沙特阿拉伯乳腺癌幸存者健康相关生活质量的相关因素:横断面研究。

Factors Associated with Health-Related Quality of Life Among Breast Cancer Survivors in Saudi Arabia: Cross-Sectional Study.

机构信息

Department of Orthopaedic, Surgery, King Faisal Specialist Hospital & Research Center, Riyadh, KSA.

Faculty of Physical Therapy, Cairo University, Giza, Egypt.

出版信息

Asian Pac J Cancer Prev. 2024 Mar 1;25(3):951-961. doi: 10.31557/APJCP.2024.25.3.951.

Abstract

BACKGROUND

Assessment of health-related quality of life (HRQOL) is a major concern among breast cancer survivors. Little is known about HRQO and its determinants in Saudi women with breast cancer (BC). This study aimed to describe the HRQOL of Saudi women with breast cancer and the association between HRQO and sociodemographic and clinical variables.

METHODS

This cross-sectional study involved 147 BC participants who completed the 36-item Short Form Health Survey (SF-36). Multivariable linear logistic regression analysis was conducted to determine factors associated with HRQOL.

RESULTS

For the physical component scale, general health scored the highest (55.41±17.99) while, role physical function scored the lowest (48.61±22.51). The mean scores in the mental component were higher for social function (56.91±20.84), while the lowest score was observed for energy and vitality (49.62±20.84). Significant differences were observed in many SF-36 domains across the sociodemographic and clinical variables. Older age, having had a mastectomy as well as comorbid conditions, and receiving chemotherapy and hormonal therapy were associated with decreased HRQOL. However, being physically active, employed, and having more education were associated with higher HRQOL.

CONCLUSION

HRQOL is generally poor among breast cancer survivors in Saudi Arabia, depending on a variety of factors. These findings highlight the need for routine QOL assessment. Furthermore, recognizing these predictors may play a key role in maximizing HRQOL for breast cancer participants.

摘要

背景

评估健康相关生活质量(HRQOL)是乳腺癌幸存者关注的主要问题。在沙特阿拉伯患有乳腺癌(BC)的女性中,HRQOL 及其决定因素知之甚少。本研究旨在描述沙特阿拉伯女性乳腺癌患者的 HRQOL 及其与社会人口统计学和临床变量之间的关系。

方法

这是一项横断面研究,共纳入 147 名 BC 参与者,他们完成了 36 项简短健康调查(SF-36)。进行多变量线性逻辑回归分析以确定与 HRQOL 相关的因素。

结果

在生理成分量表中,一般健康得分最高(55.41±17.99),而身体角色功能得分最低(48.61±22.51)。在心理成分中,社会功能的平均得分较高(56.91±20.84),而能量和活力的得分最低(49.62±20.84)。在许多 SF-36 领域中,社会人口统计学和临床变量存在显著差异。年龄较大、接受过乳房切除术以及合并症、接受化疗和激素治疗与 HRQOL 降低有关。然而,身体活跃、就业和接受更高教育与更高的 HRQOL 相关。

结论

沙特阿拉伯乳腺癌幸存者的 HRQOL 普遍较差,这取决于多种因素。这些发现强调了需要常规进行 QOL 评估。此外,识别这些预测因素可能在最大限度地提高乳腺癌参与者的 HRQOL 方面发挥关键作用。

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