影响疼痛性脊柱骨转移患者生活质量的因素
Factors Affecting the Quality of Life of Patients with Painful Spinal Bone Metastases.
作者信息
Akezaki Yoshiteru, Nakata Eiji, Kikuuchi Masato, Sugihara Shinsuke, Katayama Yoshimi, Katayama Haruki, Hamada Masanori, Ozaki Toshifumi
机构信息
Division of Physical Therapy, Kochi Professional University of Rehabilitation, Kochi 781-1102, Japan.
Department of Orthopaedic Surgery, Okayama University Hospital, Okayama 700-8558, Japan.
出版信息
Healthcare (Basel). 2021 Nov 3;9(11):1499. doi: 10.3390/healthcare9111499.
UNLABELLED
This study examined changes in the quality of life (QOL), as well as the factors affecting QOL, among patients with painful spinal bone metastases without paralysis for 1 month after radiotherapy.
METHODS
This study included 79 participants (40 male and 39 female; median age, 65 (42-88) years) who had undergone radiotherapy for painful spinal bone metastases without paralysis. Patients' age, sex, activities of daily living (Barthel index), pain, spinal instability (spinal instability neoplastic score [SINS]), and QOL (EORTC QLQ-C30) were investigated.
RESULTS
Having an unstable SINS score was a positive factor for global health status ( < 0.05). The improvement in activities of daily living and response to pain were positive factors for physical function ( < 0.05). A positive effect on emotional function was confirmed among female patients ( < 0.05).
CONCLUSION
Engaging in rehabilitation along with radiotherapy leads to improvements in QOL for patients with spinal bone metastases.
未标注
本研究调查了放疗后1个月内无瘫痪的疼痛性脊柱骨转移患者的生活质量（QOL）变化以及影响生活质量的因素。
方法
本研究纳入了79例因疼痛性脊柱骨转移接受放疗且无瘫痪的参与者（40例男性和39例女性；中位年龄65（42 - 88）岁）。调查了患者的年龄、性别、日常生活活动能力（巴氏指数）、疼痛、脊柱稳定性（脊柱不稳定肿瘤评分[SINS]）和生活质量（欧洲癌症研究与治疗组织生活质量问卷核心30量表[EORTC QLQ - C30]）。
结果
SINS评分不稳定是全球健康状况的一个积极因素（P < 0.05）。日常生活活动能力的改善和对疼痛的反应是身体功能的积极因素（P < 0.05）。在女性患者中证实了对情绪功能有积极影响（P < 0.05）。
结论
放疗同时进行康复治疗可改善脊柱骨转移患者的生活质量。
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