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目的了解综合性医院肿瘤住院患者症状状况,并探索症状与生活质量的相关性。方法采用自行设计的症状评估量表及生活质量评估量表对在肿瘤科住院患者进行动态自评,统计症状计数及严重程度,用Spearman等级相关检验其与患者自评生活质量的相关性,用多因素回归分析症状影响因素。结果发生率较高的症状有乏力、焦虑、抑郁、失眠、厌食、恶心呕吐等。同时主诉症状个数在3个以上的患者占较大多数(78.4%),其中较为常见的症状群为乏力+焦虑+失眠及疼痛+厌食+抑郁。住院期间除恶心呕吐及疼痛控制较佳以外,其他症状控制不佳。症状控制、心理情绪与生活质量自评得分相关。结论对于综合性医院肿瘤科住院患者应当加强乏力、抑郁、焦虑及失眠等症状的处理及控制,以提高住院患者的生活质量及对抗肿瘤治疗的耐受性。
Objective To understand the symptoms of hospitalized patients in general hospitals and explore the correlation between symptoms and quality of life. Methods Self-designed symptom assessment scale and quality of life assessment scale were used to evaluate the dynamic self-evaluation, statistical symptom count and severity of hospitalized patients in the oncology department. Spearman’s rank correlation was used to test the correlation with self-rated quality of life Multivariate regression analysis of symptom factors. The results of the higher incidence of symptoms of fatigue, anxiety, depression, insomnia, anorexia, nausea and vomiting. At the same time, the number of patients who complained more than 3 symptoms was the majority (78.4%). The most common symptoms were fatigue + anxiety + insomnia and pain + anorexia + depression. During hospitalization except nausea and vomiting and pain control better, other symptoms are poorly controlled. Symptom control, psychological and self-rated quality of life scores related. Conclusion The treatment and control of symptoms such as fatigue, depression, anxiety and insomnia should be strengthened in inpatients in oncology department of general hospital so as to improve the quality of life of inpatients and the tolerance to anti-tumor therapy.