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头颈癌患者临床及心理特征与生命质量的关系探讨

申帆 万崇华 罗家洪 李志强 孟琼 李高峰

广东医学2024,Vol.45Issue(2):159-165,7.
广东医学2024,Vol.45Issue(2):159-165,7.DOI:10.13820/j.cnki.gdyx.20231903

头颈癌患者临床及心理特征与生命质量的关系探讨

Study on relationships between clinical and psychological characteristics and quality of life in patients with head and neck cancer

申帆 1万崇华 1罗家洪 2李志强 2孟琼 2李高峰3

作者信息

  • 1. 广东医科大学附属东莞第一医院/生命质量与应用心理研究中心(广东东莞 523808)
  • 2. 昆明医科大学公共卫生学院(云南昆明 650500)
  • 3. 云南省肿瘤医院胸外科(云南昆明 650106)
  • 折叠

摘要

Abstract

Objective To analyze the clinical and psychological factors affecting the quality of life(QoL)in head and neck cancer patients and provide evidence for implementing relevant measures to improve their QoL.Methods A self-developed QoL questionnaire for head and neck cancer patients,QLICP-HN(V2.0),was used to survey the QoL of 100 patients.Statistical description and multivariate stepwise regression analysis were employed to analyze the clin-ical and psychological factors influencing the QoL of these patients.Results In the multivariate regression analysis,vom-iting,anxiety,thick saliva,coughing,oral pain,and pain showed statistically significant associations with the overall QoL score(P<0.05).Anxiety,shortness of breath,and thick saliva were found to have statistically significant impacts on the psychological function domain score of QoL(P<0.001).Vomiting,sleep difficulty,anxiety,coughing,and thick saliva were associated with statistically significant effects on the physical function domain score of QoL(P<0.05).Vomiting,irritability,and hoarseness significantly influenced the social function domain score of QoL(P<0.01).Oral pain,pain,dry mouth,and degree of nausea were statistically significant in relation to the common symptom and side effect domain score of QoL(P<0.001).Coughing,pain,and oral pain were found to have statistically significant differences in the specific module domain score of QoL(P<0.001).Conclusion Clinical symptoms such as vomiting,coughing,dry mouth,pain,as well as psychological characteristics like irritability and anxiety can impact the QoL of head and neck cancer patients.Targeted measures to address these factors may potentially enhance the QoL of these patients.

关键词

头颈癌/QLICP-HN(V2.0)/生命质量/临床症状/心理特征

Key words

head and neck cancer/QLICP-HN(V2.0)/quality of life/clinical symptoms/psychological characteristics

分类

医药卫生

引用本文复制引用

申帆,万崇华,罗家洪,李志强,孟琼,李高峰..头颈癌患者临床及心理特征与生命质量的关系探讨[J].广东医学,2024,45(2):159-165,7.

基金项目

国家自然科学基金资助项目(71974040) (71974040)

广东医学

OACSTPCD

1001-9448

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