加拿大妇女对卵巢癌的看法。

M I Fitch, R E Gray, D DePetrillo, E Franssen, D Howell
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摘要

目的:描述的观点加拿大妇女生活与卵巢癌关于他们的经验与疾病。设计:对患有卵巢癌的加拿大妇女的方便样本进行横断面调查。设置:调查问卷被发送给26个治疗卵巢癌妇女的癌症项目的医生,以及卵巢癌自助团体,以便随后分发给妇女。参与者:诊断为卵巢癌且能阅读英语或法语的女性。主要结果衡量指标:调查中与收到的信息、沟通、身体和心理社会症状、疾病影响和生活质量有关的各种单独项目。结果:共有315名女性回访。受访者的平均年龄为59岁。样本中每个省和地区都有代表。超过一半的女性在寻求帮助的一个月内被诊断出卵巢癌,85%的女性接受了多种治疗方式。大多数妇女感到充分了解情况(80%),并对与医生的沟通感到满意(在5分制中平均为4.1至4.5分)。大多数人(62%)表示,疾病改变了他们的生活方式。最常见的问题是副作用(58%)、害怕复发(54%)、睡眠困难(46%)、肠道困难(44%)、害怕死亡(36%)和难以集中注意力(32%)。许多遇到问题的人报告说他们没有得到足够的帮助(16%到49%)。据报道,卵巢癌诊断和治疗后的生活质量显著降低(p = 0.0001)。结论:本研究为进一步研究提供了重要的基础。迫切需要对卵巢癌的早期识别以及支持和应对问题进行研究。对患有卵巢癌的妇女的护理需要一系列学科和社区机构的专业知识作为一个团队协同工作。
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Canadian women's perspectives on ovarian cancer.

Objective: To describe the perspectives of Canadian women living with ovarian cancer regarding their experiences with the disease.

Design: A cross-sectional survey of a convenience sample of Canadian women with ovarian cancer.

Setting: Survey questionnaires were sent to physicians in 26 cancer programs that treat women with ovarian cancer and to ovarian cancer self-help groups for subsequent distribution to women.

Participants: Women diagnosed with ovarian cancer and able to read English or French.

Main outcome measures: A variety of individual items in the survey related to information received, communication, physical and psychosocial symptoms, impact of illness and quality of life.

Results: A total of 315 women returned the survey. The average age of the respondents is 59 years. Each province and territory is represented in the sample. Over one-half of the women received a diagnosis of ovarian cancer within a month of seeking help for a concern and 85% had multiple treatment modalities. The majority of the women felt adequately informed (80%) and were satisfied with communication with their physicians (mean of 4.1 to 4.5 on a 5-point scale). A majority (62%) said that their lifestyle had changed as a result of their disease. Problems were experienced most frequently regarding side effects (58%), fear of recurrence (54%), sleeping difficulties (46%), bowel difficulties (44%), fear of dying (36%) and difficulty concentrating (32%). Many who experienced problems reported receiving inadequate help for them (16% to 49%). Quality of life was reported as significantly lower following the diagnosis and treatment of ovarian cancer (p = 0.0001).

Conclusion: This study provides an important foundation for further investigation. There is a pressing need for research regarding the early identification of ovarian cancer and issues of support and coping. Care for women with ovarian cancer requires the expertise of a range of disciplines and community-based agencies working collaboratively as a team.

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