Body image mediates the relationship between post-surgery needs and health-related quality of life among women with breast cancer: a cross-sectional study
| العنوان: | Body image mediates the relationship between post-surgery needs and health-related quality of life among women with breast cancer: a cross-sectional study |
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| المؤلفون: | Jinghua An, Lanting Huo, Kaina Zhou, Wen Wang, Jin Li, Xiaole He, Minjie Li, Xiao-Mei Li |
| المصدر: | Health and Quality of Life Outcomes, Vol 18, Iss 1, Pp 1-11 (2020) Health and Quality of Life Outcomes |
| بيانات النشر: | Springer Science and Business Media LLC, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Adult, Gerontology, China, Cross-sectional study, Health-related quality of life, Psychological intervention, Breast Neoplasms, lcsh:Computer applications to medicine. Medical informatics, Structural equation modeling, 03 medical and health sciences, Breast cancer, 0302 clinical medicine, Quality of life, Surveys and Questionnaires, Humans, Medicine, Postoperative Period, 030212 general & internal medicine, Health related quality of life, business.industry, Research, Public Health, Environmental and Occupational Health, Cancer, General Medicine, Middle Aged, medicine.disease, Cross-Sectional Studies, Body image, 030220 oncology & carcinogenesis, Quality of Life, lcsh:R858-859.7, Marital status, Female, Needs, business |
| الوصف: | Background Although body image (BI) disturbance is a common problem that often contributes to poor health-related quality of life (HRQoL) among women with breast cancer following surgery, the mediating role of BI (as a self-perceptive factor) in the relationship between needs and HRQoL after controlling for socio-demographic factors remains unclear. The purpose of this study was to identify the mediating role of BI between post-surgery needs and HRQoL after controlling for socio-demographic factors among women with breast cancer. Methods In this cross-sectional study, the primary outcome was HRQoL (as measured with the 36-item Short-Form Health Survey version 2 [SF-36v2] and Functional Assessment of Cancer Therapy-Breast version 4.0 [FACT-Bv4.0]). The secondary outcomes included needs (measured in terms of needs importance [NI] and needs satisfaction [NS]) and BI. Structural equation modeling was used to identify the mediating role of BI between needs and HRQoL while considering socio-demographics. Results The 406 eligible patients reported poor HRQoL, and approximately half reported important unmet needs and poor BI. NI, NS, and socio-demographics had differing direct effects on BI and HRQoL, and contrasting indirect effects on HRQoL via BI. NI, NS, surgery type, presence of chronic disease, and BI explained 4% of the variance in the SF-36v2 physical component summary score; NI, NS, surgery type, residence, and BI explained 20% of the variance in the mental component summary score; and NI, NS, marital status, employment status, radiotherapy, and BI explained 33% of the variance in the FACT-Bv4.0 total score. Conclusions After surgery, women with breast cancer have poor HRQoL and BI, and important unmet needs. BI mediates the relationship between needs and HRQoL after controlling for socio-demographics. The present findings provide information for developing comprehensive BI-based needs interventions and preparing targeted health-management programs for patients with breast cancer. |
| تدمد: | 1477-7525 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::37d4faf43f8bbbb03151957a4a7d31e7 https://doi.org/10.1186/s12955-020-01400-5 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....37d4faf43f8bbbb03151957a4a7d31e7 |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 14777525 |
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