Evânia Curvelo Hora, Marcelo Prado de Carvalho, Débora Silva Pereira, Julia Santos de Almeida Barretto, Gabriel Guimarães Mellara, Mirelly Grace Ramos Cisneiros, Natália Araújo Barreto, Cassandra Luiza de Sá Silva, Carlos Anselmo Lima
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引用次数: 0
摘要
本研究旨在使用巴西葡萄牙语改编和验证版皮肤癌指数(SCI)评估颈面部非黑色素瘤皮肤癌(NMSC)患者的生活质量(QoL)。在收集了 182 名颈面部非黑色素瘤皮肤癌患者的人口统计学和临床数据后,分别在术前(T0)和术后 4 个月(T1)采用了巴西版 SCI 和皮肤病生活质量指数(DLQI)。评估采用 Shapiro-Wilk 检验、学生 t 检验、Mann-Whitney 检验、Kruskal-Wallis 检验和 Spearman 相关性检验。在 T0 和 T1 阶段,采用学生 t 检验对配对样本进行了 QoL 评估。结果显示,SCI 量表的各维度得分均有显著提高,而 DLQI 量表的得分则有所下降,这表明术后患者的生活质量有所提高。在总分量表中,男性、无子女、收入高于四份最低工资、来自私营部门、未报告有瘙痒症和头皮病变等变量的得分均有明显提高,这表明患者的 QoL 更好。QoL 测量结果显示,所有分量表与基线相比均有变化,术后 4 个月后均有改善,这表明手术治疗从情感、社交和身体外观的角度提高了这些患者的 QoL。多变量分析在情感、社交、外貌和总分方面得出了一些具有统计学意义的结果。
Quality of Life in Cervicofacial Nonmelanoma Skin Cancer: Assessment with the Skin Cancer Index
This study aimed to evaluate the quality of life (QoL) of patients with cervicofacial nonmelanoma skin cancer (NMSC) using the Brazilian Portuguese-adapted and validated version of the skin cancer index (SCI). After collecting demographic and clinical data from 182 patients with cervicofacial NMSC, the Brazilian versions of the SCI and the Dermatological Life Quality Index (DLQI) were applied preoperatively (T0) and 4 months postoperatively (T1). Assessments were carried out using the Shapiro–Wilk test, Student’s t-test, Mann–Whitney test, Kruskal–Wallis test, and Spearman’s correlation. The QoL was evaluated using the Student’s t-test in paired samples at T0 and T1. Significant results were observed, with an increase in scores on the SCI scale in all its dimensions and a decrease in scores on the DLQI scale, demonstrating better postoperative QoL. The variables that presented significant results on the total scale, which indicated better QoL, were men, without children, income above four minimum wages, from the private sector, did not report pruritus, and scalp lesions. The QoL measurement indicated a change from the baseline and improvement after 4 months postoperatively in all subscales, indicating that surgical treatment increased the QoL of these patients from an emotional, social, and physical appearance point of view. The multivariate analysis produced several statistically significant findings in relation to emotional, social, appearance, and total scores.
期刊介绍:
The European Journal of Cancer Care aims to encourage comprehensive, multiprofessional cancer care across Europe and internationally. It publishes original research reports, literature reviews, guest editorials, letters to the Editor and special features on current issues affecting the care of cancer patients. The Editor welcomes contributions which result from team working or collaboration between different health and social care providers, service users, patient groups and the voluntary sector in the areas of:
- Primary, secondary and tertiary care for cancer patients
- Multidisciplinary and service-user involvement in cancer care
- Rehabilitation, supportive, palliative and end of life care for cancer patients
- Policy, service development and healthcare evaluation in cancer care
- Psychosocial interventions for patients and family members
- International perspectives on cancer care