目的瞭解乳腺癌患者的疼痛感受和生活品質狀況，評估疼痛對生活品質的影響程度。方法採用中國人癌症疼痛評估工具（Chinese Cancer Pain Assessment Tool，CCPAT）和生活品質調查問卷（第3版）[EORTIC QLQ—C30（Version 3）]對200例乳腺癌患者進行橫斷面設計的面對面問卷調查。結果200例乳腺癌患者中有疼痛者84例（42％），無疼痛者116例（58％）.疼痛組患者疼痛評分高於非疼痛組患者評分（P〈0．001）.疼痛組患者在生活品質的軀體功能領域、角色功能領域和社會功能領域的評分低於無疼痛組患者，其差異有統計學意義（P〈0．05）；兩組患者在生活品質的情緒功能領域、認知功能領域和整體生活品質的評分差異無統計學意義（P〉0．05）；疼痛組患者的疼痛評分與整體生活品質評分呈顯著負相關（r=-0．731，P〈0．001）.結論疼痛對乳腺癌患者的軀體功能、角色功能和社會功能有一定的負面影響；患者受疼痛的衝擊加重時，其整體生活品質降低。
Objective To identify the perception of pain among breast cancer patients and their quality of life, and to assess the influence of pain on their quality of life.
Methods We did a cross-sectional study. A face-to-face survey was administered to 200 breast cancer patients, using two scales: Chinese Cancer Pain Assessment Tool (CCPAT) and European Organization for Research and Treatment of Cancer Core Quality-of-Life Questionnaire (Version 3) [EORTIC QLQ-C30].
Results Among the 200 breast cancer patients, 84 suffered from pain, while 116 did not. In regard to quality of life, the scores of physical function, role function and social function were higher among women without pain than among those in the pain group (P<0.05). There were no significant differences in scores of emotional function, cognitive function and global quality of life between the two groups (P>0.05). There was a significant negative correlation between pain and quality of life in the pain group, the non-pain group and the whole sample (r= -0.731, P<0.001).
Conclusion Pain has negative effects on physical function, role function and social function of breast cancer patients. The exacerbation of pain is associated with a decreased global quality of life for breast cancer patients. Copyright © 2008 Editorial Board of Chin J Evid-based Med.
|Publication status||Published - Apr 2008|
- Alt. title: Survey on the influence of pain on quality of life in breast cancer patients
- Breast cancer
- Quality of life
- Cross-sectional survey