The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.
Psychooncology. 2019 Feb;28(2):324-328. doi: 10.1002/pon.4943. Epub 2018 Dec 3.
Previous research has documented the negative impact of cancer treatment on body image and health-related quality of life among survivors, and the positive relationship between those factors. However, existing evidence is mainly based on Western studies of female survivors, and there is thus a huge knowledge gap in research on non-Western cancer survivors.
The aim of the study was to assess body image and health-related quality of life, and explore their relationship, among Chinese cancer survivors during transitional survivorship.
Chinese cancer survivors with various diagnoses at the oncology outpatient clinic of a regional hospital in Hong Kong were invited to complete a self-reported survey on socio-demographic and clinical data, the instrument of Quality of Life in Adult Cancer Survivors and Body Image Scale.
A convenience sample of 402 Chinese cancer survivors was recruited, with a mean age of 54.4 years, the majority female (70.4%). In general, participants reported satisfactory body image but only fair health-related quality of life. Hierarchical multiple regression showed that body image was independently associated with both generic and cancer-specific health-related quality of life after controlling for socio-demographic and clinical characteristics (B = 9.572, P < 0.001; B = 5.165, P < 0.001).
Addressing body image may be an effective approach to enhancing Chinese cancer survivors' health-related quality of life during their transitional survivorship. Since there is a lack of attention given to body image in local clinical settings, early assessment and appropriate interventions should be considered.
先前的研究记录了癌症治疗对幸存者身体意象和健康相关生活质量的负面影响，以及这些因素之间的正相关关系。然而，现有证据主要基于西方女性幸存者的研究，因此在非西方癌症幸存者的研究中存在巨大的知识空白。
本研究旨在评估中国癌症幸存者在过渡性生存期间的身体意象和健康相关生活质量，并探讨它们之间的关系。
本研究邀请了香港一家地区医院肿瘤科门诊的各种诊断的中国癌症幸存者完成一份关于社会人口统计学和临床数据、癌症幸存者生活质量量表和身体意象量表的自我报告调查。
本研究共招募了 402 名中国癌症幸存者的便利样本，平均年龄为 54.4 岁，大多数为女性（70.4%）。总体而言，参与者报告了满意的身体意象，但只有一般的健康相关生活质量。分层多元回归显示，在控制社会人口统计学和临床特征后，身体意象与一般和癌症特异性健康相关生活质量独立相关（B=9.572，P<0.001；B=5.165，P<0.001）。
解决身体意象问题可能是提高中国癌症幸存者过渡性生存期间健康相关生活质量的有效方法。由于当地临床环境中对身体意象的关注不足，应考虑早期评估和适当的干预措施。
