Đánh giá thực trạng và một số yếu tố ảnh hưởng chất lượng cuộc sống ở người bệnh ung thư gan điều trị ngoại trú tại Bệnh viện Trung ương Quân đội 108, năm 2022

Abstract

Objective: To evaluate status and factors influencing on health-related quality of life (HRQoL) in outpatients with hepatocellular carcinoma (HCC) at 108 Military Central Hospital, 2022. Subject and method: A cross-sectional descriptive-analytic case-control study of 166 outpatients with HCC and 51 healthy > 18 years old. Assessing HRQoL by using the EQ-5D-5L and VAS health scale for Vietnamese people. Result: Mean age (61.43 ± 11.50), male rate (92.77%), Child-Pugh A (91.5%) and stage 3 of BCLC (59.64%). The patient's EQ-5D-5L and VAS scores were reduced more significantly than those of control group (p=0.000). Factors were to reduce HRQoL included: Older age (p=0.000), singleness (p=0.000), low education status (p=0.026 and p=0.046), poor income (p=0.008 and 0.018), longer duration of disease (p=0.027 and 0.03), longer duration of disease (p=0.006 and 0.004), Child-Pugh B (p=0.003 and 0.001) severe stage of disease (p=0.000); comorbidities: Cardiovascular (p=0.016 and 0.009), respiratory (p=0.024 and 0.02), cirrhosis (p=0.033 and 0.01). Conclusion: HRQoL of patients with HCC was poor. Older age, singleness, low education level, poor income, longer duration of disease and treatment, stage of disease and comorbidities reduced the HRQoL.