中华皮肤科杂志 ›› 2021, Vol. 54 ›› Issue (9): 819-821.doi: 10.35541/cjd.20200319

• 调查报告 • 上一篇    下一篇

非黑素瘤皮肤癌患者生活质量及影响因素调查

刘倩1    李国宏2    陈炳为3   

  1. 1中国医学科学院、北京协和医学院皮肤病医院整形外科，南京  210042；2东南大学附属中大医院护理部，南京  210009；3东南大学公共卫生学院流行病与卫生统计学系，南京  210009
  • 收稿日期:2020-04-01 修回日期:2020-10-18 发布日期:2021-09-02
  • 通讯作者: 李国宏 E-mail:njligh@126.com

A survey on quality of life and its influencing factors among patients with non-melanoma skin cancers

Liu Qian1, Li Guohong2, Chen Bingwei3   

  1. 1Department of Plastic Surgery, Hospital of Dermatology, Chinese Academy of Medical Sciences and Peking Union Medical College, Nanjing 210042, China; 2Nursing Department, Zhongda Hospital, Southeast University, Nanjing 210009, China; 3Department of Epidemiology and Biostatistics, School of Public Health, Southeast University, Nanjing 210009, China
  • Received:2020-04-01 Revised:2020-10-18 Published:2021-09-02
  • Contact: Li Guohong E-mail:njligh@126.com

PDF

10

PDF (Mobile)

0

赞

摘要： 【摘要】 目的 调查非黑素瘤皮肤癌（NMSC）患者生活质量及其影响因素。方法 2017年6月至2020年1月，通过自制问卷及皮肤病生活质量指数量表（DLQI）调查153例在中国医学科学院皮肤病医院整形外科住院接受手术治疗的NMSC患者的人口学、临床、行为学资料，并计算DLQI评分评估其生活质量。采用χ2检验、Kruskal-Wallis H检验、多因素Logistic回归分析NMSC患者生活质量的影响因素。结果 回收有效问卷146份（95.4%）。146例患者年龄31～92岁，101例（69.2%）60岁以上，59例（40.4%）有长期紫外线暴露史。基底细胞癌（BCC）66例（45.2%），侵袭性鳞状细胞癌（SCC）57例（39.0%），乳房外Paget病16例（11.0%）及Bowen病7例（4.8%）。DLQI评分中位数［M（P25，P75）］为3（1，7），99例（67.8%）生活质量受到影响，52例（35.6%）受到轻度影响，47例（32.2%）受到中度以上影响。多因素Logistic回归分析显示，皮肤癌类型、长期紫外线照射史、3个及以上子女数量影响患者的生活质量。结论 NMSC降低患者的生活质量，且皮肤癌类型、长期紫外线照射史、子女数量是NMSC患者生活质量的影响因素。

关键词: 皮肤肿瘤, 生活质量, 疾病影响状态调查, 问卷调查

Abstract: 【Abstract】 Objective To investigate quality of life and its influencing factors among patients with non-melanoma skin cancers （NMSC）. Methods From June 2017 to January 2020, demographic, clinical and behavioral data were collected from 153 inpatients with NMSC, who received surgeries in Department of Plastic Surgery, Hospital of Dermatology, Chinese Academy of Medical Sciences and Peking Union Medical College, by using a self-made questionnaire and the dermatology life quality index （DLQI） scale, and DLQI score was calculated to evaluate the quality of life of the patients. Chi-square test, Kruskal-Wallis H test, and multivariate logistic regression model were used to analyze factors influencing the quality of life of NMSC patients. Results A total of 146 （95.4%） valid questionnaires were collected. The 146 patients were 31 - 92 years old, and 101 （69.2%） of them were over 60 years old, and 59 （40.4%） had a history of long-term ultraviolet exposure. There were 66 cases （45.2%） of basal cell carcinoma （BCC）, 57 （39.0%） of invasive squamous cell carcinoma （SCC）, 16 （11.0%） of extramammary Paget disease and 7 （4.8%） of Bowen disease. The median DLQI score （M［P25, P75］） was 3 （1, 7）. The quality of life were affected in 99 （67.8%） patients, including 52 （35.6%） mildly affected, and 47 （32.2%） moderately to extremely severely affected. Multivariate logistic regression analysis showed that the skin cancer type, long-term ultraviolet exposure history, and having 3 or more children affected the quality of life of the patients with NMSC. Conclusion NMSC decrease the quality of life of the patients, and the type of skin cancers, history of long-term ultraviolet exposure and number of children are the factors influencing the quality of life of patients with NMSC.

Key words: Skin neoplasms, Quality of life, Sickness impact profile, Questionnaires