胃肠癌患者家庭功能、社会支持的影响因素及其对生活质量的影响
The Influencing Factors of Family Function, Social Support and Impact on Quality of Life in Patients with Gastrointestinal Cancer.
作者信息
Xin Lu, Viroj Jaruwan, Glangkarn Sumattana
机构信息
Faculty of Public Health, Mahasarakham University, Ban Tha Khon Yang, Kantra Vichai, Thailand.
Gastrointestinal Surgery, The First Affiliated Hospital, College of Clinical Medicine, Henan University of Science and Technology, Luoyang 471003, Henan Province, China.
出版信息
Asian Pac J Cancer Prev. 2025 Jun 1;26(6):2137-2144. doi: 10.31557/APJCP.2025.26.6.2137.
BACKGROUND
Reduced quality of life is a common problem faced by gastrointestinal cancer patients, but the problems of family dysfunction and social support that they also need to face are scarcely explored. Moreover, the influencing factors of family function, social support and impact on quality of life in patients with gastrointestinal cancer has yet to be explored.
OBJECTIVE
To explore the influencing factors of family function, social support and impact on quality of life in patients with gastrointestinal cancer.
METHODS
This study was a cross-sectional study with a simple random sampling. A total of 399 gastrointestinal cancer patients from one tertiary hospital were recruited to participate in this study. The quality of life questionnaire-core 30 (QLQ-30), family caring scale(APGAR) and social support rating scale(SSRS)were used to assess patients' quality of life, family function and social support. We performed descriptive analysis and logistic regression analysis to probe the influencing factors of family function, social support and impact on quality of life in patients with gastrointestinal cancer.
RESULTS
About half of the participants(46.12%) had a low social support score, age, income level and stage of cancer were the influencing factors for the occurrence of social support disorder(P<0.05). More than halfof the participants(51.38%) had family dysfunction, age, marital status and stage of cancer were the influencing factors for family dysfunction(P<0.05). Participants with insufficient social support and family dysfunction had lower quality of life scores(P<0.05). Family function and objective support were the factors affecting the quality of life of gastrointestinal cancer patients(P<0.05).
CONCLUSIONS
Family function and social support can affect the quality of life of patients with gastrointestinal cancer. The effects of family function and social support should be considered comprehensively to improve the quality of life of patients with gastrointestinal cancer.
背景
生活质量下降是胃肠癌患者面临的常见问题，但他们还需面对的家庭功能障碍和社会支持问题却鲜有研究。此外，胃肠癌患者家庭功能、社会支持的影响因素及其对生活质量的影响尚待探索。
目的
探讨胃肠癌患者家庭功能、社会支持的影响因素及其对生活质量的影响。
方法
本研究为采用简单随机抽样的横断面研究。共招募了一家三级医院的399例胃肠癌患者参与本研究。采用生活质量问卷核心30项（QLQ-30）、家庭关怀度指数（APGAR）和社会支持评定量表（SSRS）评估患者的生活质量、家庭功能和社会支持。我们进行描述性分析和逻辑回归分析，以探究胃肠癌患者家庭功能、社会支持的影响因素及其对生活质量的影响。
结果
约一半的参与者（46.12%）社会支持得分较低，年龄、收入水平和癌症分期是社会支持障碍发生的影响因素（P<0.05）。超过一半的参与者（51.38%）存在家庭功能障碍，年龄、婚姻状况和癌症分期是家庭功能障碍的影响因素（P<0.05）。社会支持不足和家庭功能障碍的参与者生活质量得分较低（P<0.05）。家庭功能和客观支持是影响胃肠癌患者生活质量的因素（P<0.05）。
结论
家庭功能和社会支持会影响胃肠癌患者的生活质量。应综合考虑家庭功能和社会支持的作用，以提高胃肠癌患者的生活质量。
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