Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Predictors of Quality of Life in Women with Breast Cancer

유방암 환자의 삶의 질 영향요인

  • 서연옥 (순천향대학교 간호학과)
  • 발행 : 2007.06.30
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초록

Purpose: This study was to identify predictors of quality of life in breast cancer patients. Physical and pscyhological factors like stress, mood, and fatigue with sociodemographic factors like education, income, job and stage of disease were used to predict quality of life. Methods: One hundred eleven patients with breast cancer participated in this study? The functional Assessment of Cancer Therapy-Breast(FACT-B) was used to assess quality of life. Results: The mean age of the patients was 46.7 years. The FACT-B mean score was 89.89(SD:17.31) Education, income, job and stage of disease were significantly associated with QOL. In a regression analysis, mood, income, and fatigue were significant predictors for QOL where as, stress was not significant. Among the subscales of QOL, physical well-being, functional well-being, emotional well-being, and the breast cancer subscale were included as predictors of QOL Conclusion: Physical and psychological factors were strong predictors of QOL. These results demonstrate the need for interventions to improve QOL in breast cancer survivors.

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참고문헌

  1. Ahn, S. H. (2000). Personal experience of 1,000 breast cancer surgeries in korea. Cancer Res Treat, 32(1), 68-75
  2. Arndt, V., Stegmaier, C., Ziegler, H., & Brenner, H. (2006). A population-based study of the impact of specific symptoms on quality of life in women with breast cancer 1 year after diagnosis. Cancer, 107(10), 2496-2503 https://doi.org/10.1002/cncr.22274
  3. Avis, N. E., Crawford, S., & Manuel, J. (2005). Quality of life among younger women with breast cancer. J Clin Oncol, 23(15) 3322-3330 https://doi.org/10.1200/JCO.2005.05.130
  4. Broeckel, J. A., Jacobsen; P. B., Horton, J., Balducci, L., & Lyman, G. H.(1998). Characteristics and correlates of fatigue after adjuvant chemotherapy for breast cancer. J Clin Oncol, 16(5), 1689-1696 https://doi.org/10.1200/JCO.1998.16.5.1689
  5. Bull, A. A., Meyerowitz, B. E., Hart, S., Mosconi, P., Apolone, G., & Liberati, A. (1999). Quality of life in women with recurrent breast cancer. Breast Cancer Res Treat, 54(1), 47-57 https://doi.org/10.1023/A:1006172024218
  6. Byar, K. L., Berger, A. M., Bakken, S. L., & Cetak, M. A. (2006). Impact of adjuvant breast cancer chemotherapy on fatigue, other symptoms, and quality of life. Oncol Nurs Forum, 33(1), E18-26
  7. Golden-Kreutz, D. M., Thornton, L. M., Wells-Di Gregorio, S., Frierson, G. M., Jim, H. S., Carpenter, K. M., Shelby, R. A., & Andersen, B. L. (2005). Traumatic stress, perceived global stress, and life events: prospectively predicting quality of life in breast cancer patients. Health Psychol, 24(3), 288-296 https://doi.org/10.1037/0278-6133.24.3.288
  8. Ferrell, B. R., Dow, K. H., & Grant, M. (1995). Measurement of the quality of life in cancer survivors. Qual Life Res, 4(5), 523-531 https://doi.org/10.1007/BF00634747
  9. Grabsch, B., Clarke, D. M., Love, A., McKenzie, D. P., Snyder, R. D., Bloch, S., Smith, G., & Kissane, D. W. (2006). Psychological morbidity and quality of life in women with advanced breast cancer: a cross-sectional survey. Palliat Support Care, 4(1), 47-56
  10. Hegel, M. T., Moore, C. P., Collins, E. D., Kearing, S., Gillock, K. L., Riggs, R. L., Clay, K. F., & Ahles, T. A. (2006). Distress, psychiatric syndromes, and impairment of function in women with newly diagnosed breast cancer. Cancer, 107(12), 2924-2931 https://doi.org/10.1002/cncr.22335
  11. Holzner, B., Kemmler, G., Kopp, M., Moschen, R., Schweigkofler, H., Dunser, M., Margreiter, R., Fleischhacker, W. W, & Sperner-Unterweger, B. (2001). Quality of life in breast cancer patients-not enough attention for long-term survivors? Psychosomatics, 42(2), 117-123 https://doi.org/10.1176/appi.psy.42.2.117
  12. Horowitz, M., Wilner, N., & Alvarez, W. (1979). Impact of Event Scale: a measure of subjective stress. Psychosom Med, 41(3), 209-218 https://doi.org/10.1097/00006842-197905000-00004
  13. Jo, K. H., & Son, B. K. (2004) The relationship of uncertainty, hope and quality of life in patients with breast cancer. J Korean Acad Nurs, 34(7), 1184-1193 https://doi.org/10.4040/jkan.2004.34.7.1184
  14. Lee, C. O. (1997). Quality of life and breast cancer survivors. Cancer Pract, 5(5), 309-316
  15. Lee, E. H. (1999). Constuct reliability of the revised Piper fatigue scale in Korean women with breast cancer. J Korean Acad Nurs, 29(3), 485-493 https://doi.org/10.4040/jkan.1999.29.3.485
  16. Lee, M. K., Son, B. H., Hwang, S. Y., Han, W., Yang, J. H., Lee, S., & Yun, Y. H. (2007). Factors affecting health-related quality of life in women with recurrent breast cancer in Korea. Qual Life Res. Feb 6. e-pub ahead of print
  17. Lehto, U. S., Ojanen, M., & Kellokumpu-Lehtinen, P. (2005). Predictors of quality of life in newly diagnosed melanoma and breast cancer patients. Ann Oncol, 16(5), 805-816 https://doi.org/10.1093/annonc/mdi146
  18. Markes, M., Brockow, T., & Resch, K. L. (2006). Exercise for women receiving adjuvant therapy for breast cancer. Cochrane Database Syst Rev, 18(4), 1-15
  19. National Cancer Information Center. (2007). www.ncc.re.kr
  20. Pandey, M., Thomas, B. C., Ramdas, K., & Ratheesan, K. (2006). Early effect of surgery on quality of life in women with operable breast cancer. Jpn J Clin Oncol, 36(7), 468-472 https://doi.org/10.1093/jjco/hyl065
  21. Park, Y. M. (2005). A structural model for quality of life in breast cancer patients. Unpublished doctoral dissertation, Kyunghee University, Seoul
  22. Piper, B. F., Dibble, S. L., Dodd, M. J., Weiss, M. C., Slaughter, R. E., & Paul, S. M. (1998). The revised Piper fatigue scale: psychometric evaluation in women with breast cancer. Oncol Nurs Forum, 25(4), 677-684
  23. Schou, I., Ekeberg, O., & Ruland, C. M. (2005). The mediating role of appraisal and coping in the relationship between optimism-pessimism and quality of life. Psycho oncology, 14(9), 718-727 https://doi.org/10.1002/pon.896
  24. Shim, J. H., & Park, K. S. (2004). A study on quality of life of those who have breast cancer patients taking chemotherapy. J Korean Acad Adult Nurs, 16(1), 49-59
  25. Shimozuma, K., Ganz, P. A., Petersen, L., & Hirji, K. (1999). Quality of life in the first year after breast cancer surgery: rehabilitation needs and patterns of recovery. Breast Cancer Res Treat, 56(1), 45-57 https://doi.org/10.1023/A:1006214830854
  26. Shin, Y. H. (1996). A study on verification of the profile of mood states for Korean elders. J Korean Acad Nurs, 26(4), 743-758
  27. Son, B. H., Yoon, H. S., Kwak, H. S., Lee, B. C., Ko, B. K., Kim, J. S., & Ahn, S. H. (2001). Clinical analysis of breast cancer surgeries in Korea, Taehan Oekwa Hakhoe Chapchi, 60(5), 470-476
  28. Weitzner, M. A., Meyers, C. A., Stuebing, K. K., & Saleeba, A. K. (1997). Relationship between quality of life and mood in long-term survivors of breast cancer treated with mastectomy. Support Care Cancer, 5(3), 241-248 https://doi.org/10.1007/s005200050067
  29. Yen, J. Y., Ko, C. H., Yen, C. F., Yang, M. J., Wu, C. Y., Juan, C. H., & Hou, M. F. (2006). Quality of life, depression, and stress in breast cancer women outpatients receiving active therapy in Taiwan. Psychiatry Clin Neurosci, 60(2), 147-153 https://doi.org/10.1111/j.1440-1819.2006.01479.x
  30. Yoo, H. J., Ahn, S. H., Eremenco, S., Kim, H., Kim, W. K., Kim, S. B., & Han, O. S. (2005). Korean translation and validation of the functional assessment of cancer therapy-breast (FACT-B) scale version 4. Qual Life Res, 14(6), 1627-1632 https://doi.org/10.1007/s11136-004-7712-1