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Health-Related Quality of Life and Associated Factors in Chinese Women With Cervical Cancer: A 9-Month Follow-up.

Ding, Yan LU ; Huo, Yan LU and Rahm Hallberg, Ingalill LU (2013) In Cancer Nursing 36(4). p.18-26
Abstract
BACKGROUND:: There is a lack of health-related quality of life (HRQOL) studies in Chinese women with cervical cancer. OBJECTIVE:: The objectives of this study were to investigate the HRQOL trajectory in women with cervical cancer in Mainland China in the 9 months following diagnosis and to identify factors that influence HRQOL. METHODS:: Initially, 187 patients with cervical cancer were included in the study, but at each follow-up, the number declined to 128, 112, and 106, respectively. The Functional Assessment of Cancer Therapy-Cervix (FACT-Cx) was used to collect data sequentially at the time of diagnosis (T1) and at 3 (T2), 6 (T3), and 9 months after diagnosis (T4). Medical characteristics, sense of coherence, and social support were... (More)
BACKGROUND:: There is a lack of health-related quality of life (HRQOL) studies in Chinese women with cervical cancer. OBJECTIVE:: The objectives of this study were to investigate the HRQOL trajectory in women with cervical cancer in Mainland China in the 9 months following diagnosis and to identify factors that influence HRQOL. METHODS:: Initially, 187 patients with cervical cancer were included in the study, but at each follow-up, the number declined to 128, 112, and 106, respectively. The Functional Assessment of Cancer Therapy-Cervix (FACT-Cx) was used to collect data sequentially at the time of diagnosis (T1) and at 3 (T2), 6 (T3), and 9 months after diagnosis (T4). Medical characteristics, sense of coherence, and social support were included as factors likely to contribute to HRQOL. RESULTS:: Functional Assessment of Cancer Therapy-Cervix ranged in mean from 120.30 at T1 to 126.22 at T4 (P = .001), whereas social/family well-being ranged from 23.56 at T1 to 20.23 at T4 (P = .025). In the stepwise regression with FACT-Cx as the independent variable, sense of coherence entered the equation with the highest standardized coefficients (0.554) at T1 and stage II at T2 and T3 (-0.53 and -0.26, respectively). Satisfaction with family relationships had the second highest standardized coefficient (-0.21) at T3. CONCLUSIONS:: Overall HRQOL improved, although social/family well-being deteriorated. Sense of coherence contributed to HRQOL initially, whereas disease stage and family support did so later on. IMPLICATIONS FOR PRACTICE:: The study highlights the importance of identifying those with a low sense of coherence at the time of diagnosis. Family members should be included in caring process as a vital source of social support. (Less)
Please use this url to cite or link to this publication:
author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Cancer Nursing
volume
36
issue
4
pages
18 - 26
publisher
Lippincott Williams & Wilkins
external identifiers
  • wos:000328743800002
  • pmid:23051874
  • scopus:84880572739
  • pmid:23051874
ISSN
1538-9804
DOI
10.1097/NCC.0b013e31826d2ef4
language
English
LU publication?
yes
id
c148ee6b-2191-4839-b8af-75840f9fc296 (old id 3160903)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/23051874?dopt=Abstract
date added to LUP
2016-04-01 10:06:20
date last changed
2022-04-12 02:00:20
@article{c148ee6b-2191-4839-b8af-75840f9fc296,
  abstract     = {{BACKGROUND:: There is a lack of health-related quality of life (HRQOL) studies in Chinese women with cervical cancer. OBJECTIVE:: The objectives of this study were to investigate the HRQOL trajectory in women with cervical cancer in Mainland China in the 9 months following diagnosis and to identify factors that influence HRQOL. METHODS:: Initially, 187 patients with cervical cancer were included in the study, but at each follow-up, the number declined to 128, 112, and 106, respectively. The Functional Assessment of Cancer Therapy-Cervix (FACT-Cx) was used to collect data sequentially at the time of diagnosis (T1) and at 3 (T2), 6 (T3), and 9 months after diagnosis (T4). Medical characteristics, sense of coherence, and social support were included as factors likely to contribute to HRQOL. RESULTS:: Functional Assessment of Cancer Therapy-Cervix ranged in mean from 120.30 at T1 to 126.22 at T4 (P = .001), whereas social/family well-being ranged from 23.56 at T1 to 20.23 at T4 (P = .025). In the stepwise regression with FACT-Cx as the independent variable, sense of coherence entered the equation with the highest standardized coefficients (0.554) at T1 and stage II at T2 and T3 (-0.53 and -0.26, respectively). Satisfaction with family relationships had the second highest standardized coefficient (-0.21) at T3. CONCLUSIONS:: Overall HRQOL improved, although social/family well-being deteriorated. Sense of coherence contributed to HRQOL initially, whereas disease stage and family support did so later on. IMPLICATIONS FOR PRACTICE:: The study highlights the importance of identifying those with a low sense of coherence at the time of diagnosis. Family members should be included in caring process as a vital source of social support.}},
  author       = {{Ding, Yan and Huo, Yan and Rahm Hallberg, Ingalill}},
  issn         = {{1538-9804}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{18--26}},
  publisher    = {{Lippincott Williams & Wilkins}},
  series       = {{Cancer Nursing}},
  title        = {{Health-Related Quality of Life and Associated Factors in Chinese Women With Cervical Cancer: A 9-Month Follow-up.}},
  url          = {{http://dx.doi.org/10.1097/NCC.0b013e31826d2ef4}},
  doi          = {{10.1097/NCC.0b013e31826d2ef4}},
  volume       = {{36}},
  year         = {{2013}},
}