Ośmiałowska Edyta, Staś Jakub, Chabowski Mariusz, Jankowska-Polańska Beata
Division of Anesthesiologic and Surgical Nursing, Department of Nursing and Obstetrics, Faculty of Health Science, Wroclaw Medical University, 5 Bartla Street, 51-618 Wroclaw, Poland.
Student Research Group No. 180, Faculty of Medicine, Wroclaw Medical University, 50-367 Wrocław, Poland.
Cancers (Basel). 2022 Feb 25;14(5):1214. doi: 10.3390/cancers14051214.
In 2020, breast cancer was the most frequently diagnosed malignancy worldwide. The QoL level plays a role in assessing the effectiveness of the diagnosis and therapy and is a significant prognostic factor. The subject that is relatively less often addressed in the literature is the impact of psycho-social factors and health-related beliefs on QoL in breast cancer patients. The aim of the study was to assess the association of illness perception, the sense of coherence, and illness acceptance with QoL in breast cancer patients.
The study included 202 women (mean age 53.0 ± 10.3) treated surgically for breast cancer at the Lower Silesian Oncology Centre. The following standardized questionnaires were used: Acceptance of Illness Scale (AIS), Mental Adjustment to Cancer (Mini-MAC), Quality of Life Questionnaires (EORTC QLQ-C30 and QLQ-BR23), The Multidimensional Essence of Disease and Illness Scale (MEDIS), and Life Orientation Test (LOT-R).
There is a statistically significant association between illness acceptance and QoL. There is a statistically significant association between the sense of coherence (life optimism-LOT-R) and QoL among breast cancer patients. There is a statistically significant association between illness perception and QoL. There was a statistically significant correlation between the increasing importance of illness as a dysfunction, decreasing QoL, and increasing intensity of symptoms and complaints.
Patients with a high level of illness acceptance, with an optimistic disposition, and with a positive illness perception have better QoL within all the functional domains and experience lower intensity of cancer- and treatment-related symptoms as compared to those with low level of illness acceptance, with moderate optimism or a pessimistic disposition, and with neutral or negative illness perception.
2020年，乳腺癌是全球最常被诊断出的恶性肿瘤。生活质量水平在评估诊断和治疗效果中发挥着作用，并且是一个重要的预后因素。心理社会因素和健康相关信念对乳腺癌患者生活质量的影响在文献中相对较少被提及。本研究的目的是评估疾病认知、连贯感和疾病接受度与乳腺癌患者生活质量之间的关联。
该研究纳入了202名在西里西亚肿瘤中心接受乳腺癌手术治疗的女性（平均年龄53.0±10.3岁）。使用了以下标准化问卷：疾病接受量表（AIS）、癌症心理调适量表（Mini-MAC）、生活质量问卷（EORTC QLQ-C30和QLQ-BR23）、疾病多维本质量表（MEDIS）和生活取向测试（LOT-R）。
疾病接受度与生活质量之间存在统计学上的显著关联。乳腺癌患者的连贯感（生活乐观度-LOT-R）与生活质量之间存在统计学上的显著关联。疾病认知与生活质量之间存在统计学上的显著关联。疾病作为一种功能障碍的重要性增加、生活质量下降以及症状和不适强度增加之间存在统计学上的显著相关性。
与疾病接受度低、中度乐观或悲观性格以及中性或负面疾病认知的患者相比，疾病接受度高、性格乐观且疾病认知积极的患者在所有功能领域的生活质量更好，并且经历的癌症和治疗相关症状强度更低。
