Department of Public Health, Faculty of Medicine, Mutah University, Karak, Jordan.tah University, Karak, Jordan.
Department of Internal Medicine, King Abdulaziz Medical City, AlAhsa, Kingdom of Saudi Arabia.
Asian Pac J Cancer Prev. 2022 Jul 1;23(7):2291-2297. doi: 10.31557/APJCP.2022.23.7.2291.
Breast cancer is the most common cancer among Saudi population. Breast cancer patients suffer from several negative consequences after treatment and these include pain, fatigue, sexual problems, appearance and body image concerns, with psychological dysfunction. This could affect the patient quality of life and psychological well-being.
a multicenter cross-sectional study to assess quality of life and psychological wellbeing and their predictors for female breast cancers survivors diagnosed between 1 January 2015 and May 2017 with the assessment conducted at 12 to 36 months after initial diagnosis. Assessment was performed using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30), the Breast Module (QLQ-BR23) and the Hospital Anxiety and Depression Scale (HADS).
246 Breast cancer patients participated in the study with a mean age of 49.5±10.9. The mean global health status has a mean of 72.7±23.5. The worst domain of the functioning scales was physical functioning (mean score of 62.14±26.03, while the best scores were for social functioning of 80.06±29.18. For the symptom scales, the worst scores were reported for fatigue and pain. Results of HADS scale showed that 57% had moderate to severe depression, while 44% had moderate to severe anxiety. Only 6.8% of the participants reported receiving psychosocial support.
Breast cancer survivors in the KSA have overall good quality of life scores when compared with patients from Western countries. However, their psychological wellbeing is more impaired. There is an urgent need for psychosocial support programs and psychological screening and consultation for breast cancer patients at cancer care centers in the KSA.
乳腺癌是沙特人口中最常见的癌症。乳腺癌患者在治疗后会遭受多种负面影响，包括疼痛、疲劳、性问题、外貌和身体形象问题，以及心理功能障碍。这可能会影响患者的生活质量和心理健康。
本研究为多中心横断面研究，旨在评估女性乳腺癌幸存者的生活质量和心理健康及其预测因素，这些患者于 2015 年 1 月 1 日至 2017 年 5 月期间被诊断出患有乳腺癌，在初始诊断后 12 至 36 个月进行评估。评估采用欧洲癌症研究与治疗组织生活质量问卷（EORTC QLQ-C30）、乳腺癌模块（QLQ-BR23）和医院焦虑抑郁量表（HADS）进行。
共有 246 例乳腺癌患者参与了本研究，平均年龄为 49.5±10.9 岁。总体健康状况平均得分为 72.7±23.5。功能量表中最差的领域是身体功能（平均得分为 62.14±26.03），而社会功能得分最好，为 80.06±29.18。对于症状量表，报告的最差分数是疲劳和疼痛。HADS 量表的结果显示，57%的患者有中度至重度抑郁，44%的患者有中度至重度焦虑。只有 6.8%的参与者报告接受了社会心理支持。
与西方国家的患者相比，沙特阿拉伯的乳腺癌幸存者整体生活质量评分良好，但心理幸福感受损更严重。沙特阿拉伯癌症护理中心迫切需要为乳腺癌患者提供社会心理支持计划以及心理筛查和咨询。
