Associations of Demographic and Social Factors on Health-Related Quality-of-Life Changes Among Older Women With Breast or Gynecologic Cancer.

IF 1.6 4区 医学 Q2 NURSING
Elizabeth K Arthur, Melica Nikahd, J Madison Hyer, Emily Ridgway-Limle, Timiya S Nolan, Ashley Felix, Menglin Xu, Allison Quick, Camille Paoletta, Jessica L Krok-Schoen
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引用次数: 0

Abstract

Objectives: To examine associations of sociodemographic factors and social limitations with health-related quality of life (HRQOL) from pre- to postdiagnosis in older female cancer survivors.

Sample & setting: 9,807 women aged 65 years or older with breast or gynecologic cancer from the Surveillance, Epidemiology, and End Results-Medicare Health Outcomes Survey.

Methods & variables: Physical and mental HRQOL were assessed using the physical component summary (PCS) and mental component summary (MCS) of the Veterans RAND 12-Item Health Survey. Descriptive statistics and mixed-effects models for repeated measures were used.

Results: Social limitations were the only significant factor associated with changes in MCS scores. Race and ethnicity, rurality, and social interference were associated with significant decreases in PCS scores.

Implications for nursing: Nurses can assess mental and physical HRQOL after diagnosis and advocate for appropriate referrals. Oncology care should be tailored to cultural considerations, including race and ethnicity, rurality, and social support.

患有乳腺癌或妇科癌症的老年妇女的人口与社会因素对与健康相关的生活质量变化的影响。
目的:研究老年女性癌症幸存者从诊断前到诊断后的社会人口因素和社会限制与健康相关生活质量(HRQOL)的关系:研究老年女性癌症幸存者从诊断前到诊断后的社会人口因素和社会限制与健康相关生活质量(HRQOL)的关系:9807名65岁或65岁以上患有乳腺癌或妇科癌症的女性,她们来自监测、流行病学和最终结果--医疗保险健康结果调查:使用退伍军人兰德 12 项健康调查的身体部分摘要(PCS)和精神部分摘要(MCS)对身体和精神的 HRQOL 进行评估。使用了描述性统计和重复测量的混合效应模型:结果:社会限制是与 MCS 分数变化相关的唯一重要因素。种族和民族、乡村和社会干扰与 PCS 分数的显著下降有关:对护理工作的启示:护士可以在确诊后对患者的身心健康生活质量进行评估,并倡导适当的转诊。肿瘤护理应符合文化因素,包括种族和民族、乡村和社会支持。
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来源期刊
Oncology nursing forum
Oncology nursing forum 医学-护理
CiteScore
3.20
自引率
0.00%
发文量
76
审稿时长
>12 weeks
期刊介绍: The mission of the Oncology Nursing Forum, an official publication of ONS, is to Convey research information related to practice, technology, education, and leadership. Disseminate oncology nursing research and evidence-based practice to enhance transdisciplinary quality cancer care. Stimulate discussion of critical issues relevant to oncology nursing.
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