Glaus A
Medizinische Klinik C, Kantonsspital, St. Gallen, Switzerland.
Support Care Cancer. 1993 May;1(3):119-23. doi: 10.1007/BF00366056.
Quality of life is a very complex phenomenon in the life of cancer patients. Individual perceptions might change with the state of disease and with necessary interventions. Some definitions seem to be more useful in cancer care than others. There has been considerable controversy in the quantity versus quality debate. Some confusion in the measurement of quality of life concerns "objectivity and subjectivity", referring either to the content of information or to persons other than the patient eliciting it. The relation between quality of life and quality of care has to be further explored: some dimensions of care might be of little or of potential relevance to the patient's quality of life. The dimensions of proven relevance concern psychological well-being through, for example, promotion of self-care or an enhanced perception of self-worth. These findings emphasise the importance of the concept of care, which is the essence of nursing. Contemporary professional and political difficulties require critical analysis.
生活质量在癌症患者的生活中是一个非常复杂的现象。个体认知可能会随着疾病状态和必要的干预措施而改变。一些定义在癌症护理中似乎比其他定义更有用。在数量与质量的争论中存在相当大的争议。生活质量测量中的一些困惑涉及“客观性和主观性”，这既指信息的内容，也指获取信息的除患者之外的其他人。生活质量与护理质量之间的关系有待进一步探索：护理的某些方面可能与患者的生活质量几乎没有关联或潜在关联。经证实具有相关性的方面涉及心理健康，例如通过促进自我护理或增强自我价值感来实现。这些发现强调了护理概念的重要性，而护理是护理工作的核心。当代专业和政治方面的难题需要批判性分析。
