Dibble S L, Padilla G V, Dodd M J, Miaskowski C
Department of Physiological Nursing, University of California, San Francisco, USA.
Oncol Nurs Forum. 1998 Apr;25(3):577-83.
PURPOSE/OBJECTIVES: To explore gender differences and similarities in the dimensions of quality of life (QOL).
Secondary analysis of the Multidimensional Quality of Life Scale--Cancer Version (MQOLS--CA) data from two different research studies.
Multiple outpatient oncology sites.
The typical female participant (n = 254) was 58 years old (SD +/- 11.3) with 14 years of education, married/partnered (64%), Caucasian (88%), and diagnosed with breast (47%) or colorectal (16%) cancer. The typical male participant (n = 222) was 60 years old (SD +/- 14) with 14.3 years of education, married/partnered (69%), Caucasian (85%), and diagnosed with colorectal (31%) or prostate (13%) cancer.
Factor analytic procedures and reliability testing.
QOL as measured by the MQOLS-CA, gender.
For women, two factors emerged from the analysis procedures-psychosocial well-being (7 items) and physical competence (6 items). For the men, two different factors emerged--vitality (8 items) and personal resources (4 items). None of the cancer-specific items from the MQOLS-CA loaded on any of the factors for either gender.
Measurement of QOL requires gender-specific questions to accurately address the dimensions of the concept of QOL in females and males.
Additional research is warranted to replicate these findings. Gender-specific interventions could then be developed and tested to maximize the QOL of all patients.
目的/目标：探讨生活质量（QOL）维度中的性别差异与相似之处。
对来自两项不同研究的多维生活质量量表——癌症版（MQOLS-CA）数据进行二次分析。
多个门诊肿瘤科室。
典型的女性参与者（n = 254）年龄为58岁（标准差±11.3），受教育年限为14年，已婚/有伴侣（64%），白人（88%），被诊断为乳腺癌（47%）或结直肠癌（16%）。典型的男性参与者（n = 222）年龄为60岁（标准差±14），受教育年限为14.3年，已婚/有伴侣（69%），白人（85%），被诊断为结直肠癌（31%）或前列腺癌（13%）。
因子分析程序和信度测试。
通过MQOLS-CA测量的生活质量、性别。
对于女性，分析程序得出两个因子——心理社会幸福感（7项）和身体能力（6项）。对于男性，出现了两个不同的因子——活力（8项）和个人资源（4项）。MQOLS-CA中任何癌症特异性项目均未在任何一个性别的任何因子上有载荷。
生活质量的测量需要针对特定性别的问题，以准确反映男性和女性生活质量概念的维度。
有必要进行更多研究以重复这些发现。然后可以开发并测试针对性别的干预措施，以最大限度地提高所有患者的生活质量。
