Research Unit, Hospital Costa del Sol, Marbella, Spain.
School of Education Science, University of Málaga, Málaga, Spain.
Support Care Cancer. 2019 Apr;27(4):1279-1286. doi: 10.1007/s00520-018-4612-4. Epub 2019 Jan 4.
Breast cancer is one of the most common diseases, affecting many thousands of women. Although more than 80% of women survive the experience, very few studies have been conducted to examine the question of resilience among long-term survivors of breast cancer. The aim of this study is to describe the clinical and sociodemographic factors that correlate with greater resilience in women survivors of breast cancer, in the Costa del Sol Health Area (Spain).
Accordingly, a descriptive cross-sectional study was conducted, with respect to 59 survivors of breast cancer, who each completed a questionnaire for analysis according to the Connor-Davidson Resilience Scale (CD-RISC).
The median resilience score was 77 (interquartile range 70-80). The group of patients who had survived for six or more years since the diagnosis had a higher score for total resilience (90: IR 76-92) than those diagnosed more recently (74: IR 65.7-83.7) (p = 0.012). Regarding the patients' education background, the group with no formal qualifications or only primary studies had a score of 72 (IR 64-84), versus 79 (IR 74-89.7) for the group with higher levels of education (p = 0.016). Of the clinical variables, only the administration of chemotherapy was significantly associated with the score obtained on the CD-RISC scale (p = 0.012).
The results obtained in this study lead us to conclude that sociodemographic and clinical factors have a positive impact on the level of resilience among women resident in the Costa del Sol Health Area and who are long-term survivors of breast cancer.
乳腺癌是最常见的疾病之一,影响了成千上万的女性。尽管超过 80%的女性在经历后存活下来,但很少有研究探讨乳腺癌长期幸存者的韧性问题。本研究旨在描述与科斯塔德尔索尔卫生区(西班牙)乳腺癌女性幸存者的韧性更高相关的临床和社会人口统计学因素。
因此,进行了一项描述性的横断面研究,涉及 59 名乳腺癌幸存者,他们每人都根据 Connor-Davidson 韧性量表(CD-RISC)完成了一份问卷进行分析。
中位数韧性评分为 77(四分位距 70-80)。诊断后生存 6 年或以上的患者总体韧性评分较高(90:IR 76-92),而最近诊断的患者评分较低(74:IR 65.7-83.7)(p=0.012)。关于患者的教育背景,没有正规学历或只有小学学历的患者组评分为 72(IR 64-84),而教育程度较高的患者组评分为 79(IR 74-89.7)(p=0.016)。在临床变量中,只有化疗的应用与 CD-RISC 量表上的得分显著相关(p=0.012)。
本研究的结果得出结论,社会人口统计学和临床因素对居住在科斯塔德尔索尔卫生区并长期生存的乳腺癌女性的韧性水平有积极影响。