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|Title:||A comparative study of the quality of life of patients with advanced chronic obstructive pulmonary disease and terminal cancer|
|Authors:||Pang, MC |
Pulmonaly disease,chronic obstructive
Quality of life
|Source:||中华护理杂志 (Chinese journal of nursing), Mar. 2006, v. 41, no. 3, p. 202-206 How to cite?|
|Journal:||中华护理杂志 (Chinese journal of nursing)|
|Abstract:||目的: 比较晚期慢性阻塞性肺疾病(COPD)患者及晚期癌症患者的生存质量(Quality of life,QOL),探讨COPD患者对临终关怀的需求。|
方法: 访问COPD患者108例及癌症患者50例。采用晚期病患者生存质量量表(Quality-of-Lif Concerns in the End-of-Life Questionnaire,QOLC-E)作评估。通过统计分析,比较两组的QOL分数。
Objective: Compare the quality-of-life concerns of patients with advanced chronic obstructive pulmonary disease (COPD) and terminal cancer, and explore the palliative care needs of advanced COPD patients.
Methods: 108 advanced COPD patients and 50 terminal cancer patients were interviewed using the Quality-of-Life Concerns in the End-of-Life Questionnaire (QOLC-E). QOLC-E comprises four positive and four negative subscales. The positive subscales are support, value of life, food-related concerns and healthcare concerns; the negative subscales are physical discomfort, negative emotions, a sense of alienation and existential distress. The overall QOL, eight QOLC-E subscale scores, and self-maintenance and instrumental activities of daily living (P-ADL and I-ADL) scores of the two patient groups were compared using independent t tests.
Results: The advanced COPD patients were more dependent in activities of daily living than the terminal cancer patients (t =-6.2, -4.7 , P<0.01). They had a lower overall QOL evaluation than cancer patients (t =-2.1,P<0.05). No significant difference was found in the mean QOLC-E score between COPD and cancer patients (t=-1.6,P>0.05). The COPD patients scored lower in three out of the four negative subscales, while the cancer patients scored lower in the value of life subscale (P<0.05) among the four positive subscales.Conclusions The results showed that both advanced COPD and terminal cancer patients bore similar quality-of-life concerns. However, the advanced COPD patients assessed their quality of life worse than that of the terminal cancer patients. The results highly suggest that palliative medicine and hospice care should be extended to patients with advanced COPD, taking into account the unique characteristics of COPD patients.
|Rights:||© 2006 中国学术期刊电子杂志出版社。本内容的使用仅限于教育、科研之目的。|
© 2006 China Academic Journal Electronic Publishing House. It is to be used strictly for educational and research purposes.
|Appears in Collections:||Journal/Magazine Article|
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