乳腺癌患者生活质量问题的医学-社会实证和寻找改善方法

IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL
V. Zub
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引用次数: 0

摘要

癌症患者的生活质量是衡量癌症患者医疗护理效果的指标之一。为了研究乳腺癌患者生活质量的主要方面,使用EORTC QLQ-C30和EORTC QLQ-BR45问卷对乌克兰9个地区(切尔尼耶夫、扎波罗热、第聂伯罗彼得罗夫斯克、基辅、波尔塔瓦、赫梅利尼茨基、伊万诺-弗朗科夫斯克、扎卡尔帕提亚和利沃夫)肿瘤机构住院治疗阶段的400名患者进行了调查。在乌克兰,战前时期(2021年11月至2022年2月),乳腺癌患者的生活质量在100分制中为53.22分。乳腺癌对患者生活质量最显著的影响是在心理情感领域(71.26),角色功能(70.48),对未来前景的看法(30.95)。患者抱怨经济困难(44.19分),疲劳(35.16分),睡眠障碍(33.00分),脱发(43.41分),性功能下降(16.06分)和快感下降(18.16分)。鉴于乳腺癌患者的生活质量较低,需要心理支持,应以适应疾病的表现和未来前景为目标,将患者的生活质量作为治疗过程中的指标之一,提供心理支持。由于从医生和朋友/家人那里得到社会和心理支持的患者有更高的生活质量,我们认为有必要集中精力开发一个综合项目,与社会、家庭和工作场所合作,支持乳腺癌患者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Medico-social substantiation of the issue of quality of life in patients with breast cancer and finding ways to improve it
The quality of life of patients is one of the indicators of the medical care effectiveness for cancer patients. In order to study the main aspects of the quality of life of patients with breast cancer, a survey of 400 patients at the stage of their inpatient treatment in oncological institutions in nine regions of Ukraine (Chernihiv, Zaporizhia, Dnipropetrovsk, Kyiv, Poltava, Khmelnytsky, Ivano-Frankivsk, Zakarpattia and Lviv) using the EORTC QLQ-C30 and EORTC QLQ-BR45 questionnaires was carried out. In Ukraine, as of the pre-war period (November 2021 – February 2022), the quality of life of breast cancer patients equaled 53.22 on a 100-point scale. The most pronounced impact of breast cancer on the quality of life of the patient was observed in the psycho-emotional sphere (71.26), role functioning (70.48), views on future prospects (30.95). Patients complained of financial difficulties (44.19), fatigue (35.16), sleep disturbances (33.00), hair loss (43.41), as well as decreased sexual function (16.06) and pleasure (18.16 points). Given the low quality of life of breast cancer patients, they need psychological support, which should be aimed at adapting to the manifestations of the disease and future prospects, and the quality of life of patients should be one of the indicators in the course of treatment and providing psychological support. Since patients who have received social and psychological support from their doctors and friends/family have higher quality of life, we consider it necessary to focus on developing a comprehensive program to support breast cancer patients in collaboration with society, family and workplace.
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来源期刊
Medical Perspectives-Medicni Perspektivi
Medical Perspectives-Medicni Perspektivi MEDICINE, GENERAL & INTERNAL-
CiteScore
0.40
自引率
0.00%
发文量
85
审稿时长
9 weeks
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