Examination of illness acceptance and quality of life in patients diagnosed with breast cancer

Yıl 2024, Cilt: 29 Sayı: 2, 147 - 157, 29.05.2024

Zeynep Özçınr , Emel Yılmaz , Levent Yeniay , Hakan Baydur

https://doi.org/10.21673/anadoluklin.1339663

Öz

Aim: The study was conducted with the aim of determining illness acceptance and quality of life in patients diagnosed with breast cancer.

Methods: The study is descriptive and cross-sectional. The study included 154 patients who had previously undergone surgery for breast cancer and presented for follow-up examination at the General surgery clinic breast outpatient department of a university hospital in our country. Personal information forms, the Illness Acceptance Scale, the European Organization for Cancer Research and Treatment Quality of Life (EORTC QLQ-C30) and Breast Cancer-Specific Quality of Life (EORTC QLQ-BR23) scales and Short-Form (SF-12) were used as data collection tools. The data were evaluated using descriptive statistics, univariate analyses, and Spearman correlation analysis.

Results: The mean age of the patients participating in the study was determined 53.70±11.44 years. It was found that 57.8% of the study group had left breast cancer, 44.8% were in Stage I and the mean time after surgery was 26.92±10.79 months. It was determined that 39.0% of the patients underwent breast-conserving surgery, and 35.7% of them underwent postoperative radiation therapy and drug therapy. The mean score of the Illness Acceptance Scale was 30.54±7.59, SF-12 physical summary score was 43.39±6.85, mental summary score was 39.44±10.05. The patients’ EORTC QLQ-C30 functional scale sub-dimension scores were found to be high, while the symptom scale sub-dimensions scores were low. It was determined that they scored low in the EORTC QLQ-BR23 scale for functional scale (except for sexual pleasure and future expectation) and symptom scale sub-dimensions.

Conclusion: As a result of the study, it was determined that patients with breast cancer have high illness acceptance, good functional status related to cancer, lower symptoms, and an overall lower quality of life.

Anahtar Kelimeler

Breast cancer, patient, quality of life

Proje Numarası

yok

Meme kanseri tanısı alan hastalarda hastalık kabulü ve yaşam kalitesinin incelenmesi

Öz

Amaç: Araştırma meme kanseri tanısı alan hastalarda hastalık kabulü ve yaşam kalitesinin belirlenmesi amacı ile yapılmıştır.

Yöntemler: Araştırma tanımlayıcı ve kesitsel türdedir. Çalışmaya ülkemizdeki bir üniversite hastanesinin genel cerrahi kliniği meme polikliniği’ne daha önce meme kanseri tanısı ile ameliyat olan ve kontrol muayenesine gelen 154 hasta dahil edildi. Veriler kişisel bilgi formu, Hastalığı Kabul Ölçeği, Avrupa Kanser Araştırma ve Tedavi Teşkilatı Yaşam Kalitesi (EORTC QLQ-C30) ve Meme Kanserine Özgü Yaşam Kalitesi (EORTC QLQ-BR23) ölçekleri, Kısa Form-12 (SF-12) ile toplandı. Tanımlayıcı istatistikler, tek değişkenli analizler ve Spearman korelasyon analizi verilerin analizinde kullanıldı.

Bulgular: Araştırmaya katılan hastaların yaş ortalamasının 53,70±11,44 yıl olduğu belirlendi. Araştırma grubunun %57,8’inin sol memede kanser ve %44,8’inin Evre I’de ve ameliyattan sonra geçen süre ortalamasının 26,92±10,79 ay olduğu bulundu. Hastaların %39,0’ına meme koruyucu cerrahi yapıldığı, %35,7’sine ameliyat sonrası radyoterapi ve kemoterapi uygulandığı belirlendi. Hastalık Kabulü Ölçeği puan ortalaması 30,54±7,59, SF-12 fiziksel özet skor: 43,39±6,85, zihinsel özet skor: 39,44±10,05’tir. Hastaların EORTC QLQ-C30 fonksiyonel skala alt boyut puanları yüksek, semptom skalası alt boyut puanları düşük olarak saptandı. EORTC QLQ-BR23 ölçeği fonksiyonel skala (cinsel haz ve gelecek beklentisi hariç) ve semptom skalası alt boyutlarından düşük puan aldıkları belirlendi.

Sonuç: Araştırma sonucunda meme kanserli hastaların hastalığı kabul düzeylerinin yüksek, kansere bağlı fonksiyonel durumlarının iyi olduğu, semptomları daha az hissettikleri ancak genel yaşam kalitelerinin düşük olduğu saptandı.

Anahtar Kelimeler

Hasta, meme kanseri, yaşam kalitesi

Destekleyen Kurum

yok

Proje Numarası

yok

Teşekkür

-

Kaynakça

• World Health Organisation. Breast cancer [Internet]. 12 July 2023. Available from: https://www.who.int/news-room/fact-sheets/detail/breast-cancer
• Sung H, Ferlay J, Siegel RL, et al. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin. 2021;71(3):209-49.
• International Agency for Research on Cancer (World Health Organisation). Cancer Today. March 2021. Available from: https://gco.iarc.fr/today/data/factsheets/populations/792-turkey-fact-sheets.pdf
• Arnold M, Morgan E, Rumgay H, et al. Current and future burden of breast cancer: Global statistics for 2020 and 2040. Breast. 2022;66:15-23.
• Liu Y, Liu W, Ma Y, et al. Research on body image cognition, social support and illness perception in breast cancer patients with different surgical methods. Front Psychol. 2022;13:931679.
• Heidary Z, Ghaemi M, Hossein Rashidi B, et al. Quality of life in breast cancer patients: A systematic review of the qualitative studies. Cancer Control. 2023;30:10732748231168318.
• Ho PJ, Gernaat SAM, Hartman M, et al. Health-related quality of life in Asian patients with breast cancer: a systematic review. BMJ Open. 2018;8(4):e020512.
• Secinti E, Tometich DB, Johns SA, et al. The relationship between acceptance of cancer and distress: A meta-analytic review. Clin Psychol Rev. 2019;71:27-38.
• Nowicki A, Krzemkowska E, Rhone P. Acceptance of illness after surgery in patients with breast cancer in the early postoperative period. Pol Przegl Chir. 2015;87(11):539-50.
• Jankowska-Polańska B, Świątoniowska-Lonc N, Ośmiałowska E, et al. The association between illness acceptance and quality of life in women with breast cancer. Cancer Manag Res. 2020;12:8451-64.
• Momenimovahed Z, Salehiniya H. Epidemiological characteristics of and risk factors for breast cancer in the world. Breast Cancer (Dove Med Press). 2019;11:151-64.
• Kashyap D, Pal D, Sharma R, et al. Global increase in breast cancer incidence: Risk factors and preventive measures. Biomed Res Int. 2022;2022:9605439.
• Felton BJ, Revenson TA. Coping with chronic illness: a study of illness controllability and the influence of coping strategies on psychological adjustment. J Consult Clin Psychol. 1984;52(3):343–53.
• Büyükkaya Besen D, Esen A. Hastalığı Kabul Ölçeğinin Türk toplumundaki diyabetik bireylere uyarlanması. TAF Prev Med Bull. 2011;10(2):155‐64.
• Aaronson NK, Ahmedzai S, Bergman B, et al. The European Organization for Research and Treatment of Cancer QLQ-C30: A quality-of-life instrument for use in international clinical trials in oncology. J Natl Cancer Inst. 1993;85(5):365-76.
• Guzelant A, Goksel T, Ozkok S, et al. The European Organization for Research and Treatment of Cancer QLQ-C30: an examination into the cultural validity and reliability of the Turkish version of the EORTC QLQ-C30. Eur J Cancer Care (Engl). 2004;13(2):135-44.
• Sprangers MA, Groenvold M, Arraras JI, et al. The European Organization for Research and Treatment of Cancer breast cancer-specific quality-of-life questionnaire module: first results from a three-country field study. J Clin Oncol. 1996;14(10):2756-68.
• Demirci S, Eser E, Ozsaran Z, et al. Validation of the Turkish versions of EORTC QLQ-C30 and BR23 modules in breast cancer patients. Asian Pac J Cancer Prev. 2011;12(5):1283-7.
• Soysal Gündüz Ö, Mutlu S, Aslan Basli A, et al. Validation of the Turkish Form of Short Form-12 health survey version 2 (SF-12v2). Arch Rheumatol. 2021;36(2):280-6.
• Czerw A, Religioni U, Deptała A. Assessment of pain, acceptance of illness, adjustment to life with cancer and coping strategies in breast cancer patients. Breast Cancer. 2016;23(4):654-61.
• Cipora E, Konieczny M, Sobieszczański J. Acceptance of illness by women with breast cancer. Ann Agric Environ Med. 2018;25(1):167-71.
• Nowicki A, Krzemkowska E, Rhone P. Acceptance of Illness after Surgery in Patients with Breast Cancer in the Early Postoperative Period. Pol Przegl Chir. 2015;87(11):539-50.
• Lewandowska–Abucewicz T, Kęcka K, Brodowski J. Akceptacja choroby nowotworowej u kobiet po mastektomii w województwie zachodniopomorskim – badania wstępne [Acceptance of cancer by women after mastectomy in Western Pomerania region – preliminary studies]. Family Med Prim Care Rev. 2016;18(2):143–8.
• Manandhar S, Shrestha DS, Taechaboonsermsk P, et al. Quality of life among breast cancer patients undergoing treatment in national cancer centers in Nepal. Asian Pac J Cancer Prev. 2014;15(22):9753-7.
• Chen Q, Li S, Wang M, et al. Health-related quality of life among women breast cancer patients in Eastern China. Biomed Res Int. 2018;2018:1452635.
• Almutairi KM, Mansour EA, Vinluan JM. A cross-sectional assessment of quality of life of breast cancer patients in Saudi Arabia. Public Health. 2016;136:117-25.
• Nageeti TH, Elzahrany HR, Gabra AO, et al. Quality of life assessment of breast cancer patients in Saudi Arabia. J Family Community Med. 2019;26(2):98-102.
• Chen X, Wu C, Bai D, et al. Health-related quality of life in breast cancer patients in Asia: A meta-analysis and systematic review. Front Oncol. 2022;12:954179.
• Rendas-Baum R, D’Alessio D, Bjorner JB. Health-related quality of life predicted subsequent health care resource utilization in patients with active cancer. Qual Life Res. 2019;28(4):1085-95.
• Wei CW, Wu ML, Tung HH. Relationships between health literacy and quality of life among survivors with breast cancer. Int J Nurs Pract. 2021;27(2):e12922.
• Cheng KKF, Wong WH, Koh C. Unmet needs mediate the relationship between symptoms and quality of life in breast cancer survivors. Support Care Cancer. 2016;24(5):2025-33.
• Brunault P, Champagne AL, Huguet G, et al. Major depressive disorder, personality disorders, and coping strategies are independent risk factors for lower quality of life in non-metastatic breast cancer patients. Psychooncology. 2016;25(5):513-20.
• Akça M, Ata A, Nayır E, et al. Impact of surgery type on quality of life in breast cancer patients. J Breast Health. 2014;10(4):222-8.
• Alvarez-Pardo S, Romero-Pérez EM, Camberos-Castañeda N, et al. Quality of life in breast cancer survivors in relation to age, type of surgery and length of time since first treatment. Int J Environ Res Public Health. 2022;19(23):16229.