初期乳癌病人身體功能與期活動及參與之相關性

The Correlations between Body Functions of Early Stage Breast Cancer Survivors and Their Activities and Participations

林慧芬(Heui-Fen Lin)；曹昭懿(Jau-Yih Tsauo)

乳癌 ； ICF ； 架構 ； 身體功能 ； Breast cancer ； ICF model ； Physical functions

物理治療

38卷2期（2013 / 06 / 01）

144 - 151

繁體中文

Background and Purpose: Breast cancer survivors usually accompany with upper body impairments and negatively impact their activities and participations. The purpose of this study was to investigate the correlations between body functions and activity/participation. Methods: Thirty-four early stage breast cancer survivors finished Quality of Life questionnaires (EORTC QLQ-C30 and BR23) and Disability of Arm, Shoulder and Hand questionnaire (DASH) . They also received physical tests including shoulder range of motion, arm circumferences, grip strength and shoulder muscle endurance, six-minute walking distance. Six functioning domains computed from EORTC QLQ-C30 and DASH scores were categorized into activity and participation components. Five symptom scales (fatigue, pain, insomnia, arm symptoms and breast symptoms) were computed as subjective body function variables. The results of physical tests were categorized into objective physical function component. All variables were analyzed by Spearman's correlation tests. Results: Five subjective symptom scores were significantly correlated with DASH score and most of the functioning domains. Moderate correlations were found between DASH and three subjective symptom scores including pain (r=.509), arm symptoms (r=.685) and breast symptoms (r=.554) respectively. Fatigue and physical functioning also correlated moderately (r=-.517). However, the objective physical tests had low correlations with DASH and functioning domain scores. Conclusion: Disabilities reported by early stage breast cancer survivors were significantly correlated with their subjective perceived symptoms, but not with objective physical tests. Clinical Relevance: Considering subjective symptoms of breast cancer survivors is important for setting patient-centered intervention strategy.

Background and Purpose: Breast cancer survivors usually accompany with upper body impairments and negatively impact their activities and participations. The purpose of this study was to investigate the correlations between body functions and activity/participation. Methods: Thirty-four early stage breast cancer survivors finished Quality of Life questionnaires (EORTC QLQ-C30 and BR23) and Disability of Arm, Shoulder and Hand questionnaire (DASH) . They also received physical tests including shoulder range of motion, arm circumferences, grip strength and shoulder muscle endurance, six-minute walking distance. Six functioning domains computed from EORTC QLQ-C30 and DASH scores were categorized into activity and participation components. Five symptom scales (fatigue, pain, insomnia, arm symptoms and breast symptoms) were computed as subjective body function variables. The results of physical tests were categorized into objective physical function component. All variables were analyzed by Spearman's correlation tests. Results: Five subjective symptom scores were significantly correlated with DASH score and most of the functioning domains. Moderate correlations were found between DASH and three subjective symptom scores including pain (r=.509), arm symptoms (r=.685) and breast symptoms (r=.554) respectively. Fatigue and physical functioning also correlated moderately (r=-.517). However, the objective physical tests had low correlations with DASH and functioning domain scores. Conclusion: Disabilities reported by early stage breast cancer survivors were significantly correlated with their subjective perceived symptoms, but not with objective physical tests. Clinical Relevance: Considering subjective symptoms of breast cancer survivors is important for setting patient-centered intervention strategy.