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影响乳腺癌女性生活质量的因素:路径分析。

Factors affecting quality of life in women with breast cancer: a path analysis.

机构信息

Department of Midwifery, Faculty of Nursing and Midwifery, Maragheh Branch, Islamic Azad University, Maragheh, Iran.

Department of Midwifery, Women's Reproductive and Mental Health Research Center, Tabriz Medical Sciences, Islamic Azad University, Tabriz, Iran.

出版信息

BMC Womens Health. 2023 Nov 8;23(1):578. doi: 10.1186/s12905-023-02755-9.

Abstract

BACKGROUND

Breast cancer may negatively affect people's quality of life. We investigated the predictors of quality of life in women with breast cancer with the mediating role of resilience.

METHOD

In a cross-sectional design, 218 patients completed a survey referring to the Valiasr International Hospital Oncology Center in Tabriz, Iran. Four validated self-report measures assessed HRQoL as measured by the SF-12, Resilience, Hope, and Perceived Social Support (MSPs). The mediating roles of resilience between HRQoL and the fitness of the proposed model were investigated using path analysis. SPSS version 24 software and Lisrel 8.8 software were used for data analysis.

RESULTS

The results of path analysis showed that the final model had a good fit to the data (Chi-Square/ degrees of freedom (Normed Chi2) = 2.08, RMSEA = 0.014, goodness fit index = 0.99, both comparative fit index = 0.99 both CFI = 0.99 and IFI = 1). In this model, age and psychosocial factors predicted health-related quality of life.

CONCLUSIONS

Age and psychosocial factors especially social support are important components in predicting health-related quality of life among those suffering from breast cancer.

摘要

背景

乳腺癌可能会降低人们的生活质量。我们研究了具有韧性的中介作用的乳腺癌患者生活质量的预测因素。

方法

在一项横断面设计中,218 名患者完成了一项调查,该调查涉及伊朗大不里士瓦利亚斯尔国际医院肿瘤中心。四项经过验证的自我报告措施通过 SF-12、韧性、希望和感知社会支持(MSPs)评估了 HRQoL。使用路径分析研究了韧性在 HRQoL 与拟议模型拟合之间的中介作用。使用 SPSS 版本 24 软件和 Lisrel 8.8 软件进行数据分析。

结果

路径分析的结果表明,最终模型与数据具有良好的拟合度(卡方/自由度(归一化卡方)= 2.08,RMSEA = 0.014,良好拟合指数= 0.99,两者比较拟合指数= 0.99,两者 CFI = 0.99 和 IFI = 1)。在这个模型中,年龄和心理社会因素预测了与健康相关的生活质量。

结论

年龄和心理社会因素,特别是社会支持,是预测乳腺癌患者健康相关生活质量的重要组成部分。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1e3/10634108/885d7bbd94b0/12905_2023_2755_Fig1_HTML.jpg

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