Gadekar Tukaram J, Kaushik Sushil K, Gadekar Madhu, Bobdey Saurabh
Officer Commanding, Station Health Organisation, Jodhpur, Rajsthan, India.
Department of Community Medicine, Armed Forces Medical College, Pune, Maharashtra, India.
Indian J Community Med. 2024 Nov-Dec;49(6):818-825. doi: 10.4103/ijcm.ijcm_390_22. Epub 2024 Oct 17.
'Breast cancer' the most common cancer amongst females in India. Having good Quality of life (QoL) among the patients undergoing treatment is one of the vital and significant factors for ensuring holistic approach to treatment and well-being of cancer patients. The present study was conducted to assess the QoL and its determinants among breast cancer patients undergoing treatment at a tertiary care institute in western Maharashtra.
300 histopathologically confirmed breast cancer patients undergoing treatment at a tertiary care centre were divided into three groups to include 100 patients in each group. Group 1 (patients with duration of treatment 1 to 2 years) Group 2 (patients with duration of treatment 2 to 5 years) and Group 3 (more than 5 years). Validated tool Function Assessment of Cancer Therapy Breast specific (FACT-B) questionnaire was used to collect information on QoL and analysed using appropriate statistical tests.
Mean age of patients was 53.2 + 10.08 years, 136 (45.33%) were from age group 51 to 65 years. Majority of the patients 106 (35.33%) were educated till secondary schooling and 172 (57.33 %) were belonging to the middle-upper class. Lump in breast was most common presenting symptom in 235 (78.33%) cases followed by nipple retraction. 275 (91.67 %) cases had infiltrating ductal Carcinoma and 144 (48%) patents were in Stage II cancer. Over all mean FACT-B score for QoL was 104.02 + 18.65 out of 141. Mean FACT-B score for Group 1, Group 2 and Group 3 was 88.18 +17.20, 105.89 + 11.78 and 118.28 + 12.45 respectively with (p< 0.05), suggests significant improvement in QoL with increase in time elapsed since treatment.
Socio-demographic factors, type of surgery and duration of treatment had significant effect on QoL among breast cancer patients. Apropos physicians, paramedic staff and domestic care givers need to be sensitised on importance of QoL for collective and deliberate efforts to achieve holistic care. QoL can be made integral part of breast cancer treatment and management policy or programme.
“乳腺癌”是印度女性中最常见的癌症。对于接受治疗的患者而言，拥有良好的生活质量（QoL）是确保对癌症患者进行全面治疗和实现其幸福安康的重要因素之一。本研究旨在评估马哈拉施特拉邦西部一家三级医疗机构中接受治疗的乳腺癌患者的生活质量及其决定因素。
在一家三级医疗中心接受治疗的300例经组织病理学确诊的乳腺癌患者被分为三组，每组100例。第1组（治疗时长为1至2年的患者），第2组（治疗时长为2至5年的患者）和第3组（治疗时长超过5年的患者）。使用经过验证的工具癌症治疗功能评估乳腺特异性（FACT - B）问卷来收集有关生活质量的信息，并使用适当的统计测试进行分析。
患者的平均年龄为53.2 ± 10.08岁，其中136例（45.33%）来自51至65岁年龄组。大多数患者106例（35.33%）接受过中等教育，172例（57.33%）属于中上层阶级。乳房肿块是最常见的症状，在235例（78.33%）病例中出现，其次是乳头内陷。275例（91.67%）病例患有浸润性导管癌，144例（48%）患者处于癌症二期。总体而言，生活质量的平均FACT - B评分为141分中的104.02 ± 18.65分。第1组、第2组和第3组的平均FACT - B评分分别为88.18 ± 17.20、105.89 ± 11.78和118.28 ± 12.45（p < 0.05），表明随着治疗后时间的增加，生活质量有显著改善。
社会人口统计学因素、手术类型和治疗时长对乳腺癌患者的生活质量有显著影响。关于医生、护理人员和家庭护理人员需要认识到生活质量的重要性，以便共同并有意地努力实现全面护理。生活质量可以成为乳腺癌治疗和管理政策或计划的一个组成部分。
