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頁籤選單縮合
題 名 | 早期子宮頸癌病患治療後長期的生活品質之研究=Long-term Quality of Life for Patients with Early Stage Uterine Cervical Carcinoma after Treatment |
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作 者 | 許維中; 鍾娜娜; 陳宇嘉; 詹淑卿; 丁禮莉; 蔡崇煌; 王雪鳳; 王博民; 林高德; | 書刊名 | 中華放射線醫學雜誌 |
卷 期 | 29:1 2004.02[民93.02] |
頁 次 | 頁21-28 |
分類號 | 417.2832 |
關鍵詞 | 生活品質; 放射治療; 子宮頸癌; EORTC; Quality of life; Radiotherapy; Uterine cervical cancer; |
語 文 | 中文(Chinese) |
中文摘要 | 比較以不同的治療方式,對早期子宮頸癌病患長期的生活品質之差異。自2002年3月至2003年4月,總共有兩機構的217位早期子宮頸癌病患被邀請參與研究。病患均在治療結束後兩年以上,並依治療方式之不同區分為手術後放射治療及單獨放射治療兩組。病患須填寫EORTC QLQ C-30生活品質量表及子宮頸癌治療後的副作用,並以此作為生活品質評估之依據。手術後放射治療組的相對較高副作用包括:便秘(46.8%,p<0.001)、下肢水腫(24.3%,p=0.004)、尿失禁(40.5%,p=0.041)及臉潮紅(13.5%,p=0.050)。放射治療組的相對較高副作用包括:腹瀉(45.3%,p=0.008)及陰道分泌物增加(14.2%,p=0.029)。EORTC QLQ C-30生活品質指標中,手術後放射治療優於單獨放射治療且達到顯著意義的有:整體健康狀況(p=0.043)、認知功能(p=0.033)、社會功能(p=0.037)、噁心/嘔吐(p=0.027)、疼痛(p=0.031)、食慾不振(p=0.009)及經濟困難(p=0.046)等,而單獨放射治療優於手術後放射治療者為「便秘」一項,也達到顯著意義(p=0.002)。本研究提供早期子宮頸癌病患接受不同治療方式的長期生活品質與副作用之比較與分析。這些資料有助於臨床醫師考量病患接受治療後之生活品質的改變,作為選擇治療模式的參考因素之一,也可對病患治療後的復健與支持照護上有所助益。 |
英文摘要 | To compare the difference between treatment modalities for long-term quality of life (QoL) in patients with early stage uterine cervical carcinoma. From March 2002 to April 2003, two hundred and seventeen patients of two institutions were invited to participate. Inclusive patients were followed for at least 2 years after the completion of the treatment. They were divided into 2 groups by different treatment modalities: surgery with postoperative radiation therapy (OP+RT) and radiation therapy alone (RT alone). QoL were assessed by means of the European Organization for Research and Treatment of Cancer (EORTC) Core Quality of Life Questionnaire (QLQ C-30) and side effects for uterine cervical cancer after treatment. Relative high side effects in early stage uterine cervical cancer patient treated by OP+RT were: constipation (46.8%, p < 0.001), edema of lower extremities (24.3%, p = 0.004), urine incontinence (40.5%, p = 0.041) and hot flush (13.5%, p = 0.050). Relative high side effects in early stage uterine cervical cancer patient treated by RT alone were: diarrhea (45.3%, p = 0.008) and increased vaginal discharge (14.2%, p = 0.029). The EORTC QLQ C-30 QoL items were significant better in OP+RT groups as comparison with RT alone group, including global health status (p = 0.043), cognitive function (p = 0.033), social function (p = 0.037), nausea/vomiting (p = 0.027), pain (p = 0.031), poor appetite (p = 0.009) and financial problem (p = 0.009). Constipation was worse significantly in OP+RT group than in RT alone group (p = 0.002). Our study provided comparison and analysis of long-term QoL and side effects in early stage uterine cervical cancer patients treated by different modalities. These data were helpful for clinical physician not only for selecting treatment modalities when concerning with QoL of the patients, but also for rehabilitation and supportive care of the patients after treatment. |
本系統中英文摘要資訊取自各篇刊載內容。