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在尼日利亚埃基提州的一家三级医疗机构中,接受不同治疗的癌症患者的生活质量和生活方式改变的感知。

Perceived quality of life and life style modification of cancer patients undergoing varied treatments in a tertiary health institution, Ekiti State, Nigeria.

机构信息

Department of Nursing Science, College of Medicine and Health Sciences, Afe Babalola University, Ado-Ekiti, Nigeria.

Department of Public Health, School of Basic Medical Sciences, Community Health Unit, Kwara State University, Malete, Nigeria.

出版信息

Pan Afr Med J. 2021 Dec 16;40:227. doi: 10.11604/pamj.2021.40.227.27454. eCollection 2021.

DOI:10.11604/pamj.2021.40.227.27454
PMID:35145589
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8797037/
Abstract

INTRODUCTION

cancer is viewed in the African context as a death sentence. Its effect can be overwhelming to both the patient and their support system. The objective of the study was to assess the perceived quality of life of cancer patients undergoing varied cancer treatments in a tertiary health institution in Ekiti State and to determine the life style modification of cancer patients undergoing varied treatments in the same health facility.

METHODS

the study employed a descriptive cross-sectional design. A consecutive sampling approach was utilized to select 80 respondents among the cancer patients who attended the cancer registry within the study time frame. Data was collected from these cancer patients by using structured and validated questionnaire. Data was analyzed using descriptive statistics and inferential statistics with level of significance set at p < 0.05.

RESULTS

respondent´s ages ranged from 20 - 61 years with a mean age of 50 ± 18.3 years. Only 7.8% are not dependent on medications to function in their daily life. Most of the participants reported that their sex life has been affected (61.1%) and 77% of the respondents reported fatigue. About 76% of respondents need varying measure of medical treatment to function in their daily life. Overall, 44.8% have poor quality of life, while 55.1% had good quality of life in this current study. Moreover, a significant relationship was found between quality of life and self-assessment of patient´s health (p < 0.001). Multivariate analysis predicting factors affecting quality of life of respondents revealed that self-assessment of respondents (AOR: 3.389; 95% CI: 1.897-6.054) remained a significant and more likely predictor of quality of life while respondent´s age (AOR: 0.244; 95% CI: 0.068-0.876) and level of education (AOR: 0.054; 95% CI: 0.005-0.546) were less likely predictors.

CONCLUSION

one quarter of the participants have poor life and majority of the participants need varying measure of medical treatment to function in their day to day life. Management of cancer patients should be geared towards improving/ameliorating symptoms and improving quality of life of cancer patients.

摘要

简介

在非洲背景下,癌症被视为死刑。它对患者及其支持系统的影响可能是压倒性的。本研究的目的是评估在埃基提州一家三级医疗机构接受不同癌症治疗的癌症患者的生活质量感知,并确定在同一医疗机构接受不同治疗的癌症患者的生活方式改变。

方法

本研究采用描述性横断面设计。采用连续抽样方法,在研究时间段内从癌症登记处选择 80 名癌症患者作为研究对象。使用结构化和经过验证的问卷从这些癌症患者中收集数据。使用描述性统计和推断性统计进行数据分析,显著性水平设为 p < 0.05。

结果

受访者的年龄在 20-61 岁之间,平均年龄为 50 ± 18.3 岁。只有 7.8%的人不需要药物来维持日常生活。大多数参与者报告说他们的性生活受到了影响(61.1%),77%的参与者报告疲劳。大约 76%的受访者需要不同程度的医疗来维持日常生活。总的来说,44.8%的人生活质量较差,而在本研究中,55.1%的人生活质量较好。此外,还发现生活质量与患者自我评估健康之间存在显著关系(p < 0.001)。多元分析预测影响受访者生活质量的因素表明,受访者的自我评估(AOR:3.389;95%CI:1.897-6.054)仍然是生活质量的重要且更可能的预测因素,而受访者的年龄(AOR:0.244;95%CI:0.068-0.876)和教育程度(AOR:0.054;95%CI:0.005-0.546)则不太可能是预测因素。

结论

四分之一的参与者生活质量较差,大多数参与者需要不同程度的医疗来维持日常生活。癌症患者的管理应侧重于改善/减轻症状和提高癌症患者的生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c03/8797037/9893391ecdb5/PAMJ-40-227-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c03/8797037/9893391ecdb5/PAMJ-40-227-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c03/8797037/9893391ecdb5/PAMJ-40-227-g001.jpg

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