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农村地区乳腺癌幸存者综合生存模式对其身体健康的影响。

Effect of Integrated Survivorship Model on Physical Health for Breast Cancer Survivors in Rural Area.

机构信息

Department of Musculoskeletal Sciences, Krishna College of Physiotherapy, Krishna Vishwa Vidypeeth, KIMSDU, Karad, Maharashtra, India.

Department of Obstetrics & Gynecology, Krishna Vishwa Vidyapeeth, KIMSDeemed to be University, Karad, Maharashtra, India.

出版信息

Asian Pac J Cancer Prev. 2024 Feb 1;25(2):401-408. doi: 10.31557/APJCP.2024.25.2.401.

Abstract

OBJECTIVE

The objective of this study was to evaluate the effect of the integrated survivorship model on the physical health of breast cancer survivors in rural areas.

METHODS

Ninety-two patients who were breast cancer survivors were selected as per inclusion criteria and divided into two groups (control group and intervention group). The participants were randomly allotted to two groups of 46 each. A 12-minute walk test, assessment of quality of life, and difficulty in return to work were used as outcome measures. The integrated survivorship model was implemented in one group for 3 months while the other group was a supporting group and was involved in household activities only. Pre-assessment and post-assessment were taken to evaluate the effect of the integrated survivorship model. All the statistical analysis was done using SPSS statistical Software (version 23.0 for Windows; SPSS, Inc., Chicago, USA) and the results were obtained.

RESULTS

The results revealed that the assessment of the 12-minute walk test, physical well-being, social/family well-being, functional well-being, and difficulty in returning to work showed extremely significant results in the intervention group with a p-value of less than 0.0001. Similarly, emotional well-being and additional concern domains showed significant results in the intervention group. Hence, the findings of this study revealed significance in post-assessment in all the outcome measures of the experimental group.

CONCLUSION

The study showed that all the outcome measures such as the 12-minute walk test, assessment of quality of life, and difficulty in return to work were impaired in both groups before the study. The effect of the model showed a significant improvement in the intervention group after implementing the intervention.

摘要

目的

本研究旨在评估综合生存模型对农村地区乳腺癌幸存者身体健康的影响。

方法

根据纳入标准选择了 92 名乳腺癌幸存者患者作为研究对象,并将其分为两组(对照组和干预组)。参与者被随机分配到两组,每组 46 人。采用 12 分钟步行试验、生活质量评估和重返工作困难度作为评估结果。对一组实施为期 3 个月的综合生存模型,另一组为支持组,仅参与家务活动。进行预评估和后评估以评估综合生存模型的效果。所有统计分析均使用 SPSS 统计软件(Windows 版,版本 23.0;SPSS,Inc.,芝加哥,美国)进行,并得出结果。

结果

结果显示,12 分钟步行试验评估、身体幸福感、社会/家庭幸福感、功能幸福感和重返工作困难度在干预组中表现出极其显著的结果,p 值小于 0.0001。同样,情感幸福感和其他关注领域在干预组中也表现出显著的结果。因此,本研究的发现表明,实验组的所有评估结果,如 12 分钟步行试验、生活质量评估和重返工作困难度,在研究前都受到了影响。模型的效果显示,在实施干预后,干预组有显著的改善。

结论

研究表明,在研究前,两组的所有评估结果,如 12 分钟步行试验、生活质量评估和重返工作困难度,都受到了影响。模型的效果显示,在实施干预后,干预组有显著的改善。

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Home-based multidimensional survivorship programmes for breast cancer survivors.针对乳腺癌幸存者的居家多维康复计划。
Cochrane Database Syst Rev. 2017 Aug 24;8(8):CD011152. doi: 10.1002/14651858.CD011152.pub2.

本文引用的文献

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Breast cancer survivorship in rural settings: a systematic review.农村地区乳腺癌幸存者研究:一项系统综述
Support Care Cancer. 2020 Aug;28(8):3517-3531. doi: 10.1007/s00520-020-05308-0. Epub 2020 Jan 22.
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Epidemiological characteristics of and risk factors for breast cancer in the world.全球乳腺癌的流行病学特征及危险因素
Breast Cancer (Dove Med Press). 2019 Apr 10;11:151-164. doi: 10.2147/BCTT.S176070. eCollection 2019.

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