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乳腺癌治疗女性的生活质量与社会人口学、行为和临床因素的关系。

Quality of life of women who underwent breast cancer treatment relative to sociodemographic, behavioral, and clinical factors.

机构信息

Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brazil.

Programa de Pós Graduação em Saúde Coletiva, Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brazil.

出版信息

Einstein (Sao Paulo). 2024 Mar 25;22:eAO0585. doi: 10.31744/einstein_journal/2024AO0585. eCollection 2024.

Abstract

OBJECTIVE

Patients with cancer often undergo multiple extended treatments that decrease their quality of life. However, the quality of life of women with breast cancer after they undergo treatment remains underexplored in Brazil. Therefore, this study determined sociodemographic, behavioral, and clinical factors related to the post-treatment quality of life of women with breast cancer.

METHODS

This cross-sectional study involved 101 women diagnosed with breast cancer between 2014 and 2016 and treated at a Brazilian Oncology Reference Service. Data were collected from them using face-to-face surveys. Quality of life was evaluated using the European Organization for the Research and Treatment of Cancer Core Quality of Life questionnaire (EORTC QLQ-C30) and EORTC Breast Cancer-specific Quality of Life questionnaire (EORTC QLQ-BR23). The data collected were analyzed using Student's t-test and Mann-Whitney U test.

RESULTS

The median score on the global health, functional, and symptom scales of the EORTC QLQ-C30 was 75.00 (Interquartile range=33.33), 75.99 (Standard deviation [SD]=19.26), and 19.67 (SD=16.91), respectively. The mean score on the functional and symptom scales of the EORTC QLQ-BR23 was 61.89 (SD=17.21) and 20.12 (SD=16.94), respectively. Furthermore, higher post-treatment quality of life was found to be associated with being aged 50 or more, being Black, having eight or more years of education, having a partner, having a paying job, receiving treatment from the private healthcare system, having a higher income, living in the municipality where healthcare services are availed, engaging in physical activity, not smoking, being more religious, having more social support, not being overweight, having no comorbidities, and undergoing lumpectomy.

CONCLUSION

Sociodemographic, behavioral, and clinical factors significantly impact the quality of life of women who undergo breast cancer treatment. Implementing interventions that improve health and reducing inequalities in the access to healthcare services can improve the quality of life of these patients.

BACKGROUND

Sociodemographic, clinical, and lifestyle factors impact the quality of life of breast cancer survivors.

BACKGROUND

Breast cancer therapy may affect future perspectives and emotional, cognitive, and sexual function.

BACKGROUND

Some aspects of quality of life still require attention from health professionals.

BACKGROUND

Higher post-treatment quality of life of women with breast cancer is linked to being aged 50 or more, being Black, having 8 or more years of education, having a partner, having a paying job, receiving care from private healthcare, having a high per capita income, residing in the municipality where the service is availed, engaging in physical activity, not smoking, greater religiosity, having more social support, having a normal weight, having no comorbidities, and undergoing lumpectomy.

摘要

目的

癌症患者经常接受多次延长治疗,这降低了他们的生活质量。然而,巴西对乳腺癌患者治疗后的生活质量仍研究不足。因此,本研究旨在确定与乳腺癌患者治疗后生活质量相关的社会人口学、行为和临床因素。

方法

本横断面研究纳入了 2014 年至 2016 年间在巴西肿瘤学参考服务机构就诊的 101 名乳腺癌患者。使用面对面的问卷调查收集她们的数据。使用欧洲癌症研究与治疗组织核心生活质量问卷(EORTC QLQ-C30)和欧洲癌症研究与治疗组织乳腺癌特定生活质量问卷(EORTC QLQ-BR23)评估生活质量。使用学生 t 检验和曼-惠特尼 U 检验对收集的数据进行分析。

结果

EORTC QLQ-C30 全球健康、功能和症状量表的中位数评分为 75.00(四分位距=33.33)、75.99(标准差[SD]=19.26)和 19.67(SD=16.91)。EORTC QLQ-BR23 功能和症状量表的平均评分为 61.89(SD=17.21)和 20.12(SD=16.94)。此外,较高的治疗后生活质量与年龄在 50 岁及以上、为黑人、受教育年限在 8 年及以上、有伴侣、有工作、接受私立医疗保健系统治疗、收入较高、居住在可获得医疗服务的城市、参加体育活动、不吸烟、宗教信仰程度较高、社会支持较多、体重正常、无合并症和接受乳房肿瘤切除术有关。

结论

社会人口学、行为和临床因素显著影响接受乳腺癌治疗的女性的生活质量。实施改善健康和减少医疗保健服务获取不平等的干预措施可以提高这些患者的生活质量。

背景

社会人口学、临床和生活方式因素影响乳腺癌幸存者的生活质量。

背景

乳腺癌治疗可能会影响未来的观点以及情绪、认知和性功能。

背景

生活质量的某些方面仍需要卫生专业人员关注。

背景

乳腺癌女性治疗后生活质量较高与年龄在 50 岁及以上、为黑人、受教育年限在 8 年及以上、有伴侣、有工作、接受私立医疗保健系统治疗、人均收入较高、居住在可获得服务的城市、参加体育活动、不吸烟、宗教信仰程度较高、社会支持较多、体重正常、无合并症和接受乳房肿瘤切除术有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56ef/10948096/f4c258ab8162/2317-6385-eins-22-eAO0585-gf01.jpg

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