Mesh : Humans Quality of Life / psychology Female Breast Neoplasms / surgery psychology Cross-Sectional Studies Lebanon / epidemiology Middle Aged Adult Depression / epidemiology psychology Aged Surveys and Questionnaires Prevalence Depressive Disorder, Major / epidemiology psychology

来  源:   DOI:10.1097/MD.0000000000038588   PDF(Pubmed)

Abstract:
Breast cancer is a global health concern that significantly impacts the quality of life (QOL) of individuals. This study aims to comprehensively examine the interplay between QOL and depression among nonmetastatic breast cancer patients in Lebanon, a region with limited research in this context. A cross-sectional study was conducted at Hammoud Hospital-University Medical Center from January 2018 to January 2023. Data was collected through a self-administered questionnaire distributed as Google Forms via WhatsApp. A total of 193 patients had non-metastatic breast cancer. Out of these, 81 valid responses were obtained. The Patient Health Questionnaire and Quality of Life Scale were used to assess depression and QOL, respectively. A total of 81 patients were included with mean age 54.4 years. Results revealed that 77.8% of patients experienced provisional depression, with 35.8% meeting criteria for major depressive disorder. Financial status and chronic diseases were associated with the likelihood of developing major depressive disorder. The mean QOL score was 81.14, lower than the average for healthy individuals. Educational level and presence of chronic diseases were significant factors influencing QOL. Postsurgical depression prevalence is substantial, underscoring the importance of integrating mental health care. Economic status and comorbidities are influential factors, necessitating targeted interventions. Breast cancer\'s impact on QOL is profound, falling below that of other chronic conditions. Education empowers coping, while comorbidities impact QOL. Our findings emphasize the multidimensional nature of breast cancer care, advocating for holistic support and addressing emotional well-being.
摘要:
乳腺癌是一个全球性的健康问题,显著影响个人的生活质量(QOL)。本研究旨在全面检查黎巴嫩非转移性乳腺癌患者的生活质量与抑郁之间的相互作用。在这方面研究有限的地区。2018年1月至2023年1月在Hammoud医院-大学医学中心进行了一项横断面研究。数据是通过通过WhatsApp以GoogleForms形式分发的自我管理问卷收集的。共有193名患者患有非转移性乳腺癌。在这些中,获得81个有效响应。患者健康问卷和生活质量量表用于评估抑郁和生活质量,分别。共纳入81例患者,平均年龄54.4岁。结果显示,77.8%的患者经历过暂时性抑郁,35.8%符合重度抑郁症的标准。财务状况和慢性疾病与患重度抑郁症的可能性有关。平均QOL评分为81.14,低于健康个体的平均值。文化程度和慢性病的存在是影响生活质量的重要因素。手术后抑郁症患病率很高,强调整合精神卫生保健的重要性。经济地位和合并症是影响因素,需要有针对性的干预措施。乳腺癌对生活质量的影响是深远的,低于其他慢性病。教育赋予应对能力,而合并症影响生活质量。我们的发现强调了乳腺癌治疗的多维度性质,倡导整体支持和解决情感福祉。
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