Chua Gek Phin, Ng Quan Sing, Tan Hiang Khoon, Ong Whee Sze
Cancer Education and Information Service (Research and Data), National Cancer Centre Singapore, Singapore.
Division of Medical Oncology, National Cancer Centre Singapore, Singapore.
Asia Pac J Oncol Nurs. 2020 Sep 14;7(4):319-327. doi: 10.4103/apjon.apjon_26_20. eCollection 2020 Oct-Dec.
Breast cancer is the most common cancer in women across all ethnicities, accounting for almost one in three incident cancers in female, and the leading cause of mortality in Singapore. Literature reveals that survivors of breast cancer have many concerns, and these concerns can linger on for decades. The primary aim of this secondary analysis was to establish the concerns of breast cancer survivors and use the data to inform practice.
The present report was part of a bigger data designed to evaluate the concerns of cancer survivors (top six cancers) across the survivorship trajectory. Data of 438 breast cancer survivors were derived from a cross-sectional survey of the self-reported concerns of 1107 cancer survivors, using the questionnaire adopted from the Mayo Clinic Cancer Centre's Cancer Survivors Survey of Needs. Logistic regression models were fitted to estimate the odds ratios to assess the association of various variables with the presence of ≥1 concerned or very concerned issue among patients. Linear regression models were fitted to identify the variables associated with quality of life (QOL).
A total of 438 breast cancer survivors responded to this survey. The top five concerns were cancer treatment and recurrence risk (55.5%), followed by fear of recurrence (FOR) (54.6%), long-term effects of treatment (53.4%), osteoporosis/bone health (39.0%), and keeping primary care physicians informed (37.4%). Cancer treatment and recurrence risk, FOR, and long-term treatment effects were among the top concerns across the survivorship trajectory. The mean QOL was 7.5 on a scale of 0-10.
Irrespective of the cancer trajectory, survivors of breast cancer have serious concerns that warrant attention. Designing patient care delivery that addresses these concerns identified is critical in assisting them in their coping process and enhancing their QOL.
乳腺癌是所有种族女性中最常见的癌症，几乎占女性新发癌症的三分之一，也是新加坡女性死亡的主要原因。文献表明，乳腺癌幸存者有诸多担忧，且这些担忧可能会持续数十年。本次二次分析的主要目的是确定乳腺癌幸存者的担忧，并利用这些数据为实践提供参考。
本报告是一项更大规模数据研究的一部分，该研究旨在评估癌症幸存者（六种最常见癌症）在整个生存轨迹中的担忧。438名乳腺癌幸存者的数据来自对1107名癌症幸存者自我报告担忧情况的横断面调查，采用的问卷来自梅奥诊所癌症中心的癌症幸存者需求调查。采用逻辑回归模型来估计比值比，以评估各种变量与患者中存在≥1个担忧或非常担忧问题之间的关联。采用线性回归模型来确定与生活质量（QOL）相关的变量。
共有438名乳腺癌幸存者参与了本次调查。排在前五位的担忧分别是癌症治疗和复发风险（55.5%），其次是对复发的恐惧（54.6%）、治疗的长期影响（53.4%）、骨质疏松症/骨骼健康（39.0%）以及让初级保健医生了解情况（37.4%）。癌症治疗和复发风险、对复发的恐惧以及治疗的长期影响是整个生存轨迹中最主要的担忧。生活质量的平均评分为7.（满分0 - 10分）
无论癌症发展轨迹如何，乳腺癌幸存者都有一些值得关注的严重担忧。设计能够解决这些已确定担忧的患者护理方案，对于帮助他们应对疾病过程并提高生活质量至关重要。 5分
