Universidade Federal do Rio Grande do Sul (UFRGS), School of Dentistry, Department of Surgery and Orthopedics, Porto Alegre, RS, Brazil.
Universidade Federal de Santa Maria (UFSM), School of Dentistry, Department of Stomatology, Santa Maria, RS, Brazil.
Braz Oral Res. 2020 Feb 7;34:e009. doi: 10.1590/1807-3107bor-2020.vol34.0009. eCollection 2020.
The sense of coherence (SOC) is a measure of global orientation regarding the ability of individuals to cope with stressful situations. The aim of the present study was to evaluate the association between SOC and quality of life (QoL) and clinical and sociodemographic characteristics among survivors of oral, oropharynx, hypopharynx, or larynx cancer. A cross-sectional study was conducted with 90 cancer patients in follow up at the Santa Maria University Hospital in southern Brazil who had completed conformal 3D radiotherapy at least three months earlier. QoL was assessed using the University of Washington Quality of Life (UW-QOL) questionnaire and SOC was measured using the Brazilian version of the SOC-13 questionnaire. Data on socio-demographic characteristics and the disease were obtained from patients' charts. Oral clinical conditions were also evaluated. Associations between exploratory variables and mean UW-QOL scores were evaluated through Poisson regression and the results were presented as rate ratios (RR) and 95% confidence intervals (CI). The mean overall UW-QOL score was 67.90 (± 18.71). Moderate and high SOC scores were associated with higher mean UW-QOL scores, that is, individuals with a stronger SOC demonstrated better QoL, (p < 0.05). Regarding the clinical variables, individuals with advanced stage cancer and those with hyposalivation and trismus had poorer QoL (p < 0.05). Patients with a greater SOC reported a better quality of life. Our findings show the importance of focusing on psychosocial factors, which can alleviate the impact caused by the disease and improve the QoL of these patients.
应对韧性（SOC）是衡量个体应对压力情境能力的整体取向指标。本研究旨在评估 SOC 与生活质量（QoL）以及口腔、口咽、下咽或喉癌幸存者的临床和社会人口统计学特征之间的关联。这是一项横断面研究，共纳入了 90 名在巴西南部圣玛丽亚大学医院接受随访的癌症患者，这些患者在至少三个月前完成了适形 3D 放疗。使用华盛顿大学生活质量（UW-QOL）问卷评估 QoL，使用巴西版 SOC-13 问卷评估 SOC。从患者病历中获取社会人口统计学特征和疾病相关数据。还评估了口腔临床状况。通过泊松回归评估探索性变量与平均 UW-QOL 评分之间的关联，并以比率比（RR）和 95%置信区间（CI）表示结果。平均总体 UW-QOL 评分为 67.90（±18.71）。中度和高度 SOC 评分与较高的平均 UW-QOL 评分相关，即 SOC 较强的个体表现出更好的 QoL（p < 0.05）。关于临床变量，癌症晚期患者以及唾液分泌减少和牙关紧闭的患者 QoL 更差（p < 0.05）。 SOC 较高的患者报告生活质量更好。我们的研究结果表明关注社会心理因素的重要性，这可以减轻疾病带来的影响，提高这些患者的生活质量。
