Associate Professor of Epidemiology and Preventive Medicine, Department of Public Health, Faculty of Medicine, Mutah University, Kerak, Jordan.
Adjunct Associate Professor of Epidemiology and Preventive Medicine, Faculty of Medicine, Alfaisal University, KSA.
Asian Pac J Cancer Prev. 2022 Apr 1;23(4):1301-1308. doi: 10.31557/APJCP.2022.23.4.1301.
Colorectal cancer (CRC) ranked first among cancers reported in males and ranked third amongst females in Saudi Arabia. CRC cancer symptoms or symptoms secondary to treatment, such as diarrhea, constipation, fatigue and loss of appetite are very common and has significant negative effects on the quality of life (QoL).
This project was a cross-sectional study of colorectal cancer survivors diagnosed between 1 January 2015 and May 2017. Assessment was performed using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30), the colorectal cancer specific module (EORTC QLQ-CR 29) and the Hospital Anxiety and Depression Scale (HADS). Data on potential predictors of scores were also collected.
115 CRC patients from Middle, Eastern and Western regions of the KSA participated in the study. Participants have unexpectedly low global health score with a mean of 56.9±31.3. Physical functioning scale had the lowest score of 61.3±27.7. Regarding the generic symptoms of cancer, fatigue was the worst symptom, followed by appetite loss. Psychological wellbeing assessment utilizing HADS reveals alarming outcomes for survivors of CRC in the KSA with high proportion of participants with moderate to severe depression (55%) and a good proportion of participants with moderate to high anxiety (31%). Only 3.7% of participants reported receiving psychosocial support.
Results of this project reveal an overall trend of low scores of quality of life amongst colorectal cancer patients in the KSA when compared with regional or international figures. Consistent results for psychological wellbeing were reached. We recommend routine screening for quality of life and psychological wellbeing and including the outcomes per individual patient care. Psychological support is highly needed for cancer survivors.
在沙特阿拉伯，结直肠癌（CRC）在男性中报告的癌症中排名第一，在女性中排名第三。CRC 癌症症状或治疗引起的症状，如腹泻、便秘、疲劳和食欲不振，非常常见，对生活质量（QoL）有重大负面影响。
本研究为 2015 年 1 月 1 日至 2017 年 5 月期间诊断的结直肠癌幸存者的横断面研究。使用欧洲癌症研究与治疗组织生活质量问卷（EORTC QLQ-C30）、结直肠癌特定模块（EORTC QLQ-CR 29）和医院焦虑抑郁量表（HADS）进行评估。还收集了有关评分潜在预测因子的数据。
沙特阿拉伯中、东部和西部地区的 115 名 CRC 患者参与了这项研究。参与者的全球健康评分出人意料地低，平均为 56.9±31.3。身体功能量表的得分最低，为 61.3±27.7。关于癌症的一般症状，疲劳是最严重的症状，其次是食欲不振。利用 HADS 进行心理幸福感评估显示，沙特阿拉伯 CRC 幸存者的结果令人震惊，有相当比例的参与者有中度至重度抑郁（55%），有相当比例的参与者有中度至高度焦虑（31%）。只有 3.7%的参与者报告接受了社会心理支持。
本项目的结果显示，与区域或国际数据相比，沙特阿拉伯结直肠癌患者的生活质量总体评分较低。对心理幸福感也得出了一致的结果。我们建议常规筛查生活质量和心理幸福感，并将每个患者的护理结果纳入其中。癌症幸存者非常需要心理支持。
