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影响摩洛哥癌症患者生活质量的因素:一项单中心前瞻性研究。

Factors influencing Quality of life in Moroccan patients with cancer: A monocentric Prospective study.

机构信息

Medical Oncology, Ibn Sina Military Hospital, Marrakesh, Morocco.

Radiation Oncology, Ibn Sina Military Hospital, Marrakesh, Morocco.

出版信息

Gulf J Oncolog. 2021 May;1(36):30-35.

Abstract

BACKGROUND

Cancer as a chronic and serious disease affects the quality of life (QoL) of patients, which has increasingly become a major challenge at the heart of cancer management. The purpose of our study was to define the most involved factors in the degradation of QoL in cancer patients.

MATERIALS AND METHODS

We conducted a prospective, mono-centric, qualitative and descriptive study carried out within the medical oncology department of the Ibn Sina Military Hospital spread over six months between January and June 2019.

RESULTS

Of the 100 patients included, 58% were male with a median age of 54.42 years. 90% were married, 39% were illiterate and 43% were retired while 99% of patients had social coverage. Breast cancer was the most common in 29%. More than 54% of the patients included had localized cancer while 38% were metastatic. The Pain was estimated to be greater than or equal to six on the Visual Analog Scale (VAS) in 23%. In 78% of the cases, chemotherapy was indicated in these patients and treatment with psychotropic drugs was initiated only in 2% of the patients. The analytical study showed that most of the patients had a slightly degraded QoL 63% with a large participation of the psychic dimension, followed by the physical and spiritual dimension while the socioeconomic dimension came last. It was established a clear correlation between the QoL and certain socio-demographic factors (sex, marital status, level of education), and significant correlation with some factors related to the disease (a type of cancer, stage, and treatment received).

CONCLUSION

We tried to assess the impact of cancer and to identify factors affecting the QoL of patients to guide the establishment of the support structure and accompanying devices.

摘要

背景

癌症作为一种慢性且严重的疾病,影响患者的生活质量(QoL),这已日益成为癌症管理的核心挑战。本研究旨在确定癌症患者 QoL 下降的最相关因素。

材料与方法

我们开展了一项前瞻性、单中心、定性和描述性研究,于 2019 年 1 月至 6 月在 Ibn Sina 军事医院的肿瘤内科进行,历时 6 个月。

结果

纳入的 100 例患者中,58%为男性,中位年龄为 54.42 岁。90%已婚,39%为文盲,43%已退休,99%的患者享有社会医疗保险。乳腺癌最为常见(29%)。超过 54%的患者为局限性癌症,38%为转移性癌症。23%的患者疼痛评估视觉模拟量表(VAS)评分≥6 分。78%的患者需要化疗,仅有 2%的患者开始使用精神类药物。分析研究表明,大多数患者的 QoL 略有下降(63%),主要涉及心理维度,其次是身体和精神维度,而社会经济维度则排在最后。研究明确了 QoL 与某些社会人口学因素(性别、婚姻状况、教育水平)之间的相关性,与某些与疾病相关的因素(癌症类型、分期、治疗方法)也存在显著相关性。

结论

我们尝试评估癌症的影响,并确定影响患者 QoL 的因素,以指导建立支持结构和配套设备。

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