Quality of Life Determinants among Breast Cancer Women Undergoing Treatment in Indonesia: A Cross-Sectional Study

IF 1.1 Q4 HEALTH CARE SCIENCES & SERVICES
Anita Sukarno, Ratna Dewi, Melati Putri Kurnia, Sherlly Kalalo
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引用次数: 0

Abstract

Breast cancer affects millions of women worldwide, including Indonesia and brings a burden on many aspects, especially quality of life. This study investigated the influence of demographic characteristics, psychological distress and physical activity levels on quality of life among breast cancer women undergoing therapy in Indonesia. This cross-sectional study was conducted among 200 breast cancer women. We used the Indonesian version of depression, anxiety, stress scales, international physical activity questionnaires and World Health Organization Quality of Life-BREF to evaluate psychological distress, physical activity levels and quality of life. Descriptive, bivariate and multiple linear regressions were applied. Study participants had moderate quality of life scores. Approximately 22% of the variance in physical health was explained by family history, depression and physical activity. Having a family history is associated with better psychological health (ß = 5.32, P = 0.04). In contrast, experienced moderate to severe depressive symptoms contributed to lower environment domains (ß = −6.30, P = 0.02). Furthermore, having a low level of physical activity was the only significant factor influencing all domain scores, including physical health (β = −24.82, P < 0.001), psychological health (β = −19.72, P < 0.001), social relation (β= −16.91, P < 0.001) and environment (β = −13.91, P < 0.001). Physical activity levels are the strongest determinant of quality of life among breast cancer women in Indonesia. Nurses should not only widen information access regarding breast cancer, especially for patients with genetic risk, but also should early screen for depressive symptoms and develop strategies to motivate patients to increase their physical activity to escalate breast cancer patient’s quality of life.
印度尼西亚接受治疗的乳腺癌妇女的生活质量决定因素:横断面研究
乳腺癌影响着包括印度尼西亚在内的全球数百万妇女,给她们带来了多方面的负担,尤其是生活质量。本研究调查了印度尼西亚接受治疗的乳腺癌妇女的人口统计学特征、心理困扰和体育锻炼水平对生活质量的影响。我们使用印尼语版抑郁、焦虑、压力量表、国际体育锻炼调查问卷和世界卫生组织生活质量调查表来评估心理困扰、体育锻炼水平和生活质量。研究采用了描述性、双变量和多元线性回归等方法。大约 22% 的身体健康差异是由家族病史、抑郁和体育锻炼解释的。有家族史的人心理更健康(ß = 5.32,P = 0.04)。与此相反,中重度抑郁症状会导致较低的环境领域(ß = -6.30,P = 0.02)。此外,体育锻炼水平低是影响所有领域得分的唯一显著因素,包括身体健康(β = -24.82,P <0.001)、心理健康(β = -19.72,P <0.001)、社会关系(β = -16.91,P <0.001)和环境(β = -13.91,P <0.001)。护士不仅应拓宽乳腺癌相关信息的获取渠道,尤其是对有遗传风险的患者,还应早期筛查抑郁症状,并制定激励患者增加体育锻炼的策略,以提高乳腺癌患者的生活质量。
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来源期刊
Indian Journal of Palliative Care
Indian Journal of Palliative Care HEALTH CARE SCIENCES & SERVICES-
CiteScore
2.30
自引率
0.00%
发文量
57
期刊介绍: Welcome to the website of the Indian Journal of Palliative Care. You have free full text access to recent issues of the journal. The links connect you to •guidelines and systematic reviews in palliative care and oncology •a directory of palliative care programmes in India and IAPC membership •Palliative Care Formulary, book reviews and other educational material •guidance on statistical tests and medical writing.
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