Assessment Of Quality Of Life Of Cervical Cancer Patients After Different Treatments And Analysis Of Influencing Factors

Objective:To describe the quality of life with cervical cancer cases in different kinds of treatments, evaluate the pros and cons of the treatments, explore the influencing factors for improving the patients'quality of life.Methods:In this study, cervical cancer scale(FACT-Cx),which is developed by Ending,Research and Education Center(CORE), United States, was used to investigate cervical cancer survivors(102 cases) diagnosed and treated in Fujian Provincial Tumor Hospital from January 2004 to October 2008. t test, analysis of variance or nonparametric test were used to compare scores of quality of life in different subgroups; cumulative odds model was used to compare patients'quality of life in different treatments after age, time and stage adjusted; structural equation model was used to study influencing factors.Results:1. Univariate analysis showed that patients that age<45 years, weekly leisure time> 3 hours, paid for health care were in better physical wellbeing; patients that weekly leisure time> 3 hours, body mass index abnormal, non-surgery were in better social/family wellbeing; the higher the educational level, the better the emotional wellbeing; patients that weekly leisure time> 3 hours, entertainment≥2 kinds were in better function wellbeing; patients that weekly leisure time> 7 hours had good scores of additional attention; patients that good finance, weekly leisure time> 3 hours, weekly leisure time> 7 hours had better overall quality of life.2. Spearman correlation analysis showed that, confrontation was positively correlated with social/family wellbeing, negatively correlated with physical wellbeing and emotional wellbeing; Acceptance-Resignation was negatively correlated with physical wellbeing, emotional wellbeing, functional wellbeing, additional attention and overall quality of life.3. Surgical patients'social/family wellbeing were worse; patients in radiotherapy were in poor functional wellbeing; patients in chemotherapy were in poor overall quality of life and functional wellbeing; comparing to patients treated with radiotherapy alone, surgical patients, no matter surgery alone or combined treatment, social/family wellbeing were poor, but patients in chemoradiation is better.4. The factors that had direct impact on the physical condition included health promoting behaviors and acceptance-resignation; the factors that had direct impact on social/family status included socioeconomic status and confrontion;the factors; acceptance-resignation had a direct impact on treatment-related symptoms. At the same time, physical condition impacted on functional condition, functional condition impacted on social/family status and emotional status.Conclusion:1. Comparing with radiotherapy alone, patients receiving surgery alone or surgical combined treatment were in poor social/family wellbeing, patients in chemoradiation with better social/family wellbeing.2. Health promoting behaviors could improve patients'physical condition.3. Patients who were coping with acceptance-resignation had poor physical condition and treatment-related symptoms; patients who were coping with confrontion had good social/family status.4. During the treatment and rehabilitation, more attention should be paid on patients'health education and psychological intervention to let them learn more about the disease what they had, cope with active and effective strategies and form good life styles.