根据乳腺癌手术治疗后身体和功能状态水平评估不同年龄组妇女的生活质量。

Z. R. Alikova, A. E. Mamieva, I. A. Dzhioeva, F. U. Kozyreva
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引用次数: 0

摘要

本研究的目的:评估不同年龄组接受乳腺癌根治性手术的妇女的身体和功能状况水平的生活质量。材料和方法。使用国际问卷FACT-G和FACT-B模块对接受根治性乳腺癌手术(I-II期)的妇女进行了调查。该研究包括186名妇女,她们在医院接受了包括化疗和放疗在内的整个疗程的治疗。受访者被分为不同的年龄组。城镇居民占69.0%,农村占31.0%。所得数据的统计处理在个人计算机上使用statistica进行。结果。对乳腺癌手术后患者生活质量的身体健康量表的研究揭示了不同年龄组的特征。在物理尺度上有显著差异。随着年龄的增长,一般身体状况及其组成部分明显恶化。最明显的负面身体健康症状是41-50岁年龄组的典型症状。随着年龄的增长(61-70岁及以上),开始出现虚弱等症状(占应答者的58.3%)。这个年龄段超过90%的女性表示,由于她们的身体状况,她们很难帮助家庭。随着年龄的增长,应答者机体的功能状态表现为对生活乐趣持明显的消极态度。中年回答者的“肯定”和“否定”的对称分布表明女性的功能不稳定。城市居民和农村居民的身体和功能状态无显著差异。结论。复杂的医疗、社会和心理问题导致接受乳腺癌手术治疗的妇女的生活质量恶化,需要对这一特遣队采取综合医疗和社会办法,包括医疗组织的各种专家以及社会,当然还有家庭的参与。结论。有必要监测接受根治性手术治疗的妇女的生活质量,不仅在早期康复阶段,而且在随后的生活中,以及动态监测这一队伍的药房观察和康复的进展和效果。
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Assessment of the quality of life of women of different age groups according to the level of physical and functional state after surgical treatment of breast cancer.
Purpose of the study: to assess the quality of life in terms of the level of physical and functional condition in women of different age groups who underwent radical surgery for breast cancer. Materials and methods. A survey was conducted using the international questionnaire FACT-G and the FACT-B module among women who underwent radical surgery for breast cancer (I–II stages). The study included women (186 people) who underwent a full course of treatment in a hospital, including chemotherapy and radiation therapy. The respondents were divided into age groups. The share of urban residents was 69,0%, rural – 31,0%. Statistical processing of the obtained data was carried out on a personal computer using the STATISTIKA. Results. The study of the quality of life of patients after surgical treatment for breast cancer on a scale of physical well-being revealed features in different age groups. Significant differences were noted on physical scales. With increasing age, there is a significant deterioration in the general physical status and its components. The most pronounced symptoms of negative physical well-being are typical for the age group of 41–50 years. With age (61–70 years and older), symptoms such as weakness began to appear (in 58,3% of respondents). More than 90% of women in this age group indicated that, due to their physical condition, it is difficult for them to help their family. With increasing age, the functional state of the organism of the respondents is characterized by a pronounced negative attitude towards life’s pleasures. The symmetrical distribution of positive and negative answers among middle-aged respondents indicates the functional instability of women. There were no significant differences in the physical and functional state of respondents from urban and rural residents. Conclusion. The complex of medical, social and psychological problems that lead to a deterioration in the quality of life of women who have undergone surgical treatment for breast cancer requires a comprehensive medical and social approach to the rehabilitation of this contingent, involving the participation of various specialists from medical organizations, as well as society and, of course, the family. Conclusions. It is necessary to monitor the quality of life of women who have undergone radical surgical treatment, not only at the stage of early rehabilitation, but also in subsequent years of life, as well as to dynamically monitor the progress and effectiveness of dispensary observation and rehabilitation of this contingent.
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