Resilience and Quality of Life in Breast Cancer Patients.
Resilience and Quality of Life in Breast Cancer Patients.
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DOI：
10.3889/oamjms.2015.128
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发表时间：
2015-12-15
影响因子：
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通讯作者：
Dejanova B
中科院分区：
文献类型：
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作者：
Ristevska-Dimitrovska G;Filov I;Rajchanovska D;Stefanovski P;Dejanova B
许多研究表明，乳腺癌患者的生活质量（QoL）和弹性之间存在关系，但很少有研究提供的信息，这种关系的弹性QoL的性质。我们的目的是研究乳腺癌患者的韧性和生活质量之间的关系。使用EORTC - QLQ Core 30问卷和EORTC QLQ-BR 23测量了218例继发性乳腺癌患者的QoL。采用康纳戴维森复原力量表测量复原力。总体生活质量与复原力水平呈正相关（R = 0.39 p < 0.001）。所有功能量表（身体、角色、情绪、认知和社会功能）与复原力呈正相关。症状的严重程度（乏力、恶心呕吐、疼痛、呼吸困难、失眠、食欲不振、便秘、腹泻、经济困难）与恢复力呈负相关。韧性较差的乳腺癌患者报告了更差的身体形象和未来前景，并遭受了更严重的全身治疗的不良反应，手臂/乳房症状。我们的研究结果表明，心理弹性影响与健康相关的生活质量的不同方面。更有弹性的患者在生活质量的几乎所有方面都有显着更好的生活质量。
Many studies have shown that a relationship exists between quality of life (QoL) and resilience in breast cancer patients, but few studies present information on the nature of this relationship of resilience on QoL. Our aim was to examine the relationship between resilience and quality of life in breast cancer patients. QoL was measured in 218 consequent breast cancer patients, with EORTC - QLQ Core 30 questionnaire, and EORTC QLQ-BR23. The resilience was measured with Connor Davidson Resilience Scale. The global quality of life was positively correlated with the levels of resilience (R = 0.39 p < 0.001). All functional scales (physical, role, emotional, cognitive and social functioning was in a positive correlation with resilience. The symptoms severity (fatigue, nausea and vomitus, pain, dyspnea, insomnia, appetite loss, constipation, diarrhea, financial difficulties) was in negative correlation with resilience. Less resilient breast cancer patients reported worse body image and future perspective and suffered from more severe adverse effects of systemic therapy, and arm/breast symptoms. Our findings show that psychological resilience affects different aspects of health-related quality of life. More resilient patients have significantly better quality of life in almost all aspects of QoL.