Graduate School of Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan.
Jpn J Clin Oncol. 2011 Sep;41(9):1112-8. doi: 10.1093/jjco/hyr104. Epub 2011 Aug 4.
To evaluate the degrees of role accomplishment, the importance of and satisfaction with roles, and to assess their relationships with mental states and role functional quality of life, in breast cancer patients receiving treatment on an outpatient basis.
The study was designed as a cross-sectional study. Thirty patients with primary breast cancer were evaluated using the Self-Rating Frenchay Activities Index, the Role Checklist, the Profile of Mood States and the Medical Outcome Study Short-Form 36-Item Health Survey. Spearman's rank correlation coefficients were used to analyze the relationships between each role-related item and each Profile of Mood States and Short-Form 36 subscale.
A higher number of roles played was positively associated with the score for Vigor but was negatively associated with the score for physical quality of life. A higher degree of the importance of roles was negatively correlated with the score for Confusion and positively correlated with the score for mental quality of life. A higher degree of satisfaction with roles was negatively correlated with depression, tension-anxiety, confusion and the total mood disturbances score, and was positively correlated with both the physical and negative quality of life scores. No significant correlations were apparent between the degrees of role accomplishment (Self-Rating Frenchay Activities Index scores) and the Profile of Mood States and Short-Form 36 scores.
The results indicated that qualitative and subjective factors (i.e. the degrees of importance of and satisfaction with roles) are associated more closely with emotional states and role functional quality of life in breast cancer outpatients than quantitative and objective factors (i.e. degree of role accomplishment and the number of roles).
评估接受门诊治疗的乳腺癌患者的角色完成程度、角色重要性和满意度，并探讨它们与心理状态和角色功能健康相关生活质量的关系。
本研究为横断面研究。采用自评 Frenchay 活动指数、角色清单、心境状态问卷和医疗结局研究 36 项简明健康调查问卷对 30 例原发性乳腺癌患者进行评估。采用 Spearman 秩相关系数分析各角色相关项目与各心境状态和 36 项简明健康调查问卷子量表之间的关系。
所扮演的角色越多与精力评分呈正相关，与生理健康相关生活质量评分呈负相关。角色重要性程度越高与困惑评分呈负相关，与心理健康相关生活质量评分呈正相关。对角色的满意度越高与抑郁、紧张-焦虑、困惑和总心境障碍评分呈负相关，与生理和负性健康相关生活质量评分呈正相关。角色完成程度（自评 Frenchay 活动指数评分）与心境状态和 36 评分之间无显著相关性。
研究结果表明，定性和主观因素（即角色的重要性和满意度）与乳腺癌门诊患者的情绪状态和角色功能健康相关生活质量的关系更为密切，而定量和客观因素（即角色完成程度和所扮演的角色数量）则不然。
