Predicting the Quality of Life in Patients with Gastrointestinal Cancers in Iranian Population.

A. Hajaghamohammadi, Somayeh Ahmadi Gooraji, A. Zargar
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Abstract

BACKGROUND Evaluation of the quality of life (QoL) of cancer patients gives valuable information regarding the burden of disease, type of treatment and its side effects in studies on chronic diseases. In this study an attempt is made to predict the QoL of patients with gastrointestinal (GI) cancer. METHODS In a cross sectional prospective study, data of 107 patients with GI cancers 58 male & 49 female with a mean age of 60.7±10.5 referred to a hospital from April 2009 to June 2015 were collected by using two standard questionnaires of EORTC-QLQ C30 and EORTC-QLQ-GINET 21. Data analysis was done using multivariate analysis of variance (MANOVA) and correlation test in soft wares of STATA and SPSS.16. RESULTS Total QoL score was 50.7±24.6 in patients with gastrointestinal cancer which is almost optimal. Symptoms level was more in gastric cancer patients and their major complaints were constipation and diarrhea.  QoL of patients with GI cancers were more affected by the educational level and type of cancer (P<0.05).A high correlation of QoL was related to social and emotional domains (P<0.05). Mean score of QoL was more in males with colorectal cancer, educated and retired patients (P<0.05). CONCLUSION the social and emotional support to patients with esophageal cancer and to reduce the level of symptoms in patients with gastric cancer due to complications of their diseases or treatment should be of consideration to improve their QoL.
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预测伊朗人群胃肠道癌症患者的生活质量
背景:在慢性疾病研究中,癌症患者生活质量(QoL)的下降为疾病负担、治疗类型及其副作用提供了有价值的信息。本研究试图预测胃肠道(GI)肿瘤患者的生活质量。方法采用横断面前瞻性研究方法,采用EORTC-QLQ C30和EORTC-QLQ- ginet 21两份标准问卷,收集2009年4月至2015年6月在某医院就诊的107例胃肠道肿瘤患者(男性58例,女性49例,平均年龄60.7±10.5岁)的资料。数据分析采用多变量方差分析(MANOVA),在STATA和SPSS.16软件中进行相关检验。结果胃肠道肿瘤患者的总体生活质量评分为50.7±24.6,接近最佳。胃癌患者的症状水平较高,以便秘、腹泻为主。胃肠道肿瘤患者的生活质量受文化程度和肿瘤类型的影响较大(P<0.05)。生活质量与社会、情绪领域有较高的相关性(P<0.05)。男性结直肠癌患者、文化程度高、退休患者生活质量平均得分较高(P<0.05)。结论对食管癌患者给予社会和情感支持,降低胃癌患者因疾病并发症或治疗引起的症状水平,是提高患者生活质量的重要因素。
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