Almutairi K M, Alhelih E, Al-Ajlan A S, Vinluan J M
Department of Community Health Science, College of Applied Medical Science, King Saud University, Riyadh, Saudi Arabia.
Medical Surgical Department, College of Nursing, King Saud University, Riyadh, Saudi Arabia.
Clin Transl Oncol. 2016 Feb;18(2):144-52. doi: 10.1007/s12094-015-1346-3. Epub 2015 Jul 22.
In this cross-sectional study, we aimed to describe the quality of life of Saudi colorectal cancer (CRC) patients and identify the factors that may further improve health care for CRC survivors in Saudi Arabia (KSA).
A total of 106 CRC patients from five different private and public tertiary level hospitals in Saudi Arabia participated in this study. CRC patient was interviewed by a trained researcher between September and December 2014. All respondents answered a three-part questionnaire which includes demographic data and a validated Arabic version of the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life.
Participants had a mean score for global health of 67.1 (95 % CI 62.55-71.71). Among the five scales of quality of life, social functioning and functional scales of CRC patients scored the highest [Mean 83.49 (95 % CI 78.64-86.33)] while the lowest scored was emotional scales [66.9 (95 % CI 61.81-71.98)]. Insomnia was considered the most distressing symptom on the symptom scales. Using the disease-specific tool, it was found that sexual interest scored the highest. On the symptom scale, dissatisfaction with stoma care problems scored the highest.
Factors associated with a major reduction in all domains of quality of life included employment status and tumor location. This study identifies the factors and issues that affect the quality of life of CRC patients in KSA. Addressing these factors and issues may lessen the burden of cancer survivors in the KSA or may prolong their survival.
在这项横断面研究中,我们旨在描述沙特结直肠癌(CRC)患者的生活质量,并确定可能进一步改善沙特阿拉伯(KSA)CRC幸存者医疗保健的因素。
来自沙特阿拉伯五家不同私立和公立三级医院的106名CRC患者参与了本研究。2014年9月至12月期间,一名经过培训的研究人员对CRC患者进行了访谈。所有受访者都回答了一份由三部分组成的问卷,其中包括人口统计学数据以及经过验证的欧洲癌症研究与治疗组织(EORTC)生活质量阿拉伯语版本。
参与者的总体健康平均得分为67.1(95%CI 62.55 - 71.71)。在生活质量的五个维度中,CRC患者的社会功能和功能维度得分最高[平均83.49(95%CI 78.64 - 86.33)],而得分最低的是情感维度[66.9(95%CI 61.81 - 71.98)]。在症状维度中,失眠被认为是最令人苦恼的症状。使用特定疾病工具发现,性兴趣得分最高。在症状维度上,对造口护理问题的不满得分最高。
与生活质量所有领域大幅下降相关的因素包括就业状况和肿瘤位置。本研究确定了影响KSA地区CRC患者生活质量的因素和问题。解决这些因素和问题可能会减轻KSA地区癌症幸存者的负担,或可能延长他们的生存期。