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沙特癌症儿童健康相关生活质量评估

Assessment of Health-related Quality of Life in Saudi Children with Cancer.

作者信息

Alabbas Fahad, Elyamany Ghaleb, Alkhayat Nawaf, AlShahrani Mohammad, Ibrahim Walid, Elborai Yasser, Binhassan Amal, Hamzi Hasna, Al Thibani Nour, Alakel Sami, Alsharif Faisal, Alsuhaibani Omar, Alsharif Omar

机构信息

Department of Pediatric Hematology/Oncology and Bone Marrow Transplant, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.

Department of Central Military Laboratory and Blood Bank, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.

出版信息

Health Serv Insights. 2021 Jul 6;14:11786329211029351. doi: 10.1177/11786329211029351. eCollection 2021.

Abstract

Advances in pediatric cancer treatment and dramatic improvement in long-term survival have made health-related quality of life (HRQOL) a priority. This study describes the HRQOL of Saudi children on cancer treatment, given the paucity of data on the subject. Parents of children undergoing cancer treatment between the ages of 2 and 12 years enrolled to answer the Arabic version of the parent proxy report PedsQL™ 3.0 cancer module. The module items were reverse-scored to a linear scale from 0 to 100, in which higher scores indicated a better HRQOL. Of the 95 study participants, 61 (64.2%) were hematological malignancies and 34 (35.8%) solid malignancies. The mean score of our sample's total HRQOL was 72.3, which is in line with the results of similar studies worldwide. The lowest scores were observed for procedural anxiety (60.14), perceived physical appearance (67.37), and treatment anxiety (67.58), while the highest were for communication (80.21), nausea (78.32), and cognitive problems (78.32). Significant associations were reported between the patients aged younger than 5 years and procedural anxiety, those aged 5 years or older and perceived physical appearance, and frequent hospital visits and worry. Healthcare professionals should consider the poor HRQOL sub-scales and their associated risks to improve treatment outcomes.

摘要

儿科癌症治疗的进展以及长期生存率的显著提高,使得与健康相关的生活质量(HRQOL)成为一个优先事项。鉴于关于该主题的数据匮乏,本研究描述了接受癌症治疗的沙特儿童的HRQOL。年龄在2至12岁之间正在接受癌症治疗的儿童的父母登记回答了家长代理报告PedsQL™ 3.0癌症模块的阿拉伯语版本。该模块项目被反向计分至0至100的线性量表,其中分数越高表明HRQOL越好。在95名研究参与者中,61名(64.2%)为血液系统恶性肿瘤,34名(35.8%)为实体恶性肿瘤。我们样本的总HRQOL平均分数为72.3,这与全球类似研究的结果一致。在程序焦虑(60.14)、自我认知的外貌(67.37)和治疗焦虑(67.58)方面观察到最低分数,而在沟通(80.21)、恶心(78.32)和认知问题(78.32)方面分数最高。报告显示,5岁以下患者与程序焦虑、5岁及以上患者与自我认知的外貌以及频繁住院就诊与担忧之间存在显著关联。医疗保健专业人员应考虑HRQOL较差的子量表及其相关风险,以改善治疗结果。

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