their children (N = 115) (KIDSCREEN-27) using a longitudinal design (t1: post therapy, t2: 6 months after t1, t3: 12 months after t1). Multiple regression models were employed to examine factors related to QOL. RESULTS: After cancer therapy, impairments in the patients' QOL were found primarily in emotional and social areas and also in role functions. We found the highest symptom burden in fatigue (M = 45.21), sleep disturbances (M = 41.04), and financial difficulties (M = 39.2). Partners had lower mental QOL compared with the general population at each assessment point (p < 0.05). No significant difference was found in physical QOL between partners and the general population (p > 0.05). Social support, full-time employment, tumor stage 0-2, time since diagnosis <1 year, and lower levels of anxiety and depression were associated with better QOL in patients. Full-time employment, social support, and lower levels of anxiety and depression had a significant impact on the partners' QOL. Higher levels of anxiety and depression in patients (p = 0.006) adversely influenced children's QOL. CONCLUSIONS: Family members' QOL is overall stable over time indicating the need for professional psychosocial support for those family members with low QOL. For the children, new measures are needed to better examine the experience with parental cancer.
目的:本研究的目的是评估癌症患者及其家庭成员在治疗后1年期间的生活质量(QOL)。 方法:我们采用纵向设计(t1:治疗后,t2:t1后6个月,t3:t1后12个月),使用简短健康调查问卷(SF-8)、欧洲癌症研究与治疗组织生活质量核心问卷30项(EORTC QLQ-C30)评估癌症患者(N = 161)的生活质量,使用SF-8评估其伴侣(N = 110)的生活质量,使用儿童生活质量量表27项(KIDSCREEN-27)评估其子女(N = 115)的生活质量。采用多元回归模型来检验与生活质量相关的因素。 结果:癌症治疗后,患者的生活质量受损主要表现在情感和社交领域以及角色功能方面。我们发现疲劳(M = 45.21)、睡眠障碍(M = 41.04)和经济困难(M = 39.2)的症状负担最高。在每个评估点,伴侣的心理生活质量均低于一般人群(p < 0.05)。伴侣与一般人群在身体生活质量方面未发现显著差异(p > 0.05)。社会支持、全职工作、肿瘤分期0-2、诊断后时间<1年以及较低的焦虑和抑郁水平与患者更好的生活质量相关。全职工作、社会支持以及较低的焦虑和抑郁水平对伴侣的生活质量有显著影响。患者较高的焦虑和抑郁水平(p = 0.006)对子女的生活质量有不利影响。 结论:家庭成员的生活质量总体随时间保持稳定,这表明需要为生活质量较低的家庭成员提供专业的心理社会支持。对于儿童,需要采取新的措施来更好地了解他们在父母患癌症期间的经历。
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