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成人血液恶性肿瘤幸存者的生活质量。

Quality of life in survivors of adult haematological malignancy.

机构信息

Faculty of Health & Social Sciences, Bournemouth University, Bournemouth, UK.

Royal Bournemouth Hospital, Bournemouth, UK.

出版信息

Eur J Cancer Care (Engl). 2019 Jul;28(4):e13067. doi: 10.1111/ecc.13067. Epub 2019 Apr 25.

Abstract

BACKGROUND

Survivors of haematological malignancies endure long-term effects of both treatment and disease. This paper examines factors that influence their quality of life through reporting on the results of a survey.

METHODS

Survey using previously validated quality of life questionnaires for use in cancer management. Participants were adults aged 18 and over who had completed treatment for a haematological malignancy and were between 1 and 5 years post-treatment.

FINDINGS

A total of 131 participants, median age of 66, completed questionnaires (66% response rate). Significant associations were found between age, global quality of life, physical and role functioning. Men reported better physical functioning and lower symptom scores than women. Employed participants reported better quality of life. Increasing age was associated with lowest quality of life. Best role functioning was also noted in participants who lived beyond 2.5 years following treatment completion. The survey suggested a gender difference with men reporting better physical functioning, fewer symptoms of pain and less loss of sleep compared with women.

CONCLUSION

This study contributes to the underdeveloped area of care for and research into adult haematological cancer survivors. Knowledge and understanding of the factors that affect the quality of life of such adults may provide an insight into implementation measures.

摘要

背景

血液恶性肿瘤幸存者会长期受到治疗和疾病的双重影响。本文通过调查结果报告,研究了影响他们生活质量的因素。

方法

使用先前经过验证的癌症管理用生活质量调查问卷进行调查。参与者为年龄在 18 岁及以上、已完成血液恶性肿瘤治疗且治疗后 1 至 5 年的成年人。

结果

共有 131 名参与者完成了问卷调查(应答率为 66%)。年龄、整体生活质量、身体和角色功能之间存在显著相关性。男性的身体功能和症状评分均优于女性,且报告称身体功能更好。与年龄较大的参与者相比,在职参与者报告的生活质量更好。在治疗完成后生活超过 2.5 年的参与者的角色功能最佳。该调查表明,男性的身体功能优于女性,疼痛症状和睡眠损失也较少,这表明存在性别差异。

结论

本研究有助于开发针对血液恶性肿瘤成年幸存者的护理和研究领域。了解影响此类成年人生活质量的因素可能有助于实施相关措施。

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