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[乳腺癌幸存者生活质量的决定因素]

[Determinants in the quality of life of breast cancer survivors].

作者信息

López-Salas Mario, Yanes-Roldán Antonio, Bernal-Bernal Roberto, Melús-Palazón Elena, Álvarez-Rico Francisco, Bartolomé-Moreno Cruz

机构信息

Asociación Española Contra el Cáncer, Madrid, España.

Asociación Española Contra el Cáncer, Madrid, España.

出版信息

Aten Primaria. 2025 Mar 17;57(9):103253. doi: 10.1016/j.aprim.2025.103253.

Abstract

OBJECTIVES

To measure the quality of life of women breast cancer (BC) survivors and to detect differences according to clinical and sociodemographic variables.

DESIGN

Cross-sectional observational study from May to August 2024.

PLACEMENT

Spain.

PARTICIPANTS

Women BC survivors, selected by non-probabilistic purposive sampling, from the database of the Spanish Association Against Cancer.

MAIN MEASUREMENTS

Self-administered form that included the validated Quality of Life in Adult Cancer Survivors questionnaire along with a series of questions referring to clinical and sociodemographic variables. A descriptive analysis was performed and the mean scores of the scale domains were compared by Student's t-test and one-factor analysis of variance.

RESULTS

A total of 1293 women participated. The total score of the Quality of Life in Adult Cancer Survivors and most of its domains decreased significantly as both the age of the BC survivors and the time elapsed since completion of primary treatment increase. In addition, participants who were receiving hormone treatment reported worse quality of life at the time of the interview. The concern that a family member will be diagnosed with cancer is very frequent and remains constant for almost all groups.

CONCLUSIONS

Differences among BC survivors highlight the need for personalized comprehensive care, helping professionals and patients to make informed decisions, reducing oncologic impact and improving quality of life in the short and long term.

摘要

目的

评估女性乳腺癌(BC)幸存者的生活质量,并根据临床和社会人口统计学变量检测差异。

设计

2024年5月至8月的横断面观察性研究。

地点

西班牙。

参与者

通过非概率立意抽样从西班牙抗癌协会数据库中选取的女性BC幸存者。

主要测量指标

自行填写的表格,其中包括经过验证的成人癌症幸存者生活质量问卷以及一系列关于临床和社会人口统计学变量的问题。进行描述性分析,并通过学生t检验和单因素方差分析比较量表各领域的平均得分。

结果

共有1293名女性参与。随着BC幸存者年龄的增长以及自完成初次治疗以来所经过的时间增加,成人癌症幸存者生活质量的总分及其大部分领域的得分均显著下降。此外,正在接受激素治疗的参与者在访谈时报告的生活质量较差。几乎所有群体中,担心家庭成员会被诊断出患有癌症的情况都很常见且持续存在。

结论

BC幸存者之间的差异凸显了个性化综合护理的必要性,有助于专业人员和患者做出明智的决策,减少肿瘤学影响,并在短期和长期内提高生活质量。

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本文引用的文献

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