Bjordal K, Mastekaasa A, Kaasa S
Department of Medical Oncology and Radiotherapy, Norwegian Radium Hospital, Montebello, Norway.
Eur J Cancer B Oral Oncol. 1995 Sep;31B(5):340-5. doi: 10.1016/0964-1955(95)00039-9.
The response to two validated questions assessing self-reported satisfaction with life and physical health were compared between 204 long-term head and neck cancer survivors from a randomised radiotherapy trial and 766 matched controls. The control group, participants in a large population health survey in a county in the middle of Norway, was matched to the patients with regard to age, gender, marital status/family type and education. Compared with the controls, the patients reported significantly lower satisfaction with life and physical health. Sixty-four per cent of the patients were satisfied with life and 44% felt strong and healthy while the percentages of the controls were 82% and 52%, respectively. Clinical and sociodemographic variables were poor predictors of the patients' responses. Clinicians must be aware of the psychosocial morbidity in the growing population of cured cancer patients, and intervention studies are needed in patients at risk, in order to determine whether this morbidity can be prevented, reduced, or treated.
在一项随机放疗试验的204名长期头颈癌幸存者与766名匹配对照者之间，比较了用于评估自我报告的生活满意度和身体健康满意度的两个有效问题的回答情况。对照组是挪威中部一个县的一项大型人群健康调查的参与者，在年龄、性别、婚姻状况/家庭类型和教育程度方面与患者进行了匹配。与对照组相比，患者报告的生活满意度和身体健康满意度显著较低。64%的患者对生活感到满意，44%的患者感觉强壮健康，而对照组的这两个比例分别为82%和52%。临床和社会人口统计学变量对患者的回答预测性较差。临床医生必须意识到在治愈的癌症患者不断增加的人群中存在的心理社会疾病，并且需要对有风险的患者进行干预研究，以确定这种疾病是否可以预防、减轻或治疗。
