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在尼日利亚的两家三级医院中,不同宫颈癌治疗方法对患者健康相关生活质量的影响。

Health-related quality of life associated with different cervical cancer therapies received by patients in two Nigerian tertiary hospitals.

机构信息

Usmanu Danfodiyo University Sokoto.

Usmanu Danfodiyo University Teaching Hospital, Sokoto.

出版信息

Afr Health Sci. 2023 Sep;23(3):261-268. doi: 10.4314/ahs.v23i3.32.

Abstract

BACKGROUND

There are important consequences from cervical cancer (CC) disease and its treatment among survivors, especially the impact on quality of life (QoL).

OBJECTIVE

To evaluate the health-related QoL associated with different CC therapies received by patients in two Nigerian tertiary hospitals.

METHODS

This study employed a prospective longitudinal design. It was conducted at Usmanu Danfodiyo University Teaching Hospital, Sokoto and Ahmadu Bello University Teaching Hospital Zaria, North-Western Nigeria. Data of all the 157 eligible CC patients were collected at baseline and after therapy. Data analysis was done with appropriate descriptive and inferential statistics using SPSS V. 20 for windows. <0.05 was considered statistically significant.

RESULTS

Chemotherapy (CT) was the major therapy option received by 78(49.7%) of the patients. Patients who received chemoradiation therapy (CRT) and adjuvant chemotherapy (CTS) had the highest increase in mean overall health-related QoL of 0.138 (=8.456, p<0.001) and 0.138 (=6.489, <0.001) higher than their respective baseline scores. Patients who received CT had the least increase in mean overall health-related QoL of 0.095 (=4.574, <0.001) from baseline.

CONCLUSION

Chemoradiation therapy and adjuvant chemotherapy were associated with highest increase in mean overall health-related QoL. Chemotherapy was associated with the least increase in mean overall health-related QoL.

摘要

背景

宫颈癌(CC)疾病及其治疗对幸存者有重要影响,尤其是对生活质量(QoL)的影响。

目的

评估在尼日利亚两家三级医院接受不同 CC 治疗的患者与健康相关的生活质量。

方法

本研究采用前瞻性纵向设计。在尼日利亚西北部的 Usmanu Danfodiyo 大学教学医院和Ahmadu Bello 大学教学医院进行。在基线和治疗后收集了所有 157 名合格 CC 患者的数据。使用 SPSS V.20 进行数据分析,采用适当的描述性和推断性统计方法。<0.05 被认为具有统计学意义。

结果

化疗(CT)是 78 名(49.7%)患者的主要治疗选择。接受放化疗(CRT)和辅助化疗(CTS)的患者总体健康相关生活质量的平均增加最高,分别为 0.138(=8.456,p<0.001)和 0.138(=6.489,<0.001)高于各自的基线评分。接受 CT 的患者总体健康相关生活质量的平均增加最低,为 0.095(=4.574,<0.001)。

结论

放化疗和辅助化疗与平均总体健康相关生活质量的增加最高相关。化疗与平均总体健康相关生活质量的增加最低相关。

相似文献

本文引用的文献

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Assessment of Quality of Life in Treated Patients of Cancer Cervix.宫颈癌治疗患者生活质量评估
J Midlife Health. 2017 Oct-Dec;8(4):183-188. doi: 10.4103/jmh.JMH_40_17.

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