目的调查乳腺癌术后患者化疗期支持性照顾需求与生活质量的水平,并探讨其关系。方法2015年9月至2016年6月,便利抽取235例乳腺癌术后化疗期患者,采用一般资料调查表、支持性照顾需求量表(SCNS-SF34)与癌症治疗性功能评价量表-乳腺癌(FACT-B)进行调查。结果230例患者入选,均对SCNS-SF34各维度存在需求,需求最高的是健康信息需求(31.30%);FACT-B总分(93.25±23.53)分,有待进一步提升。除社会/家庭状况、功能外,SCNS-SF34总分和各维度分与FACT-B其他维度及总分均负相关(|r|>0.168, P<0.05)。结论乳腺癌术后患者化疗期对支持性照顾存在多种需求,需求强度与生活质量呈负相关。
ObjectiveTo observe the level of supportive care need and quality of life in patients postoperation for breast cancer and accepting chemotherapy, and the relationship between them. MethodsFrom September, 2015 to June, 2016, 235 patients with breast cancer after surgery were conveniently sampled, and investigated with the general situation questionnaire, Supportive Care Need Survey Short-form (SCNS-SF34) and Functional Assessment of Cancer Therapy-Breast (FACT-B). ResultsA total of 230 patients were analyzed. Patients self-reported to need supportive care in all dimensions of SCNS-SF34, and the most frequency was in the health information (31.30%). The score of FACT-B was (93.25±23.53), that needed further improvement. The needs of supportive care in each dimension negatively correlated with the scores of FACT-B in the dimensions (|r|>0.168, P<0.05) except society/family and function. ConclusionThe patients with breast cancer need variety of supportive care, which may impact their quality of life.
[1] Torre LA, Bray F, Siegel RL, et al. Global cancer statistics, 2012 [J]. CA Cancer J Clin, 2015, 65(2): 87-108.
[2] Hui D. Definition of supportive care: does the semantic matter? [J]. Curr Opin Oncol, 2014, 26(4): 372-379.
[3] Cardoso F, Bese N, Distelhorst SR, et al. Supportive care during treatment for breast cancer: Resource allocations in low-and middle-income countries. A Breast Health Global Initiative 2013 consensus statement [J]. Breast, 2013, 22(5): 593-605.
[4] Fitch M. Providing supportive care for individuals living with cancer (Task Force Report) [R]. Toronto: Ontario Cancer Treatment and Research Foundation, 1994.
[5] DeSantis CE, Lin CC, Mariotto AB, et al. Cancer treatment and survivorship statistics, 2014 [J]. CA Cancer J Clin, 2014, 64(4): 252-271.
[6] Bonevski B, Sanson-Fisher R, Girgis A. Evaluation of an instrument to assess the needs of patients with cancer [J]. Cancer, 2000, 88(1): 217-225.
[7] Boyes A, Girgis A, Lecathelinais C. Brief assessment of adult cancer patients' perceived needs: development and validation of the 34-item Supportive Care Needs Survey (SCNS-SF34) [J]. J Eval Clin Pract, 2009, 15(4): 602-606.
[8] Au A, Lam WW, Kwong A, et al. Validation of the Chinese version of the short-form Supportive Care Needs Survey Questionnaire (SCNS-SF34-C) [J]. Psycho-oncology, 2011, 20(12): 1292-1300.
[9] Selby PJ, Chapman JA, Etazadi-Amoli J, et al. The development of a method for assessing the quality of life of cancer patients [J]. Br J?Cancer, 1984, 50(1): 13-22.
[10] 万崇华,张冬梅,汤学良,等. 乳腺癌患者生命质量测定量表(FACT-B)中文版的修订[J]. 中国心理卫生杂志, 2003, 17(5): 298-300.
[11] So WK, Chan CW, Choi KC, et al. Perceived unmet needs and health-related quality of life of Chinese cancer survivors at 1 year after treatment [J]. Cancer?Nurs, 2013, 36(3): E23-E32.
[12] Au A, Lam W, Tsang J, et al. Supportive care needs in Hong Kong Chinese women confronting advanced breast cancer [J]. Psychooncology, 2013, 22(5): 1144-1151.
[13] Cheng KK, Darshini Devi R, Wong WH, et al. Perceived symptoms and the supportive care needs of breast cancer survivors six months to five years post-treatment period [J]. Eur J Oncol Nurs, 2014, 18(1): 3-9.
[14] 郑瑾,孙田杰,沙儒,等. 317例癌症病人身心需要的调查[J]. 中华护理杂志, 2004, 39(8): 28-30.
[15] Schmid-Büchi S, Halfens RJ, Müller M, et al. Factors associated with supportive care needs of patients under treatment for breast cancer [J]. Eur J Oncol Nurs, 2013, 17(1): 22-29.
[16] 何晓玲,徐锦江,邹凌云,等. 乳腺癌患者术后自我效能、应对方式及生活质量的相关性研究[J]. 医学与哲学(B), 2014, 35(2B): 71-73, 79.
[17] Chan DN, Lui LY, So WK. Effectiveness of exercise programmes on shoulder mobility and lymphoedema after axillary lymph node dissection for breast cancer: systematic review [J]. J Adv Nurs, 2010, 66(9): 1902-1914.
[18] 李鹤,王一晓,史铁英,等. 渐进式阻力训练对乳腺癌患者上肢功能的影响[J]. 中国康复理论与实践, 2015, 21(11): 1356-1359.
[19] 陆靖,史铁英,刘启贵,等. 协同护理模式对乳腺癌患者创伤后成长和心理弹性的影响[J]. 中国实用护理杂志, 2015, 31(18): 1353-1356.
[20] Park BW, Hwang SY. Unmet needs of breast cancer patients relative to survival duration [J]. Yonsei Med J, 2012, 53(1): 118-125.
[21] Uchida M, Akechi T, Okuyama T, et al. Patients' supportive care needs and psychological distress in advanced breast cancer patients in Japan [J]. Jpn J Clin Oncol, 2011, 41(4): 530-536.
[22] Akechi T, Okuyama T, Endo C, et al. Patient's perceived need and psychological distress and/or quality of life in ambulatory breast cancer patients in Japan [J]. Psychooncology, 2011, 20(5): 497-505.
[23] 龚蕉椒,姚欣敏,严俊,等. 康复期乳腺癌患者应对方式与生活质量的相关性分析及护理对策[J]. 现代临床护理, 2011, 10(10): 10-12.
[24] Fitch MI. Supportive care needs of patients with advanced disease undergoing radiotherapy for symptom control [J]. Can Oncol Nurs J, 2012, 22(2): 84-100.
[25] 蔡英杰,史铁英,李艳娇. 乳腺癌患者支持性照顾需求研究进展[J]. 中国康复理论与实践, 2016, 22(7): 813-817.
