Institute of Healthcare, State School of Technology and Economics in Jaroslaw, 37-500 Jaroslaw, Poland.
Chair and Department of Endocrinology, Medical University of Lublin, 20-090 Lublin, Poland.
Int J Environ Res Public Health. 2020 Sep 23;17(19):6938. doi: 10.3390/ijerph17196938.
Life-quality tests are the basis for assessing the condition of oncological patients. They allow for obtaining valuable information from the patients regarding not only the symptoms of disease and adverse effects of the treatment but also assessment of the psychological, social and spiritual aspects. Taking into account assessment of the quality of life made by the patient in the course of disease has a positive effect on the well-being of patients, their families and their caregivers as well as on satisfaction with the interdisciplinary and holistic oncological care. : A population-based, multi-area cross-sectional study was conducted among patients with cancer in the study in order to assess their life quality. The method used in the study was a clinical interview. Quality of life was measured using the EQ-5D-5L Quality of Life Questionnaire, the Karnofsky Performance Status, our own symptom checklist, Edmonton Symptom Assessment and Visual Analogue Scale. In the subjective assessment of fitness, after using the Karnofsky fitness index, it was shown that 28% (95% CI (confidence interval): 27-30) of patients declared the ability to perform normal physical activity. In the assessment the profile, quality of life and psychometric properties of EQ-5D-5L, it was shown that patients had the most severe problems in terms of self-care (81%, 95% CI: 76-89) and feeling anxious and depressed (63%, 95% CI: 60-68). Cancer undoubtedly has a negative impact on the quality of life of patients, which is related to the disease process itself, the treatment used and the duration of the disease.
生活质量测试是评估肿瘤患者病情的基础。它们可以从患者那里获得有价值的信息,不仅包括疾病症状和治疗的不良反应,还包括对心理、社会和精神方面的评估。考虑到患者在疾病过程中对生活质量的评估,对患者、他们的家人和照顾者的幸福感以及对跨学科和整体肿瘤护理的满意度都有积极的影响。
在这项研究中,对癌症患者进行了一项基于人群的多区域横断面研究,以评估他们的生活质量。研究中使用的方法是临床访谈。使用 EQ-5D-5L 生活质量问卷、Karnofsky 表现状态、我们自己的症状清单、埃德蒙顿症状评估和视觉模拟量表来衡量生活质量。在对健康状况的主观评估中,使用 Karnofsky 健康状况指数后,显示 28%(95%置信区间(CI):27-30)的患者表示能够进行正常的体力活动。在评估 EQ-5D-5L 的概况、生活质量和心理测量特性时,显示患者在自我护理方面(81%,95%CI:76-89)和感到焦虑和抑郁(63%,95%CI:60-68)方面问题最严重。
癌症无疑对患者的生活质量产生负面影响,这与疾病过程本身、所使用的治疗方法和疾病的持续时间有关。