A Survey on Correlative Symptoms and Its Influence on Quality of Life in Breast Cancer Patients_Chinese Journal of Evidence-Based Medicine

Authors：

MA Ling ¹ ,  WANG Shiping ¹ , JOANNE Chung ²

1. West China School of Nursing, Sichuan University, Chengdu, Sichuan 6100412. School of Nursing, Hong Kong Polytechnic University, China;

Corresponding author：

WANG Shiping, Email: spjane514@163.com

Keywords：

Breast cancer; Correlative symptoms; Quality of life

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective 　To identify the correlative symptoms of breast cancer patients and their influence on quality of life.
Methods 　The cross-sectional study was used. A face-to-face survey was administered to 200 breast cancer patients, using two scales: ① Memorial Symptom Assessment Scale(MSA); ② European Organization for Research and Treatment of Cancer Core Quality-of-Life Questionnaire (Version 3) [EORTIC QLQ-C30].
Results　 The top five most highly prevalent symptoms were: lack of energy, hair loss, nervousness, sweating and worry. The five most frequent symptoms were: lack of energy, difficulty in sleeping, dry mouth, lack of appetite and sweating. The five most severe symptoms were: hair loss, lack of energy, difficulty in sleeping, nervousness and a change in food preference. The top five symptoms causing much distress were: hair loss, a feeling of“I don’t look like myself”, difficulty in sleeping, lack of appetite and lack of energy. The major factors influencing quality of life were: lack of energy, worry, pain, difficulty in sleeping, constipation, irritability, dry mouth, sweating, numbness/tingling in hands/feet, changes in skin, diarrhea, nausea, lack of appetite, and shortness of breath. Adjusted R square was 0.790.
Conclusions 　The most conspicuous symptom in breast cancer patients is lack of energy. The symptom that distresses patients most is hair loss. The other notable symptoms are: “I don’t look like myself”, difficulty in sleeping, and lack of appetite. In addition, the quality of life is influenced by fourteen symptoms, and these symptoms account for 79.0% of the variance in quality of life.

Citation： MA Ling,WANG Shiping,JOANNE Chung. A Survey on Correlative Symptoms and Its Influence on Quality of Life in Breast Cancer Patients. Chinese Journal of Evidence-Based Medicine, 2007, 07(3): 169-174. doi: Copy

1.	Yao SQ, Fan XY. Study on the quality of life of breast cancer patients and its influencing factors. Journal of Practical Oncology,1997, 11(3): 180.
2.	Zhang FY. Investigation and study on the factors influencing the life quality of the patients with mammary cancer. Journal of Heath Psychology, 2001, 9(5): 368–369.
3.	Song XY. Investigation on the factors influencing the life quality of the patients with mammary cancer. Journal of Nusing Science, 2000, 15(5): 262–264.
4.	Li YL, Wang G, Wang MH, et al. Nursing intervention in breast neoplasm patients with cancer-related fatigue. Chinese Journal of Nursing, 2005, 40(5): 335–338.
5.	Chen LY, Wei QF, Wei LL(translate and edit). Three arguing problems concerning the life span of breast cancer patients. Nursing Foreign Medical Sciences, 2004, 23(12): 538–540.
6.	Ouyang XN, Wang WW, Peng YH. Exploratory study on related factors of sexual dysfunction among breast cancer patients. Chinese Journal of Andrology, 2004, 10(7): 509–511.
7.	Li H, Shen L, He SM, et al. Sexual disturbances of postoperative breast caner patients. Chinese Jouranl of Bases and Clinics in General Surgery, 1999, 6(5): 306.
8.	Xue SY, Wang ZY, Zhang YL. The correlation factors influencing sleep of the post-mastectomy breast cancer patients and the nursing strategies. Hebei Journal of Medicine, 2005, 27(7): 555.
9.	Sun SY, Wu CY. Status in quo of applying the quality of life researches in the treatment of breast cancer. Chinese Journal of Clinical Rehabilitation, 2004, 8(20): 4074–4076.
10.	Zhang PY, Chen WH, Jin XQ. Quality of life and other concepts related. Modern Rehabilitation, 2000, 4(8): 1142–1143.
11.	Wan CH, Chen MQ, Zhang CZ, et al. Evaluation on the Chinese version of quality of life assessment scale for cancer patients-EORTC QLQ-C30. Journal of Practical Oncology, 2005, 20(4): 353–355.
12.	Chen XF, Zheng F. Survey of the self-image disturbance of the postoperative breast cancer patients and nursing. Journal of Practical Medical Technology, 2005, 12(7): 1777–1778.
13.	Zhou WH, Liang XR, Wang P, et al. Diagnosis and Care of Self-image Disturbance in breast cancer patients. Journal of Modern Nursing, 2002, 8(5): 358–359.
14.	Huang LY. The reasons of insomnia of the breast cancer patients and nursing strategies. Heilongjiang Medical Journal, 2005, 29(9): 710–711.
15.	Luo CM, Ren M, Zhao XB. The progression of studies on the mental states and mental nursing of breast cancer patients. Nanfang Journal of Nursing, 2004, 11(9): 16–17.
16.	Cui XF, Wang AY, Li FY. Depression and anxiety, and their relative factors of the breast cancer patients during chemotherapy. Journal of Qiqihaer Medical College, 2005, 26(11): 1352–1353.
17.	Li HJ, Liu H, Zhang YQ, et al. The effect of psychological rehabilitation in the treatment of breast cancer. Chinese Journal of Clinical Rehabilitation, 2004, 8(23): 4818–4819.
18.	Shi ZY. The quality of life of cancer patients. Heath Psychology Journal, 2000, 8(1): 33.
19.	Zou JJ, Zheng Y, Cao CW, et al. Effects of depression and pain on quality of life in cancer patients: a survey analysis. Academic Journal of Second Military Medical University, 2005, 26(8): 928–930.
20.	姚三巧, 范雪云. 乳腺癌患者生活质量及其影响因素探讨. 实用肿瘤学杂志, 1997, 11(3): 180.
21.	张芳云. 乳腺癌病人生命质量影响因素的调查分析及研究. 健康心理学杂志, 2001, 9(5): 368~369.
22.	宋晓燕. 影响乳腺癌病人生命质量因素调查分析. 护理学杂志, 2000, 15(5): 262~264.
23.	Janni W, Rjosk D, Dimpf TH, et al. Quality of life influenced by primary surgical treatment for stage I-Ⅲ breast cancer long-term follow-up of a matched-pair analysis. Ann Surg Oncol, 2001, 8(6): 542–548.
24.	李亚玲, 王耕, 王明华, 等. 乳腺癌病人癌因性疲乏的系统化护理干预. 中华护理杂志, 2005, 40(5): 335~338.
25.	Wilmoth MC, Coleman EA, Smith SC, et al. Fatigue, weight gain and changes of sexual desire of breast cancer patients: Exploring of symptoms. Oncol Nurs Forum, 2004, 31(6): 1069–1073.
26.	陈良英, 魏巧凤, 魏丽丽(编译). 关于乳腺癌患者生存期三个有待探讨的问题. 国外医学. 护理学分册, 2004, 23(12): 538~540.
27.	欧阳学农, 王文武, 彭永海. 乳腺癌患者性功能障碍相关因素分析. 中华男科学杂志, 2004, 10(7): 509~511.
28.	李卉, 沈利, 何小梅, 等. 乳腺癌术后的性功能障碍. 中国普外基础与临床杂志, 1999, 6(5): 306.
29.	薛淑英, 王志彦, 张彦楼. 影响乳腺癌手术患者睡眠形态紊乱的相关因素及护理对策. 河北医药, 2005, 27(7): 555.
30.	孙慎友, 吴诚义. 生活质量研究在乳腺癌治疗中的应用现状. 中国临床康复, 2004, 8(20): 4074~4076.
31.	Portenoy RK, Thaler HT, Kornblith A, et al. The Memorial Symptom Assessment Scale: an instrument for the evaluation of symptom prevalence, characteristics and distress. Eur J Cancer, 1994, 30(9): 1326–1336.
32.	张鹏宇, 陈文华, 金先桥. 生存质量及其相关观念. 现代康复, 2000, 4(8): 1142~1143.
33.	万崇华, 陈明清, 张灿珍, 等.癌症患者生命质量测定量表EORTC QLQ-C30中文版评价. 实用肿瘤杂志, 2005, 20(4): 353~355.
34.	陈小凤, 郑芳. 乳腺癌患者术后自我形象紊乱情况调查与护理. 实用医技杂志, 2005, 12(7): 1777~1778.　.
35.	周文红, 梁欣荣, 王萍, 等. 乳腺癌患者“自我形象紊乱”的诊断和护理. 现代护理, 2002, 8(5): 358~359.
36.	黄丽云. 乳腺癌病人失眠原因与护理对策. 黑龙江医学, 2005, 29(9): 710~711.
37.	罗春梅, 任敏, 赵小波. 乳腺癌患者心理状态及心理护理研究进展. 南方护理学报, 2004, 11(9): 16~17.
38.	崔晓峰, 王爱英, 李凤月. 乳腺癌患者化疗期间抑郁焦虑及其相关因素. 齐齐哈尔医学院学报, 2005, 26(11): 1352~1353.
39.	李宏江, 刘红, 张永琼, 等. 心理康复在乳腺癌治疗中的作用. 中国临床康复, 2004, 8(23): 4818~4819.
40.	Mast ME. Correlates of fatigue in survivors of breast cancer. Cancer Nurs, 1998, 21(2): 136.　.
41.	石智勇. 浅谈癌症病人的生活质量. 健康心理学杂志, 2000, 8(1): 33.
42.	邹建军, 郑莹, 曹传武, 等. 疼痛、抑郁与癌症患者生活质量的调查分析. 第二军医大学学报, 2005, 26(8): 928~930.

1. Yao SQ, Fan XY. Study on the quality of life of breast cancer patients and its influencing factors. Journal of Practical Oncology,1997, 11(3): 180.
2. Zhang FY. Investigation and study on the factors influencing the life quality of the patients with mammary cancer. Journal of Heath Psychology, 2001, 9(5): 368–369.
3. Song XY. Investigation on the factors influencing the life quality of the patients with mammary cancer. Journal of Nusing Science, 2000, 15(5): 262–264.
4. Li YL, Wang G, Wang MH, et al. Nursing intervention in breast neoplasm patients with cancer-related fatigue. Chinese Journal of Nursing, 2005, 40(5): 335–338.
5. Chen LY, Wei QF, Wei LL(translate and edit). Three arguing problems concerning the life span of breast cancer patients. Nursing Foreign Medical Sciences, 2004, 23(12): 538–540.
6. Ouyang XN, Wang WW, Peng YH. Exploratory study on related factors of sexual dysfunction among breast cancer patients. Chinese Journal of Andrology, 2004, 10(7): 509–511.
7. Li H, Shen L, He SM, et al. Sexual disturbances of postoperative breast caner patients. Chinese Jouranl of Bases and Clinics in General Surgery, 1999, 6(5): 306.
8. Xue SY, Wang ZY, Zhang YL. The correlation factors influencing sleep of the post-mastectomy breast cancer patients and the nursing strategies. Hebei Journal of Medicine, 2005, 27(7): 555.
9. Sun SY, Wu CY. Status in quo of applying the quality of life researches in the treatment of breast cancer. Chinese Journal of Clinical Rehabilitation, 2004, 8(20): 4074–4076.
10. Zhang PY, Chen WH, Jin XQ. Quality of life and other concepts related. Modern Rehabilitation, 2000, 4(8): 1142–1143.
11. Wan CH, Chen MQ, Zhang CZ, et al. Evaluation on the Chinese version of quality of life assessment scale for cancer patients-EORTC QLQ-C30. Journal of Practical Oncology, 2005, 20(4): 353–355.
12. Chen XF, Zheng F. Survey of the self-image disturbance of the postoperative breast cancer patients and nursing. Journal of Practical Medical Technology, 2005, 12(7): 1777–1778.
13. Zhou WH, Liang XR, Wang P, et al. Diagnosis and Care of Self-image Disturbance in breast cancer patients. Journal of Modern Nursing, 2002, 8(5): 358–359.
14. Huang LY. The reasons of insomnia of the breast cancer patients and nursing strategies. Heilongjiang Medical Journal, 2005, 29(9): 710–711.
15. Luo CM, Ren M, Zhao XB. The progression of studies on the mental states and mental nursing of breast cancer patients. Nanfang Journal of Nursing, 2004, 11(9): 16–17.
16. Cui XF, Wang AY, Li FY. Depression and anxiety, and their relative factors of the breast cancer patients during chemotherapy. Journal of Qiqihaer Medical College, 2005, 26(11): 1352–1353.
17. Li HJ, Liu H, Zhang YQ, et al. The effect of psychological rehabilitation in the treatment of breast cancer. Chinese Journal of Clinical Rehabilitation, 2004, 8(23): 4818–4819.
18. Shi ZY. The quality of life of cancer patients. Heath Psychology Journal, 2000, 8(1): 33.
19. Zou JJ, Zheng Y, Cao CW, et al. Effects of depression and pain on quality of life in cancer patients: a survey analysis. Academic Journal of Second Military Medical University, 2005, 26(8): 928–930.
20. 姚三巧, 范雪云. 乳腺癌患者生活质量及其影响因素探讨. 实用肿瘤学杂志, 1997, 11(3): 180.
21. 张芳云. 乳腺癌病人生命质量影响因素的调查分析及研究. 健康心理学杂志, 2001, 9(5): 368~369.
22. 宋晓燕. 影响乳腺癌病人生命质量因素调查分析. 护理学杂志, 2000, 15(5): 262~264.
23. Janni W, Rjosk D, Dimpf TH, et al. Quality of life influenced by primary surgical treatment for stage I-Ⅲ breast cancer long-term follow-up of a matched-pair analysis. Ann Surg Oncol, 2001, 8(6): 542–548.
24. 李亚玲, 王耕, 王明华, 等. 乳腺癌病人癌因性疲乏的系统化护理干预. 中华护理杂志, 2005, 40(5): 335~338.
25. Wilmoth MC, Coleman EA, Smith SC, et al. Fatigue, weight gain and changes of sexual desire of breast cancer patients: Exploring of symptoms. Oncol Nurs Forum, 2004, 31(6): 1069–1073.
26. 陈良英, 魏巧凤, 魏丽丽(编译). 关于乳腺癌患者生存期三个有待探讨的问题. 国外医学. 护理学分册, 2004, 23(12): 538~540.
27. 欧阳学农, 王文武, 彭永海. 乳腺癌患者性功能障碍相关因素分析. 中华男科学杂志, 2004, 10(7): 509~511.
28. 李卉, 沈利, 何小梅, 等. 乳腺癌术后的性功能障碍. 中国普外基础与临床杂志, 1999, 6(5): 306.
29. 薛淑英, 王志彦, 张彦楼. 影响乳腺癌手术患者睡眠形态紊乱的相关因素及护理对策. 河北医药, 2005, 27(7): 555.
30. 孙慎友, 吴诚义. 生活质量研究在乳腺癌治疗中的应用现状. 中国临床康复, 2004, 8(20): 4074~4076.
31. Portenoy RK, Thaler HT, Kornblith A, et al. The Memorial Symptom Assessment Scale: an instrument for the evaluation of symptom prevalence, characteristics and distress. Eur J Cancer, 1994, 30(9): 1326–1336.
32. 张鹏宇, 陈文华, 金先桥. 生存质量及其相关观念. 现代康复, 2000, 4(8): 1142~1143.
33. 万崇华, 陈明清, 张灿珍, 等.癌症患者生命质量测定量表EORTC QLQ-C30中文版评价. 实用肿瘤杂志, 2005, 20(4): 353~355.
34. 陈小凤, 郑芳. 乳腺癌患者术后自我形象紊乱情况调查与护理. 实用医技杂志, 2005, 12(7): 1777~1778.　.
35. 周文红, 梁欣荣, 王萍, 等. 乳腺癌患者“自我形象紊乱”的诊断和护理. 现代护理, 2002, 8(5): 358~359.
36. 黄丽云. 乳腺癌病人失眠原因与护理对策. 黑龙江医学, 2005, 29(9): 710~711.
37. 罗春梅, 任敏, 赵小波. 乳腺癌患者心理状态及心理护理研究进展. 南方护理学报, 2004, 11(9): 16~17.
38. 崔晓峰, 王爱英, 李凤月. 乳腺癌患者化疗期间抑郁焦虑及其相关因素. 齐齐哈尔医学院学报, 2005, 26(11): 1352~1353.
39. 李宏江, 刘红, 张永琼, 等. 心理康复在乳腺癌治疗中的作用. 中国临床康复, 2004, 8(23): 4818~4819.
40. Mast ME. Correlates of fatigue in survivors of breast cancer. Cancer Nurs, 1998, 21(2): 136.　.
41. 石智勇. 浅谈癌症病人的生活质量. 健康心理学杂志, 2000, 8(1): 33.
42. 邹建军, 郑莹, 曹传武, 等. 疼痛、抑郁与癌症患者生活质量的调查分析. 第二军医大学学报, 2005, 26(8): 928~930.

Chinese Journal of Evidence-Based Medicine

A Survey on Correlative Symptoms and Its Influence on Quality of Life in Breast Cancer Patients

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