Mathieson C M, Logan-Smith L L, Phillips J, MacPhee M, Attia E L
Mount Saint Vincent University, Halifax, NS.
Can Fam Physician. 1996 Sep;42:1712-20.
To determine whether social support contributes to better quality of life and psychological state of head and neck oncology patients.
A structured questionnaire, administered orally to patients face-to-face, with specific questions about demographic and medical information and social support and two standardized scales; a cancer-specific quality of life scale and a depression scale.
Head and Neck Oncology Clinic, an institutional referral centre providing ambulatory care at the Camp Hill Medical Centre in Halifax, NS.
Forty-five head and neck oncology patients (33 men, 12 women) who came for follow-up appointments at the clinic. One person did not complete the interview. Fifty patients were approached, but five were not included: one died before the interview, and four agreed to participate but were prevented by transportation or timing problems.
Scores on the Functional Living Index-Cancer Scale and the Center for Epidemiologic Studies Depression scale.
Four main factors predicted quality of life: satisfaction with family physician support, severity of cancer, sex of patient, and type of cancer. Three important predictors of psychological state were loss of appetite, family physician support, and sex of patient.
Social support, particularly from family physicians, contributes greatly to better quality of life and psychological state for head and neck oncology patients.
确定社会支持是否有助于改善头颈肿瘤患者的生活质量和心理状态。
采用结构化问卷，当面口头询问患者，包含有关人口统计学和医学信息、社会支持的特定问题，以及两个标准化量表；一个癌症特异性生活质量量表和一个抑郁量表。
头颈肿瘤诊所，位于新斯科舍省哈利法克斯坎普希尔医疗中心的一个机构转诊中心，提供门诊护理。
45名头颈肿瘤患者（33名男性，12名女性）前来诊所进行随访预约。1人未完成访谈。共接触了50名患者，但5人未纳入：1人在访谈前死亡，4人同意参与但因交通或时间问题未能参与。
癌症功能生活指数量表和流行病学研究中心抑郁量表的得分。
预测生活质量的四个主要因素为：对家庭医生支持的满意度、癌症严重程度、患者性别和癌症类型。心理状态的三个重要预测因素为食欲减退、家庭医生支持和患者性别。
社会支持，尤其是来自家庭医生的支持，对头颈肿瘤患者更好的生活质量和心理状态有很大贡献。
