Calitatea vieții la pacienții cu cancer gastric: studiu caz-control
DOI:
https://doi.org/10.52556/2587-3873.2022.2(93).02Cuvinte cheie:
Calitatea vieţii, sănătate, cancer gastricRezumat
Cancerul are un impact mare asupra calității vieții în ceea ce privește funcțiile fizice, mentale și sociale și afectează calitatea vieții pacienților. Scopul studiului a fost de a compara calitatea vieții în termeni de sănătate la pacienții cu cancer gastric cu cea a populației generale și de a analiza impactul cancerului gastric asupra calității vieții pe componentele acesteia. S-a efectuat studiul caz-control în pereche. Grupul de caz de 50 de pacienți cu cancer gastric a fost comparat cu grupul de control de 50 de participanți fără cancer, cărora li s-a aplicat în mod similar chestionarul EORTC QLQ-C30. Rezultatele au arătat o scădere a calității vieții pe mai multe aspecte pentru pacienții cu cancer în comparație cu cei fără cancer. Conform scalelor funcționale, rolul și funcționarea emoțională au fost găsite mai scăzute la pacienții cu cancer cu peste 20 de puncte, calificate drept modificare majoră sub aspectul semnificației clinice (p < 0,001). Conform scalei simptomelor, doar la apariția durerii am observat o scădere majoră a calității vieții la pacienții cu cancer (p < 0,001). La fel, dificultățile financiare au fost identificate pentru o scădere majoră a calității vieții la pacienții cu cancer (p <0,001). Se conchide că pacienții cu cancer semnalează o calitate a vieții mai scăzută centrată în principal pe aspecte sociale și psihologice decât simptomele propriu-zice ale bolii canceroase. În abordarea clinică, ar trebui luat în considerare faptul, că majoritatea pacienților cu cancer sunt destul de preocupați de funcționalitatea lor emoțională și de capacitatea îndeplinirii rolurilor sociale. Eforturile de reducere a acestor griji ar trebui făcute în luarea deciziilor de către clinicieni, asigurând o îngrijire mai centrată pe pacient în vederea îmbunătățirii calității vieții lor.
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