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Satisfaction with life after radical treatment of cancer

100%
Nowicki A., Duba P., Lemanowicz M.
OncoReview
|
2017
|
vol. 7
|
issue 4
192-198
EN
Introduction: Cancer treatment is multidisciplinary in its character and places a heavy burden on the patient. Quality of life is a concept that is closely related to the satisfaction with life. Cancer patients’ satisfaction with life, especially after recovery, is an increasingly examined indicator of treatment quality. Aim of the study: Evaluation of satisfaction with life in patients after radical cancer treatment. Material and methods: The study included 100 people, 81 women and 19 men of all ages, following radical treatment of various cancers. The study was conducted in 2016 at the Centre of Oncology in Bydgoszcz. The study used the Satisfaction with Life Scale (SWLS), adapted by Z. Juczyński, as well as a sociodemographic data questionnaire. Results: In general, cancer patients have an average level of satisfaction with life – the average score was 22.37 and 6.19 sten. The greatest satisfaction with life (average points) was reported for professionally active people – 22.67, patients between 41–50 years old – 23.5, patients with secondary education – 23.4, and patients with at least one child – 22.73, though the differences were not statistically significant. Additionally, patients 3–5 years after treatment declared a higher satisfaction with life – 23.05, as did patients without concomitant diseases – 22.77, though again the results were statistically non-significant. Conclusions: In general, patients after radical anti-cancer treatment have an average satisfaction with life, and in half of them satisfaction with life is high, regardless of the duration and type of cancer. Sociodemographic factors have no impact on the satisfaction with life scores.
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Analysis of 7965 screening colonoscopies and treatment results of detected colorectal cancers – experiences of one center

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Nowicki A., Kula Z., Lemanowicz M.
OncoReview
|
2016
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vol. 6
|
issue 3
A134-142
EN
Introduction: Colorectal cancer is one of the most common cancers in both sexes and is one of the leading causes of death in Poland and the world. An effective method to prevent the development of colorectal cancer (CRC) is the detection of polyps during a screening colonoscopy and their removal. Objective: The aim of the study was to evaluate results of screening for early detection of colorectal cancer by colonoscopy. Material and methods: The study was based on analysis of medical records of 7965 patients who underwent colonoscopy as part of the National Screening Program (NSP) for Early Detection of Colorectal Cancer in the 2000–2014 period. Results: Polyps were removed in 2900 (36.4%) patients, among whom 1885 (23.6%) had adenomas, which were more frequent in men (32.9%). Tubular adenomas were observed in 1685 patients (21.1%), tubulo-villous adenomas were detected in 157 patients (2%) and villous adenomas – in 43 (0.5%) of them. Sixty-three (0.79%) colorectal cancers were detected in various clinical stages, including adenocarcinoma in situ in 3 patients. Probability of 5-year survival rate of colorectal cancer amounted to 74% while 10-years survival was reached in 63% of patients. Conclusions: The detection rate of polyps, adenomas and carcinomas thanks to screening colonoscopy was 36.4%, 23.6% and 0.79% respectively, while the probability of 5-year survival was 74%. An improvement in the quality of colonoscopy was observed in subsequent years of the NSP, which translated into better detection of adenomas.
3
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Satisfaction with life and health-promoting behaviours in the context of prevention and early detection of breast cancer in physically active women

100%
Nowicki A., Kosicka B., Lemanowicz M.
OncoReview
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2017
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vol. 7
|
issue 1
5-14
EN
Objective: Assessment of the impact of life satisfaction in physically active women on their health promoting behaviours in terms of prevention and early detection of breast cancer. Materials and methods: The study, involving 100 women, was carried out in a fitness centre in Bydgoszcz in 2015. The research instruments used included the authors’ self-designed questionnaire and the SWLS life satisfaction score. Results: Women aged 25–34 constituted 57% of the study participants, with 82% of them domiciled in the city, and 74% of them holding secondary or higher education qualifications. 67% of them assessed their knowledge about breast cancer and breast cancer prevention programme as good, 65% of them believed it was impossible to protect oneself from cancer, 68% of them occasionally consumed alcohol. 89% of the respondents engaged in breast self-examination, and 68.4% of the subjects aged 25–34 considered excessive weight/obesity as a risk factor. 61.5% of women aged 45–60 were smokers. Respondents living in the city would dedicate one hour more for physical activity than those from the countryside. 93.2% of women with secondary/tertiary education carried out breast self-examination. Surveyed women received high scores on the scale of life satisfaction, averaging 25.69 points, they were less likely to smoke cigarettes, and more likely to engage in breast self examination (95.5%). Conclusions: Physically active women assess their knowledge on health-promoting behaviours well, lead a healthy lifestyle, and avoid breast cancer risk factors. Physically active women accomplish a high level of life satisfaction, which is especially true for married women with a higher education degree. On the other hand, life satisfaction does not correlate with age, place of residence or marital status. Women presenting a high level of life satisfaction are more involved in health-promoting behaviours, carry out regular breast self-examination, and undergo preventative medical check-ups.
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