疾病不确定感对卵巢上皮癌患者癌因性疲乏及化疗不良反应指标评分影响
投稿时间:2010-11-15  修订日期:2011-03-01  点此下载全文
引用本文:孙春燕,黄悦,白田妹,杨宏,王坤.疾病不确定感对卵巢上皮癌患者癌因性疲乏及化疗不良反应指标评分影响[J].医学研究杂志,2011,40(5):50-53
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作者单位
孙春燕 解放军第202医院妇产科 
黄悦 解放军第203医院妇产科 
白田妹 解放军第204医院妇产科 
杨宏 解放军第205医院妇产科 
王坤 解放军第206医院妇产科 
基金项目:辽宁省自然科学基金资助项目(20102240)
中文摘要:目的分析疾病不确定感对卵巢上皮癌患者癌因性疲乏和化疗毒性不良反应指标评分的影响。方法连续选择59例卵巢上皮癌近期接受化疗(PAC方案)患者,她们分别接受了“Missals疾病不确定感量表”、癌因性疲乏评估量表和WHO制定的“抗癌药急性和亚急性毒性不良反应问卷”评估。结果癌因性疲乏指标比较中,不确定感高分组(28例)的“您是否需要休息”、“您是否感到过劳累”、“您是否已经累了”等条目得分以及癌因性疲乏总分均明显高于低分组(31例,P均<0.01~0.05)。化疗毒性不良反应指标比较中,高分组的恶心和呕吐、腹痛、便秘、腹泻相关症状评分和毒性不良反应总分均明显大于低分组(P均<0.01~0.05)。结论疾病不确定感评分可明确影响到卵巢上皮癌患者癌因性疲乏和化疗毒性不良反应指标评分。
中文关键词:卵巢癌/上皮性  化疗  疾病不确定感  癌因性疲乏/评分  毒性不良反应指标/评分
 
Influence of Disease Uncertainty on Toxic and Side Effect Scores of Chemical Therapy Among Epithelial Ovarian Cancer Patients
Abstract:ObjectiveTo analyze the influence of disease uncertainty on toxic and side effect scores of chemical therapy among epithelial ovarian cancer patients.MethodsA total of 59 patients with epithelial ovarian cancer were treated by chemical therapy (Program PAC), while they were also evaluated according to Missals Uncertainty in Illness Scale, cancer-related fatigue assessment scale, and toxic and side reaction grading standard of anticancer drugs suggested by WHO. ResultsScores of cancer-related fatigue assessment scale, including “do you need a rest, have you feel tired, and have you tired”, and total scores in the high-scored disease uncertainty group (n=28) were significantly higher than those in the low-scored disease uncertainty group (n=31) (P<0.01-0.05). Symptom scores, including nausea and vomiting, stomachache, constipation, and diarrhea, and total scores of toxic and side effect in the high-scored disease uncertainty group were also significantly higher than those in the low-scored disease uncertainty group (P<0.01-005).ConclusionDisease uncertainty truly affects toxic and side effect scores of chemical therapy among epithelial ovarian cancer patients.
keywords:Ovarian cancer/epithelial  Chemical therapy  Disease uncertainty  Cancer-related fatigue/score  Toxic and side effect/score
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