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Changes in quality of life in patients with breast cancer

Author

Listed:
  • Päivi Salonen
  • Pirkko‐Liisa Kellokumpu‐Lehtinen
  • Marja‐Terttu Tarkka
  • Anna‐Maija Koivisto
  • Marja Kaunonen

Abstract

Aim. To describe and compare changes in quality of life in two groups of patients with breast cancer and to identify factors predicting negative changes in quality of life within six months. Background. Women with breast cancer suffer from various treatment side‐effects, from psychological and social symptoms as well as decreased quality of life, creating a need for support that may persist throughout the breast cancer experience. Design. This six‐month longitudinal study involved a sample of 164 women, who were quasi‐randomized between intervention (n = 85) and control groups (n = 79) after breast cancer surgery. Intervention group received support and education via telephone one week after the breast cancer surgery and face‐to‐face support six months after the surgery. Quality of life was estimated one week and six months after breast cancer surgery, using the Quality of Life Index ‐ Cancer Version (QLI‐CV) and the European Organisation for Research and Treatment of Cancer Breast Cancer ‐ Specific Quality of Life questionnaire (EORTC QLQ‐BR23). Method. Data were analysed statistically using descriptive statistics and non‐parametric tests. Factors predicting negative changes in quality of life within six months were investigated using logistic regression models with the enter method. Results. Significant group difference in the magnitude of changes within six months was found in future outlook. Logistic regression analyses revealed six significant predictors of negative changes in quality of life within six months: education, employment status, having underaged children, chemotherapy, radiotherapy and hormonal therapy. Conclusion. The results of this study underline the importance of identifying quality of life changes in patients with breast cancer and paying attention to those women with difficulties in adapting to being a cancer survivor. Relevance to clinical practice. The findings of this study provide evidence which may help to create appropriate supportive interventions for both acute and long‐term settings.

Suggested Citation

  • Päivi Salonen & Pirkko‐Liisa Kellokumpu‐Lehtinen & Marja‐Terttu Tarkka & Anna‐Maija Koivisto & Marja Kaunonen, 2011. "Changes in quality of life in patients with breast cancer," Journal of Clinical Nursing, John Wiley & Sons, vol. 20(1‐2), pages 255-266, January.
    • Handle: RePEc:wly:jocnur:v:20:y:2011:i:1-2:p:255-266
    DOI: 10.1111/j.1365-2702.2010.03422.x
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    Cited by:

    1. Annette Loudon & Tony Barnett & Andrew Williams, 2017. "Yoga, breast cancer‐related lymphoedema and well‐being: A descriptive report of women's participation in a clinical trial," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(23-24), pages 4685-4695, December.
    2. Zhongping Ai & Xiaolan Gao & Silin Zheng & Changbi Lu, 2020. "Variability and Influencing Factors of QOL in Breast Cancer Patients Having Chemotherapy," Clinical Nursing Research, , vol. 29(8), pages 571-578, November.
    3. Magdalena Konieczny & Elżbieta Cipora & Wojciech Roczniak & Magdalena Babuśka-Roczniak & Marek Wojtaszek, 2020. "Impact of Time to Initiation of Treatment on the Quality of Life of Women with Breast Cancer," IJERPH, MDPI, vol. 17(22), pages 1-15, November.

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