TAILIEUCHUNG - Quality of Life in Women with Gynecologic Cancer in Turkey

In 1990, four of the ten leading causes of death in American women were chronic diseases directly associated with modifiable behavioral factors including physical inactivity or sedentary lifestyle. They were heart disease, certain forms of cancer (specifically, breast and colon cancers), cerebrovascular disease (hypertension and stroke), and non-insulin-dependent diabetes mellitus (NIDDM) (National Center for Health Statistics, 1993). McGinnis and Foege (1993) summarized reports that attributed dietary factors and sedentary lifestyles with 22 to 30% of cardiovascular deaths, 20 to 60% of cancer deaths, and 30% of diabetes deaths. The only more prominent behavioral contributor to mortality than diet and. | Quality of Life in Women with Gynecologic Cancer in Turkey RESEARCH COMMUNICATION Quality of Life in Women with Gynecologic Cancer in Turkey A Goker1 T Guvenal1 E Yanikkerem2 A Turhan1 FM Koyuncu1 Abstract Aim The management of gynecological cancer patients mainly aims at prolonging survival but modern therapy focuses on good survival combined with a good quality of life QoL . The aim of this study was to evaluate QoL and identify its associated factors in Turkish women with gynecologic cancer. Method The study included 119 women diagnosed with endometrial cervical ovarian or vulvar cancer and treated at the Gynecologic Oncology Department of Celal Bayar University Faculty of Medicine. The data were collected between January and June 2011. QoL was measured with EORTC QLQ-C30 version . Relationships between clinical and sociodemographic characteristics and QoL scores were analyzed using the Mann-Whitney U Kruskal Wallis and t-tests. Result Global health status physical and role function scores were found higher in women under the age of 60 years. Role function scores were found lower and emotional and social scores were found to be higher in single women than in married women. Physical scores were found higher in women who had graduated from secondary school or above. Women with ovarian cancer had the highest while women with cervical cancer had the lowest global health score and respectively . Women with endometrial cancer were found to have better role function and social well being than those with vulvar cervical or ovarian cancer. Global physical role function cognitive and social scores were found higher in women who had been treated with surgery. Conclusion Gynecological cancer and treatment processes cause significant problems that have negative effects on physical emotional social and role function aspects of QoL. Health care providers play a key role in the identification and treatment of the complications of cancer therapy. .

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