Impact of breast cancer and quality of life of women survivors

ABSTRACT Objective: To evaluate the impact of breast cancer and the quality of life of women survivors and to identify associations between sociodemographic and clinical variables. Method: This was a cross-sectional, analytical, quantitative study conducted with women receiving outpatient post-treatment care at a public institution of the city of São Paulo, state of São Paulo, Brazil. Instruments: sociodemographic and clinical questionnaires; Impact of Cancer scale; Functional Assessment of Cancer Therapy-Breast Cancer scale. Descriptive and analytical statistical analysis were performed. Results: One hundred women were included in the study with a mean age of 60 years (SD = 11.3); most with less than 5 years of follow-up, low purchasing power, and low education levels. Negative Impact of Cancer: Health Worry, Body Changes, Feelings, and Meaning of Cancer. Quality of life: 81.9 (18.3), specific: 105.6 (24.6). The following subscales of the impact of cancer scale predicted lower quality of life scores: Body Changes, Negative Self-Evaluation, and Concerns about Cancer (p摘要 研究目的：评估乳腺癌对女性幸存者的影响及其生存质量，并明确社会人口学与临床变量间的关联。研究方法：本研究为横断面分析性定量研究，研究对象为巴西圣保罗州圣保罗市某公立医疗机构接受门诊治疗后随访照护的女性患者。研究工具包括：社会人口学问卷与临床问卷、癌症影响量表（Impact of Cancer scale）、癌症治疗功能评价量表-乳腺癌版（Functional Assessment of Cancer Therapy-Breast Cancer scale）。本研究采用描述性与分析性统计分析方法。研究结果：共纳入100名女性受试者，平均年龄60岁（标准差SD=11.3）；多数受试者随访时长不足5年，购买力低下且受教育程度偏低。癌症负向影响维度涵盖健康担忧、躯体改变、情绪感受与癌症意义感知。生存质量总分为81.9（18.3），乳腺癌特异性生存质量得分为105.6（24.6）。癌症影响量表的以下子维度可预测较低的生存质量评分：躯体改变、负面自我评价以及对癌症的担忧（p