接受化疗的老年肺癌和胃肠道癌患者的健康相关生活质量及社会支持
Health-Related Quality of Life and Social Support of Elderly Lung and Gastrointestinal Cancer Patients Undergoing Chemotherapy.
作者信息
Kyriazidou Eleni, Alevizopoulos Nektarios, Dokutsidou Eleni, Kavga Anna, Kalemikerakis Ioannis, Konstantinidis Theocharis, Tsatsou Ioanna, Govina Ourania
机构信息
Oncology Department, "Evangelismos" General Hospital of Athens, Athens, Greece.
Department of Nursing, University of West Attica, Athens, Greece.
出版信息
SAGE Open Nurs. 2022 Jun 13;8:23779608221106444. doi: 10.1177/23779608221106444. eCollection 2022 Jan-Dec.
INTRODUCTION
Increasing life expectancy has led to a higher incidence of cancer in the elderly, thus making them vulnerable and worsening their health-related quality of life (HRQoL) and their need for support.
OBJECTIVE
The aim of this study was to examine the HRQoL and social support in elderly Greek lung and gastrointestinal cancer patients undergoing chemotherapy.
METHODS
This was a descriptive, cross-sectional study of 104 elderly cancer patients, who were receiving chemotherapy in the outpatient department and inpatient ward of a General Hospital in Athens. The data were collected using purposive sampling between December 2019 and May 2020, and included demographic and clinical characteristics, the HRQoL questionnaire, Short Form 36 (SF36), and the Personal Resource Questionnaire (PRQ-2000).
RESULTS
The participants' median age was 72 years; the majority were male (62.5%) and had lung cancer (57.7%). The SF36 data revealed a relatively moderate (42.7-62.61) HRQoL in most subscales. The "Pain" subscale recorded the highest score (75.0), and the "social function" subscale the lowest (42.79). The PQR-2000 indicated a satisfactory level of social support (81.65), with values ranging between 48 and 105; married patients with higher education scored more highly ( < .05). Patients aged 65-75 years reported better HRQoL and greater social support than older patients. In addition, patients with their own family and a relatively high income reported better HRQoL and social support compared to single individuals, with low income, who were cared for by their children. Positive and statistically significant ( < .05) correlations were found between the SF36 subscales of role functioning/physical, vitality, general health, emotional well-being and the PRQ-2000.
CONCLUSION
The HRQoL and social support of elderly cancer patients positively affect the course of their health. Healthcare systems and social services should address the multiplying needs of these patients with targeted interventions to support their well-being.
引言
预期寿命的延长导致老年人患癌症的几率更高，从而使他们变得脆弱，健康相关生活质量（HRQoL）下降，对支持的需求增加。
目的
本研究旨在调查接受化疗的希腊老年肺癌和胃肠道癌患者的健康相关生活质量和社会支持情况。
方法
这是一项对104名老年癌症患者进行的描述性横断面研究，这些患者在雅典一家综合医院的门诊部和住院病房接受化疗。数据收集采用立意抽样法，时间为2019年12月至2020年5月，包括人口统计学和临床特征、健康相关生活质量问卷、简短健康调查问卷（SF36）以及个人资源问卷（PRQ - 2000）。
结果
参与者的年龄中位数为72岁；大多数为男性（62.5%），患有肺癌（57.7%）。SF36数据显示，大多数分量表的健康相关生活质量相对中等（42.7 - 62.61）。“疼痛”分量表得分最高（75.0），“社会功能”分量表得分最低（42.79）。PQR - 2000表明社会支持水平令人满意（81.65），得分在48至105之间；已婚且受过高等教育的患者得分更高（<0.05）。65 - 75岁的患者报告的健康相关生活质量和社会支持比年龄较大的患者更好。此外，与由子女照顾的低收入单身个体相比，有自己家庭且收入相对较高的患者报告的健康相关生活质量和社会支持更好。在角色功能/身体、活力、总体健康、情绪健康的SF36分量表与PRQ - 2000之间发现了显著的正相关（<0.05）。
结论
老年癌症患者的健康相关生活质量和社会支持对其健康状况有积极影响。医疗保健系统和社会服务应通过有针对性的干预措施来满足这些患者日益增加的需求，以支持他们的幸福安康。
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