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目的 通过调查了解家居晚期癌症患者的生活质量现状,提出改善其生活质量的对策。方法 参照宁养服务综合评估表和我国1990年制定的癌症患者生活质量评分试行草案拟定问卷,对南宁市及周围地区的312例家居晚期癌症患者的生活质量进行调查。结果 疼痛发生率为83.7%,其中中、重度疼痛发生率分别为39.7%和32.7%;心理症状方面,焦虑、孤独、抑郁的发生率分别为63.5%、34.9%和31.1%;总的生活质量评价,差以下占59.6%,一般占32.7%,好以上仅占7.7%.结论 晚期癌症患者的生活质量差;加强癌症姑息治疗知识宣传,保证麻醉止痛药的供应,发展宁养服务是提高家居晚期癌症患者生活质量的关键。
Objective To investigate the status quo of quality of life in patients with late-stage cancer at home and to put forward countermeasures to improve their quality of life. Methods With reference to the comprehensive evaluation form of Ning-care services and the drafting of a draft questionnaire for quality of life of cancer patients in 1990, the quality of life of 312 cases of advanced-stage cancer patients in and around Nanning City was investigated. Results The incidence of pain was 83.7%, and the incidence of moderate and severe pain were 39.7% and 32.7% respectively. The incidences of anxiety, loneliness and depression were 63.5%, 34.9% and 31.1% respectively in the psychological symptoms. The total quality of life Evaluation, poor accounted for 59.6% of the following, generally accounted for 32.7%, better than the only 7.7% .Conclusion The quality of life of patients with advanced cancer is poor; strengthen cancer palliative care knowledge to ensure the supply of narcotic painkillers, The key to quality of life in patients with advanced cancer.