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巴勒斯坦成年女性癌症患者的生活质量与创伤后应激障碍:一项横断面研究。

Quality of life and post-traumatic stress disorder among adult females with cancer in Palestine: a cross-sectional study.

作者信息

Maraqa Beesan Nader, Ahmead Muna

机构信息

Faculty of Public Health, Al-Quds University, Jerusalem, Palestine.

出版信息

Eur J Psychotraumatol. 2021;12(1):1904699. doi: 10.1080/20008198.2021.1904699.

Abstract

: Little research has been conducted on the quality of life (QoL), functional status, and traumatic symptoms related to the diagnosis and treatment of cancer in the Arab region, particularly in Palestine, where the psychological problems in patients with cancer are often neglected.: The aim of the study was to assess QoL and post-traumatic stress disorder (PTSD) symptoms among adult female patients with cancer attending Beit-Jala Governmental Hospital in Bethlehem.: Participants were recruited from 4 April 2015 to the end of July 2015. The sample included 253 female patients with cancer attending Beit-Jala Governmental Hospital in Bethlehem. Data were collected using self-reported questionnaires, including a socio-demographic data sheet, the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 30, and the post-traumatic stress disorder checklist for PTSD symptoms.: The current study showed poor global QoL (57.4%) and poor physical function (48.5%) for female patients with cancer. Insomnia, fatigue, and loss of appetite were the most troublesome symptoms that the participants complained about. The prevalence of PTSD symptoms was 3%. Regarding PTSD symptom severity, 2% reported severe symptoms, 23.3% reported moderate symptoms, and (68.8%) reported mild symptoms, based on a 1991 classification of PTSD symptom severity scores. Finally, Pearson's test revealed a strong, statistically significant, inverse relationship between QoL domains and PTSD.: The study found that the overall QoL of female patients with cancer was low and strongly associated with PTSD symptoms, suggesting that early detection and treatment of these symptoms is critical.

摘要

在阿拉伯地区,尤其是巴勒斯坦,针对癌症诊断和治疗相关的生活质量(QoL)、功能状态及创伤症状的研究较少,癌症患者的心理问题常常被忽视。

本研究旨在评估在伯利恒拜特贾拉政府医院就诊的成年女性癌症患者的生活质量及创伤后应激障碍(PTSD)症状。

研究对象于2015年4月4日至2015年7月底招募。样本包括253名在伯利恒拜特贾拉政府医院就诊的女性癌症患者。数据通过自填问卷收集,包括一份社会人口数据表、欧洲癌症研究与治疗组织生活质量问卷核心30项,以及用于评估PTSD症状的创伤后应激障碍检查表。

当前研究显示,女性癌症患者的总体生活质量较差(57.4%),身体功能也较差(48.5%)。失眠、疲劳和食欲不振是参与者抱怨最多的困扰症状。PTSD症状的患病率为3%。根据1991年PTSD症状严重程度评分分类,2%的患者报告有严重症状,23.3%报告有中度症状,68.8%报告有轻度症状。最后,皮尔逊检验显示生活质量各领域与PTSD之间存在强烈的、具有统计学意义的负相关关系。

研究发现,女性癌症患者的总体生活质量较低,且与PTSD症状密切相关,这表明对这些症状的早期发现和治疗至关重要。

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