Effect of social support on changes in quality of life in early breast cancer patients: a longitudinal study
Effect of social support on changes in quality of life in early breast cancer patients: a longitudinal study
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DOI：
10.1111/j.1471-6712.2012.01050.x
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发表时间：
2013-06-01
影响因子：
1.9
通讯作者：
Kaunonen, Marja
中科院分区：
文献类型：
--
作者：
Salonen, Paivi;Tarkka, Marja-Terttu;Kaunonen, Marja
护理科学杂志;二〇一三年;二十七岁; 396405社会支持对早期乳腺癌患者生活质量变化的影响：一项纵向研究背景：乳腺癌诊断以及治疗过程的多样性使女性的生活质量（QOL）恶化。研究者们已经从整体上研究了社会支持及其与生活质量的关系，但对社会支持对生活质量变化的影响知之甚少。目的：探讨乳腺癌患者6个月内从社会网络和护士获得的社会支持与生活质量的关系。方法：将乳腺癌手术后的女性（N=164）准随机分为干预组（n=85）和对照组（n=79）。受试者完成两份生活质量问卷，并在乳腺癌术后1周和6个月分别接受网络和护士的社会支持。使用描述性统计和非参数检验分析数据。采用Logistic回归模型分析社会支持与生活质量负性变化的关系。结果：6个月内，两组患者的网络情感和网络帮助均减少，干预组患者的网络肯定减少。组内护士获得的社会支持无显著变化。此外，未发现组间随时间变化的幅度存在统计学显著差异。接受的社会支持对性功能、整体生活质量以及健康和功能的变化有影响。结论：两组患者在6个月内获得的社会支持均有所下降。社会支持对生活质量的负向变化有显著影响，针对女性个体需求的社会支持是乳腺癌患者护理的重要组成部分。今后的研究应建立更长时间的纵向设计，探讨社会支持及其对生活质量的影响。
Scand J Caring Sci; 2013; 27; 396405 Effect of social support on changes in quality of life in early breast cancer patients: a longitudinal study Background: Breast cancer diagnosis as well as diversity of the treatment process deteriorates women's quality of life (QOL). Researchers have examined social support and its relations with QOL overall, but less is known about effects of social support on changes in QOL. Aims: The aim of this study was to examine social support received from social network and nurses within 6months and QOL in women with breast cancer. Methods: Women (N=164) after breast cancer surgery were quasi-randomized to the intervention (n=85) and control groups (n=79). Participants completed two well-known QOL questionnaires, and the questionnaire measuring received social support from network and from nurses both 1week and 6months after the breast cancer surgery. Data were analysed using descriptive statistics and nonparametric tests. Logistic regression model with the enter method was employed to identify associations between social support and negative changes in QOL. Results: Affect and aid from network decreased in both groups and affirmation in the intervention group within 6months. No significant changes in received social support from nurses were found within groups. Furthermore, no statistically significant difference in the magnitude of changes over time was found between groups. Received social support had an effect on changes in sexual functioning, global QOL and health and functioning. Conclusions: Received social support decreased in both groups within 6months. Significant effects of social support on negative changes on QOL were found. Social support tailored to women's individual needs is an essential part of the care in patients with breast cancer. For further research, longitudinal designs for longer period should be established to explore social support and its effects on QOL.