scholarly journals Psycho-Oncological Aspects of the Functioning of Women Who Have Breast Cancer: Discussion of the Author’s Research

Author(s):  
Andrzej Nowicki ◽  
Andrzej Nowicki

Breast cancer interferes with the emotional sphere of a woman, causes body distortion and permanent disability, and evokes strong negative emotional reactions, such as anxiety, the feeling of insecurity, and anxiety. Also, during and after treatment, women experience not only persistent damage in the psyche but also intimate sensations. The study aimed to assess the quality, acceptance, life satisfaction and depression, and pain of women treated for breast cancer. Evaluation of the impact of the disease on emotional life and ways of dealing with it, among others, using unconventional methods. The studies involved a total of 573 women aged 30 to 79 years of age, suffering from breast cancer at its various stages of treatment. Women with severe comorbidities, BMI> 30 and other cancers were excluded from the study. The approval of the Bioethical Commission of Collegium Medicum of the Nicolaus Copernicus University in Toruń was obtained for all the tests. The study used psychometric tests: Quality of Life questionnaire QLQ-C 30 and the QLQ BR-23, Acceptance of Illness Scale (AIS), Beck Depression Self-Assessment Scale, Hospital Anxiety and Depression (HAD) Scale of Mental Adaptation to cancer (Mini Mac). The research drew important conclusions and practical implications regarding care for patients with breast cancer. Psychological support is necessary for multi-disciplinary proceedings, not only women, but also persons accompanying the disease. Such a procedure enables the proper course of the treatment process for patients with breast cancer. Research on coping with the disease including pain, depression, adjusting to life in this difficult situation, among others, may affect the outcome. Active struggle with the disease affects the alleviation of ailments and improving the quality of life.

2017 ◽  
Vol 39 (1) ◽  
pp. 57 ◽  
Author(s):  
Sabrina Nunes Garcia ◽  
Raquel De Castro Figueiredo Pereira Coelho ◽  
Pamella Naiana Dias dos Santos ◽  
Mariluci Alves Maftum ◽  
Maria De Fátima Mantovani ◽  
...  

The objective of this study was to investigate the impairment of social and emotional functions, body image and future perspective in women with breast cancer undergoing chemotherapeutic treatment. This is a longitudinal research conducted from October 2012 to October 2013 at the chemotherapy unit of a private institution of Oncology located in Curitiba, PR, Brazil. Sociodemographic and clinical questionnaires were applied, Quality of Life Questionnaire Core 30 e Quality of Life Questionnaire – Breast Cancer Module, to 48 women subjected for the first time to chemotherapy, in three different stages of the treatment. Analysis with Friedman`s, Spearman and Kruskal-Wallis nonparametric tests was performed. Changes were observed in social function and body image, which compromised quality of life significantly. Results can subsidize the planning of and adjustments to the care provided to these women by considering the perception about the impact of therapy on QL and their perspectives. 


2021 ◽  
Vol 22 (3) ◽  
pp. 385-397
Author(s):  
Helena Yannael Bezerra Domingos ◽  
Sarah Santos Moreira ◽  
Mikael Santos Alves ◽  
Fernanda Bispo Oliveira ◽  
Caroline Bomfim Lemos da Cruz ◽  
...  

Introdução: O tratamento cirúrgico para o câncer de mama pode trazer limitações físico-funcionais e prejuízos na qualidade de vida (QV). Assim, a cinesioterapia representa uma possibilidade terapêutica para prevenir ou tratar estas disfunções. Objetivo: Comparar a QV antes e após 10 sessões de cinesioterapia. Métodos: Ensaio clínico não aleatorizado, envolvendo mulheres que realizaram 10 sessões de fisioterapia após cirurgia para câncer de mama. O protocolo incluiu alongamentos, exercícios ativos-livres e exercícios resistidos. A QV foi avaliada pelo questionário genérico European Organization for Research and Treatment of Cancer (EORTC): o Quality of Life Questionnaire C-30 (QLQ-C30) e o específico, Breast Cancer Module (BR-23). Resultados: Foram incluídas 35 mulheres, sendo a mastectomia à esquerda o procedimento mais realizado. No QLQ-C30, foi observada melhora significativa da escala de função física (p = 0,01), desempenho funcional (p = 0,02), fadiga (p = 0,03), dor (p = 0,01), insônia (p = 0,02) e piora apenas de diarreia (p = 0,02). No BR-23, observou-se melhora significativa nos sintomas da mama (p = 0,01) e do braço (p = 0,01). Outros escores, como função cognitiva, social, dispneia, constipação, dificuldade financeira, imagem corporal e perspectiva futura, melhoraram sem diferença significativa. Conclusão: Após a cinesioterapia, observou-se melhora de diversos aspectos da QV. Maior tempo de seguimento e outros instrumentos de avaliação poderão mostrar ganhos adicionais.


Author(s):  
Magdalena Konieczny ◽  
Elżbieta Cipora ◽  
Wojciech Roczniak ◽  
Magdalena Babuśka-Roczniak ◽  
Marek Wojtaszek

Introduction: Breast cancer is the most common malignancy in women. Due to the large number of women living with breast cancer and the increasing incidence of this cancer, it is very important to understand the factors determining the quality of life (QOL) of patients. The aim of the study. The aim of the study was to determine the impact of time to initiation of treatment on the quality of life of women with breast cancer. Materials and methods. The study involved 324 women with breast cancer, treated at the Podkarpackie Oncology Centre in Brzozów, Poland. The study was conducted using a diagnostic survey, using a standardised questionnaire to measure the quality of life of women treated for breast cancer, i.e., the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC) QLQ-C30 and the QLQ-BR23 module, as well as a proprietary survey questionnaire. Statistical analysis was performed using the Statistica 10.0 software (StatSoft Inc., 2011). A p value of <0.05 was considered statistically significant. Results: The examined women had a reduced overall quality of life and health (M = 53.88). The quality of life was higher in women who consulted a doctor the earliest after noticing initial symptoms of the disease, i.e., up to one week (M = 57.58), compared to patients who delayed the decision (over four weeks; M = 47.8) (p = 0.002). The quality of life was also considered higher by women who received treatment within two weeks of diagnosis (M = 56.79) and was lower for patients who waited for treatment for more than two months (M = 43.68). Statistically significant relationships were demonstrated for functional scales and disease intensity. Conclusions: Women diagnosed with breast cancer had a considerably lower overall quality of life. A relatively higher quality of life was experienced by patients who consulted a doctor the earliest after discovering symptoms of the disease and those whose waiting time for treatment was shorter. In a systematic manner, the individual stages of diagnosis should be maximally reduced and breast cancer treatment initiated without delay.


2021 ◽  
Vol 9 (07) ◽  
pp. 682-700
Author(s):  
Sarroukh a ◽  
◽  
Benbouchaib b ◽  
Benhessou c ◽  
Ennachit d ◽  
...  

Introduction: Breast cancer is the most common form of cancer amongst women. It is a serious disease that impacts all aspects of the patients life and goes beyond that to touch the lives of all their loved ones. This work aims to evaluate the impact cancer has on the lives of our patients and their loves ones, namely: their social, economic and psychological well-being. Methodology: We have conducted a cross-functional study at the Mohamed VI Center of Cancer Prevention and Treatment, between May and July of 2017, leveraging 2 sets of questions, including the Arabic Dialect version of the quality of life questionnaire, in its 2 versions: Family and Patient. Results: The average age of the patients sample was 26-43. Amongst the studied aspects, fear was the most negatively impacted spiritual, physical, and social well- being were the least impacted. 50, 9 % of patients were accompanied, 69, 6 % of companions were females. Amongst the companions, psychological well-being was most negatively impacted. Conclusion: The patients and their companions had their quality of life severely negatively impacted, in all aspects. As such, caring for cancer patients must be done in all-inclusive manner, taking into account their life quality and their lives loves ones, who are their main source of support during their ordeal.


2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Mads G. Jørgensen ◽  
Navid M. Toyserkani ◽  
Frederik G. Hansen ◽  
Anette Bygum ◽  
Jens A. Sørensen

AbstractThe impact of breast cancer-related lymphedema (BCRL) on long-term quality of life is unknown. The aim of this study was to investigate the impact of BCRL on health-related quality of life (HRQoL) up to 10 years after breast cancer treatment. This regional population-based study enrolled patients treated for breast cancer with axillary lymph node dissection between January 1st 2007 and December 31th 2017. Follow up and assessments of the included patients were conducted between January 2019 and May 2020. The study outcome was HRQoL, evaluated with the Lymphedema Functioning, Disability and Health Questionnaire, the Disabilities of the Arm, Shoulder and Hand Questionnaire and the Short Form (36) Health Survey Questionnaire. Multivariate linear logistic regression models adjusted for confounders provided mean score differences (MDs) with 95% confidence intervals in each HRQoL scale and item. This study enrolled 244 patients with BCRL and 823 patients without BCRL. Patients with BCRL had significantly poorer HRQoL than patients without BCRL in 16 out of 18 HRQoL subscales, for example, in physical function (MDs 27, 95%CI: 24; 30), mental health (MDs 24, 95%CI: 21; 27) and social role functioning (MDs 20, 95%CI: 17; 23). Age, BMI, BCRL severity, hand and dominant arm affection had only minor impact on HRQoL (MDs < 5), suggesting a high degree of inter-individual variation in coping with lymphedema. This study showed that BCRL is associated with long-term impairments in HRQoL, especially affecting the physical and psychosocial domains. Surprisingly, BCRL diagnosis rather than clinical severity drove the largest impairments in HRQoL.


Cancer ◽  
2021 ◽  
Author(s):  
Fangyuan Zhao ◽  
Tara O. Henderson ◽  
Toni M. Cipriano ◽  
Brenda L. Copley ◽  
Michelle Liu ◽  
...  

2015 ◽  
Vol 112 (4) ◽  
pp. 636-643 ◽  
Author(s):  
E J Bantema-Joppe ◽  
G H de Bock ◽  
M Woltman-van Iersel ◽  
D M Busz ◽  
A V Ranchor ◽  
...  

Nutrients ◽  
2021 ◽  
Vol 13 (4) ◽  
pp. 1354
Author(s):  
Antioco Fois ◽  
Massimo Torreggiani ◽  
Tiziana Trabace ◽  
Antoine Chatrenet ◽  
Elisa Longhitano ◽  
...  

Prescribing a low-protein diet (LPD) is part of the standard management of patients in advanced stages of chronic kidney disease (CKD). However, studies on the quality of life (QoL) of patients on LPDs are lacking, and the impact these diets have on their QoL is often given as a reason for not prescribing one. We, therefore, decided to assess the QoL in a cohort of CKD stage 3–5 patients followed up by a multiple-choice diet approach in an outpatient nephrology clinic in France. To do so, we used the short version of the World Health Organization’s quality of life questionnaire and compared the results with a historical cohort of Italian patients. We enrolled 153 patients, managed with tailored protein restriction in Le Mans, and compared them with 128 patients on similar diets who had been followed in Turin (Italy). We found there were no significant differences in terms of age (median 73 vs. 74 years, respectively), gender, CKD stage, and comorbidities (Charlson’s Comorbidity Index 7 vs. 6). French patients displayed a greater body mass index (29.0 vs. 25.4, p < 0.001) and prevalence of obesity (41.2 vs. 15.0%, p < 0.001). Baseline protein intake was over the target in France (1.2 g/kg of real body weight/day). In both cohorts, the burden of comorbidities was associated with poorer physical health perception while kidney function was inversely correlated to satisfaction with social life, independently of the type of diet. Our study suggests that the type of LPD they follow does not influence QoL in CKD patients and that a personalized approach towards protein restriction is feasible, even in elderly patients.


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