Medical School Sousse, Radiotherapy Department, University of Sousse, Farhat Hached Hospital, Sousse, Tunisia.
Medical School Sousse, Medical Oncology Department, University of Sousse, Farhat Hached Hospital, Sousse, Tunisia.
J Cancer Res Clin Oncol. 2023 Jul;149(8):4269-4274. doi: 10.1007/s00432-022-04334-1. Epub 2022 Sep 6.
Colon cancer survivors can experience several post-treatment consequences that include fatigue and often report severe psychological illnesses such as depression or anxiety. There is little published quantitative data on the quality of life and psychological well-being associated with the health of Tunisian colon cancer survivors.
A total of 60 recovering colon cancer patients underwent a structured interview, which included the Hospital Anxiety and Depression (HADS) scale, the Piper fatigue scale and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30).
Patients were 59.26 years old on average. The median length of remission was 33.3 months. Surgery was performed on all patients, followed by 96.7% adjuvant chemotherapy. 15.1% of study participants were in the severe category for the depression score and 10% were in this category for the anxiety score. Ninety-one percent reported pathological fatigue scores on the Piper scale. However, only 8.33% were experiencing severe fatigue. According to the QLQ-C30 assessment, the overall quality of life was slightly impaired with an overall average score of 79.54 ± 16.98. Anxiety, depression and fatigue negatively affect global health outcomes and all their dimensions.
Even in the recovery phase, colon cancer patients can see their quality of life deteriorate. It comes out of their psychological experience and their physical life. It is, therefore, crucial to provide greater attention to these patients for holistic and multi-disciplinary care.
结肠癌幸存者会经历多种治疗后后果，包括疲劳，并且经常报告严重的心理疾病，如抑郁或焦虑。关于与突尼斯结肠癌幸存者健康相关的生活质量和心理健康，发表的定量数据很少。
共有 60 名正在康复的结肠癌患者接受了结构化访谈，其中包括医院焦虑和抑郁量表（HADS）、派珀疲劳量表和欧洲癌症研究与治疗组织生活质量问卷（EORTC QLQ-C30）。
患者的平均年龄为 59.26 岁。缓解的中位数为 33.3 个月。所有患者均接受了手术，随后进行了 96.7%的辅助化疗。研究参与者中有 15.1%的抑郁评分处于严重类别，10%的焦虑评分处于严重类别。91%的患者在派珀量表上报告有病理疲劳评分。然而，只有 8.33%的患者有严重的疲劳。根据 QLQ-C30 评估，整体生活质量略有受损，总平均得分为 79.54±16.98。焦虑、抑郁和疲劳会对整体健康结果及其所有维度产生负面影响。
即使在恢复期，结肠癌患者也可能看到他们的生活质量恶化。这源于他们的心理体验和身体生活。因此，为这些患者提供更全面的关注和多学科护理至关重要。
