An Exploration of Quality of Life among Ovarian Cancer Survivors–Case Control Study of Acute Survival, Extended Survival and Permanent Survival
| Autor: | HUI-HSIN CHENG, 鄭惠鑫 |
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| Rok vydání: | 2009 |
| Druh dokumentu: | 學位論文 ; thesis |
| Popis: | 97 Given the increasing incidence, recurrent and mortality rate of ovarian cancer in Taiwan, understanding the impact of ovarian cancer in developing quality of life is becoming an urgent and important issue. The aims of this study were to assess the interrelationships on quality of life (included physical, mental, social and spiritual aspects) and related factors among ovarian cancer survivors in three different survival stages (group 1: acute stage, under treatment ; group 2：extended survival, treatment completed, fellow up within one year in outpatient department and group 3: permanent survival, treatment completed, no recurrence noted, and fellow up over one year in outpatient department). This study applied a case-control study design. A total of 194 survivors were recruited from the inpatient ward and outpatient department at one medical center in northern Taiwan. We recruited 63 patients in group 1, 55 patients in group 2 and 76 patients in group 3. The study results mainly show that: 1) there were significant differences among the three groups in demographics and disease characteristics; 2) about the quality of life, including physical well being, psychological well being, social concerns, and overall quality of life had significant different distribution in three groups, but not for spiritual well being; and 3) to further explore the interrelationships of quality of life and related factors among ovarian cancer survivors in three different survival stages, a hierarchical multiple regression was then applied. And the results indicate that there were independent and significant differences of quality of life in three different survival stages. Besides, we also found that several demographics and disease characteristics played an important role in positive confounding effect. For overall quality of life, the major positive confounding factors were “reduced numbers of contact with family and friends” and “the accessibility of health care”, and their mediating effect were approximately 34.0% (group1 vs. group2) and 42.6% (group1 vs. group3). As a consequence of the above findings, our study results provide a whole spectrum of quality of life of ovarian cancer survivors in three different survival stages. Furthermore, an understanding of the interrelationships of quality of life and related factors among ovarian cancer survivors in different survival stages is essential to the development of health promotion interventions to help maintain quality of life. |
| Databáze: | Networked Digital Library of Theses & Dissertations |
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