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目的探讨女性乳腺癌患者出院后工作状态和生活质量的现状。方法采用横断面调查研究设计,通过电话或电子邮件随访女性乳腺癌患者及非乳腺癌对照者。使用自制量表、医院焦虑和抑郁量表、认知症状自评量表、工作受限问卷及欧洲癌症研究与治疗组织研制的生活质量核心调查问卷第三版C30对所有研究对象进行评估。结果共有95例乳腺癌患者及120例非乳腺癌对照者参与完成了问卷调查。乳腺癌患者的抑郁程度高于对照组(P<0.001),但两组间焦虑水平差异无统计学意义(P>0.05);认知筛查两组间差异无统计学意义(P>0.05);乳腺癌患者组生产力缺失高于对照组(P<0.001),尤其是在时间管理、心理、人际交往的需求和产量要求等方面。结论乳腺癌患者的工作限制显著高于对照组,需进一步研究以探究其具体影响因素,以指导乳腺癌幸存者的职业康复方向。
Objective To investigate the status of female breast cancer patients after discharge from hospital and the quality of life. METHODS: Cross-sectional study design was used and female and non-breast cancer controls were followed up by phone or email. All subjects were assessed using the Homemade Scale, the Hospital Anxiety and Depression Scale, the Cognitive Symptom Self-Rating Scale, the Work-Restricted Questionnaire, and the C30 Core Life Quality Questionnaire developed by the European Organization for Research and Treatment for Cancer. Results A total of 95 breast cancer patients and 120 non-breast cancer controls participated in the questionnaire survey. The level of depression in breast cancer patients was higher than that in control group (P <0.001), but there was no significant difference in anxiety level between the two groups (P> 0.05). There was no significant difference between the two groups in cognitive screening (P> 0.05) (P <0.001), especially in terms of time management, psychology, interpersonal needs and yield requirements. Conclusion The work limitation of patients with breast cancer is significantly higher than that of the control group. Further study is needed to explore the specific influencing factors to guide the occupational rehabilitation of breast cancer survivors.