Evaluation of Quality of life, Social Support and Coping Strategies and Illness Adjustment in patients with breast cancer: Across sectional study (original) (raw)
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Quality of Life and Social Support Among Breast Cancer Patients in Malaysia
Malaysian Journal of Public Health Medicine
Cancer incidence and mortality are rapidly growing worldwide, and Breast Cancer is one of the leading causes of death among women in Malaysia. Social support is an important aspect of the Quality of Life (QoL) as it affects the psychological well-being and health of the patients. The aim of this study is to assess the quality of life and relationship of QoL with social support among female patients with diagnosed Breast Cancer. This is a cross-sectional study involving 259 female patients with diagnosed Breast Cancer from the outpatient unit of the National Cancer Institute, Malaysia. The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) and its breast-specific module (QLQ-BR23) measured QoL and social support by using Perceived Social Support (MPSS) questionnaires. The data was analysed using SPSS version 25.0. The result of this study found that women with Breast Cancer in Malaysia had an excellent global quality of life in wh...
Social support, quality of life and mental health status in breast cancer patients
Cancer Reports and Reviews, 2017
Objective: In this study, Objective was to assess the social support, quality of life and mental health status in breast cancer patients. Different literatures have highlighted the breast cancer's impact on mental health, quality of life, financial status etc., but very few studies have been done particularly in Nepal to assess impact of social support and quality of life on the mental health of a breast cancer patient. Methods: The design of the study was cross-sectional. The study was conducted from December 2015 to August 2016. A total of 149 patients diagnosed with breast cancer who met eligibility were enrolled. We included only patients who were reachable, diagnosed with breast cancer at least for 6 months and consented to participate in the study. They were interviewed using EORTC, mMOSS-SS and HADS questionnaires through telephone interview. Statistical analysis was carried out with SPSS (version 16). Results: For QOL, mean linear scores for the global health and functioning scale were 82.08 and 69.06 (on a scale of 0-100; higher the score, better the global health and physical function). For social support, mean linear score was 85.03 (on a scale of 0-100; higher the score, better the social support). For mental health, mean anxiety and depression score were 7.01 and 4.85 respectively (on a scale of 0-21, 8 being cut off for borderline and 11 being the cutoff for abnormal condition). Out of 149 respondents, 40.93% (61) were screened positive for depression either borderline or abnormal mood, whereas 52.34% (78) women were screened positive for anxiety either borderline or abnormal mood. Significantly less number of married woman currently living with husband had borderline plus abnormal mood. Similarly significantly higher number of woman living in nuclear family had depression. Global health scores of above mean, Social support scores of above mean and Anxiety scores of below mean had significant association with normal mood (p<0.05). Conclusion: From our study, we concluded that there was a high prevalence of undiagnosed depression in breast cancer patients. Good social support, better quality of life and absence of anxiety had significant association with the better mental health status. So, regular psychiatric screening and follow up should be recommended. To improve social support; counseling of spouse, family members and friends could be done along with the patient. For the quality of life; better pain control and rehabilitation measures should be tried.
Social support and health-related quality of life in women with breast cancer: a longitudinal study
Psycho-Oncology, 2014
Objectives: A breast cancer diagnosis is a distressing event that impacts on physical and psychological functioning. This study examined the longitudinal relationships among a diagnosis of breast cancer, social support, and health-related quality of life (HRQOL). Results: Compared with pre-diagnosis HRQOL, women newly diagnosed with breast cancer reported significantly poorer HRQOL in subscales related to pain, physical functioning, and health and vitality. At 3-year follow-up, HRQOL had improved in most domains to levels consistent with pre-diagnosis. Levels of social support remained stable across time. The structural equation model showed that social support was positively predictive of better physical and mental HRQOL at 3-year follow-up.
Vojnosanitetski pregled
Background/Aim. As significant advances in cancer treatment have occurred over the past decades, the crucial questions in oncology nowadays are not related only to the treatment of the illness but also to the quality of life (QOL) of patients. The aim of our study was to explore which set of determinants (clinical, functional, affective, or social) has the greatest impact on explaining QOL in women who live with the diagnosis of breast cancer. Methods. The research was conducted on 64 women (with a mean age of 58.36 ? 11.30) while undergoing radiation therapy at the Oncology Institute of Vojvodina, Serbia. Quality of Life Instrument ? Breast Cancer Patient Version (QOL-BC) questionnaire was used for evaluation of physical, psychological, social, spiritual, and general well-being, the Upper Extremity Functional Index (UEFI) was applied for the assessment of the upper extremity function, the Depression, Anxiety, and Stress Scale-21 Items (DASS-21) was used for measuring symptoms of de...
Quality of Life of Women with Breast Cancer-Emotional and Social Aspects
Abstract Breast cancer is the leading cancer among women in most countries and significantly affects the quality of life of ill women. The aim of this study was to examine how the breast cancer affects their quality of life, especially emotional and social components of health, compared to healthy women in our community. The pilot study included 100 women with breast cancer and 100 healthy women aged 20-75, using EORTC QLQ-C30 version 3.0 questionnaire. Mean score of the global health status in women with breast cancer (29.5 ± 17.9) compared to healthy women (65.8 ± 24.7) was significantly lower in all age groups. Almost 2/3 women with breast cancer were tense and 3/4 worried. More than 2/3 ill women were irritable and depressed with a significantly lower score on the scale of emotional and social functioning compared with healthy women. Over 2/3 ill women said that their health status or treatment had an impact on their family and social life with statistically significant differen...
Influence of social factors on the quality of life after breast cancer surgical treatment
79 Breast conserving surgery or mastectomy are used in early stages of bre-ast cancer treatment. The aim of the study was to establish social factor (age, marital status and occupation) influence on the patient's quality of life after mastectomy and breast conserving surgery. Materials and methods. The quality of life of 62 women with stage I–II of breast cancer treated in the Department of Breast Surgery and Oncology of the Institute of Oncology, 5–6 days after the operation were evaluated by the EORTC QLQ-C30, EORTC QLQ-Br23 and FACT-An questionnaires; also, a questionnaire on the occupation and marital status was used. The quality of life was compared after mastectomy and breast conserving surgery. Results. In younger women, better results were found after breast conserving surgery than after mastectomy according to the EORTC QLQ-C30 Role functioning scale data (p = 0.085). The quality of life of retired women was better after breast conserving surgery than after mastectomy a...
Changes in quality of life in patients with breast cancer
Journal of Clinical Nursing, 2011
Aim. To describe and compare changes in quality of life in two groups of patients with breast cancer and to identify factors predicting negative changes in quality of life within six months. Background. Women with breast cancer suffer from various treatment side-effects, from psychological and social symptoms as well as decreased quality of life, creating a need for support that may persist throughout the breast cancer experience. Design. This six-month longitudinal study involved a sample of 164 women, who were quasi-randomized between intervention (n = 85) and control groups (n = 79) after breast cancer surgery. Intervention group received support and education via telephone one week after the breast cancer surgery and face-to-face support six months after the surgery. Quality of life was estimated one week and six months after breast cancer surgery, using the Quality of Life Index-Cancer Version (QLI-CV) and the European Organisation for Research and Treatment of Cancer Breast Cancer-Specific Quality of Life questionnaire (EORTC QLQ-BR23). Method. Data were analysed statistically using descriptive statistics and non-parametric tests. Factors predicting negative changes in quality of life within six months were investigated using logistic regression models with the enter method. Results. Significant group difference in the magnitude of changes within six months was found in future outlook. Logistic regression analyses revealed six significant predictors of negative changes in quality of life within six months: education, employment status, having underaged children, chemotherapy, radiotherapy and hormonal therapy. Conclusion. The results of this study underline the importance of identifying quality of life changes in patients with breast cancer and paying attention to those women with difficulties in adapting to being a cancer survivor. Relevance to clinical practice. The findings of this study provide evidence which may help to create appropriate supportive interventions for both acute and long-term settings.
Iranian Journal of Cancer Prevention, 2016
Background: Cancer diagnosis for everybody may be perceived as crisis and breast cancer, as the most common malignancy in women, can influence their well-being and multiple aspects of their health. So understanding that how women in various contexts and communities adjust to the illness is necessary to facilitate this adjustment and improve their quality of life. Objectives: The aim of this study was to: 1) identify the core components of coping strategies to adjust to the illness in Iranian women with breast cancer perspective, 2) to develop and determine psychometric properties of a native self-report instrument to assess coping behaviors and measure the degree of adjustment with the breast cancer. Methods: The present exploratory mixed method study was conducted in two consecutive stages: 1) the hermeneutic phenomenological study was done to explore the life experiences of coping styles to adjust with the breast cancer using in-depth interviews with patients that lead to item generation; 2) psychometric properties (validity and reliability) of the instrument were evaluated recruiting 340 eligible women. The item pool was reduced systematically and resulted in a 49-item instrument. Results: From the qualitative stage, item pool containing 78 items related to coping strategies to adjust with the breast cancer. After eliminating unwanted statements from the results, qualitative and quantitative face and content validity, the 10 factors extracted employing construct validity were: feeling of guilt, abstention-diversion, role preservation and seeking support, efforts for threat control, confronting, fear and anxiety, role wasting, maturation and growth, isolation, and fatalism. These factors accounted for the 59.1% of variance observed. The Cronbach reliability test was carried out and alpha value of 10 factors was calculated from 0.78 to 0.87 confirming all factors were internally consistent. The scale's stability was tested using the test-retest method. Conclusions: The 49-item AIMI-IBC revealed acceptable psychometric properties. This instrument provides healthcare professionals to systematically assess the coping strategies of Iranian women with breast cancer and measure the degree of adjustment with illness.
Health and quality of life outcomes, 2015
Depression and anxiety are common psychiatric morbidity among breast cancer patient. There is a lack of study examining the correlation between depression, anxiety and quality of life (QoL) with perceived social support (PSS) among breast cancer patients. This study aims to study the level of depression, anxiety, QoL and PSS among Malaysian breast cancer women over a period of 12 months and their associations at baseline, 6 and 12 months. It is a 12 months prospective cohort study. Two hundred and twenty one female patients were included in the study. They were assessed at the time of diagnosis, 6 months and 12 month using Hospital Anxiety and Depression Scale (HADS), Quality-of-Life Questionnaire (QLQ-C30), Version 3.0 of the EORTC Study Group and Multidimensional Scale of Perceived Social Support (MSPSS). The information of age, ethnicity, types of treatment, and staging of cancer were collected. The HADS anxiety and depression subscales scores of the subjects were relatively low....
2007
Purpose: The aim of the present study was to investigate the effects of psychosocial stressors, social support and socio-demographic variables on quality of life of breast cancer patients. Tools and methods: The study was conducted between December 2004 and May 2005 and included 101 patients, treated in the Oncology Departments of Ege and Pamukkale University Hospitals and Denizli State Hospital. Patients' demographic data were collected by questionnaire. The methods used in the interviews were the Rotterdam Symptom Checklist (RSCL), and the Multidimensional Scale of Perceived Social Support (MSPSS), the Karnofsky Performance Status (KPS). Psychosocial stressors were classified according to life events using the DSM-IV multi-axial diagnostic system. Results: It was found that increase of cancer stage triggers a decrease in psychological quality of life (p<0,05); overall global life quality (p<0,001), perceived social support and performance status (p<0,05), all of these being negatively affected by family stressors. The patients with increased social support, better psychological and overall quality of life (p<0,01) and younger age had more physical wellness besides overall quality of life (p<0,05); lower incomes negatively affected overall global life quality (p<0,01) and working at a job decreased the psychological stressors (p<0,05). Conclusion: From these results, it can be postulated that psychosocial stressors, social support and some socio-demographic variables mostly affected quality of life of the breast cancer patients.