بررسی کیفیت زندگی بیماران مبتلا به سرطان معده و عوامل مرتبط با آن در شهر زنجان 1396

نوع مقاله : مقاله پژوهشی

نویسندگان

1 کارشناس ارشد، گروه آموزشی سلامت جامعه، دانشکده پرستاری، دانشگاه علوم پزشکی زنجان، زنجان، ایران.

2 استادیار، گروه آموزشی سلامت جامعه، دانشکده پرستاری، دانشگاه علوم پزشکی زنجان، زنجان، ایران .

3 دکترا، گروه سلامت جامعه، مرکز تحقیقات عوامل اجتماعی مؤثر بر سلامت، دانشگاه علوم پزشکی زنجان، زنجان، ایران.

چکیده

مقدمه: بیماری سرطان می­تواند کیفیت زندگی بیماران را تحت تأثیر قرار دهد. این مطالعه با هدف تعیین کیفیت زندگی بیماران مبتلا به سرطان معده و عوامل مرتبط با آن انجام گرفت.
مواد و روش ­ها: در این مطالعه توصیفی-مقطعی، نمونه­های پژوهش 108 بیمار مبتلا به سرطان معده بستری در بخش‌های انکولوژی و بیماران سرپایی درمانگاه بیمارستان ولیعصر زنجان در بهار 96 بودند که به روش سرشماری مورد مطالعه قرار گرفتند. ابزار جمع­آوری داده­ها، فرم اطلاعات دموگرافیک و پرسشنامه استاندارد اختصاصی کیفیت زندگی بیماران مبتلا به سرطان بود. داده‌ها توسط آزمون‌های ﺗﻲ ﻣﺴﺘﻘﻞ، آنالیز واریانس و ضریب همبستگی پیرسون تجزیه و تحلیل شدند.
یافته ­ها: میانگین سن بیماران 78/8 ± 92/51 سال بود. تمامی بیماران، کیفیت زندگی را در هر سه حیطه عملکردی، علائم و بعد کلی در محدوده ضعیف گزارش نمودند. مردان در حیطه علائم (002/0=p) و بعد کلی (021/0=p)، کیفیت زندگی بهتری داشتند. حیطه عملکردی با افزایش سن (199/0=r) (039/0=p) و مدت ‌زمان تشخیص (191/0=r) (048/0=p)، افزایش می­یافت. کلیه ابعاد در بیماران با مسکن استیجاری نامطلوب­تر بود (024/0=p). بین شغل، سطح تحصیلات، وضعیت تأهل، دفعات بستری، تعداد اعضای خانواده و فرزندان با کیفیت زندگی ارتباط معنی­داری مشاهده نگردید.
نتیجه­ گیری: با توجه به یافته‌های مطالعه، ارائه ﻣﻨﺎﺳﺐ­ﺗﺮﯾﻦ روش­ﻫﺎی درﻣﺎﻧﯽ همراه با خدمات آموزشی و مشاوره‌ای و حمایت‌های همه‌جانبه از سوی سیستم‌های مختلف حمایتی در جامعه از جمله سیستم بهداشت و درمان توصیه می‌گردد.

کلیدواژه‌ها

عنوان مقاله [English]

Quality of Life of Patients with Gastric Cancer and Its Related Factors in Zanjan 2017

نویسندگان [English]

  • H Poorabdolah 1
  • N Jafari Varjoshani 2
  • M Namadian 3
1 MSc, Dept of Community health nursing, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran.
2 Assistant Prof, Dept of Community Health Nursing, School of Nursing and Midwifery. Zanjan University of Medical Sciences, Zanjan, Iran
3 PhD, Dept of Community health nursing, Social Determinants of Health Research Center, Zanjan University of Medical Sciences, Zanjan, Iran.
چکیده [English]

Introduction: Cancer can affect the quality of life of patients. The aim of this study was to determine the quality of life of patients with gastric cancer and its related factors.Materials and Methods: This study was a descriptive cross-sectional study. The study samples were 108 patients with gastric cancer admitted to oncology wards and outpatients of Valiasr Hospital in Zanjan in the spring of 2017 who were studied by census method. Data collection tools were the demographic information form and questionnaire (EORTC QLQ-C30.V.3). Mean and standard deviation were calculated using descriptive statistics. Due to the normality of the data, parametric tests were used to compare the two groups by independent t-test and for more than two groups, analysis of variance and Pearson correlation coefficient were used to determine the relationship.
Result: The mean age of patients was 51.92 ± 8.78 years. All patients reported poor quality of life in all three areas of function, symptoms and overall dimension with a mean of 43.43, 69.77, 42.20, in a weak range. Men had better quality of life in terms of symptoms (p=0.002) and overall (p=0.021). Functional area increased with age (r=0.199) (p=0.039) and duration of diagnosis (r=0.191) (p=0.048). All dimensions were more unfavorable in patients with rented housing (p=0.024). There was no significant relationship between job, level of education, marital status, number of hospitalizations, number of family members and children, with quality of life.
Conclusion: According to the findings of the study, it is recommended that various support systems in the community, including the health care system, provide educational and counseling services and comprehensive support.

کلیدواژه‌ها [English]

  • Quality of Life
  • Gastric Cancer
  • Community Health

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