胶质母细胞瘤患者的神经认知功能和健康相关生活质量:一项前瞻性研究

IF 0.6 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Journal of Public Health in Africa Pub Date : 2025-01-10 eCollection Date: 2025-01-01 DOI:10.4102/jphia.v16i1.660
Mohamed A Baba, Ahmed Kharbach, Mohamed Lmejjati, Nawal Adali
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引用次数: 0

摘要

背景:胶质母细胞瘤是侵袭性脑肿瘤,显著影响患者的功能和心理健康,使得健康相关生活质量(HRQoL)的评估至关重要。目的:本研究旨在评估摩洛哥胶质母细胞瘤患者的生活质量(QoL)和神经认知状况。环境:患者从摩洛哥两个著名的肿瘤中心招募。方法:在2021年4月至2024年1月期间,在两家知名肿瘤中心接受治疗的患者入组。采用QLQ-C30和QLQ-BN20量表评估生活质量,采用简易精神状态测验(MMSE)评估神经认知功能。采用夏皮罗-威尔克检验检验数据正态性,采用非参数方法比较得分。年龄、肿瘤侧性、居住地和教育状况等变量与总体生活质量的相关性进行了研究。进行了单因素线性回归和多因素回归分析。采用JAMOVI软件进行统计分析。结果:该研究纳入106例患者,中位年龄为56.7岁。其中男性占66%,女性占34%。多元线性回归显示,年龄(B: -15.46;95% CI: -24.15 ~ -6.77;p < 0.001)、教育程度(B: -9.36;95% CI: 0.84 ~ 17.88;p = 0.032)、到医院的距离(B: -9.85;95% CI: -18.34 ~ -1.36;p = 0.023),肿瘤侧边性(B= -12.36;95% CI: -20.65 ~ -4.06;p = 0.004)与随访3个月时的总体生活质量显著相关。结论:胶质母细胞瘤患者HRQoL在随访期间有所下降。年龄、肿瘤位于左侧、受教育程度和是否靠近医院对总体生活质量有显著影响。贡献:本研究突出了影响摩洛哥胶质母细胞瘤患者HRQoL的关键因素,为改善患者护理提供了见解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Neurocognitive function and health-related quality of life among glioblastoma patients: A prospective study.

Background: Glioblastomas are aggressive brain tumours that significantly impact patients' functional and psychological well-being, making the evaluation of health-related quality of life (HRQoL) essential.

Aim: This study aims to assess the quality of life (QoL) and neurocognitive status of glioblastoma patients in Morocco.

Setting: Patients were recruited from two renowned oncology centres in Morocco.

Methods: Patients receiving care at two renowned oncology centres were enrolled between April 2021 and January 2024. The QLQ-C30 and QLQ-BN20 scales were used to assess QoL, while neurocognitive function was evaluated using the Mini-Mental State Examination (MMSE) test. Data normality were checked using the Shapiro-Wilk test, and non-parametric methods were used to compare scores. Variables such as age, tumour laterality, residence, and educational status were examined for their association with overall QoL. Both univariate linear regression and multivariate regression analyses were conducted. Statistical analyses were performed using the JAMOVI software.

Results: The study enrolled 106 patients, with a median age of 56.7 years. Among them, 66% were male, while 34% were female. Multiple linear regression showed that age (B: -15.46; 95% CI: -24.15 to -6.77; p < 0.001), education level (B: -9.36; 95% CI: 0.84 to 17.88; p = 0.032), distance from hospital (B: -9.85; 95% CI: -18.34 to -1.36; p = 0.023), and tumour laterality (B= -12.36; 95% CI: -20.65 to -4.06; p = 0.004) were significantly associated with overall QoL at 3 months follow-up.

Conclusion: The results indicate a decline in HRQoL during follow-up among glioblastoma patients. Advancing age, tumour location on the left side, education level, and proximity to the hospital significantly influence the overall QoL.

Contribution: This study highlights the critical factors impacting HRQoL in glioblastoma patients in Morocco, providing insights for improving patient care.

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来源期刊
Journal of Public Health in Africa
Journal of Public Health in Africa PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
自引率
0.00%
发文量
82
审稿时长
10 weeks
期刊介绍: The Journal of Public Health in Africa (JPHiA) is a peer-reviewed, academic journal that focuses on health issues in the African continent. The journal editors seek high quality original articles on public health related issues, reviews, comments and more. The aim of the journal is to move public health discourse from the background to the forefront. The success of Africa’s struggle against disease depends on public health approaches.
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