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影响越南癌症女性患者生活质量的因素。

Factors influencing the quality of life among women with cancer in Vietnam.

作者信息

Nguyen Huyen Thi Hoa, Giap Tinh Thi Thanh, Tran Tran Ngoc, Nguyen Anh Chau, Truong Trung Quang, Bui Linh Khanh, Tran Quang Duc, Anderson Debra J

机构信息

College of Health Sciences, VinUniversity (VinUni), Hanoi, Vietnam.

Faculty of Health, University of Technology Sydney, Sydney, NSW, Australia.

出版信息

Front Psychol. 2024 Dec 20;15:1431522. doi: 10.3389/fpsyg.2024.1431522. eCollection 2024.

DOI:10.3389/fpsyg.2024.1431522
PMID:39759415
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11695130/
Abstract

BACKGROUND

Cancer and its treatments significantly affect the quality of life (QoL) of patients. This remains understudied among Vietnamese women with cancer.

OBJECTIVES

This study explored the QoL of Vietnamese women with cancer and identified key influencing factors.

METHOD

In 2022, this study analyzed 214 Vietnamese women with cancer from four hospitals, assessing pain levels (Visualized Pain Scale), functional capacity (Karnofsky Performance Status Scale), and QoL (SF12). Analyses used SPSS 26.0, including t-tests, ANOVA, and hierarchical linear regression models.

RESULTS

SF12-PCS and SF12-MCS scores were 46.61 ± 9.70 and 46.96 ± 9.06. Pain score ( = -0.304,  < 0.001) and symptoms number ( = -0.311,  < 0.001) were key predictors of physical health. For mental health, functional status ( = 0.259,  < 0.001) and symptoms number ( = -0.311,  < 0.001) were significant. PCS was negatively correlated with age ( = -0.165,  = 0.016), number of symptoms ( = -0.220,  = 0.001), and pain ( = -0.444,  < 0.001). Mental health (MCS) was negatively correlated with the length of cancer diagnosis ( = -0.156,  = 0.036) and the number of symptoms ( = -0.362,  < 0.001). Both PCS and MCS positively correlated with functional status ( = 0.222,  = 0.001) and ( = 0.281,  < 0.001), respectively.

CONCLUSION

Culturally sensitive care, pain management, and tailored support programs addressing physical, psychological, spiritual, and social aspects can enhance QoL for these women.

摘要

背景

癌症及其治疗方法会显著影响患者的生活质量(QoL)。在越南癌症女性患者中,这方面的研究仍然不足。

目的

本研究探讨了越南癌症女性患者的生活质量,并确定了关键影响因素。

方法

2022年,本研究分析了来自四家医院的214名越南癌症女性患者,评估了疼痛程度(视觉疼痛量表)、功能能力(卡诺夫斯基表现状态量表)和生活质量(SF12)。分析使用了SPSS 26.0,包括t检验、方差分析和分层线性回归模型。

结果

SF12-PCS和SF12-MCS得分分别为46.61±9.70和46.96±9.06。疼痛评分(=-0.304,<0.001)和症状数量(=-0.311,<0.001)是身体健康的关键预测因素。对于心理健康,功能状态(=0.259,<0.001)和症状数量(=-0.311,<0.001)具有显著意义。PCS与年龄(=-0.165,=0.016)、症状数量(=-0.220,=0.001)和疼痛(=-0.444,<0.001)呈负相关。心理健康(MCS)与癌症诊断时长(=-0.156,=0.036)和症状数量(=-0.362,<0.001)呈负相关。PCS和MCS分别与功能状态(=0.222,=0.001)和(=0.281,<0.001)呈正相关。

结论

具有文化敏感性的护理、疼痛管理以及针对身体、心理、精神和社会方面的量身定制的支持项目可以提高这些女性的生活质量。

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本文引用的文献

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The impacts of cancer treatment on lifestyle habits and mental health in Vietnamese women: an exploratory qualitative study.癌症治疗对越南女性生活习惯和心理健康的影响:一项探索性定性研究。
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PLOS Glob Public Health. 2023 Jun 6;3(6):e0001817. doi: 10.1371/journal.pgph.0001817. eCollection 2023.
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