Kumar Rajesh, Pasricha Rajesh, Gupta Manoj Kumar, Ravi Bina
Department of Nursing, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Department of Radiation Oncology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
J Cancer Res Ther. 2023 Jul-Sep;19(5):1176-1185. doi: 10.4103/jcrt.jcrt_672_21.
Breast cancer remains a leading cause of unintended death among Indian women. Cancer treatment-induced pain, fatigue, nausea/vomiting, body image, and sexual problems could affect the patient psychosocial well-being and quality of life (QOL). The study aims to determine the QOL and psychosocial well-being among women with breast cancer.
A cross-sectional survey completed by 244 women with breast cancer at a tertiary level teaching hospital. The European Organisation for Research and Treatment of Cancer QOL Questionnaire C30, the Breast Module (QLQ-BR23), and the Hospital Anxiety and Depression Scale (HADS) is used to measure the QOL, and psychological well-being, respectively. Appropriate descriptive and inferential statistics are applied to compute the results.
The total number of women with breast cancer interviewed was 244, with a mean age of 45.06 (standard deviation ± 11.17) years. The mean global health score was 70.97 ± 15.63. As per the QLQ-C30 scale, "physical functioning" scored the highest (70.54 ± 22.00), and "role functioning" reported the lowest (49.45 ± 36.15) mean score. Further, on the QLQ-C30 symptoms scale, "appetite loss" (45.09 ± 35.09) was the worst reported symptom, followed by "nausea and vomiting" (34.97 ± 38.39). On the BR-23 scale, body image said (68.42 ± 22.28) higher score than other domains and experience of arm-related problems (43.80 ± 26.06) were more frequently reported symptom in women. As per the HADS scale, 24.6% and 36.1% of women were in moderate anxiety and depression, respectively. The mean HADS score was 14.39 ± 5.82. Findings on predictors for the individual patient remained the same as that earlier published literature.
Women with breast cancer have an overall good QOL and poor psychosocial well-being. However, using a holistic approach, including identifying psychological problems and their time management, signifies the need for the studied population.
乳腺癌仍是印度女性意外死亡的主要原因。癌症治疗引发的疼痛、疲劳、恶心/呕吐、身体形象及性问题，可能会影响患者的心理社会幸福感和生活质量（QOL）。本研究旨在确定乳腺癌女性的生活质量和心理社会幸福感。
在一家三级教学医院，对244名乳腺癌女性进行了横断面调查。分别使用欧洲癌症研究与治疗组织生活质量调查问卷C30、乳腺模块（QLQ-BR23）和医院焦虑抑郁量表（HADS）来测量生活质量和心理健康状况。应用适当的描述性和推断性统计方法来计算结果。
接受访谈的乳腺癌女性总数为244人，平均年龄为45.06（标准差±11.17）岁。全球健康平均得分为70.97±15.63。根据QLQ-C30量表，“身体功能”得分最高（70.54±22.00），而“角色功能”的平均得分最低（49.45±36.15）。此外，在QLQ-C30症状量表上，“食欲减退”（45.09±35.09）是报告最严重的症状，其次是“恶心和呕吐”（34.97±38.39）。在BR-23量表上，身体形象得分（68.42±22.28）高于其他领域，手臂相关问题的经历（43.80±26.06）是女性中报告更频繁的症状。根据HADS量表，分别有24.6%和36.1%的女性存在中度焦虑和抑郁。HADS平均得分为14.39±5.82。个体患者预测因素的研究结果与早期发表的文献一致。
乳腺癌女性总体生活质量良好，但心理社会幸福感较差。然而，采用整体方法，包括识别心理问题及其时间管理，对研究人群来说意义重大。
