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沙特阿拉伯姑息治疗癌症患者的生活质量与护理满意度

Quality of life and satisfaction with care among palliative cancer patients in Saudi Arabia.

作者信息

Aboshaiqah Ahmad, Al-Saedi Turki Suwaylim B, Abu-Al-Ruyhaylah Mohammed Munawir M, Aloufi Abdulrahman Abed, Alharbi Muteb Omtairan, Alharbi Saad Saud R, Al-Saedi Ahmad Salem, Al-Erwi Abdulrahman Fahd

机构信息

College of Nursing,King Saud University,Riyadh,Saudi Arabia.

Ministry of Health,Riyadh,Saudi Arabia.

出版信息

Palliat Support Care. 2016 Dec;14(6):621-627. doi: 10.1017/S1478951516000432. Epub 2016 Jun 21.

Abstract

OBJECTIVE

This study aimed to determine the relationship between quality of life and satisfaction with care among cancer patients in palliative care in Saudi Arabia.

METHODS

A total of 130 palliative cancer patients were invited to participate in our cross-sectional study. Patients were recruited from a large tertiary hospital within the Ministry of Health in Saudi Arabia. All eligible participants answered a three-part questionnaire that included demographic data and the validated European Organization for Research and Treatment of Cancer (EORTC QLQ-C15-PAL) and (EORTC IN-PATSAT32) questionnaires.

RESULTS

Participants were mostly female (103/130, 79%) and married (93/130, 71%), and more than half had breast cancer (69/130, 53%). They were between 17 and 86 years of age (mean = 46.7, SD = 16.50). The correlation test showed that the relationship with physical function was weak, while emotional function and global health status had a moderate relationship with general satisfaction (r = 0.21, p < 0.01; r = 0.32, p < 0.001; r = 0.26, p < 0.01, respectively). Our results suggest that emotional function is the more important factor in predicting satisfaction with care among palliative cancer patients. An increase in emotional function leads to increased general satisfaction.

SIGNIFICANCE OF RESULTS

The emotional function of palliative cancer patients was more closely associated with overall satisfaction with care than physical function or global health status. All palliative care team members are thus required to provide adequate psychosocial support. It is recommended that interdisciplinary and collaborative approaches be integrated in palliative care of cancer patients.

摘要

目的

本研究旨在确定沙特阿拉伯姑息治疗中癌症患者的生活质量与护理满意度之间的关系。

方法

共邀请了130名姑息治疗癌症患者参与我们的横断面研究。患者从沙特阿拉伯卫生部的一家大型三级医院招募。所有符合条件的参与者都回答了一份由三部分组成的问卷,其中包括人口统计学数据以及经过验证的欧洲癌症研究与治疗组织(EORTC QLQ-C15-PAL)和(EORTC IN-PATSAT32)问卷。

结果

参与者大多为女性(103/130,79%)且已婚(93/130,71%),超过一半患有乳腺癌(69/130,53%)。他们的年龄在17至86岁之间(平均 = 46.7,标准差 = 16.50)。相关性测试表明,与身体功能的关系较弱,而情感功能和总体健康状况与总体满意度有中等程度的关系(r分别为0.21,p < 0.01;r为0.32,p < 0.001;r为0.26,p < 0.01)。我们的结果表明,情感功能是预测姑息治疗癌症患者护理满意度的更重要因素。情感功能的改善会导致总体满意度提高。

结果的意义

姑息治疗癌症患者的情感功能与护理总体满意度的关联比身体功能或总体健康状况更为密切。因此,所有姑息治疗团队成员都需要提供充分的心理社会支持。建议在癌症患者的姑息治疗中采用跨学科和协作的方法。

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