Sains Malaysiana 48(9)(2019): 1959–1967

http://dx.doi.org/10.17576/jsm-2019-4809-17

Quality of Life among Colorectal Cancer Screening Patients in Malaysia

(Taraf Kehidupan dalam Kalangan Pesakit Saringan Kanser Kolorektum di Malaysia)

INTAN MELATI ABU BAKAR¹*, SHARIFA EZAT WAN PUTEH¹, HALIM ISMAIL¹, RAJA AFFENDI RAJA ALI² & MUHAMMAD RADZI ABU HASSAN³

¹Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latiff, Bandar Tun Razak Cheras, 56000 Kuala Lumpur, Federal Territory, Malaysia

²Department of Surgery, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latiff, Bandar Tun Razak Cheras, 56000 Kuala Lumpur, Federal Territory, Malaysia

³Department of Medical, Hospital Sultanah Bahiyah, Km 6, Jalan Langgar, Bandar Alor Setar, 05460 Alor Setar, Kedah Darul Aman, Malaysia

Diserahkan: 25 Januari 2019/Diterima: 11 Jun 2019

ABSTRACT

As Malaysia is experiencing a rapid increase in the incidence of colorectal cancer (CRC), the introduction of CRC screening in Malaysia serves to improve the early CRC detection among Malaysian and its treatment outcome. The present study measured Malaysian’s perception on the quality of life (QOL) based on screened individuals in Kedah, Malaysia. The study aims to determine QOL among screened individuals based on the CRC screening modalities available in Malaysia. A cross sectional study was conducted from March 2016 to April 2017 in a public tertiary hospital and a district health clinic in the state of Kedah. Three hundred and thirty respondents aged 40 to 70 years old were asked to fill-up a self-reported health survey questionnaire comprised of 36 itemised questions (SF-36). The mean age of respondents was 58.75 ±7.53 years with 52.7% of respondents being male and 47.3% female. The majority of respondents have underlying medical illness. Mean health utility’s score in CRC screening IFOBT’s only modality was higher compare to other modalities 0.85 (ANOVA F=21.505, p<0.001). For the Physical Composite Score (PCS), IFOBT’s only modality also had a higher mean score compared to other modalities of 56.64 (ANOVA F=19.655, p<0.001) in addition to the Mental Composite Score (MCS) 56.37 (ANOVA F=12.033, p<0.001). The CRC screening via IFOBT’s only modality had better QOL in health utility, physical health and mental health compared to other modalities. Therefore, the CRC screening program is essential in preserving the QOL of Malaysian population.

Keywords: CRC screening; QOL; SF-36

ABSTRAK

Malaysia mengalami peningkatan mendadak insiden kanser kolorektal (CRC), pengenalan saringan CRC di Malaysia berfungsi untuk meningkatkan pengesanan awal CRC dalam kalangan rakyat Malaysia dan hasil rawatannya. Kajian ini mengukur persepsi masyarakat Malaysia terhadap kualiti hidup (QOL) berdasarkan individu yang disaring di Kedah, Malaysia. Kajian ini bertujuan untuk menentukan QOL dalam kalangan individu yang disaring berdasarkan modaliti pemeriksaan CRC yang terdapat di Malaysia. Kajian rentas lintang telah dijalankan dari Mac 2016 hingga April 2017 di sebuah hospital awam dan sebuah klinik kesihatan di Kedah. Tiga ratus tiga puluh responden yang berumur 40 hingga 70 tahun terlibat dalam soal selidik kesihatan diri yang mengandungi 36 soalan terperinci (SF-36). Purata umur responden ialah 58.75 ± 7.53 tahun dengan 52.7% responden lelaki dan 47.3% perempuan. Majoriti responden mempunyai masalah perubatan. Purata skor utiliti kesihatan dalam pemeriksaan CRC modaliti IFOBT sahaja adalah lebih tinggi berbanding modaliti lain 0.85 (ANOVA F = 21.505, p <0.001). Bagi Skor Komposit Fizikal (PCS), modaliti IFOBT juga mempunyai skor min yang lebih tinggi berbanding dengan modaliti lain 56.64 (ANOVA F = 19.655, p <0.001) sebagai tambahan kepada Skor Komposit Mental (MCS) 56.37 (ANOVA F = 12.033, p <0.001). Pemeriksaan CRC melalui modaliti IFOBT sahaja mempunyai QOL yang lebih baik dalam utiliti kesihatan, kesihatan fizikal dan kesihatan mental berbanding modaliti lain. Oleh itu, program saringan CRC adalah penting dalam memelihara QOL penduduk Malaysia.

Kata kunci: QOL; saringan CRC; SF-36

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