Family Medicine & Primary Care Review
eISSN: 2449-8580
ISSN: 1734-3402
Family Medicine & Primary Care Review
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1/2025
vol. 27
 
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abstract:
Original paper

Evaluation of hospital care in Poland and quality of life of women undergoing surgical treatment for breast cancer – a preliminary study

Sylwia Ignatowicz
1
,
Piotr Merks
2
,
Magdalena Pisarska-Krawczyk
3
,
Justyna Jaskulska
4
,
Witold Kędzia
5
,
Grażyna Jarząbek-Bielecka
5, 6
,
Katarzyna Plagens-Rotman
6

  1. Provincial Complex Hospital them. Dr. Roman Ostrzycki in Konin, Konin, Poland
  2. Faculty of Medicine, Collegium Medicum, Cardinal Stefan Wyszynski University, Warsaw, Poland
  3. Nursing Department, The President Stanislaw Wojciechowski Calisia University, Kalisz, Poland
  4. Higher School of Strategic Planning, Dabrowa Gornicza, Poland
  5. Division of Gynecology, Department of Gynecology, Poznan University of Medical Sciences, Poznan, Poland
  6. Center for Pediatric, Adolescent Gynecology and Sexology, Division of Gynecology, Department of Gynecology, Poznan University of Medical Sciences, Poznan, Poland
Family Medicine & Primary Care Review 2025; 27(1): 39–49
DOI: https://doi.org/10.5114/fmpcr.2025.146968
Online publish date: 2025/03/26
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Background
The quality of life of women with breast cancer has been of interest to researchers for years.

Objectives
Assessment of women’s quality of life after breast cancer surgery and evaluation of their level of satisfaction with care during their hospital stay in connection with the surgical procedure.

Material and methods
The study included 117 women. The study used a diagnostic survey method and questionnaire technique. The QLQ-C30 and IN-PATS32 questionnaires were used to collect data, supplemented by questions of our own authorship. Statistical analyses were performed using PQStat v. 1.8.6.102. The level of statistical significance was α ≤ 0.05.

Results
The women surveyed had an average quality of life score of 59.66. They scored highest on physical functioning (77.7 points) and lowest on cognitive functioning (25.06 points). Higher scores in social functioning were more often achieved by women in the 20–30 age range. Financial problems and assessments of global health were better rated by working people. As the material situation worsened, cognitive functioning, financial problems and the level of women’s global health declined. The more negative the evaluation of body image, the lower the women’s quality of life in all areas, except physical functioning. Quality of life is better rated by women after sparing treatment who had a period of more than 6 months since surgery. Overall satisfaction with hospital care was 81.83 points. Women rated the technical skills of doctors (66.13 points) and nurses (71.9 points) and interaction (63.66 points) highest. The more satisfied the women were with their hospital care, the higher they rated their overall quality of life.

Conclusions
The level of women’s quality of life is significantly determined by age, occupational activity, financial situation, body image, type of surgery and time since surgery. There is a significant relationship between satisfaction with hospital care and the level of quality of life for women with breast cancer.

keywords:

quality of health care, quality of life, therapeutics, surgical oncology, breast cancer

  
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