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生存质量(quality of life,QOL)是一个多维的概念,包括生理、心理、社会的满意程度,以及疾病或治疗有关的症状。在肿瘤治疗领域中,QOL评价被广泛应用于临床治疗决策、治疗效果评价、疾病严重程度评定、肿瘤药物效应评价等方面,成为肿瘤治疗研究终点之一。乳腺癌患者由于其发病率高、生存期长、病损部位特殊等原因,QOL往往严重下降。本文综述了常用的乳腺癌患者QOL评价工具,如线性模拟自我评价量表、癌症患者生活功能指标、乳腺癌化疗问卷、癌症生存者生存质量量表、欧洲癌症研究与治疗组织生存质量量表、肿瘤治疗功能评价量表、国际乳腺癌协作组生存质量量表、癌症患者生存质量测定量表等,并分析影响乳腺癌患者QOL的主要因素,这将有助于乳腺癌患者的临床治疗决策和QOL的提高。
Quality of life (QOL) is a multidimensional concept that includes physical, psychological, social satisfaction, and disease or treatment-related symptoms. In the field of cancer treatment, QOL evaluation is widely used in clinical treatment decisions, evaluation of treatment effects, evaluation of disease severity, evaluation of oncology drug effects and become one of the end points of cancer treatment research. Because of its high incidence of breast cancer patients, long survival, special lesions and other reasons, QOL often serious decline. This review summarizes commonly used QOL assessment tools for breast cancer patients, such as a linear model of self-assessment, a functional index of life expectancy in cancer patients, a questionnaire on breast cancer, a questionnaire on quality of life of cancer survivors, quality of life questionnaire for cancer research and treatment in Europe, Cancer treatment function evaluation scale, the international breast cancer cooperation group quality of life scale, cancer patients quality of life measurement scale, and analysis of the main factors affecting the QOL of breast cancer patients, which will contribute to the clinical treatment of breast cancer patients decision-making and QOL improve.