Quality of life among women after surgery for ovarian cancer.
Quality of life among women after surgery for ovarian cancer.
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DOI：
10.1017/s1478951508000497
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发表时间：
2008-09
影响因子：
2.2
通讯作者：
McCorkle R
中科院分区：
文献类型：
--
作者：
Schulman-Green D;Ercolano E;Dowd M;Schwartz P;McCorkle R
诊断困难和积极的长期治疗可能导致生活质量（QOL）降低，包括高水平的焦虑、抑郁和不确定性，更大的症状困扰，以及卵巢癌女性的总体生活质量降低。本研究的目的是描述与接受卵巢恶性肿瘤手术的妇女生活质量下降相关的人口统计学、临床和其他危险因素。受试者被招募参加一项临床试验，该试验测试了针对卵巢癌术后妇女心理和身体护理的专门护理干预。生活质量采用五种标准化的自我报告测量：状态-特质焦虑量表（SAS）、流行病学研究中心抑郁量表（CES-D）、米歇尔疾病不确定性量表（MUIS）、症状困扰量表（SDS）和简短健康调查量表（SF-12）。基线数据是在妇女手术后住院期间收集的。样本（n=145）包括患有卵巢癌（58%）和其他癌症转移到卵巢和腹部（42%）的妇女。测量的平均得分与先前报道的相似人群的平均值一致或更高。报告生活质量最低的女性更有可能更年轻，受教育程度更高，并且患有早期疾病。接受卵巢恶性肿瘤手术的妇女有心理需求，这种需求通常被认为次于生理需求。干预措施应包括对痛苦的常规筛查和转介到适当的心理和社会服务机构，从而促进高质量的癌症护理。
Difficulties with diagnosis and aggressive, long-term treatment may result in lower quality of life (QOL), including high levels of anxiety, depression, and uncertainty, greater symptom distress, and lower overall QOL among women with ovarian cancer. The purpose of this study was to describe demographic, clinical, and other risk factors associated with compromised QOL among women who have undergone surgery for ovarian malignancies. Subjects were recruited to participate in a clinical trial that tested a specialized nursing intervention addressing psychological and physical care among women post-surgical for ovarian cancer. QOL was measured using five standardized self-report measures: the State-Trait Anxiety Scale (SAS), the Center for Epidemiological Studies Depression Scale (CES-D), the Mishel Uncertainty in Illness Scale (MUIS), the Symptom Distress Scale (SDS), and the Short-Form Health Survey (SF-12). Baseline data were collected while women were hospitalized following surgery. The sample (n=145) included women with ovarian cancer (58%) and other cancers metastasized to the avaries and abdomen (42%). Mean scores on the measures were consistent with or higher than previously reported means for similar populations. Women reporting the lowest QOL were more likely to be younger, more educated, and have early stage disease. Women who have undergone surgery for ovarian malignancies have psychological needs that are often considered secondary to physical needs. Interventions should include routine screening for distress and referral to appropriate psychological and social services, thereby facilitating quality cancer care.