Associations between sexuality, body image and health-related quality of life in patients treated for diffuse large B-cell lymphoma: A cross-sectional study

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing Pub Date : 2024-11-08 DOI:10.1016/j.ejon.2024.102729

Cecilia Olsson , Maria Larsson , Anna Josse Eklund , Anders Ringnér

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引用次数: 0

Abstract

Purpose

Sexuality and body image are closely related to health-related quality of life (HRQoL), but these factors are less investigated in patients treated for lymphoma.

Therefore, the aim of this study was to describe and explore the associations between sexuality, body image, comorbidities and HRQoL in patients treated for diffuse large B-cell lymphoma.

Methods

A cross-sectional study with 257 patients (25% response rate) was conducted in 2019 using measures for sexuality, HRQoL and body image and data from the Swedish National Quality Registry for Leukemia–Subregistry for Lymphoma.

Results

The participants had a mean HRQoL of 69.75 on a 1 to 100 scale, and the functional scales ranged from 68.50 for Role to 80.82 for Social functioning. The symptoms ranged from 5.56 for nausea and vomiting to 37.73 for fatigue. Regarding body image, the participants scored a total of 14.47 (reference values 10–40). The total score for Sexual adjustment was 3.02 (fair), and for the subscales Sexual Interest 2.63 (low), Sexual Relation 2.72 (low), Sexual Function 3.62 (high) and Sexual Satisfaction 3.50 (high). HRQoL was positively associated with Sexual Relation; however, negative body image and comorbidities showed negative associations. The model explains 39.6% of the variation in HRQoL.

Conclusion

The positive impact of sexual relationships on HRQoL was highlighted, which emphasised the unfavourable effect of negative body image and comorbidities on HRQoL for lymphoma patients. Cancer nurses should address these topics with patients to improve their long-term well-being.

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弥漫大 B 细胞淋巴瘤患者的性行为、身体形象与健康相关生活质量之间的关系：一项横断面研究。

目的：性行为和身体形象与健康相关生活质量（HRQoL）密切相关，但这些因素在淋巴瘤患者中的调查较少。因此，本研究旨在描述和探讨弥漫大 B 细胞淋巴瘤患者的性行为、身体形象、合并症和 HRQoL 之间的关系：2019年对257名患者（回复率为25%）进行了一项横断面研究，采用了性生活、HRQoL和身体形象测量方法以及瑞典国家白血病质量登记处-淋巴瘤子登记处的数据：参与者的平均 HRQoL 为 69.75（1 至 100 分），功能量表从 68.50（作用）到 80.82（社会功能）不等。症状从恶心呕吐的 5.56 分到疲劳的 37.73 分不等。在身体形象方面，参与者的总得分为 14.47 分（参考值为 10-40）。性适应总分为 3.02（尚可），性兴趣、性关系、性功能和性满足各分量表的得分分别为 2.63（低）、2.72（低）、3.62（高）和 3.50（高）。HRQoL 与性关系呈正相关；然而，负面身体形象和合并症呈负相关。该模型解释了 HRQoL 变异的 39.6%：结论：性关系对 HRQoL 的积极影响得到了强调，这突出了负面身体形象和合并症对淋巴瘤患者 HRQoL 的不利影响。癌症护士应与患者共同探讨这些话题，以改善他们的长期健康状况。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Journal of Oncology Nursing 医学-护理

CiteScore

4.40

自引率

3.60%

发文量

109

审稿时长

57 days

期刊介绍： The European Journal of Oncology Nursing is an international journal which publishes research of direct relevance to patient care, nurse education, management and policy development. EJON is proud to be the official journal of the European Oncology Nursing Society. The journal publishes the following types of papers: • Original research articles • Review articles