Alabbas Faisal F, Al-Otaibi Ssakher M, Pasha Majed H Chamsi, Alghamdi Abdullah M, Al-Hindi Hisham M, Al-Ahwal Mahmoud S, El-Deek Basem S
King Abdulaziz University (KAU), Jeddah, Saudi Arabia.
Faculty of Medicine, King Abdulaziz University (KAU), Jeddah, Saudi Arabia.
J Cancer Educ. 2016 Jun;31(2):221-7. doi: 10.1007/s13187-015-0839-7.
Colorectal cancer (CRC) is common worldwide. The high prevalence of the disease raises concerns about how CRC influences the health-related quality of life (QoL). To explore the impact of physiological symptoms and complications of CRC on patients' QoL, we conducted a cross-sectional survey using the FACT-C self-report instrument. The chi-square test was used to compare qualitative data. We found that pain was reported by most of the patients (n = 31; 77.5 %). Furthermore, male patients were more likely to complain of pain "mostly" as compared with females (P = .032). We found no significant differences between genders regarding general health-related questions. A greater proportion of male patients often complained of abdominal cramps (P = .542), weight loss (P = .086), and diarrhea (P = .408). More than half of the patients (n = 26; 65 %) reported having a good appetite; a greater proportion of males reported having a good appetite "mostly" (P = .014). Social and psychological qualities of life were not significantly different between male and female patients. Male and female patients did not differ in their report of disease acceptance (P = .420) and ability to enjoy life (P = .744). No difference was also found between genders regarding contentment with QoL (P = .793) or ability to sleep well (P = .695). Furthermore, there were no differences between genders regarding job fulfillment (P = .272). Our results add to the growing body of knowledge about the effect of CRC on QoL. Importantly, the differences in self-reported pain and appetite between male and female patients in our study suggest the importance of gender-based treatments in improving patients' QoL.
结直肠癌(CRC)在全球范围内都很常见。该疾病的高发病率引发了人们对CRC如何影响健康相关生活质量(QoL)的担忧。为了探究CRC的生理症状和并发症对患者QoL的影响,我们使用FACT-C自我报告工具进行了一项横断面调查。采用卡方检验比较定性数据。我们发现大多数患者(n = 31;77.5%)报告有疼痛。此外,与女性相比,男性患者“大多”更有可能抱怨疼痛(P = 0.032)。我们发现,在与一般健康相关的问题上,性别之间没有显著差异。更大比例的男性患者经常抱怨腹部绞痛(P = 0.542)、体重减轻(P = 0.086)和腹泻(P = 0.408)。超过一半的患者(n = 26;65%)报告食欲良好;更大比例的男性报告“大多”食欲良好(P = 0.014)。男性和女性患者在生活的社会和心理品质方面没有显著差异。男性和女性患者在疾病接受度(P = 0.420)和享受生活能力(P = 0.744)的报告上没有差异。在对QoL的满意度(P = 0.793)或睡眠良好能力(P = 0.695)方面,性别之间也没有差异。此外,在工作满意度方面,性别之间没有差异(P = 0.272)。我们的研究结果增加了关于CRC对QoL影响的知识体系。重要的是,我们研究中男性和女性患者在自我报告的疼痛和食欲方面的差异表明了基于性别的治疗在改善患者QoL方面的重要性。