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Hälsorelaterad livskvalitet, ångest/depression & vårdtillfredsställelse hos kvinnor med bröstcancer – en tvärsnittsstudie
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
2009 (Swedish)Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
Abstract [sv]

Syftet med studien var att beskriva hälsorelaterad livskvalitet, ångest/depression och vårdtillfredsställelse hos kvinnor med bröstcancer tidigt i sjukdomsförloppet samt att undersöka om det fanns ett samband mellan dessa aspekter. Vidare studerades förklarande bakgrundsfaktorer; demografiska, socioekonomiska och medicinska faktorer samt psykosocialt stöd. Denna tvärsnittsstudie genomfördes som en enkätstudie kompletterat med medicinska data från Regionalt register för bröstcancer i Uppsala/Örebroregionen. Totalt 1574 förfrågningar om deltagande gick ut, varav 69 % valde att delta i studien. Niohundratrettiotvå kvinnor ingick i de slutliga analyserna (59 %). Kvinnorna besvarade en enkät med instrument som mäter hälsorelaterad livskvalitet, ångest/depression och vårdtillfredsställelse samt frågor kring demografiska och socioekonomiska aspekter, psykosocialt stöd och komorbiditet. Data analyserades med uni-, bi- och multivariata analyser. Resultaten visade att bröstcancerpatienterna upplevde problem med global hälsostatus, roll-, emotionell, social och sexuell funktion och olika symptom samt att en relativt liten andel hade ångest och depression. Det fanns en hög grad av tillfredsställelse med vården, vilket var relaterad till en lägre grad av ångest och depression samt en bättre hälsorelaterad livskvalitet. Skillnader i hälsorelaterad livskvalitet och ångest/depression kunde förklaras av ålder, cytostatikabehandling, komorbiditet, psykosocialt stöd samt sjukskrivning/sjukbidrag, medan enbart en liten andel av variansen i vårdtillfredsställelse kunde förklaras av bakgrundsfaktorer.

Abstract [en]

The aim of the study was to explore health-related quality of life, anxiety/depression, and patient satisfaction among women with breast cancer early on in the course of the disease, and to investigate correlations between these aspects. Furthermore, the influence of background factors was examined; demographic, socioeconomic, and medical factors, and psychosocial support. This cross-sectional study was carried out as a questionnarie study supplemented with medical data from the Regional Breast Cancer Register of the Uppsala/Örebro Region. A total of 1574 inquiries of engaging in the study were sent out, whereof 69 % accepted. In the final analysis 932 women were included (59 %). Participants completed a questionnaire including instruments measuring health-related quality of life, anxiety/depression, and patient satisfaction, as well as questions regarding demographic and socioeconomic aspects, psychosocial support, and comorbidity. Univariate, bivariate, and multivariate methods were used for data analysis. The results showed that the women experienced problems related to global health status, role, emotional, social, and sexual function, and diverse symptoms, and a relatively small part were defined as clinical cases of anxiety and depression. There was a high degree of patient satisfaction, which in turn was related to less anxiety and depression and a better health-related quality of life. Age, treatment with chemotherapy, comorbidity, psychosocial support, and sick leave/temporary disability pension were shown to influence health-related quality of life and anxiety/depression, whereas only a small part of the variance in patient satisfaction could be explained by background factors.

Place, publisher, year, edition, pages
2009. , 43 p.
Keyword [en]
Breast Neoplasms, Quality of Life, Anxiety, Depression, Patient Satisfaction
Keyword [sv]
bröstcancer, livskvalitet, ångest, depression, patienttillfredsställelse
Identifiers
URN: urn:nbn:se:uu:diva-154305OAI: oai:DiVA.org:uu-154305DiVA: diva2:419940
Subject / course
Public Health
Educational program
Master Programme in Public Health
Uppsok
Medicine
Supervisors
Examiners
Available from: 2011-05-30 Created: 2011-05-30 Last updated: 2011-05-30Bibliographically approved

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Höyer, Marie
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