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癌症患者生活质量与凝聚力感知的研究——以德国、土耳其和波兰裔人群为例。

Quality of Life and Sense of Coherence in Cancer Patients of German, Turkish and Polish Origin-A Cross-Sectional Study.

机构信息

Department of Psychosomatic Medicine and Psychotherapy, University Hospital of Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), 91054 Erlangen, Germany.

出版信息

Int J Environ Res Public Health. 2023 Jan 23;20(3):2092. doi: 10.3390/ijerph20032092.

Abstract

BACKGROUND

Due to a variety of symptoms and side-effects of cancer treatment, quality of life can be considerably impaired in cancer patients. Especially, cancer patients with a migration background seem to be at risk. The objective of our study is to investigate the quality of life and sense of coherence in adult cancer patients of German, Turkish and Polish origin.

METHODS

We assessed sociodemographic, migration-specific and cancer-related parameters. Quality of life was measured via the EORTC QLQ-C30, sense of coherence was measured with the SOC-13.

RESULTS

We included 227 patients in the study (59.5% native Germans, 40.5% with migration background). Native Germans did not differ in quality of life compared to all migrants. However, more nausea and vomiting (NV) and higher appetite loss (AP) was found in Turkish migrants compared to Polish migrants and native Germans. For sense of coherence, we observed significantly higher scores for native Germans compared to all migrants. Turkish migrants had significantly lower scores compared to native Germans.

CONCLUSIONS

A Turkish migration background seems to play an important role in the perception of symptoms, especially of nausea and vomiting and appetite loss. Culture-specific aspects should be considered in cancer care.

摘要

背景

由于癌症治疗的各种症状和副作用,癌症患者的生活质量可能会受到相当大的影响。特别是,具有移民背景的癌症患者似乎面临风险。我们研究的目的是调查德国、土耳其和波兰原籍的成年癌症患者的生活质量和应对感。

方法

我们评估了社会人口统计学、移民特定和癌症相关的参数。生活质量通过 EORTC QLQ-C30 进行评估,应对感通过 SOC-13 进行评估。

结果

我们共纳入了 227 名患者(59.5%为土生土长的德国人,40.5%有移民背景)。与所有移民相比,土生土长的德国人在生活质量方面没有差异。然而,与波兰移民和土生土长的德国人相比,土耳其移民的恶心和呕吐(NV)和食欲下降(AP)更严重。在应对感方面,我们观察到土生土长的德国人得分明显高于所有移民。土耳其移民的得分明显低于土生土长的德国人。

结论

土耳其移民背景似乎在对症状的感知中起着重要作用,尤其是恶心、呕吐和食欲下降。在癌症护理中应考虑文化特定方面。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f19/9916114/1cd3d57c60d9/ijerph-20-02092-g001.jpg

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