Report On The Results And Affecting Factors On Quality Of Life In Patients With Recurrent Non-small Cell Lung Cancer After Radical Resection

[Objective]To ascertain the quality of life and affecting factors in patients with recurrent non-small cell lung cancer after radical resection.[Method]By using Chinese version of the FACT-L (V4.0) questionnaire chart for patients with recurrent non-small cell lung cancer after radical resection, and statistically analyzed different variables which might play rolls in affecting the quality of life.[Results]There is no difference (p>0.05) of QOL between man and women in NSCLC recurrent patients, after age 40 (p<0.05) the QOL gets poorer with aging, before 40 there is no difference (p>0.05) of QOL between man and women in NSCLC recurrent patient. General workers and farmers got higher QOL than those patients of other occupation (p<0.05), joint venture employees had lower QOL than those patients of other occupation (p<0.05). Married patients had higher QOL than unmarried patients. Patients with squamous cell cancer had higher QOL (H=8.14, p=0.017), patients with squamo-sinous cell cancer had lower QOL (T=6.38, p=0.016).There is no difference (p>0.05) of QOL between stageâ… B,â…¡A,â…¡B NSCLC recurrent patients, there is a tendency that the later the stage the lower the QOL. Patients with health insurance had higher QOL (p<0.05), the lower the education level, the higher the QOL (H=9.38, p=0.14). Male had higher QOL than female in patients receiving retreatment with radiotherapy (p<0.05), patients with brain metastasis had lower QOL (p<0.05). Female patients receiving retreatment with chemotherapy had higher QOL (p<0.05). Radiotherapy can not improve QOL(p>0.05), chemotherapy can(p<0.05). Family financial condition, overall scale and lung cancer symptom affects QOL positively, pattern of medical care and age affects QOL positively. Physiology condition affects QOL positively in patients receiving retreatment, negatively with staging. Pattern of medical care and family condition affects QOL negatively.[Conclusion]There is no difference of QOL between man and women in NSCLC recurrent patients, the higher the education level, the lower the QOL, after age 40 the QOL gets poorer with aging (p <0.05). The later the staging before surgery, the lower the QOL. Retreatment with radiotherapy can not improve QOL, chemotherapy can. Family financial condition. pattern of medical care and age affects QOL. It is suggested that increase mental help for female patient receiving radiotherapy and male patients receiving chemotherapy could improve QOL.