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癌症患者的生活质量(QoL)及其与营养和身体状况的关联:一项试点研究。

Quality of Life (QoL) of cancer patients and its association with nutritional and performance status: A pilot study.

作者信息

Alam Mohammad Morshad, Rahman Tania, Afroz Zinia, Chakraborty Promit Ananyo, Wahab Abrar, Zaman Sanjana, Hawlader Mohammad Delwer Hossain

机构信息

Department of Public Health, North South University (NSU), Dhaka, Bangladesh.

Health, Nutrition and Population (HNP) Global Practice, The World Bank, Dhaka, Bangladesh.

出版信息

Heliyon. 2020 Oct 23;6(10):e05250. doi: 10.1016/j.heliyon.2020.e05250. eCollection 2020 Oct.

Abstract

BACKGROUND

Quality of Life (QoL), for long, has been a multifactorial concerning issue in oncology. The aim of this study was to determine QoL of cancer patients and its association with nutrition, and performance status.

METHODOLOGY

This was a hospital based cross-sectional study carried out at 2 cancer centers and one tertiary level hospital in Dhaka city during the months of July to December, 2019. Data was collected through structured interviews and analyzed by SPSS-25 statistical package software.

RESULTS

Among 279 participants, 14(5.02%) had high QoL, 35(12.54%) had average QoL, 150(53.76%) had low QoL, and remaining 80(28.67%) had very low QoL. The prevalence of severe malnutrition was 12.5% and 43.7% of patients had poor performance status. A statistically significant association between QoL and, nutritional and performance status was identified . The ANOVA also indicated a statistically significant variation in QoL score among nutritional categories (P < 0.01) and performance status (P = 0.013).

CONCLUSION

A relatively higher prevalence of poor QoL was identified in this study which varies among nutritional categories and performance statuses. The proper management of predictors of QoL is imperative during treatment procedures.

摘要

背景

长期以来,生活质量(QoL)一直是肿瘤学中一个涉及多因素的重要问题。本研究的目的是确定癌症患者的生活质量及其与营养和体能状态的关联。

方法

这是一项基于医院的横断面研究,于2019年7月至12月在达卡市的2个癌症中心和1家三级医院开展。通过结构化访谈收集数据,并使用SPSS - 25统计软件包进行分析。

结果

在279名参与者中,14人(5.02%)生活质量高,35人(12.54%)生活质量中等,150人(53.76%)生活质量低,其余80人(28.67%)生活质量极低。严重营养不良的患病率为12.5%,43.7%的患者体能状态差。确定了生活质量与营养和体能状态之间存在统计学显著关联。方差分析还表明,不同营养类别(P < 0.01)和体能状态(P = 0.013)的生活质量得分存在统计学显著差异。

结论

本研究发现生活质量差的患病率相对较高,且在不同营养类别和体能状态之间存在差异。在治疗过程中,对生活质量预测因素进行适当管理至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33d3/7586095/5c9847609d43/gr1.jpg

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