Alsdfan Rasha Mohammed, Abdul Kadir Azidah, Mohd Noor Norhayati, Al-Jubouri Mohammed Baqer Abbas
Department of Family Medicine, School of Medical Sciences, Health Campus Universiti Sains Malaysia, Malaysia, Kubang Kerian, Malaysia.
Department of Adult Nursing, College of Nursing, Baghdad University, Iraq.
Asian Pac J Cancer Prev. 2025 Jan 1;26(1):339-345. doi: 10.31557/APJCP.2025.26.1.339.
Breast cancer is the most prevalent cancer among women worldwide, and advancements in detection and treatment have improved survival rates. Evaluating breast cancer patients' quality of life is essential for effective healthcare planning. This study aims to assess the level of quality of life and its associated factors, including sociodemographic, clinical, coping skills, and psychological factors among breast cancer women in Iraq.
A cross-sectional study was conducted among 244 breast cancer women in The Medical City Teaching Oncology Hospital, Baghdad, Iraq, from August 2023 to October 2023. QOL, coping skills, and psychological factors were assessed using the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Group Core-30 (QLQ-C30), BRIEF COPE-28, and Hospital Anxiety and Depression Scale (HADS) scale, respectively. Sociodemographic and clinical characteristics were also assessed. The associations between the association factors and quality of life were assessed using multiple linear regression.
The mean (SD) quality of life scores for global, functional, and symptom domains were (53.24 ± 16.80, 46.23 ± 25.16, and 53.82 ± 22.10), respectively. Multiple linear regression analysis revealed significant factors influencing global quality of life were age, marital status, disease duration, hormonal therapy, passive coping, and anxiety. Age, disease duration, passive coping, and anxiety were significant factors for the functional domain. The symptom domain was notably affected by menstrual status, mastectomy, passive coping, and depression.
These results provide crucial insights for developing targeted interventions to enhance the quality of life for breast cancer patients in Iraq.
乳腺癌是全球女性中最常见的癌症，检测和治疗方面的进展提高了生存率。评估乳腺癌患者的生活质量对于有效的医疗保健规划至关重要。本研究旨在评估伊拉克乳腺癌女性的生活质量水平及其相关因素，包括社会人口统计学、临床、应对技巧和心理因素。
2023年8月至2023年10月，在伊拉克巴格达医学城教学肿瘤医院对244名乳腺癌女性进行了一项横断面研究。分别使用欧洲癌症研究与治疗组织（EORTC）生活质量核心问卷30（QLQ-C30）、简易应对方式问卷28（BRIEF COPE-28）和医院焦虑抑郁量表（HADS）评估生活质量、应对技巧和心理因素。还评估了社会人口统计学和临床特征。使用多元线性回归评估关联因素与生活质量之间的关联。
全球、功能和症状领域的生活质量平均（标准差）得分分别为（53.24±16.80、46.23±25.16和53.82±22.10）。多元线性回归分析显示，影响全球生活质量的显著因素有年龄、婚姻状况、疾病持续时间、激素治疗、消极应对和焦虑。年龄、疾病持续时间、消极应对和焦虑是功能领域的显著因素。症状领域受月经状况、乳房切除术、消极应对和抑郁的影响尤为明显。
这些结果为制定有针对性的干预措施以提高伊拉克乳腺癌患者的生活质量提供了重要见解。
