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影响韩国癌症幸存者健康相关生活质量的因素。

Factors influencing health-related quality of life among Korean cancer survivors.

作者信息

Kim KiSook, Kim Ji-Su

机构信息

Department of Nursing, Chang-Won National University, Changwon, Republic of Korea.

Red Cross College of Nursing, Chung-Ang University, Seoul, Republic of Korea.

出版信息

Psychooncology. 2017 Jan;26(1):81-87. doi: 10.1002/pon.4105. Epub 2016 Feb 18.

Abstract

OBJECTIVE

Early cancer detection and remarkable improvements in cancer treatment have seen the cancer survival rate grow steadily for the past 40 years. Despite expectations regarding treatment effectiveness, acceptable quality of life, and a comfortable death, patients with cancer generally have a decreased quality of life. The study aim was to examine the factors influencing health-related quality of life among South Korean cancer survivors for future development of an intervention to enhance their survivorship.

METHODS

Korea National Health and Nutrition Examination Survey 2008-2012 data regarding 1020 cancer survivors were used for analysis. Health-related quality of life was measured using the EuroQol 5-Dimension.

RESULTS

The factors influencing health-related quality of life were age, educational status, employment status, income, smoking, time since diagnosis, subjective health status, stress, depression, and suicidal ideation.

CONCLUSIONS

Individual-centered clinical interventions that consider dimensional-influencing factors, including subjective health status, are needed to improve cancer survivors' health-related quality of life. Subsequent systematic studies are needed regarding dimension-specific differences according to cancer types and time since diagnosis. Copyright © 2016 John Wiley & Sons, Ltd.

摘要

目的

在过去40年里,癌症早期检测以及癌症治疗方面的显著进步使得癌症生存率稳步提高。尽管人们期望治疗有效、生活质量可接受且死亡过程舒适,但癌症患者的生活质量总体上有所下降。本研究旨在探讨影响韩国癌症幸存者健康相关生活质量的因素,以便未来开发干预措施来提高他们的生存质量。

方法

使用2008 - 2012年韩国国家健康与营养检查调查中有关1020名癌症幸存者的数据进行分析。健康相关生活质量采用欧洲五维健康量表进行测量。

结果

影响健康相关生活质量的因素包括年龄、教育程度、就业状况、收入、吸烟、确诊后的时间、主观健康状况、压力、抑郁和自杀意念。

结论

需要开展以个体为中心的临床干预,考虑包括主观健康状况在内的维度影响因素,以提高癌症幸存者的健康相关生活质量。后续还需要针对癌症类型和确诊后时间的维度特异性差异进行系统研究。版权所有© 2016约翰威立父子有限公司。

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