Gavric Zivana, Vukovic-Kostic Zivana
professor, Ph D MD, The Public Health Institute Republic of Srpska Banja Luka Jovan Ducic 1, 78000 Banja Luka.
Glob J Health Sci. 2016 Sep 1;8(9):52792. doi: 10.5539/gjhs.v8n9p1.
Breast cancer is the most common type of cancer among women in 145 countries worldwide, and the success of healthcare for women with this disease is measured with the quality of life of survivors. The aim of this study was to examine how the breast cancer affects the quality of life and in what dimension of health quality of life is the least accomplished.
A pilot research had been performed in the period from June 10 to August 15 2011, on 100 women from Association of women with breast cancer "Iskra" in Banja Luka, aged 20-75. The survey research was based on the EORTC QLQ-C30 version 3.0 and questionnaire for assessment of quality of life of those suffering from breast cancer QLQ-BR23 with 53 questions in total.
The average age of women in research was 51.8 years (±11.23). Statistically important differences (χ24=221.941; p<0.01) are higher mean values of the score for the functional scale, (66.32±17.82) cognitive functions (63.50 ±28.00) in relation to functional role (46.83 ±20.88), social (37.00 ±27.58) and emotional (36.58 ±25.15) functioning. Mean values of the score for the symptoms scale were statistically higher for symptoms such as fatigue, insomnia and pain in relation to other symptoms. Mean values of the score for body image scale are statistically higher in relation to mean values of the score of sexual functions and enjoyment scale, and the scale for grading the future perspectives.
Breast cancer affects all the domains of the quality of life, and in our population it is the most prominent in domains of emotional and social functions, as well as role functions. Symptoms of fatigue, insomnia and pain have the most importance influence on these domains.
乳腺癌是全球145个国家中女性最常见的癌症类型，对患有这种疾病的女性的医疗保健成效是以幸存者的生活质量来衡量的。本研究的目的是探讨乳腺癌如何影响生活质量，以及在健康生活质量的哪个维度上达成度最低。
2011年6月10日至8月15日期间，对巴尼亚卢卡乳腺癌患者协会“Iskra”的100名年龄在20 - 75岁的女性进行了一项试点研究。调查研究基于欧洲癌症研究与治疗组织（EORTC）QLQ - C30第3.0版以及用于评估乳腺癌患者生活质量的QLQ - BR23问卷，总共53个问题。
研究中女性的平均年龄为51.8岁（±11.23）。统计学上的显著差异（χ24 = 221.941；p < 0.01）表现为功能量表得分的平均值较高，认知功能（63.50 ± 28.00）相对于功能角色（46.83 ± 20.88）、社会功能（37.00 ± 27.58）和情感功能（36.58 ± 25.15）更高。症状量表得分的平均值在疲劳、失眠和疼痛等症状方面相对于其他症状在统计学上更高。身体形象量表得分的平均值相对于性功能和享受量表以及未来展望评分量表的平均值在统计学上更高。
乳腺癌影响生活质量的所有领域，在我们的研究人群中，在情感和社会功能以及角色功能领域最为突出。疲劳、失眠和疼痛症状对这些领域的影响最为重要。
