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  4. Effect on the quality of life in patients with oral cancer after orthopedic surgery
 
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Effect on the quality of life in patients with oral cancer after orthopedic surgery

Other Title
A longitudinal study
Journal
Journal of Quality
Date Issued
2020-01-01
Author(s)
CHI-CHANG CHANG  
DOI
10.6220/joq.202008_27(4).0004
URI
https://www.scopus.com/pages/publications/85091767651
https://scholars.csmu.edu.tw/handle/123456789/26704
Abstract
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.
Type
journal article
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