Mandato Vincenzo Dario, Paterlini Marcella, Torricelli Federica, Rabitti Elisa, Mastrofilippo Valentina, Aguzzoli Lorenzo
Obstetrics and Gynecological Oncology, Azienda Unità Sanitaria Locale (AUSL) - Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) di Reggio Emilia, Reggio Emilia, Italy.
Department of Obstetrics and Pediatrics, Azienda Unità Sanitaria Locale (AUSL) - Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) di Reggio Emilia, Reggio Emilia, Italy.
Front Oncol. 2024 Aug 2;14:1447644. doi: 10.3389/fonc.2024.1447644. eCollection 2024.
This study aimed to assess the influence of medical history, perceived physician-patient communication, and perceived social support on changes in the quality of life (QoL) during the first year of follow-up in patients undergoing surgery for endometrial cancer (EC), the most prevalent gynecological cancer in Western countries, especially in Central and Eastern Europe and North America.
This prospective longitudinal study included 98 EC patients. All participants completed the Short Form 36 (SF-36) and the Multidimensional Scale of Perceived Social Support (MSPSS) one month and one year after surgery. Additionally, one month after surgery, they responded to a questionnaire designed by the researchers concerning the key aspects of physician-patient communication.
Our findings revealed that patients reporting high social support one month after surgery demonstrated significantly improved emotional well-being (EWB) at both one month and one year after the surgery, with statistically significant higher scores in the dimension of EWB (p<0.05). The support from a significant other at one year correlates with greater PF (p<0.005), fewer limitations due to physical health (p<0.05), less pain (p<0.05), less fatigue (p<0.05), and better general and EWB (p<0.05).
This study underscores the significance of perceived social support for patients cross endometrial cancer. The multifaceted nature of social support, encompassing emotional assistance and information sharing, emerges as a pivotal factor aiding patients in confronting the challenges inherent to EC. This form of support contributes to bolstering psychological well-being and enhancing overall QoL.
子宫内膜癌（EC）是西方国家最常见的妇科癌症，在中欧、东欧和北美尤为如此。本研究旨在评估病史、医患沟通感受以及社会支持感受对子宫内膜癌手术患者随访第一年生活质量（QoL）变化的影响。
这项前瞻性纵向研究纳入了98例子宫内膜癌患者。所有参与者在术后1个月和1年时完成了简短健康调查问卷（SF - 36）和多维感知社会支持量表（MSPSS）。此外，术后1个月，他们对研究人员设计的一份关于医患沟通关键方面的问卷进行了回答。
我们的研究结果显示，术后1个月报告社会支持水平高的患者在术后1个月和1年时的情绪幸福感（EWB）均有显著改善，在EWB维度上得分具有统计学意义的更高（p<0.05）。术后1年来自重要他人的支持与更高的生理功能（PF）（p<0.005）、更少的身体健康限制（p<0.05）、更少的疼痛（p<0.05）、更少的疲劳（p<0.05）以及更好的总体健康和EWB（p<0.05）相关。
本研究强调了感知社会支持对子宫内膜癌患者的重要性。社会支持的多面性，包括情感支持和信息共享，成为帮助患者应对子宫内膜癌固有挑战的关键因素。这种支持形式有助于增强心理健康和提高总体生活质量。
