Lee Myung Kyung
College of Nursing, Research Institute of Nursing Science, Kyungpook National University, 680 Gukchabosangro, Jung-gu, Daegu, 700-842, Republic of Korea.
Eur J Oncol Nurs. 2016 Oct;24:22-28. doi: 10.1016/j.ejon.2016.08.003. Epub 2016 Aug 26.
Advanced age is a significant risk factor for cancer and functional disabilities increase with age. The purpose of this case-control study of Korean individuals was to determine the effect of cancer and cancer treatment on functional disability and quality of life (QOL). Thus, we compared community-dwelling elderly cancer patients (ECPs) with individuals from the general elderly population (GEP) who never had diagnoses of cancer.
We selected 1776 ECP who were at least 65 years-old from the 2008 Korean Community Health Survey data and used propensity score matching to randomly select 1766 individuals from the GEP who closely resembled the ECPs. Functional disability was measured using the Instrumental Activities of Daily Living (IADL) scale, and QOL was measured by the EuroQol Group EQ-5D.
ECPs were more dependent in preparation of food, doing laundry, and shopping (IADL scale), and in mobility and usual activities (EQ-5D). Although ECP had more problems with pain, discomfort, anxiety, and depression, they were more independent in self-care and handling of financial responsibilities.
ECPs had multiple physical and psychological symptoms that adversely affected functional disability and QOL, but higher functional ability, such as self-care and handling of financial responsibilities. Promotion of self-care by ECPs is pivotal for effective management in community practice.
高龄是癌症的重要风险因素，且功能残疾会随着年龄增长而增加。这项针对韩国人的病例对照研究旨在确定癌症及癌症治疗对功能残疾和生活质量（QOL）的影响。因此，我们将社区居住的老年癌症患者（ECPs）与从未被诊断出患有癌症的普通老年人群（GEP）个体进行了比较。
我们从2008年韩国社区健康调查数据中选取了1776名年龄至少为65岁的ECPs，并使用倾向得分匹配法从GEP中随机选取了1766名与ECPs非常相似的个体。使用日常生活工具性活动（IADL）量表测量功能残疾，通过欧洲生活质量五维度健康量表（EuroQol Group EQ-5D）测量生活质量。
ECPs在准备食物、洗衣服和购物（IADL量表）以及行动和日常活动（EQ-5D）方面更具依赖性。尽管ECPs在疼痛、不适、焦虑和抑郁方面存在更多问题，但他们在自我护理和处理财务责任方面更具独立性。
ECPs存在多种对功能残疾和生活质量产生不利影响的身体和心理症状，但在自我护理和处理财务责任等方面具有较高的功能能力。促进ECPs的自我护理对于社区实践中的有效管理至关重要。
