癌症患者生活质量评价的研究现状及进展

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#,200070,P,(QOL),QOL,QOL,,,QOL(QOL)R73019A,--,,,(),,,,,,(qualityoflife,QOL),WHO,,--QOL,,[14],QOL,QOL,:,,P,:,;;,,;;;,:QOLQOL2040,Karnofsky(perfor2manceststus,PS),QOL,#(Correspondingauthor),E-mail:jiejunw@csco.org.cn3522004925ONCOLOGYPROGRESS,Sept2004,Vol12,No15©1995-2005TsinghuaTongfangOpticalDiscCo.,Ltd.Allrightsreserved.QOL1976,1983(ACS)(specialityofpsycho-oncology),1986(IPOS),QOL1985,(FDA)QOL,1989QOL[7],QOL(endpoint),QOL10,11QOLÓ()ÓÓ()Ó()ÓÓÓÓPÓÓQOLQOL:,;;,,,;,,,,,,[8]3:;(QOL);,:,;,;,;,,,QOL,:(responsiveness),(sensitivity):QOL();,(reliability),(reproducibility)(concurrence)(precision):;,(validity):PP,;(feasibility),(practicality)(acceptability):,,(compliancy),:,,,;,,;,,;,,,QOL,,QOL,[913]:1949Karnofsky(KPS),KPS,,,KPSQOLONCOLOGYPROGRESS,Sept2004,Vol12,No152004925353©1995-2005TsinghuaTongfangOpticalDiscCo.,Ltd.Allrightsreserved.,QOL1976,Peristman(linearanalogueselfassess2ment,LASA),10,QOL,,,1981,Spitzer(qualityoflifeindex,QLI),5,,,1984Schipper(Functionallivingindex-cancer,FLIC),,22,QOL,1985SellyLASA,QOL,31,131988Levine(breastcancerchemotherapyquestionnaire,BCQ),,31,7,1989GelbeGoldhirshTwiSTQ-TwiST(quality2adjustedtimewithoutsymptomsandtoxicity)QOL,(qual2ity2adjustedlifeyears,QALYs)1990Schag,1991(cancerrehabilitationevaluationsystem-shortform)(28)6(),P59,Aaronson[14](EORTC-QLQ-C30),199313354,,,,,30,5,(phys2icalfunction,PF)(rolefunction,RF)(cognitivefunction,CF)(emo2tionalfunction,EF)(socialfunction,SF),3,(fatigue,FA)(pain,PA)(nauseaPvomit2ingNV),6,,QLQ-30:(LC30,24),(BR23,29),(HN35),13FACT-GCORE[1517],198919934FACT-G27,(7)P(7)(6)(7)5,,(),FACT-BFACT-G9,FACT(FACT-L)(FACT-B)(FACT-BL)(FACT-BR)(FACT-CX)(FACT-C)(FACT-HN)(FACT-O)(FACT-P),FACT-GQOLQOL,,,,,QOLEORTCQLQ-C303542004925ONCOLOGYPROGRESS,Sept2004,Vol12,No15©1995-2005TsinghuaTongfangOpticalDiscCo.,Ltd.Allrightsreserved.,(QLQ-CCC),2000CLARALMY1296fact-g,fact-g,[17][18,19]19972002FACTQLQ,,,,QLICP(qualityoflifeinstrumentsforcancerpatients),(QLICPLU)(QLICPLI)(QLICPBR)(QLICPST)(QLICPHN)FACT-LFACT-B,FAVT-LFACT-B,QOLQOL,,(totalQOL),QOL,,QOL,,,1.CellaDF,Tulsky,DS,GrayG,etal.Thefunctionalassess2mentofcancertherapyscale:Developmentandvalidationofthegeneralmeasure.JClinOncol,2002,115702.MontazeriA,GillisCR,McEwenJ.Qualityoflifeinpatientswithlungcancer:Areviewofliteraturefrom1970to1999.Chest,2000,1134673.AaronsonNK.Methodologicalissuesinassessingthequalityoflifeincancerpatients.Cancer,2001,678444.FieldingR,HungJ.Preferencesforinformationandinvolve2mentindecisionsduringcancercareamongaHongKongChinesepopulation.Psychooncology,1999,5;3215.GotayCC,MooreTD.Assessingqualityoflifeinheadandneckcancer.QualLifeRes,1999,156.IeldingR,LiJ.Currentperceivedhealth:Avalidationofthe2conceptandtheCurrentPerceivedHealth-42(CPH-42)Questionnaire.QualLifeRes,1997,6357.CellaDF,CherinEA.Qualityoflifeduringandaftercancertreatment.ComprTher,2001,14698.MettlinC,CookfairDL,LaneW,etal.Thequalityoflifeinpatientswithcancer.NYStateJMed,1999,121879.HerdmanM,Fox-RushbyJ,BadiaX.Equivalenceandthetranslationandadaptationofhealth-relatedqualityoflifeques2tionnaires.QualLifeRes,1999,23710.LeungKF,TayM,ChengSSW,etal.HongKongChineseversionWorldHealthOrganizationqualityoflifemeasure,ab2breviatedversion.WHOQOL-BREF(HK).HongKong:HongKongHospitalAuthority,200111.FieldingR,WongL,KoL.Strategiesofinformationdisclo2suretoChinesecancerpatientsinanAsiancommunity.Psy2chooncology,1999;724012.SutcliffeJ,HolmesS.Qualityoflife:Verificationanduseofaself-assessmentofscaleintwopatientpopulations.JAdvNurs,2001,1649013.BestDL,WilliamsJE.Sex,gender,andculture.In:BerryJW,SegallMH,Kagitc,ibasiC,editors.Handbookofcross-culturalpsycholo2gy.2ndedition,Volume3.Boston:Allyn&Bacon,2000,16314.AaronsonNK,AhmedzaiS,BergmanB,etal.TheEuropeanOrganizationforResearchandTreatmentofCancerQLQ-C30:Aquality-of-lifeinstrumentforuseininternationalclinicaltrialsinoncology.JNatlCancerInst,1995,8536515.PsychometricanalysisoftheFunctionalAssessmentofCancerTherapy-General(FACT-G)scaleinaruralsample.Can2cer,2000,79244616.KemlerG,HolznerB,KoppM,etal.Comparisonoftwoquality-of-lifeinstrumentsforcancerpatients:theFunctionalAssessmentofCancerTherapy-GeneralandtheEuropeanOr2ganizationforResearchandTreatmentofCancerQualityofLifeQuestionnaire-C30.JClinOncol,1999,17293217.ClaraLMY,PhilM,RichardFielding,etal.Measuringqualityoflifeofchinesecancerpatients,Avalidationofthechineseversionofthefunctionalassessmentofcancertherapy-general(FACT-G)Scale.Cancer,2000,88171518...:,1999,22422719.,,,.FACT-L.,2000,9(3)109ONCOLOGYPROGRESS,Sept2004,Vol12,No152004925355©1995-2005TsinghuaTongfangOpticalDiscCo.,Ltd.Allrightsreserved.

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