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中国前列腺癌患者与普通人群及其他癌症人群相比的健康相关生活质量。

Health-related quality of life of Chinese patients with prostate cancer in comparison to general population and other cancer populations.

作者信息

Choi Edmond P H, Wong Carlos K H, Tsu James H L, Chin W Y, Kung Kenny, Wong Charles K W, Yiu M K

机构信息

School of Nursing, The University of Hong Kong, 4/F, William M.W. Mong Block, 21 Sassoon Road, Pokfulam, Hong Kong.

Department of Family Medicine and Primary Care, The University of Hong Kong, Ap Lei Chau, Hong Kong.

出版信息

Support Care Cancer. 2016 Apr;24(4):1849-56. doi: 10.1007/s00520-015-2980-6. Epub 2015 Oct 9.

Abstract

PURPOSE

The purpose of this study was to compare the health-related quality of life (HRQOL) of Chinese patients with prostate cancer against the general population and patients with colorectal cancer, breast cancer, nasopharyngeal cancer, and leukemia.

METHODS

Chinese male patients (n = 291) with a confirmed diagnosis of prostate cancer were recruited from a urological specialist outpatient clinic in Hong Kong. HRQOL was measured by a condition-specific Functional Assessment of Cancer Therapy-Prostate (FACT-P) and a generic Chinese (HK) SF-12 Health Survey Version 2 (SF-12v2) questionnaire. Mean HRQOL scores of condition-specific and generic questionnaires were compared to available scores derived from other cancers and age-matched male general population, respectively.

RESULTS

Chinese patients with prostate cancer had lower general health and vitality domains and lower mental component summary scores than the age-matched Hong Kong normative population. Patients with prostate cancer reported better condition-specific HRQOL (physical well-being, emotional well-being and function well-being) when compared to general cancer population, patients with breast cancer, colorectal cancer, nasopharyngeal cancer, and leukemia in Hong Kong.

CONCLUSIONS

Patients with prostate cancer substantially perceived their HRQOL to be better, compared to patients with other cancers, with overall health, energy, and mental health below of Hong Kong general population. Interventions should target at these domains in order to improve the HRQOL of patients with prostate cancer. It is reassuring to find that prostate cancer had less negative impact on HRQOL than other cancer types did.

摘要

目的

本研究旨在比较中国前列腺癌患者与一般人群以及结直肠癌、乳腺癌、鼻咽癌和白血病患者的健康相关生活质量(HRQOL)。

方法

从香港一家泌尿外科专科门诊招募了确诊为前列腺癌的中国男性患者(n = 291)。通过特定疾病的癌症治疗功能评估-前列腺(FACT-P)和通用的中文版(香港)SF-12健康调查第2版(SF-12v2)问卷来测量HRQOL。分别将特定疾病问卷和通用问卷的平均HRQOL得分与其他癌症以及年龄匹配的男性一般人群的可用得分进行比较。

结果

与年龄匹配的香港正常人群相比,中国前列腺癌患者的总体健康和活力领域得分以及心理成分汇总得分较低。与香港的一般癌症人群、乳腺癌、结直肠癌、鼻咽癌和白血病患者相比,前列腺癌患者报告的特定疾病HRQOL(身体健康、情绪健康和功能健康)更好。

结论

与其他癌症患者相比,前列腺癌患者普遍认为自己的HRQOL更好,但总体健康、精力和心理健康低于香港一般人群。干预措施应针对这些领域,以改善前列腺癌患者的HRQOL。令人欣慰的是,与其他癌症类型相比,前列腺癌对HRQOL 的负面影响较小。

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