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Contribution of Sociodemographic, Clinical, and Psychological Variables to Quality of Life in Women with Cervical Cancer in the Follow-Up Phase.
Journal of Clinical Psychology in Medical Settings ( IF 1.6 ) Pub Date : 2019-07-10 , DOI: 10.1007/s10880-019-09644-0
Ana Clara Lopes 1 , Rosário Bacalhau 1 , Martim Santos 1 , Marta Pereira 1 , M Graça Pereira 1
Affiliation  

This study evaluates the contribution of sociodemographic, clinical, and psychological variables to quality of life (QoL) of women with cervical cancer in the follow-up phase. This cross-sectional study, conducted at the Portuguese Oncology Institute of Lisbon, included 200 women with cervical cancer during follow-up. Patients were assessed on QoL (EORTC QLQ-C30), body image and specific symptoms (EORTC QLQ-CX24), psychological morbidity (HADS), social support (SSSS), emotional expression (CECS), and spirituality (SpREUK). Education and social support contributed positively to QoL, whereas body image and symptoms contributed negatively. Body image played a moderating role in the relationship between depression and QoL, but not between anxiety and QoL. Spirituality and emotional expression did not moderate the relationship between anxiety/depression and QoL. Health professionals should reference and monitor women with cervical cancer, providing support at the diagnosis and follow-up phase since physical and psychological symptoms, resulting from the disease, remain after the end of treatment and contribute negatively to their QoL. Interventions should focus on these particular outcomes to promote patients’ QoL.

中文翻译:

在随访阶段,社会人口统计学,临床和心理变量对宫颈癌妇女生活质量的贡献。

这项研究评估了社会人口学,临床和心理变量对宫颈癌女性随访期生活质量(QoL)的贡献。在里斯本葡萄牙肿瘤学研究所进行的这项横断面研究包括200名在随访期间患有宫颈癌的妇女。对患者进行了QoL(EORTC QLQ-C30),身体图像和特定症状(EORTC QLQ-CX24),心理疾病(HADS),社会支持(SSSS),情绪表达(CECS)和灵性(SpREUK)评估。教育和社会支持对生活质量产生积极影响,而身体形象和症状则产生负面影响。身体形象在抑郁与生活质量之间的关系中起着调节作用,而在焦虑与生活质量之间的关系中不起作用。精神和情绪表达并未缓解焦虑/抑郁与生活质量之间的关系。卫生专业人员应参考和监测患有宫颈癌的妇女,在诊断和随访阶段提供支持,因为这种疾病导致的身体和心理症状在治疗结束后仍然存在,并且对她们的生活质量有负面影响。干预措施应着眼于这些特殊的结果,以提高患者的生活质量。
更新日期:2019-07-10
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