Department of Clinical Service, Division of Cancer Medicine, Oslo University Hospital, Oslo, Norway.
The Norwegian University of Life Sciences, Ås, Norway.
Acta Obstet Gynecol Scand. 2022 Mar;101(3):313-322. doi: 10.1111/aogs.14310. Epub 2021 Dec 29.
The prevalence of distress, problems and need for rehabilitation among women treated for gynecological cancer is largely unknown. The aims of this study were to examine the prevalence of distress, problems and unmet rehabilitation needs in the first years after treatment for gynecological cancer.
Women treated for gynecological cancer within the last 2 years were invited. Participants responded to the National Comprehensive Cancer Network Distress Thermometer and Problem List measuring distress and problems. They also answered a questionnaire regarding physical endurance, muscle strength, and need for rehabilitation services.
Of 114 eligible women, 92 (81%) agreed to participate. Mean time since last treatment was 7.6 months (range 0-24.5 months). A total of 57% of the participants reported distress. The four most common problems reported were fatigue (58%), tingling in hands/feet (54%), worry (53%), and problems with memory/concentration (50%). Problems associated with distress were: dealing with partner, all emotional problems (i.e. depression, fears, nervousness, sadness, worry, and loss of interest in usual activities), appearance, memory/concentration, pain, sex, sleep, and problems with physical endurance and muscle strength. Fifty-two percent reported unmet needs for rehabilitation services. Women with distress reported more unmet rehabilitation needs than those in the non-distressed group.
The prevalence of distress in this population of women treated for gynecological cancer was high. Having a high number of problems and having unmet needs for rehabilitation services were both associated with distress. Hence, measurement of distress seems to be helpful when assessing the need for rehabilitation services.
接受妇科癌症治疗的女性中，困扰、问题和康复需求的普遍程度尚不清楚。本研究旨在调查妇科癌症治疗后最初几年困扰、问题和未满足的康复需求的发生率。
邀请了在过去 2 年内接受妇科癌症治疗的女性参与。参与者需回答国家综合癌症网络困扰温度计和问题清单，以评估困扰和问题。他们还回答了一份关于身体耐力、肌肉力量和康复服务需求的问卷。
在 114 名符合条件的女性中，92 名（81%）同意参与。从上次治疗结束到研究开始的平均时间为 7.6 个月（范围 0-24.5 个月）。共有 57%的参与者报告存在困扰。报告的最常见问题有疲劳（58%）、手脚麻木（54%）、担忧（53%）和记忆力/注意力问题（50%）。与困扰相关的问题包括：与伴侣相处、所有情绪问题（即抑郁、恐惧、紧张、悲伤、担忧和对日常活动失去兴趣）、外表、记忆力/注意力、疼痛、性生活、睡眠以及身体耐力和肌肉力量问题。52%的参与者报告存在未满足的康复服务需求。存在困扰的女性报告未满足的康复服务需求比无困扰的女性更多。
接受妇科癌症治疗的女性中，困扰的发生率较高。存在较多问题和未满足的康复服务需求均与困扰相关。因此，在评估康复服务需求时，评估困扰似乎是有帮助的。
