乳腺癌患者的知识、态度、营养实践和身体活动的评估及其与生活质量的关系

N. Abdous, P. NazarAli, A. Ramezankhani, F. Fallah
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引用次数: 0

摘要

背景:本研究的目的是评估营养知识、态度和实践(KAP)和身体活动(PA)与乳腺癌(BC)妇女生活质量(QOL)的相关性。方法:对2018-2019年在德黑兰伊玛目霍梅尼医院就诊的所有BC女性患者进行横断面研究,采用Cochran公式,采用方便抽样法抽取220例,填写乳腺癌患者全球身体活动问卷(GPAQ)、营养知识、态度、行为调查(KAP)和生活质量问卷(QLQ-30)。为了确定营养变量和体力活动(PA)在预测生活质量中的份额,采用SPSS 22软件进行标准多元回归。结果:本组BC患者PA(109.61±110.831)、QOL(49.805±16.830)、KAP (K= 46.028±11.879;一个= 45.540±19.754;P=46.870±12.362)。其中,社会功能(73.560±26.873)和角色功能(73.560±26.873)分量表得分最高,情绪功能(58.257±24.298)分量表得分最低。营养相关知识(nutrition - relatedknowledge) (β=144;P=0.036),态度(β=160;P=0.038), Practice (β=0.596;P=0.045)和PA (β=0.042;P=0.001)是预测癌症患者生活质量的重要因素。结论:积极运动的患者有较好的生活质量,正确的营养选择和患者的表现可以提高患者的生活质量,因此此时应对患者进行特殊干预。
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Assessment of Knowledge, Attitude, nutritional Practice and physical activity and its relation with quality of life in patients with breast cancer
Background: The aim of this study was to assess the correlation between nutritional knowledge, Attitude, and Practice (KAP) and physical activity (PA) on the quality of life (QOL) in women with breast cancer (BC). Methods: This cross-sectional study involved all women with BC who referred to Imam Khomeini Hospital in Tehran during the years 2018-2019 that by using Cochran formula, 220 of them were selected by convenience sampling and answered the questionnaire including Global Physical Activity Questionnaire (GPAQ), Nutritional Knowledge, Attitude, Practice Survey (KAP) and Quality of life Questionnaire for breast cancer patients (QLQ-30). To determine the share of nutritional variables and physical activity (PA) in predicting QOL, standard multiple regression was used by SPSS 22 software. Results: The findings of the study showed that the BC patients’ PA (109.61±110.831), QOL (49.805±16.830) and KAP (K= 46.028±11.879; A=45.540±19.754; P=46.870±12.362) were not in a good condition.The best functional outcomes of QLQ-30 questionnaire were found for social functioning (73.560±26.873) and role functioning (73.560±26.873) subscales whereas emotional functioning was found lowest (58.257±24.298).Also, the results showed thatNutrition-RelatedKnowledge (β=144; P=0.036), Attitudes (β=160; P=0.038), and Practice (β=0.596; P=0.045) and PA (β=0.042; P=0.001) were significant factorsinpredictingcancer patients’ quality of life. Conclusion: The study showed that active patients have a good QOL, also, right nutritional choices and performance by the patients can result in better quality of life, therefore, the patients should receive special interventions at this time.
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