癌症幸存者对生存轨迹的关注与生活质量

Chua Gek Phin, Ng Quan Sing, T. H. Khoon, O. W. Sze
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引用次数: 1

摘要

背景本研究的目的是确定癌症幸存者在癌症生存轨迹的不同阶段的主要关注点,并评估这些关注点是否对他们的生活质量(QOL)有任何影响。总体目标是利用研究的见解来指导患者护理实践。方法对来自新加坡癌症中心的1107名被诊断为结直肠癌、乳腺癌、肺癌、妇科癌、前列腺癌或肝癌的癌症幸存者进行横断面调查。符合条件的患者自我填写了一份问卷,该问卷改编自癌症梅奥诊所中心的癌症幸存者需求调查。结果所有幸存者最关心的5个问题是癌症治疗和复发风险(51%),其次是长期治疗效果(49%)、对复发的恐惧(47%)、经济问题(37%)和疲劳(37%)。癌症治疗和复发风险、长期治疗效果和对复发的恐惧是整个生存轨迹中最令人担忧的问题。平均生活质量为7.3,评分范围为0-10。完成治疗的患者的生活质量得分高于新诊断和治疗中的患者以及复发或继发癌症患者。生活质量的预测因素包括患者的经济状况和住房类型以及患者是否关心疼痛和疲劳,其中一些会对他们的生活质量产生负面影响设计适当解决癌症幸存者各种问题的患者护理服务至关重要,以便他们应对并改善生活质量。
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Concerns and Quality of Life of Cancer Survivors across the Survivorship Trajectory
Background The aim of this study is to determine the main concerns of survivors at various stages of the cancer survivorship of the cancer survivorship trajectory and to assess whether these concerns have any effect on their quality of life (QOL). The overall goal was to use the insights from the study to guide practice on patient care. Methods A cross-sectional survey of 1107 cancer survivors diagnosed with colorectal, breast, lung, gynaecological, prostate or liver cancers from a cancer centre in Singapore. Eligible patients self-completed a questionnaire adapted from the Mayo Clinic Cancer Centre’s Cancer Survivors Survey of Needs. Results The top 5 concerns among all survivors were cancer treatment and recurrence risk (51%), followed by long-term treatment effects (49%), fear of recurrence (47%), financial concerns (37%) and fatigue (37%). Cancer treatment and recurrence risk, long-term treatment effects and fear of recurrence were amongst the top concerns across the survivorship trajectory. Mean QOL was 7.3 on a scale of 0 – 10. Completed treatment patients had higher QOL score than the newly diagnosed and on treatment patients and the patients dealing with recurrence or second cancer patients. Predictors for QOL included the economic status and housing type of patients and whether patients were concerned with pain and fatigue Conclusion This study confirms that cancer survivors in Singapore face multiple challenges and had various concerns at various stages of cancer survivorship, some of which negatively affect their QOL It is critical to design patient care delivery that appropriately address the various concerns of cancer survivors in order for them to cope and improve their QOL.
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