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タイトル: | Development of healthy lifestyle consciousness index for gynecological cancer patients |
著者: | Higashiyama, Nozomi Yamaguchi, Ken Yamamoto, Yosuke ![]() ![]() ![]() Ueda, Akihiko Inayama, Yoshihide Egawa, Miho ![]() ![]() ![]() Yamanoi, Koji ![]() ![]() ![]() Taki, Mana ![]() ![]() ![]() Ukita, Masayo Hosoe, Yuko Horie, Akihito Hamanishi, Junzo ![]() ![]() Mandai, Masaki |
著者名の別形: | 東山, 希実 山口, 建 山本, 洋介 植田, 彰彦 稲山, 嘉英 江川, 美保 山ノ井, 康二 滝, 真奈 浮田, 真沙世 細江, 裕子 堀江, 昭史 濵西, 潤三 万代, 昌紀 |
キーワード: | Healthy lifestyle Gynecological neoplasms Quality of life Cancer |
発行日: | Sep-2022 |
出版者: | Springer Nature |
誌名: | Supportive Care in Cancer |
巻: | 30 |
号: | 9 |
開始ページ: | 7569 |
終了ページ: | 7574 |
抄録: | PURPOSE: Healthy lifestyle is related to quality of life (QOL) after cancer diagnosis and prognosis. However, there are few reports on patients conscious of healthy lifestyle and patients requiring medical providers' attention regarding healthy lifestyle. We aimed to develop a healthy lifestyle consciousness index (HLCI) for cancer patients and evaluated its validity in gynecological cancer patients. METHODS: The HLCI was designed to assess degree of healthy lifestyle consciousness, including items regarding "diet, " "exercise, " "body weight, " and "sleep." Exploratory factor analysis was performed for dimensionality of the scale; Cronbach's alpha was calculated to assess internal-consistency reliability. For criterion-based validity, we calculated proportions of stage III/IV gynecological malignancies in those with categorized HLCI scores based on tertiles. Concurrent validity was evaluated between HLCI and other quality of life (QOL) scales including European Organization for Research and Treatment of Cancer QLQ-C30 in limited patients. RESULTS: HLCI comprised five 10-point items (0-45); higher values implied improved healthy lifestyle consciousness. Data from 108 gynecological malignancy patients at Kyoto University Hospital were analyzed. The mean age of subjects was 55.8 years; 36.1% of them had uterine corpus cancer; 34.3% were at stage III/IV of gynecological malignancy. The factor analysis revealed HLCI was unidimensional; the reliability based on Cronbach's alpha was satisfactory (0.88). The proportions of stage III/IV gynecological malignancies were 25.7%, 33.3%, and 44.4% in those with first (7-24 points), second (25-30 points), and third (31-46 points) tertiles of HLCI score, respectively. For patients with other QOL scales (n = 25), the mean scores of global health status of QLQ-C30 were 33.3, 50.0, and 83.3 for first, second, and third tertiles of HLCI score, respectively. CONCLUSION: HLCI was successfully validated; thus, patients with advanced stages or higher QOL might have strong consciousness regarding healthy lifestyle. HLCI may be useful in precision care for improved lifestyles and QOL. |
著作権等: | © The Author(s) 2022 This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. |
URI: | http://hdl.handle.net/2433/284684 |
DOI(出版社版): | 10.1007/s00520-022-07179-z |
PubMed ID: | 35674795 |
出現コレクション: | 学術雑誌掲載論文等 |

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