Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
Life beyond remission: physical, emotional, and social reintegration of cancer survivors in Tunisia-a cross-sectional study.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
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Fendri Sofiene, Mezghani Molka, Haddaoui Seif, Saadi Myriam, Haouari Ahmed Anas, Berrazaga Yosra, Mejri Nesrine
Аннотация
OBJECTIVE: To explore the post-remission physical, emotional, and social experiences of cancer survivors in Tunisia, assess their evolving perception, and identify predictive factors for poor post-remission quality of life.
METHODS: Cancer survivors with different ages, genders, and cancer types took part in a questionnaire-based survey. This survey explored key dimensions of their lives, exploring their functional abilities, social interactions, and emotional well-being.
RESULTS: The study included 110 patients. Median age was 58 years [37-81] with 75% being women. Median follow-up was 45 months [24-101]. Breast (44%) and colorectal (32.7%) cancers were the most common. Chronic pain affected 40% of survivors and was more frequent in rural residents (OR = 2.9). Lack of analgesic treatment was associated with persistent moderate to severe pain (OR = 3.6). Sleep disturbances affected 37.3% of patients and were independently associated with fear of cancer recurrence (FCR) (OR = 3.77) and chronic pain (OR = 2.56). Seventy percent of our patients felt their lives had gained deeper meaning. Positive lifestyle changes were noted in 38.9% of cases, including healthier dietary habits (40.9%), increased religious practices (31%), and engagement in physical activities (20%). Anxiety was reported by 58.1% of participants and was more common among women, younger patients, and those recently treated. FCR was reported by 40% of patients and was associated with more severe depression (OR = 2.35) and anxiety (OR = 3.12) symptoms. Sixty-one percent resumed work, with 15.7% transitioning to new job roles.
CONCLUSIONS: Years after remission, cancer survivors face persistent physical, emotional, and social challenges. Culturally adapted survivorship care models are needed to improve symptom control, psychosocial support, and vocational reintegration.
METHODS: Cancer survivors with different ages, genders, and cancer types took part in a questionnaire-based survey. This survey explored key dimensions of their lives, exploring their functional abilities, social interactions, and emotional well-being.
RESULTS: The study included 110 patients. Median age was 58 years [37-81] with 75% being women. Median follow-up was 45 months [24-101]. Breast (44%) and colorectal (32.7%) cancers were the most common. Chronic pain affected 40% of survivors and was more frequent in rural residents (OR = 2.9). Lack of analgesic treatment was associated with persistent moderate to severe pain (OR = 3.6). Sleep disturbances affected 37.3% of patients and were independently associated with fear of cancer recurrence (FCR) (OR = 3.77) and chronic pain (OR = 2.56). Seventy percent of our patients felt their lives had gained deeper meaning. Positive lifestyle changes were noted in 38.9% of cases, including healthier dietary habits (40.9%), increased religious practices (31%), and engagement in physical activities (20%). Anxiety was reported by 58.1% of participants and was more common among women, younger patients, and those recently treated. FCR was reported by 40% of patients and was associated with more severe depression (OR = 2.35) and anxiety (OR = 3.12) symptoms. Sixty-one percent resumed work, with 15.7% transitioning to new job roles.
CONCLUSIONS: Years after remission, cancer survivors face persistent physical, emotional, and social challenges. Culturally adapted survivorship care models are needed to improve symptom control, psychosocial support, and vocational reintegration.