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Register a new userQuality Of Life For Breast Cancer Patient Receiving Chemotherapy
نوعية حياة مريضات سرطان الثدي خلال فترة المعالجة الكيماوية
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مقدمة: يعاني مرضى السرطان من تغيرات كبيرة في حياتهم نتيجة التشخيص والمعالجة وسرعة تقدم المرض وكل ذلك يؤثر سلباً على نوعية حياتهم. الهدف: طبق البحث الحالي لاستقصاء نوعية حياة مريضات سرطان الثدي خلال فترة المعالجة الكيماوية في مستشفى تشرين الجامعي في اللاذقية. الطرائق: قامت 60 مريضة بملء استبيان نوعية الحياة للجمعية الأوربية لأبحاث ومعالجة السرطان المكون من 30 سؤال ونموذج (مديول)سرطان الثدي المكون من23 سؤال. النتائج: أظهرت النتائج أن 73.3% من المريضات تحت سن الخمسين ونصفهن لديه محصلة حالة صحية إجمالية أقل من 50 تعكس نوعية حياة متدنية مع اضطراب في الوظيفة الاجتماعية والنفسية بالإضافة إلى وظيفة الدور في الحياة. كما يعاني أكثر من67 % من المريضات من وجود أعراض مرتبطة بالمعالجة كان أهمها الغثيان والاقياء والزلة التنفسية وفقد الشهية والأرق والتعب أيضاً أظهرت النتائج تغير محصلة نوعية الحياة حسب العمر، والحالة الاجتماعية، والعمل دون تأثرها بتغير المستوى التعليمي ،أما بالنسبة لنموذج (مديول) سرطان الثدي أظهرت النتائج أن غالبية المريضات يعانين من تدني في الوظيفة الجنسية وانزعاج من فقد الشعر وأعراض الذراع لكن مع نظرة ايجابية راضية إلى المستقبل ،لم يظهر البحث وجود فروق ذات دلالة إحصائية في نوعية حياة بين مريضات مدينة اللاذقية ومريضات الريف وباقي المحافظات الأخرى. الاستنتاجات: يجب على مقدمي الرعاية الصحية وبشكل روتيني تقييم نوعية حياة مرضى السرطان خلال فترات المعالجة المختلفة للتأكد من تقديم الرعاية المناسبة والخدمات الداعمة لتحقيق ذلك لجميع المرضى.
Background: people with cancer experience great changes in their life as a result of disease, treatment and disease prognosis which affect their quality of life .with the goal of investigating breast cancer patient's quality of life during chemotherapy in Tishreen hospital in Latakia.. Methods: 60 patients were invited to complete the European organization of research and treatment quality of life questionnaire version 3 and breast cancer quality of life module during their early stage of chemotherapy. Results : the results show that the (73.3%) were under the age of fifty and half of them reported total health status score under (50) which reflects low quality of life in addition to impaired psychological ,social, cognitive and role functioning. Also more than 67% of patient suffered from chemotherapy- related side effects as nausea and vomiting, dyspnea, loss of appetite, insomnia, and fatigue. In addition to variance in quality of life scores according to age, marital status, occupation and level of education without changing of it by educational level. In addition to that the majority of patient had impaired sexual function and upset of hair loss and arm symptoms but with positive and optimistic future. perspective. No significant differences in quality of life scores were found between urban and rural patients. Conclusion. Health care provider should assess routinely cancer patient quality of life during treatment to ascertain of providing appropriate care with supportive services for all patients
References used
AMERICAN CANCERC SOCIATY. Cancer facts and Figures 2012, downloaded from http://www.cancer.org/acs/groups/ Content @epidemiolog surveillance/ document/acspc- 031941.pdf
JACK, CUZICK: Breast cancer prevention in the developing world. Breast Cancer Research 2010,12: http://breast-cancer-research.com/ supplements /12/ S4/S9
/WORLD HEALTH ORGANIZATION AND SYRIAN MINISTRY OF HEALTH. facing the facts, the impact of chronic diseases on the Syrian Arab republic. http:/www.who.int/chp/chronic diseases_report/en
(PENTTINEN, T. SAARTO, P. KELLOKUMPU- LEHTINEN, C. BLOMQVIST R. quality of life and physical performance and activity of breast cancer patients after adjuvant treatment .Psycho-Oncology 20: 1211- 1220(2011
ALI MONTAZERI, MARIAN VAHDANINIA, IRAJ HARIRCHIM MANDANA EBRAHIMI. Quality of life in patients with breast cancer before and after diagnosis: an eighteen months follow- up study. BMC cancer 2008, 8:330
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In spite of all the advances in health care and medical technology,
provision of quality health care to cancer patients remains one of the
major challenges that health care professionals have to face in the
next years.
this study was conducted to
assess the effect of nursing care on
breast cancer patients quality of life at homes.
by using quazi-experimental design 80 breast cancer patients were
selected (40 experimental group ,40 control group) receiving
chemotherapy recently. Experimental group patients received
supportive psycho-educational interventions consisted of education,
progressive muscle relaxation technique with four supportive range
of motion exercises in addition to emotional support for three
months. While control group patients received routine nursing care
in hospital. The results were assessed for both groups by using
European organization for cancer research and treatment quality of
life questionnaire (EOCRT-QLQ C30) and breast cancer module.
Background: A cancer patient demands information, not only to assist him to understand the disease and its treatment, but also to allow him to interpret the negative events and action taken, through the course of disease, so that the threat inherent
from the diagnosis and treatment becomes lessened.
Methods: With the goal of studying the information needs and source of information of women with breast cancer who were receiving chemotherapy, 60 patients were invited to complete a self-administered questionnaire which consists of 47 item about information needs and 3 questions about sources of information with three choices (personnel, printed materials and mass media). They fill it at the early stage of their chemotherapy treatment.
Results :The results showed that the majority of patients reported high level of information needs. Cancer and its spread, treatment, and side effects of chemotherapy as well as its management were priority information needs, in addition to the possibility of cancer occurrence among sisters and daughters. Results also demonstrated that the patients depended on doctors and other patients as sources of information more than on nurses and the internet.
Conclusion: Findings indicate that there is a need for the provision of education program that addresses patients' information needs. Moreover, there is a necessity for ascertaining the role of educational nursing in affording holistic nursing care for breast cancer patien
The aime of this study is to assess the effect of a multimodal group exercise intervention, as an adjunct to conventional care, on fatigue, physical capacity, general wellbeing, physical activity, and quality of life in patients with breast cancer wh
o were undergoing adjuvant chemotherapy. The study was conducted in Tishreen university hospital in Lattakia the participants were 164 women with breast cancer. Supervised exercise comprising high intensity cardiovascular and resistance training, relaxation and body awareness training, massage, nine hours weekly for six weeks in addition to conventional care, compared with conventional care. The intervention group showed an estimated improvement at six weeks for the primary outcome, fatigue, of −6.8 (−12.3 to −0.9), P=0.02. Significant effects were seen on vitality for physical functioning 2,5 (-0,4 to 5,2), role physical 4,5 (-1,8 to 11,1), role emotional -0,3 (-4,0 to 3,3), and mental health 1,9 (-2,5 to 6,1) scores. No significant effect was seen on global health status/quality of life. A supervised multi modal exercise intervention including high and low intensity components was feasible and could safely be used in patients with breast cancer who were receiving adjuvant chemotherapy or treatment for advanced disease. The intervention reduced fatigue and improved vitality, muscular strength, and physical and functional activity, and emotional wellbeing, but not quality of life.
recurrence is a major problem which affects 40% of Breast cancer patients . Bcl2 is an antiapoptotic protein which is implicated in many cases of cancer development and cancer resistance to therapy.
Aim of study : investigate the role of Bcl2 in recurrence in Breast cancer patients
A retrospective study included 25 cases with inflammatory breast cancer. The patients were admitted to AL-Assad University Hospital, Lattakia, Syria (average age 55, and range 49-61 years old). The most common clinical signs and symptoms were: erythe
ma 100%, edema 100%, enlarged axillary nodes 100%, Nipple flattened/inverted 96%, warm Breast 92%, Ridges/thickening of breast 84%, Peau d’orange 88%, painful/tender Breast 88%, and Mass 80%. Mammography findings were: an increase in skin thickness 100%, an increased tissue density in the involved breast 100%, and an asymmetric widening of the sub-cutaneous lymphatic vessels 33.33%. 80% of cases were diagnosed as stage IV. All patients received primary neoadjuvant chemotherapy for three cycles. After that a modified radical breast mastectomy and axillary lymph nodes dissection were performed for all patients. The wound edges were closed primarily after dissecting the skin in 76%, for 4 patients 16% a split-thickness skin grafts were performed, and for 2 patients 8% a Latissimus dorsi pedicled myocutaneous flap was performed.
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