癌症化疗性闭经患者的更年期症状与生活质量

IF 0.4 Q4 NURSING Asian Oncology Nursing Pub Date : 2019-06-01 DOI:10.5388/AON.2019.19.2.90
Jin-Hee Park, Y. Jung, J. Kim, S. Bae, Yujung Jo
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引用次数: 4

摘要

目的:本研究旨在评估癌症化疗所致闭经患者更年期症状的严重程度及其对生活质量(QOL)的影响。方法:采用横断面调查设计。受试者是112名患有化疗引起的闭经的癌症患者。他们完成了更年期评分量表(MRS)和癌症综合治疗功能评估(FACT-G)。数据采用描述性统计、独立ttests、单因素方差分析、Pearson相关系数和SPSS/WIN 23.0多元回归分析。结果:参与者的症状发生率如下:睡眠问题,88.4%;身心疲惫80.4%;关节和肌肉不适占76.8%;更年期症状与生活质量呈显著负相关。回归分析结果表明,心理和泌尿生殖道症状在解释患者生活质量方面具有统计学意义,并占总方差的70%。结论:更年期症状是绝经前癌症患者的一个重要问题。更年期症状的评估和控制对维持癌症患者的生活质量起着重要作用。
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Menopausal Symptoms and Quality of Life Among Breast Cancer Patients with Chemotherapy-induced Amenorrhea
Purpose: The aim of this study was to evaluate the severity of menopausal symptoms and their impact on the quality of life (QOL) in breast cancer patients with chemotherapy-induced amenorrhea. Methods: A cross-sectional survey design was used. Participants were 112 breast cancer patients with chemotherapy-induced amenorrhea. They completed the Menopause Rating Scale (MRS) and the Functional Assessment of Cancer Therapy-General (FACT-G). Data were analyzed using descriptive statistics, independent ttests, one-way ANOVA, Pearson’s correlation coefficients, and multiple regression with SPSS/WIN 23.0. Results: The prevalence of symptoms among the participants were as follows: sleep problems, 88.4%; physical and mental exhaustion, 80.4%; joint and muscular discomfort, 76.8%; and depression, 70.5%. Menopausal symptoms had a significant negative association with QOL. The results of the regression analysis showed that psychological and urogenital symptoms were statistically significant in explaining patients’ QOL and accounted for 70% of the total variance. Conclusion: Menopausal symptoms appear to be a significant problem for premenopausal breast cancer patients. Assessment and control of menopausal symptoms played a large role in maintaining the quality of life in breast cancer patients.
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