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癌症患者支持性护理需求与健康相关生活质量的关系。

The Relationship between Supportive Care Needs and Health-Related Quality of Life in Cancer Patients.

作者信息

Hinz Andreas, Lehmann-Laue Antje, Richter Diana, Hinz Michael, Schulte Thomas, Görz Evelyn, Mehnert-Theuerkauf Anja

机构信息

Department of Medical Psychology and Medical Sociology, University of Leipzig, 04103 Leipzig, Germany.

Rehabilitation Clinic Bad Oexen, 32549 Bad Oeynhausen, Germany.

出版信息

Healthcare (Basel). 2023 Jul 29;11(15):2161. doi: 10.3390/healthcare11152161.

Abstract

The aim of this study was to analyze the relationship between quality of life (QoL) and supportive care needs (SCNs) in cancer patients. It is difficult to relate SCNs to detriments in QoL since SCNs and QoL assessment tools generally comprise different dimensions that cannot be directly related to each other. Therefore, we developed a short questionnaire with eight dimensions for uniformly measuring SCNs, QoL, and the subjective importance of these dimensions. A total of 1108 cancer patients with mixed diagnoses assessed eight dimensions of health-related QoL concerning SCNs, satisfaction, and importance. Among the eight dimensions of QoL, received the highest SCN assessments (M = 3.4), while (M = 20.7) and (M = 1.88) were the dimensions with the lowest SCN mean scores on the 1-5 scale. For each of the eight dimensions, high levels of SCNs were reported by those patients who had low levels of satisfaction with that dimension ( between -0.32 and -0.66). The subjective importance of the dimensions was not consistently correlated with SCNs ( between -0.19 and 0.20). Females reported higher SCNs than males in six of the eight specific dimensions. Patients with prostate and male genital cancers reported the lowest SCNs. These results suggest gender-specific SCN patterns that warrant further exploration. This study highlights the value of a unified assessment instrument for SCNs and QoL, providing a robust basis for future cancer care strategies.

摘要

本研究旨在分析癌症患者生活质量(QoL)与支持性护理需求(SCNs)之间的关系。由于SCNs和QoL评估工具通常包含不同维度,彼此无法直接关联,因此很难将SCNs与QoL的损害联系起来。因此,我们开发了一份包含八个维度的简短问卷,用于统一测量SCNs、QoL以及这些维度的主观重要性。共有1108名诊断混合的癌症患者评估了与健康相关的QoL的八个维度,涉及SCNs、满意度和重要性。在QoL的八个维度中, 获得了最高的SCN评估(M = 3.4),而 (M = 20.7)和 (M = 1.88)是在1-5量表上SCN平均得分最低的维度。对于八个维度中的每一个,对该维度满意度较低的患者报告的SCN水平较高( 介于-0.32和-0.66之间)。维度的主观重要性与SCNs没有一致的相关性( 介于-0.19和0.20之间)。在八个特定维度中的六个维度上,女性报告的SCNs高于男性。前列腺癌和男性生殖系统癌症患者报告的SCNs最低。这些结果表明了特定性别的SCN模式,值得进一步探索。本研究强调了统一评估SCNs和QoL工具的价值,为未来的癌症护理策略提供了有力依据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e961/10418502/569f4bbdd1d8/healthcare-11-02161-g001.jpg

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