海军医学杂志

目的 调查头颈部肿瘤放疗患者的疾病感知现状和生活质量情况，分析两者间的相关性。方法 选取如皋市人民医院2019-2020年收治的94例头颈部肿瘤放疗患者作为研究对象，应用疾病感知问卷简化版（brief illness perception questionnaire,B-IPQ）评估患者的疾病感知现状，应用欧洲癌症研究与治疗组织生活质量核心量表（European Organization for Research and Treatment of Cancer,quality of life questionnaire-core 30,EORTCQLQ-C30）评估患者的生活质量状态。采用Pearson相关分析法分析两者间的相关性，并利用多元线性回归分析影响患者生活质量的相关因素。结果 患者疾病感知得分为（45.35±6.89）分，处于良好水平；性别、治疗模式、文化背景及疾病感知均是影响患者生活质量的重要因素（P<0.05）；疾病感知与生活质量功能量表中躯体功能、角色功能、情绪功能、社会功能及整体生活质量呈负相关（P<0.05），与症状量表中各维度呈正相关（P<0.05）。结论 头颈部肿瘤放疗患者的疾病感知与生活质量呈负相关，即患者的疾病感知越低对生活质量影响越严重。临床上应采取相应的干预措施，提高患者疾病感知水平的同时，改善其生活质量。

Objective To investigate the disease perception and quality of life(Qol) of the patients with head and neck tumor after radiotherapy,and a lso to analyze the correlation between them.Methods Ninety-four patients with head and neck tumor treated by radiotherapy in Rugao People's Hospital from January 2019 to 2020 were enrolled as study subjects.The status of the disease perception was assessed by using the brief illness perception questionnaire(B-IPQ),the quality of life was evealuated using the European Organization for Research and Treatment of C.ancer,quality of life questionnaire-core 30(EROTC.QLQ-C30) and the correlation between disease perception and life quality,and related factors affecting life quality were lanalyzed by using the Pearson method.Results The patient's disease perception was at a good level,with the scores of(45.35±6.89).Gender,treatment mode,cultural background and disease perception were all important factors affecting patient quality of life(P <0.05).Disease perception is positively correlated with each dimensions of the quality of life(P<0.05),and were negatively correlated with various dimensions of the symptom scale(P <0.05).Conclusion There was a negative correlation between disease perception and quality of life(Qol) in the patients with head and neck tumor undergoing radiotherapy,indicating that the lower the disease perception was,the more serious the impact on life quality was.Intervention measures should be taken,so as to improve patient disease perception and their quality of life.