RESUMEN
The role of social support in functional status to a diagnosis of cancer was examined in 84 patients with breast cancer. Multivariate techniques were used to assess the relationships among the dimensions of social support, as measured by the Multidimensional Scale of Perceived Social Support (MSPSS), and functional status, assessed with the Inventory of the Functional Status Cancer (IFSA-CA). The results indicated significant independent associations between support and functional status outcomes, underscoring the importance of examining social support to evaluate functional status of patients. Nurses cognizant of breast cancer survivors challenges and concerns in areas of social support and are in a unique position to enhance functional status.
RESUMEN
AIMS: This study was planned to determine whether there were changes in breast cancer women's functional status and presence of physical and psychological symptoms before and after chemotherapy. METHODS: The research sample comprised 101 women with breast cancer receiving oncology services at university hospitals (Pamukkale and Ege Universities) in two cities in western Turkey (Izmir and Denizli) who volunteered to participate in the study. The Patient and Medical Information Questionnaire, Symptoms List, and the Inventory of Functional Status-Cancer (IFS-CA) were used for data collection to determine the functional status. RESULTS: According to the IFS-CA in the examination of the women's functional status the after chemotherapy scores were lower and significantly different for household and family activities (p<0.0001), social and community activities (p<0.0001), personal care activities (p<0.0001) and occupational activities (p<0.003). Similarly there was also a statistically significant increase in presence of physical and psychological symptoms after chemotherapy, particularly affected the personal care activities subscale of the functional status inventory. CONCLUSIONS: It was determined that worsening of the functional status of women with breast cancer was associated with chemotherapy and more physical and psychological discomforts were experienced.
RESUMEN
PURPOSE: The aim of the present study was to investigate the effects of psychosocial stressors, social support and socio-demographic variables on quality of life of breast cancer patients. TOOLS AND METHODS: The study was conducted between December 2004 and May 2005 and included 101 patients, treated in the Oncology Departments of Ege and Pamukkale University Hospitals and Denizli State Hospital. Patients' demographic data were collected by questionnaire. The methods used in the interviews were the Rotterdam Symptom Checklist (RSCL), and the Multidimensional Scale of Perceived Social Support (MSPSS), the Karnofsky Performance Status (KPS). Psychosocial stressors were classified according to life events using the DSM-IV multi-axial diagnostic system. RESULTS: It was found that increase of cancer stage triggers a decrease in psychological quality of life (p<0,05); overall global life quality (p<0,001), perceived social support and performance status (p<0,05), all of these being negatively affected by family stressors. The patients with increased social support, better psychological and overall quality of life (p<0,01) and younger age had more physical wellness besides overall quality of life (p<0,05); lower incomes negatively affected overall global life quality (p<0,01) and working at a job decreased the psychological stressors (p<0,05). CONCLUSION: From these results, it can be postulated that psychosocial stressors, social support and some socio-demographic variables mostly affected quality of life of the breast cancer patients.