Influence of social factors on the quality of life after breast cancer surgical treatment (original) (raw)
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Revista De Cercetare Si Interventie Sociala, 2016
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Quality Of Life of Women, Pre- and Post-Operative Breast Cancer Surgery
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Quality of life and related factors among the women undergoing mastectomy
Iranian journal of nursing and midwifery research
Breast cancer is the most common cancer among women and 81% of therapeutic surgery performed for breast cancer in Iran is mastectomy. Following mastectomy, the patients suffer from many problems which lead to several disorders and decrease in their quality of life (QOL). This cross-sectional descriptive study was conducted on 105 breast cancer patients who underwent mastectomy, selected with a convenient sampling method. A questionnaire containing three parts was used to collect data. The data were analyzed by SPSS version 14 using descriptive and analytical statistical methods. Spearman test showed that there was a statistically significant relationship between QOL and education level and also fatigue. Moreover, Spearman test indicated a statistically significant correlation between age and the mental dimension of QOL. There was no significant relationship between QOL with marital and employment status. Based on the findings, we can suggest that nurses should be educated about the ...
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Background: To evaluate quality of life of females after mastectomy and factors affecting the same, in various domains of life, and to assess whether a policy of mastectomy is practical or pragmatic in the scenario of low socioeconomic status prevalent in our region.Methods: Two hundred and forty post-operative mastectomized patients were clinically examined and subjected to a questionnaire designed by WHOQOL-BREF along with an ethically cleared questionnaire prepared according to the local prevailing conditions and Quality of Life was evaluated.Results: 52% patients reported no change in body image, only 2% patients reported depression. The total score of the quality of life was good for 40% of the patients with score of 96-130, followed by 55% with moderate 61-95 and only 5% patients with poor with score of <60.Conclusions: In developing countries like India where, there are no proper facilities for advanced haematological and radiological investigations, there is a severe lack...
Journal of Applied Pharmaceutical Science, 2016
Breast cancer is the most common cancer among women and an increasingly important issue is to evaluate quality of life (QoL) among these patients. The objective of this study was to appreciate the QoL and associated factors among breast cancer womenundergoing different types of therapy. A cross-sectional study was carried out among 166 breast cancer women from two specialized centres in Baghdad, Iraq, from February 2014 to December 2014. The questionnaire used in this study was "The Functional Assessment of Cancer Therapy-Breast (FACT-B)". The majority were employee (60.3%), with high school education (63.2%), with no family history of cancer (79.5%). Majority were diagnosed with grade II (56.6%) and tumor size less than 2 cm in diameter (95.8%). The majority of women underwent mastectomy (98.2%), received chemotherapy, radiotherapy, and Tamoxifen therapy (89.8%, 29.5%, and 36.1%; respectively).The study found a significant difference between the quality of life among cancer patients and job, stage of cancer, size of tumor, and radiotherapy. Job, stage of cancer, size of tumor, and radiotherapy significantly influenced the women QoL. Therefore, more attention on these variables is highly recommended when dealing with breast cancer patients undergoing different types of therapy.
Postmastectomy life quality in patients with breast cancer in Khartoum
Background: Mastectomy affects female'squality of life. Females after mastectomy require long term support. The aims of this prospective study wereto evaluate the quality of life and achievements in patients with breast cancer after mastectomy and to throw some light on the prognosis of breast cancer in Sudanese patients. Methods: One hundred sixty two patients were enrolled during the period 1995-2008. A quality of life questionnaire was used for data collection. Patients were followed for 1-14 years with a mean of 4± 2 years. Results: The overall 5-year survival was 90%. Overall satisfaction was good (75%). However, seventyseven percent were unsatisfied with their body image in the first month of follow up but this improved gradually. Depression and anxiety occurred in 25% but decreased to 15% after 3 years. Sexuality was not affected by mastectomy. A good number of patients had good achievements in terms of child birth and spiritual achievements. Conclusion: The quality of life was affected negatively in patients with mastectomy in terms of body image but the overall quality of life was not affected significantly.
Asian Pacific Journal of Cancer Prevention, 2014
The aim of this study was to investigate the differences in quality of life in patients who received breast conserving surgery (BCS) or modified radical mastectomy (MRM) for breast cancer. Materials and Methods: A total of 100 women with breast cancer who underwent either BCS or MRM between September 2011 and April 2012 at a private health center and completed their chemotherapy and radiation therapy cycles were included in the study. To assess the quality of life, we used a demographic questionnaire, the European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) and the Quality of Life assessment in Breast Cancer (EORTC QLQ-BR23). Results: Using QLQ-C30, we found that patients who underwent BCS had better functional status and fewer symptoms than patients who underwent MRM. In QLQ-BR23, independent factors improving the functional scales were BCS, higher level of education and marital status (married); independent factors improving symptoms were BCS, higher level of education, younger age and low and normal body mass index (BMI). In QLQ-C30, independent factors affecting the functional and symptom scales were only BCS and higher level of education. Conclusions: We determined that patients who received BCS had better functional status and less frequent symptoms than patients who underwent MRM.
Quality of Life and the Effect on Social Status among Slovenian Women after Breast Cancer Treatment
Journal of International Medical Research, 2009
This study investigated whether the type of surgical procedure used to treat breast cancer (mastectomy versus breast-conserving lumpectomy) had any effect on the quality of life and social status of women. The prospective analysis included 382 women newly diagnosed with non-metastatic breast cancer who had undergone a surgical intervention for breast carcinoma at our institution: 198 patients had undergone mastectomy with axillary lymphadenectomy and 184 patients had undergone breast-conserving lumpectomy with local axillary lymphadenectomy. The post-mastectomy women reported significantly more financial problems, a lowered social status and more physical symptoms compared with the breast-conserving post-lumpectomy patients. The patients that underwent lumpectomy were more satisfied with their body image and their sexual life. Since the adverse financial effects of wage loss can significantly decrease a patient's quality of life, this study indicates that postmastectomy patients...
Background: Bangladesh is facing a high burden of breast cancer. Late presentation with advance stage is the common feature of breast cancer patient in Bangladesh, when it is extremely difficult to manage this deadly disease. It is easily understandable that the incidence and mortality of breast cancer is growing at a fast rate. But as we do not have any cancer registry along with relevant data it is difficult to say the exact situation in Bangladesh the rate of breast cancer occurrence is estimated to be 22.5 per 100000 females of all ages; In case of Bangladeshi women, aged between 15-44 years, breast cancer has the highest prevalence 19.3 per 100000 compared to any other type of cancer. However, this figure is far more less than the real figure, simply because very few cases is diagnosed and reported. Many patients die with unnoticed cancer. There may be many reasons behind this, but studies in many other countries show that poor or no knowledge, ignorance, lack of awareness and misbelieve is one of the leading causes of this fastest silent killer. Methods: This prospective quasiexperimental study was conducted in the Department of Surgery, Rajshahi Medical College Hospital, Bangladesh from August 2014 to July 2019. Samples were collected in non-randomized basis with stage IB-IIIB breast cancer in female (n=1156) with the age group of 35-65 years and their mean age was 48.16 years. Diagnosis was performed with history, clinical examinations and investigations. Types of surgery were depending upon the TNM staging of the disease and the mean post-operative hospital stay was 4 days. The follow up time was 5 years and the mean follow up time 4.61 months. Outcomes variables are satisfaction (Surgical site pain, Post radiation scar pain, Local relapse of disease, Nodal metastasis, Distance metastasis and response to chemo-radiation), communications and the quality of life (Systemic therapy side effects, fatigue, sleep disturbance, and arm symptoms). Questionnaire was made according to the treatment protocol of breast Cancer. The study was performed for the research purpose of experience and quality of life following breast cancer surgery, Results: Studies from experience generally noted that, with the wide local excision, lobectomy & mastectomy with or without axillary dissection. Advanced surgical treatment generally had an effect on long-term outcomes. In contrast, the processes of care, such as choosing therapy, good patient-physician communication, participants had completed primary treatment (surgery and radiation and/or chemotherapy. Mean time from initial surgical treatment to completion of the questionnaire was 24 months Mean number of symptoms reported, with the most common symptom scales being Surgical site pain (10 %), Post radiation scar pain (10%), Local relapse of disease (2%), Nodal metastasis (30%), Distance metastasis (2%), No response (HER-2 Positive) to chemo-radiation (0.5%), The systemic therapy evokes its side effects (100%), fatigue (22%), Sleep disturbance (18%), And arm symptoms (8%). Younger age and poorer health status at diagnosis were associated with worse symptoms. Fatigue had the greatest impact on QOL, with significant differences between those with high and low fatigue across 7 QOL dimensions. Socio demographic, prior health status, clinical, And treatment/diagnostic factors explained only 9%-27% of the variance in QOL outcomes. Adding symptom Istiak