Sharma Neelam, Purkayastha Abhishek
Department of Radiation Oncology, Army Hospital (Research and Referral), New Delhi, India.
J Midlife Health. 2017 Apr-Jun;8(2):75-83. doi: 10.4103/jmh.JMH_15_17.
This descriptive and cross-sectional study was undertaken to determine the factors affecting quality of life (QOL) in breast cancer patients.
We collected data from 60 patients of carcinoma breast post modified radical mastectomy on radiotherapy in a tertiary care hospital. We included volunteered patients with a signed informed consent and at least 70 Karnofsky Performance Scale points. The data was gathered by interview technique using EORTC QLQ-C30 and QLQ-BR23 (Breast Cancer Module).
The mean age at presentation was 47.6 years (range 30-75 years).75% patients were of low socio-economic status and 63.3% belonged to rural areas. Younger Women in the age group of 30-39 years had faired worst on physical, social and emotional scores as compared to older women in the age group of 70-79 years. Other factors which affected Quality of Life of patients during treatment were stage of disease at presentation, performance score of the patients, socioeconomic status of disease at follow up.
Age, Education status, Performance Score, Stage of disease at presentation and status of disease at last follow up are few factors which significantly affects QOL in Carcinoma breast patients though the treatment remains same. Advanced studies on individual quality of life factors affecting cancer would empower physicians for better personal care techniques and patients for easily overcoming the disease.
开展这项描述性横断面研究以确定影响乳腺癌患者生活质量(QOL)的因素。
我们在一家三级护理医院收集了60例接受改良根治性乳房切除术后放疗的乳腺癌患者的数据。我们纳入了签署知情同意书且卡氏功能状态评分至少为70分的自愿参与患者。数据通过访谈技术使用欧洲癌症研究与治疗组织生活质量核心问卷(EORTC QLQ-C30)和乳腺癌模块问卷(QLQ-BR23)收集。
就诊时的平均年龄为47.6岁(范围30 - 75岁)。75%的患者社会经济地位较低,63.3%来自农村地区。与70 - 79岁年龄组的老年女性相比,30 - 39岁年龄组的年轻女性在身体、社会和情感评分方面表现最差。治疗期间影响患者生活质量的其他因素包括就诊时的疾病分期、患者的功能状态评分、随访时的疾病社会经济状况。
尽管治疗方式相同,但年龄、教育状况、功能状态评分、就诊时的疾病分期以及最后随访时的疾病状况是显著影响乳腺癌患者生活质量的几个因素。针对影响癌症患者个体生活质量因素的进一步研究将使医生能够采用更好的个人护理技术,并使患者更容易战胜疾病。