Farklı Kanser Türüne Sahip Bireyler ile Bakım Verenlerinde Fiziksel Aktivite, Yorgunluk Düzeyi ve Yaşam Kalitesinin İncelenmesi

Serkan Usgu, Özge Özbudak
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Abstract

Objective: This study was planned to investigate the quality of life, physical activity and fatigue levels in patients with different cancer types and their care-givers Material and Methods: Total 180 caregivers and 180 cancer patient were recruited and divided lung cancer (n=60, age: 55.77±7.27 years, Body Mas In-dex-BMI: 20.22±1.12 kg/m2), breast cancer (n=60, age: 49.68±9.51 years, BMI: 20.72±1.18 kg/m2) and colon cancer (n=60, age: 52.53±7.77 years BMI: 19.57±0.92 kg/m2) in this study. Physical activity level was evaluated with the International Physical Activity Questionnaire (IPAQ), fatigue was evaluated with the Piper Fatigue Scale. Quality of life were assessed using the EORTC-QLQ-30 scale in cancer patients and the SF-36 scale in caregivers. Results: Fatigue level was higher in lung cancer and caregivers, and lower in breast cancer and caregivers (p<0.05). All sub-dimensions of fatigue in lung and colon cancer caregivers were higher than breast cancer caregivers (p<0.05). Physical activities of breast and colon cancer patients were higher than lung cancer (p<0.05), no difference found in caregivers (p>0.05). The quality of life (EORTC-QLQ-30) was found to be different in sub-parameters except physical, nau-sea-vomiting, loss of appetite and financial difficulty (p<0.05). The role, cognitive, social, and dyspnea subdomain scores were higher in lung cancer (p<0.05). The functionality, emotionality, general health and symptom scores were lower in breast cancer patients, the pain and sleep disturbance scores were higher in colon and lung cancer patients (p<0.05). Constipation and diarrhoea scores were higher only in colon cancer patients (p<0.05). SF-36 physical function parameter was higher in breast cancer caregivers, while general health parameter was lower in lung cancer caregivers (p<0.05). Conclusion: Fatigue was higher in lung cancer and caregivers, while the physical activity of lung cancer was lower than breast and colon cancer. The cancer type was a parameter on fatigue in caregivers, but it did not affect the level of physical activity. It was observed that the quality of life of cancer patients was affected differently from the process.
不同癌症类型的体力活动、疲劳和生活质量检查
目的:本研究旨在调查不同癌症类型患者及其护理人员的生活质量、体力活动和疲劳水平。材料和方法:共招募180名护理人员和180名癌症患者,并将其分为癌症(n=60,年龄:55.77±7.27岁,Body Mas in-dex-BMI:20.22±1.12 kg/m2),癌症(n=60,年龄:49.68±9.51岁,BMI:20.72±1.18 kg/m2)和癌症(n=50,年龄:52.53±7.77岁BMI:19.57±0.92 kg/m2)。采用国际体力活动问卷(IPAQ)评估体力活动水平,采用Piper疲劳量表评估疲劳。癌症患者的生活质量评估采用EORTC-QLQ-30量表,护理人员采用SF-36量表。结果:肺癌癌症和照顾者的疲劳程度较高,癌症和照顾者较低(p0.05)。生活质量(EORTC-QLQ-30)在除身体、恶心、食欲不振和经济困难外的子参数上存在差异(p<0.05)。癌症的角色、认知、社交和呼吸困难子参数得分较高(p<0.05),乳腺癌癌症患者的情绪、一般健康和症状评分较低,结肠癌和癌症患者的疼痛和睡眠障碍评分较高(p<0.05)。只有结肠癌和癌症患者的便秘和腹泻评分较高(p<0.05),结论:癌症护理人员和护理人员的疲劳程度较高,癌症护理人员的体力活动低于乳腺癌和结肠癌。癌症类型是护理人员疲劳的一个参数,但它不会影响体力活动水平。据观察,癌症患者的生活质量受到的影响与过程不同。
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