Study on the influencing factors of quality of life of patients with gastrointestinal cancer in community and the influence of patients'self-infusion on quality of life
Wang Cong
Zhang Jinjia
Zhang Yali
Zhao Zhiru
Xing Xiaoying
Zhao Wenwen
Wang Rongying
Abstract：Objective To explore the influencing factors of quality of life of patients with gastrointestinal cancer in community and analyze the influence of patients'self-infusion on quality of life.Methods From January 2021 to January 2022,convenience sampling was used to select patients with gastrointestinal malignant tumors recorded in 5 community health service centers in Shijiazhuang,Hebei Province and diagnosed with esophageal cancer,gastric cancer and colorectal cancer in the Chinese Cancer Registry Information System as the research objects.The European organization for research and treatment of cancer quality of life questionnaire(EORTC QLQ-C30),self-infusion attention scale(SFAS)and self-designed general information questionnaire were used to investigate their quality of life and self-commitment.Results A total of 190 patients with gastrointestinal cancer were investigated in this study,and 185 valid questionnaires were collected,with an effective recovery rate of 97.4％.The survey of quality of life measurement scale showed that the total health status score of patients with gastrointestinal cancer in the community was(50.7±18.3),the highest score of cognitive function was(87.1±13.4),the lowest score of social function was(69.8±23.8),and the highest score of fatigue was 33.3(33.3,55.6).The SFAS survey showed that the total score of self-infusion of patients with gastrointestinal cancer in the community was(59.2±10.2).Spearman correlation analysis showed that the score of self-infusion was negatively correlated with the total health status score and the scores of physical,role,cognitive,emotional and social function in the functional domain,and positively correlated with the scores of fatigue,nausea and vomiting in the symptom domain and the scores of appetite loss and economic difficulty in the single item(all P＜0.05).The results of multiple linear regression analysis showed that marital status,education level,main caregiver,family monthly income and self-infusion were the influencing factors of the total health status of patients with digestive tract malignant tumors in the community(all P＜0.05).The receiver operating characteristic curve showed that the area under the curve of self-infusion score predicting the total health status score of patients was 0.716(95％confidence interval:0.642-0.789),the sensitivity was 61.9％,and the specificity was 73.6％.Conclusions The quality of life of patients with gastrointestinal cancer in the community is affected by many factors such as marital status,education level,main caregivers and so on.The self-infusion status is closely related to the quality of life of patients with gastroin-testinal cancer in the community,and has a certain predictive effect on the quality of life.
Keywords：Malignant tumors of the digestive tractCancer patients in the communitySelf-infusion attentionQuality of lifeInfluencing factors
Publication Date：2024-10-08
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：5( 1485-1489 )