文章摘要
陈淑婷,陈晶晶,王丽丹,江启成,汤质如.食管癌患者健康相关生命质量研究[J].南京医科大学学报(社会科学版),2016,(1):24~28
食管癌患者健康相关生命质量研究
The study of health related quality of life of patients with esophagus cancer
投稿时间:2015-11-19  
DOI:10.7655/NYDXBSS20160106
中文关键词: 食管癌  健康相关生命质量  EQ-5D量表
英文关键词: esophagus cancer  health related quality of life  EQ-5D scale
基金项目:国家自然科学基金青年基金项目“农村地区Z型糖尿病Markov模型构建及相关干预策略经济学评价”(7143004);加拿大Lupina基金资助项目“Social derterminants of Health in nural Anhui and the policy implications research”
作者单位
陈淑婷 安徽医科大学卫生管理学院,安徽 合肥 230032 
陈晶晶 安徽医科大学卫生管理学院,安徽 合肥 230032 
王丽丹 安徽医科大学卫生管理学院,安徽 合肥 230032 
江启成 安徽医科大学卫生管理学院,安徽 合肥 230032 
汤质如 安徽医科大学卫生管理学院,安徽 合肥 230032 
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中文摘要:
      目的:探讨食管癌患者的健康相关生命质量现状及影响因素?方法:采用一般资料问卷?欧洲五维度健康评定量表(EQ-5D量表),对209例食管癌患者进行问卷调查,采用单因素分析和多因素分析探讨食管癌患者健康相关生命质量的影响因素? 结果:食管癌患者行动?自我照顾?日常活动?疼痛/不适?焦虑/抑郁五个维度存在问题的比例分别为18.2%?12.0%?22.0%?38.3%?25.4%;自评健康得分(VAS评分)为(75.20 ± 11.00)分;综合健康指数得分(Index得分)为(0.84 ± 0.22)分?患者的性别?家庭年收入?文化程度是VAS评分的主要影响因素;患者的年龄?治疗方式?肿瘤分期?医保类型是Index得分的主要影响因素?结论:实施心理干预?早诊早治?大病医疗保险有助于提高食管癌患者健康相关生命质量?
英文摘要:
      Objective: To understand the health related quality of life status of esophagus cancer patients and analyze the influence factors of it. Methods: We selected 209 patients with esophageal cancer as study objects to fill the general information questionnaires and EQ-5D Scale, then we used single-factor analysis and multiple-factor analysis to evaluate the influence factors of their quality of life. Results: The 5 dimensions of patients with esophagus cancer were action, self-care, daily activities, pain/discomfort and anxiety/depression, and the proportion was 18.2%, 12.0%, 22.0%, 8.3%and 25.4%, respectively;VAS score was 75.20 ± 11.00, the comprehensive health index score (index score) was 0.84 ± 0.22; the main influence factors of VAS score were gender, yearly household income and educational degree; and the main influence factors of index score were age, therapy method, neoplasm staging and medical insurance type. Conclusion: Carrying out psychological intervention, early detection and treatment, and serious illness medical insurance can help to improve the health related quality of life of patients with esophagus cancer.
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