评估沙特乳腺癌相关淋巴水肿女性的生活质量和睡眠质量：一项横断面相关性研究。
Evaluating the Quality of Life and Sleep Quality in Saudi Women with Breast Cancer-Related Lymphedema: A Cross-Sectional Correlational Study.
机构信息
Department of Physics, College of Science, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.
Department of Radiology and Medical Imaging, College of Applied Medical Sciences, Prince Sattam bin Abdulaziz University, Al-Kharj, Saudi Arabia.
出版信息
Integr Cancer Ther. 2021 Jan-Dec;20:15347354211046192. doi: 10.1177/15347354211046192.
BACKGROUND
Among the different cancers found in women, breast cancer is the most common. Breast cancer-related lymphedema is a serious health complication affecting the quality of life and sleep quality. This study evaluates the quality of life and sleep quality among Saudi women with different stages of lymphedema following the treatment of breast cancer.
METHODS
This cross-sectional correlational study included 163 Saudi women with breast cancer-related lymphedema (Stages I-III), aged 28 to 56 years. From the patients identified for this study, women who suffered from mental and psychological dysfunctions or other malignant disorders were excluded. Copies of structured questionnaires were given to each participant during their visits to outpatient physiotherapy clinics. Quality of life was assessed using a valid questionnaire (EORTC QLQ-C30), while sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). The differences between the different lymphedema stages have been assessed.
RESULTS
Of the total number of participants 27 women had been diagnosed with stage I lymphedema, 84 women had been diagnosed with stage II lymphedema, and 52 women had been diagnosed with stage III lymphedema. All participants have shown low scores on both EORTC QLQ-C30 and PSQI. While analyzing the differences between the 3 stages of lymphedema with the Kruskal-Wallis test, noteworthy statistical differences between the 3 stages of lymphedema ( < .05) have been found. The Stage III lymphedema patients have been shown the lowest quality of life values in all scales when compared with the stage I and stage II lymphedema patients. For PSQI scores, the stage III lymphedema patients worse values than the stage I and stage II lymphedema patients ( < .05).
CONCLUSION AND RECOMMENDATIONS
Both quality of life and quality of sleep have significantly decreased in Saudi women with different stages of breast cancer-related lymphedema. Quality of life and quality of sleep are the worst in stage III lymphedema patients. Future research should consider repeat and enlarge these results as well as assess the risk factors that affect the quality of life and quality of sleep among Saudi women suffering from breast cancer-related lymphedema.
背景
在女性中所患的各种癌症中，乳腺癌最为常见。乳腺癌相关淋巴水肿是一种严重的健康并发症，会影响生活质量和睡眠质量。本研究评估了不同阶段乳腺癌相关淋巴水肿的沙特女性的生活质量和睡眠质量。
方法
本横断面相关性研究纳入了 163 名患有乳腺癌相关淋巴水肿（I-III 期）的沙特女性，年龄 28 至 56 岁。在本研究中，排除了患有精神心理功能障碍或其他恶性疾病的患者。在门诊物理治疗诊所就诊期间，为每位参与者提供了一份结构化问卷的副本。生活质量采用有效问卷（EORTC QLQ-C30）进行评估，睡眠质量采用匹兹堡睡眠质量指数（PSQI）进行评估。评估了不同淋巴水肿阶段之间的差异。
结果
在总参与者中，有 27 名女性被诊断为 I 期淋巴水肿，84 名女性被诊断为 II 期淋巴水肿，52 名女性被诊断为 III 期淋巴水肿。所有参与者在 EORTC QLQ-C30 和 PSQI 上的得分均较低。通过 Kruskal-Wallis 检验分析 3 个淋巴水肿阶段之间的差异，发现 3 个淋巴水肿阶段之间存在显著统计学差异（<0.05）。与 I 期和 II 期淋巴水肿患者相比，III 期淋巴水肿患者在所有量表上的生活质量值均最低。对于 PSQI 评分，III 期淋巴水肿患者的评分比 I 期和 II 期淋巴水肿患者更差（<0.05）。
结论和建议
患有不同阶段乳腺癌相关淋巴水肿的沙特女性的生活质量和睡眠质量均明显下降。III 期淋巴水肿患者的生活质量和睡眠质量最差。未来的研究应考虑重复和扩大这些结果，并评估影响沙特女性乳腺癌相关淋巴水肿生活质量和睡眠质量的风险因素。
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