Effect on the quality of life in patients with oral cancer after orthopedic surgery: A longitudinal study

被引：0

作者：

Cheng S.-L. ^{[1
,2
]}

Chang C.-C. ^{[3
,4
]}

机构：

[1] Department of Surgery, Chung Shan Medical University Hospital

[2] School of Medicine, Chung Shan Medical University

[3] School of Medical Informatics, Chung Shan Medical University

[4] IT office, Chung Shan Medical University Hospital

来源：

Journal of Quality | 2020年 / 27卷 / 04期

关键词：

Medical seeking behavior; Oral cancer; Posttraumatic growth; Quality of life;

D O I：

10.6220/joq.202008_27(4).0004

中图分类号：

学科分类号：

摘要：

We aim to study health seeking behavior effects in patients with oral cancer after orthopedic sugery on quality of life (QOL) and posttraumatic growth (PTG). Depression, PTG, QOL, posttraumatic stress disorder (PTSD), health seeking behavior, and social support (SS) questionnaires were used. Pearson’s correlation and hierarchical regression analyses were used to analyze their correlations. Of 54 subjects were enrolled at month 6 (T1) and 12 (T2) after a definite cancer diagnosis was obtained. T1 results showed that SS (β = 0.33, p = 0.005) and QOL (β = 0.26, p = 0.044) significantly correlated with PTG. Depression (β =-0.82, p < 0.001) significantly correlated with QOL. T2 results showed that decisional regret (β =-0.22, p < 0.001), shared decision making (β = 0.74, p < 0.001) and QOL (β = 0.22, p = 0.016) significantly correlated with PTG. Depression (β =-0.81, p < 0.001) significantly correlated with QOL. Full mediators affecting QOL were depression, PTSD, and decisional regret. QOL at T1 correlated with PTG at T2. After multiple reconstruction surgeries, health seeking behavior significantly affected PTG. In addition, depression is important for short-and long-term QOL observations and the mediator effects of decisional regret and moderating effects of trust may provide a reference for patient participation in clinical decision-making. © 2020, Chinese Society for Quality. All rights reserved.

引用

页码：265 / 279

页数：14

共 28 条

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