Vocation and Mobility as Significant Modifiable Determinants For Quality Of Life Among Oral And Throat Cancer Patients - A Hospital Based Study From Southern India

Smriti Jain, Susila T, Senthil Arasi Duraisamy, Krithiga Sivakumar, Sameeya Furmeen Salam, Punithakumary P, Seenivasan P
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Abstract

Background: Quality of Life (QOL) is an important indicator of treatment outcome for cancer therapies. QOL researches help us to explore about the impairment caused by treatment and disease on one’s social life, day to day activities and psychological conditions. The objective is to assess the health related QOL in patients suffering from oral cavity and throat cancer and to find out factors associated with QOL. Methodology: Facility based cross sectional study design with consecutive sampling was used to achieve a sample size of 90 patients with oral cavity and throat cancer. Result: 71(78.88%) of study participants were independent and 19(21.11%) were partially dependent, none were completely dependent. Majority of the study population perceived a poor overall QOL as revelled by the findings that only 24.4% had best scoring in overall QOL domain. Weak Positive Correlation (R2=0.224) was seen between physical and socio- emotional component of QOL (p value <0.001). Education and cancer site were significantly associated with physical component while employment and Activity of Daily Living were associated with social component of QOL. Conclusion: There is a need to focus on ambulatory and vocational rehabilitation along with pain management for oral & throat CA patients as the study show an association of these factors with social component of QOL.
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职业和流动性是口腔癌和咽喉癌患者生活质量的重要可变决定因素——一项来自印度南部医院的研究
背景:生活质量(QOL)是癌症治疗结果的重要指标。生活质量研究帮助我们探索治疗和疾病对一个人的社会生活、日常活动和心理状况造成的损害。目的是评估口腔和咽喉癌患者的健康相关生活质量,并找出与生活质量相关的因素。方法:采用连续抽样的基于设施的横断面研究设计,获得90例口腔癌和咽喉癌患者的样本量。结果:独立者71例(78.88%),部分依赖者19例(21.11%),完全依赖者无一例。大多数研究人群认为总体生活质量较差,因为只有24.4%的人在总体生活质量领域得分最高。生活质量的生理因素与社会情绪因素呈弱正相关(R2=0.224) (p值<0.001)。教育程度和癌症地点与生活质量的身体成分显著相关,而就业和日常生活活动与生活质量的社会成分显著相关。结论:有必要关注口腔和咽喉CA患者的门诊和职业康复以及疼痛管理,因为研究表明这些因素与生活质量的社会成分有关。
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