بررسی کیفیت زندگی زنان مبتلا به سرطان پستان مراجعه کننده به بیمارستانهای تحت پوشش دانشگاه علوم پزشکی شهید بهشتی 1395

طیبه مرعشی, زهرا طاهریان فر, کوروش اعتماد, افشین رخشا

38

چکیده

زمينه و اهداف: سرطان پستان، شايع‌ترين سرطان در ميان زنان است. کيفيت زندگي يک موضوع مهم در مطالعات بيماريهاي مزمن، به خصوص سرطان مي‌باشد.

مواد و روشها: اين مطالعه، يک مطالعه مقطعي (توصيفي-تحليلي) بوده كه به منظور تعيين كيفيت زندگي مبتلايان به سرطان پستان انجام شده است و با روش نمونه‌گيري تصادفي ساده، 150 بيمار مبتلا در بخش شيمي درماني بيمارستانهاي شهدا تجريش و طالقاني انتخاب شدند. جمع آوري اطلاعات بـا استفاده از دو پرسشنامه C30-QLQ و BR23-QLQ و پرسشنامه مشخصات فردي بود که توسط بيمار تکميل شدند. داده‌ها با استفاده از SPSS16 و از طريق آناليز واريانس و پيرسون مورد تجزيه و تحليل قرار گرفت. تمام مراحل تحقيق با رعايت موازين اخلاقي پژوهش انجام گرديد.

يافتهها: ميانگين سن زنان مورد بررسي 8/21± 47/81سال بود که 74/7 درصد آنان متاهل بودند. ميانگين نمره كلي كيفيت زندگي در افراد تحت مطالعه 18/20±53/88بود. از بين شاخص‌هاي عملکردي بيشترين نمره مربوط به شاخص شناختي با 30/30±68/77 بود. از بين شاخص‌هاي علامتي، بيشترين نمره مربوط به شاخص مشکلات اقتصادي با 27/33±69/11بود. عملكرد جسماني، احساسي، شناختي و همچنين علائم بيماري نظير خستگي، تهوع و اسـتفراغ، درد، تنگي نفس، كاهش خواب، يبوست و مشكلات اقتصادي از جمله متغيرهايي بودند كه در تحليل تك متغيره ارتباط معني داري بـا كيفيـت زندگي نشان دادند.

نتيجهگيري: نتايج مطالعه، نشان دهنده وضعيت نامناسب کيفيت زندگي در برخي شاخص‌هاي علامتي عمومي و اختصاصي بيماران مورد بررسي بود که ضرورت توجه بيشتر و طراحي اقداماتي مناسب به منظور ارتقاء کيفيت زندگي آنان را مطرح مي‌نمايد.

کليد واژهها: سرطان پستان، کيفيت زندگي، زنان

موضوع

سرطان پستان ;کیفیت زندگی;زنان

تمام متن:

PDF

مراجع

- Valdivieso M, Kujawa AM, Jones T, Baker LH. Cancer survivors in the United States: a review of the literature and a call to action. International Journal of Medical Sciences 2012; 9(2):163-73.

- Li CI. Breast cancer epidemiology. New York: Springer; 2010.

- WHO. Non communicable diseases country profiles 2015. Geneva: World Health Organization; 2015.

- American Cancer Society. Cancer facts and figures 2013. Available from: http://www.cancer.org/acs/groups/content/@epidemiologysurveilance/documents/documen-t/acspc-036845.pdf. Accessed Nov. 23, 2013.

- Jemal A, Center MM, Desantis C, Ward EM. Global patterns of cancer incidence and mortality rates and trends. Cancer Epidemiology and Prevention Biomarkers 2010; 19(8):1893-907.

- Siegel R, Naishadham D, Jemal A. Cancer statistics, 2013. CA: a cancer journal for clinicians 2013; 63(1):11-30.

- Alteri R, Bandi P, Brinton L, Casares C, Cokkinides V, Gansler T. Breast Cancer Facts & Figures 2011–2012. Atlanta: American Cancer Society, Inc. 2011.

- Are C, Rajaram S, Are M, Raj H, Anderson BO, Chaluvarya Swamy R, et al. A review of global cancer burden: trends, challenges, strategies, and a role for surgeons. Journal of Surgical Oncology 2013; 107(2):221-26.

- Harirchi I, Kolahdoozan S, Karbakhsh M, Chegini N, Mohseni S, Montazeri A, et al. Twenty years of breast cancer in Iran: down staging without a formal screening program. Annals of Oncology 2010; 22(1):93-97.

- Montazeri A. Health-related quality of life in breast cancer patients: a bibliographic review of the literature from 1974 to 2007. Journal of Experimental & Clinical Cancer Research 2008; 27(1):32. https://doi.org/10.1186/1756-9966-27-32.

- Berry MJ, Rejeski WJ, Miller ME, Adair NE, Lang W, Foy CG, et al. A lifestyle activity intervention in patients with chronic obstructive pulmonary disease. Respiratory Medicine 2010; 104(6):829-39.

- WHO. Early detection of cancer. Available from: http://www.who.int/cancer/detection/en/. Accessed Nov. 23, 2013.

- Cummings SR, Tice JA, Bauer S, Browner WS, Cuzick J, Ziv E, et al. Prevention of breast cancer in postmenopausal women: approaches to estimating and reducing risk. Journal of the National Cancer Institute 2009; 101(6):384-98.

- Alagheband M, Servat F, Zarepour F. Investigation of the Relationship between Quality of Life and Life Expectancy in Patients with Breast Cancer. Tolooebehdasht 2016; 15(2):175-85 (In Persian).

- Montazeri A, Harirchi I, Vahdani M, Khaleghi F, Jarvandi S, Ebrahimi M, et al. The EORTC breast cancer-specific quality of life questionnaire (EORTC QLQ-BR23): translation and validation study of the Iranian version. Quality of Life Research 2000; 9(2):177-84.

- Safaee A, Moghimi BD, Tabatabaie S. Reliability and validity of the QLQ-C30 questionnaire in cancer patients. Armaghane Danesh Bimonthly Journal 2007; 12(2):79-88 (In Persian).

- Haghighat S. The effect of Reflexology on Quality of Life of breast cancer patients during chemotherapy. Iranian Quarterly Journal of Breast Diseases 2013; 6(1):23-34 (In Persian).

- Baghaei R, Sheykhi N, Mohammadpour Y, SHarifi M. Evaluation of the effects of educational package on controlling the complications of chemotherapeutic agents on symptom scales of quality of life in patients with breast cancer undergoing chemotherapy. The Journal of Urmia Nursing and Midwifery Faculty 2013; 11(9):667-79 (In Persian).

- Chui PL, Abdullah KL, Wong LP, Taib NA. Quality of life in CAM and Non-CAM users among breast cancer patients during chemotherapy in Malaysia. PloS one 2015; 10(10):e0139952.

- Schmidt ME, Wiskemann J, Armbrust P, Schneeweiss A, Ulrich CM, Steindorf K. Effects of resistance exercise on fatigue and quality of life in breast cancer patients undergoing adjuvant chemotherapy: a randomized controlled trial. International Journal of Cancer 2015; 137(2):471-80.

- Brédart A, Kop J-L, Griesser A-C, Fiszer C, Zaman K, Panes-Ruedin B, et al. Assessment of needs, health-related quality of life, and satisfaction with care in breast cancer patients to better target supportive care. Annals of Oncology 2013; 24(8):2151-58.

- Hatam N, Bastani P, Ahmadlo N, Ahmadkia-Daliri AA. Health related quality of life in breast cancer patients undergoing current chemotherapy protocols. Journal of Kerman University of Medical Sciences 2011; 18(1):49-58 (In Persian).

- Saffari M, Zeidi I, Pakpour A. Role of religious beliefs in quality of life of patients with cancer. Hakim Research Journal 2012; 15(3):243-50 (In Persian).

- So WK, Chow KM, Chan HY, Choi KC, Wan RW, Mak SS, et al. Quality of life and most prevalent unmet needs of Chinese breast cancer survivors at one year after cancer treatment. European Journal of Oncology Nursing 2014; 18(3):323-28.

- Ayatollahi H, MohaddeSi H, Hassanzadeh G. Quality of life in breast cancer patients: Study in the Omid cancer research center–Urmia. Iranian Quarterly Journal of Breast Diseases 2013; 5(4):35-43 (In Persian).

- Hutchinson AD, Hosking JR, Kichenadasse G, Mattiske JK, Wilson C. Objective and subjective cognitive impairment following chemotherapy for cancer: A systematic review. Cancer Treatment Reviews 2012; 38(7):926-34.

- Curt GA, Breitbart W, Cella D, Groopman JE, Horning SJ, Itri LM, et al. Impact of cancer-related fatigue on the lives of patients: new findings from the Fatigue Coalition. The Oncologist 2000; 5(5):353-60.

- Almutairi K, Mansour E, Vinluan J. A cross-sectional assessment of quality of life of breast cancer patients in Saudi Arabia. Public Health 2016; 136:117-25.

- Mkanta WN, Chumbler NR, Richardson LC, Kobb RF. Age-related differences in quality of life in cancer patients: a pilot study of a cancer care coordination/home-telehealth program. Cancer Nursing 2007; 30(6):434-40.

- DiSipio T, Hayes S, Newman B, Janda M. What determines the health‐related quality of life among regional and rural breast cancer survivors? Australian and New Zealand journal of public health 2009; 33(6):534-39.

ارجاعات

  • در حال حاضر ارجاعی نیست.