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目的了解乳腺癌患者的生存质量情况及其影响因素。方法参考欧洲研究和治疗协会所拟的生存质量核心问卷(EORTC-QLQ-C30)编制乳腺癌患者生存质量评价量表。采用面访问卷的方法调查133例乳腺癌患者的生存质量及其影响因素。采用多元线性模型分析患者生存质量的影响因素。结果133例乳腺癌患者生存质量总分为(53.02±8.05)分。手术效果与患者的生存质量总分、一般躯体健康、心理健康以及自我生存质量评价呈正相关(P<0.05);“改良根治术”与患者的生存质量总分呈正相关(P<0.05);疾病分期与自我生存质量评价呈负相关(P<0.01),“因病借钱”与生存质量总分及各维度评分呈负相关(P<0.05)。结论手术效果是影响乳腺癌患者生存质量的重要因素,因此提高手术效果和开展术后康复指导是提高患者生存质量的重要方面。此外,加强医疗保障制度有利于解除患者的经济负担,提高患者的生存质量。
Objective To understand the quality of life of patients with breast cancer and its influencing factors. Methods The Quality of Life Scale for Patients with Breast Cancer was compiled according to the Core Quality of Life Questionnaire (EORTC-QLQ-C30) proposed by the European Association for Research and Treatment. The questionnaire was used to investigate the quality of life and its influencing factors in 133 patients with breast cancer. Factors influencing the quality of life of patients were analyzed by multivariate linear model. Results The total quality of life of 133 breast cancer patients was (53.02 ± 8.05) points. The effect of surgery was positively correlated with total quality of life, general physical health, mental health and self-quality of life (P <0.05). There was a positive correlation between modified radical mastectomy and total quality of life (P <0.05) The staging was negatively correlated with the evaluation of self-quality of life (P <0.01). The “borrow money due to illness” was negatively correlated with the total score of quality of life and all dimensions (P <0.05). Conclusion Surgical effect is an important factor affecting the quality of life in patients with breast cancer. Therefore, improving the operative effect and guiding postoperative rehabilitation are important aspects to improve the quality of life of patients. In addition, to strengthen the medical security system is conducive to lifting the patient’s financial burden and improve patient quality of life.