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影响头颈部癌症幸存者生活质量的因素:一项初步研究。

Factors Influencing Quality of Life in Survivors of Head and Neck Cancer: A Preliminary Study.

机构信息

Health Sciences Faculty (Melilla), University of Granada, Spain.

Health Sciences Faculty, University of Granada, Spain; Sport and Health University Research Institute (iMUDS), Granada, Spain; Instituto de Investigación Biosanitaria ibs.GRANADA, Granada, Spain.

出版信息

Semin Oncol Nurs. 2022 Aug;38(4):151256. doi: 10.1016/j.soncn.2022.151256. Epub 2022 Mar 16.

Abstract

OBJECTIVES

Time after diagnosis, survivors of head and neck cancer may perceive a decrease in their quality of life due to suffering from different sequelae. This preliminary study aims to describe which factors influence survivors of head and neck cancer quality of life.

DATA SOURCES

A cross-sectional study was performed. Demographic and clinical factors, quality of life (global health status), pain (pressure pain thresholds), physical fitness (overall fitness), functional capacity, and fatigue were evaluated. A multiple regression model was undertaken to check which outcomes could impact quality of life. A total of 53 survivors of head and neck cancer participated in this study. Upper trapezius pressure pain threshold, overall fitness, and global fatigue were significant predictors of global health status, and when combined, they explained 42.10% of the variance in the global health status score.

CONCLUSION

Quality of life perceived by survivors of head and neck cancer is influenced by pain, physical fitness, and fatigue reported. This association of outcomes may act as a symptom cluster for survivors of head and neck cancer.

IMPLICATIONS FOR NURSING PRACTICE

The knowledge of this symptom cluster may help developing symptom assessment and management strategies and improving quality of life for survivors of head and neck cancer.

摘要

目的

头颈部癌症患者在确诊后可能会因遭受不同的后遗症而感到生活质量下降。本初步研究旨在描述哪些因素影响头颈部癌症患者的生活质量。

资料来源

进行了一项横断面研究。评估了人口统计学和临床因素、生活质量(整体健康状况)、疼痛(压痛阈值)、体能(整体健康状况)、功能能力和疲劳。进行了多元回归模型,以检查哪些结果可能会影响生活质量。共有 53 名头颈部癌症幸存者参与了这项研究。上斜方肌压痛阈值、整体健康状况和整体疲劳是整体健康状况的显著预测因素,当它们结合在一起时,它们解释了整体健康状况评分的 42.10%。

结论

头颈部癌症幸存者感知到的生活质量受到报告的疼痛、体能和疲劳的影响。这些结果的关联可能对头颈部癌症幸存者的症状群起作用。

意义对护理实践的启示

了解这一症状群可能有助于制定症状评估和管理策略,提高头颈部癌症幸存者的生活质量。

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