Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
Department of Midwifery, Faculty of Nursing and Midwifery, Aging Research Institute, Physical Medicine and Rehabilitation Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Indian J Cancer. 2021 Jan-Mar;58(1):76-83. doi: 10.4103/ijc.IJC_750_18.
Quality of life is an important indicator for quality of care. This study aimed to determine the quality of life (QOL) and its predictors in Iranian women with breast cancer who undergo chemotherapy and radiotherapy to design effective interventions in improving patients' QOL.
The cross-sectional study was conducted on 190 women with breast cancer who were referred to oncology centers for chemotherapy and radiotherapy in Arak city, the central part of Iran. The participants were recruited utilizing convenience sampling method in a period from April to July 2018. Data were collected using demographic and disease characteristics questionnaires, QOL-Cancer30, QOL-Breast Cancer 23, Illness Perception Questionnaire, and Supportive Care Needs Survey - Short Form 34. Multivariate linear regression was used to analyze data.
The mean (standard deviation) score of cancer QOL was 57.1 (25.8). On the other hand, the mean (standard deviation) scores of the symptom and functional domains of breast cancer QOL were 43.3 (17.9) and 44.3 (21.7), respectively. Predictive variables for cancer QOL were spouse education, insurance coverage, type of surgery, type of treatment, supportive care needs, and illness perception. Predictive variables for the domain of symptoms of breast cancer QOL included spouse education, income, supportive care needs, and illness perception, while for the functional domain of breast cancer QOL, the predictive variables were the type of surgery, spouse age, supportive care needs, and illness perception.
Fulfilling supportive care needs, helping to understand the curative nature of cancer, as well as empowering complementary health insurances are among intervenable variables to improve QOL among women with breast cancer.
生活质量是护理质量的重要指标。本研究旨在确定接受化疗和放疗的伊朗乳腺癌女性的生活质量（QOL）及其预测因素，以便设计有效的干预措施来提高患者的 QOL。
本横断面研究于 2018 年 4 月至 7 月在伊朗中部城市阿拉克的肿瘤中心对 190 名接受化疗和放疗的乳腺癌女性进行，采用便利抽样法招募参与者。使用人口统计学和疾病特征问卷、癌症 30 项生活质量问卷、乳腺癌 23 项生活质量问卷、疾病感知问卷和简化版 34 项支持性护理需求问卷收集数据。采用多元线性回归分析数据。
癌症 QOL 的平均（标准差）评分为 57.1（25.8）。另一方面，乳腺癌 QOL 的症状和功能领域的平均（标准差）评分分别为 43.3（17.9）和 44.3（21.7）。癌症 QOL 的预测变量为配偶教育程度、保险覆盖范围、手术类型、治疗类型、支持性护理需求和疾病感知。乳腺癌 QOL 症状领域的预测变量包括配偶教育程度、收入、支持性护理需求和疾病感知，而乳腺癌 QOL 功能领域的预测变量包括手术类型、配偶年龄、支持性护理需求和疾病感知。
满足支持性护理需求、帮助理解癌症的治疗性质以及增强补充健康保险是改善乳腺癌女性生活质量的可干预变量。
