위장암 환자의 삶의 질에 영향을 미치는 요인

Factors Influencing Quality of Life in Patients with Gastrointestinal Neoplasms

  • Lee, Eun-Ok (College of Nursing, Seoul National University) ;
  • Eom, Ae-Yong (Department of Nursing, Margaret Pritchard University) ;
  • Song, Rha-Yun (Department of Nursing, Chungnam National University) ;
  • Chae, Young-Ran (Department of Nursing, Kangwon National University) ;
  • Lam, Paul (Department of Family Medicine, University of New South Wales)
  • 발행 : 2008.10.31

초록

Purpose: The purpose of this study was to identify the factors influencing quality of life after analyzing the relationship between depression, health promotion and quality of life in patients with gastrointestinal neoplasms. Methods: The subjects of this study were 63 people who underwent treatments from 2 general hospitals in Seoul and Daejeon and had no recurrence in stages I & II of gastrointestinal neoplasms. Data was collected from March 1 to April 30, 2006. A questionnaire consisting of Center for Epidemiologic Studies Depression (CES-D), Health Promoting Lifestyle Profile II (HPLP II) and Functional Assessment of Cancer Therapy-Colorectal (FACT-C) was given. The collected data was analyzed with the SPSS program which was used for descriptive statistics, Pearson correlation coefficients and hierarchical multiple regression. Results: The major findings of this study were as follows: 1) There was a significant relationship between depression (r=-.639, p=.000), health promotion (r=.407, p=.001) and quality of life. 2) Significant factors were depression (F=-4.091, p=.000) and health promotion (F=2.375, p=.021) that explained 46% of quality of life (F=10.022, p=.000). Conclusion: Cancer patients experienced extreme depression which led to a negative effect on quality of life. Health promotion was an important variable to the quality of life and it gave the patients motivation for having a will and belief for better health.

키워드

참고문헌

  1. Battle, J. (1978). Relationship between self-esteem and depression. Psychological Reports, 42, 745-746
  2. Burnham, T. R., & Wilcox, A. (2002). Effects of exercise on physiological and psychological variables in cancer survivors. Medicine and Science in Sports and Exercise, 34, 1863-1867 https://doi.org/10.1097/00005768-200212000-00001
  3. Courneya, K. S., Friedenreich, C. M., Quinney, H. A., Fields, A. L., Jones, L. W., & Fairey, A. S. (2003). A randomized trial of exercise and quality of life in colorectal cancer survivors. European Journal of Cancer Care, 12, 347-357 https://doi.org/10.1046/j.1365-2354.2003.00437.x
  4. Ferrans, C. E. (1990). Quality of life: Conceptual issue. Seminars in Oncology Nursing, 6, 248-254
  5. Guren, M. G., Dueland, S., Skovlund, E., Fossa, S. D., Poulsen, J. P., & Tveit, K. M. (2003). Quality of life during radiotherapy for rectal cancer. European Journal of Cancer, 39, 587-594 https://doi.org/10.1016/S0959-8049(02)00741-4
  6. Jeon, K. K., & Lee, M. K. (1992). Preliminary development of Korean version of CES-D. Korean Journal of Clinical Psychology, 11, 65-76
  7. Kim, H., Lee, K. H., Kim, J. C., Chung, H. Y., Yoo, H. J., Lee, J. H., et al. (2003). Development and validation of Korean Functional Assessment Cancer Therapy-General (FACT-G). The Korean Journal of Clinical Psychology, 22, 215-229
  8. Kim, Y. J., Yoo, H. J., Kim, J. C., & Han, O. S. (2003). Preoperative quality of life in rectal cancer patients. Korean Journal of Clinical Psychology, 22, 743-762
  9. Korea National Statistical Office. (2007, September). The statistics of death rate in Korea. Retrieved March 3, 2008, from http://www.kosis.kr/domestic/theme/do01_index.jsp
  10. Lee, E. H., Jeong, Y. H., Kim, J. S., Song, R. Y., & Hwang, K. Y. (2006). Statistical methods for health care research. Seoul: Koonja
  11. Lee, P. S., Sohn, J. N., Lee, Y. M., Park, E. Y., & Park, J. S. (2005). A correlational study among perceived stress, anger expression, and depression in cancer patients. Journal of Korean Academy of Nursing, 35, 195-205
  12. Lee, S. H. (2006). A study on professional medical team support and information needs of patients with colon cancer. Unpublished master's thesis, Yonsei University, Seoul
  13. Maeda, T., Onuoha, F. N., & Munakata, T. (2006). The effect of postoperative symptom experience, and personality and psychosocial factors on depression among postgastrectomy patients in Japan. Gastroenterology Nursing, 29, 437-444
  14. Ministry of Health, Welfare and Family Affair data. (2007, October). Cancer incidence in Korea. Retrieved March 3, 2008, from http://stat.mw.go.kr/
  15. Mock, V., Pickett, M., Ropka, M. E., Muscari Lin, E., Stewart, K. J., Rhodes, V. A., et al. (2001) Fatigue and quality of life outcomes of exercise during cancer treatment. Cancer Practice, 9, 119-127 https://doi.org/10.1046/j.1523-5394.2001.009003119.x
  16. Molife, R., Lorigan, P., & MacNeil, S. (2001). Gender and survival in malignant tumors. Cancer Treatment Reviews, 27, 201-209 https://doi.org/10.1053/ctrv.2001.0220
  17. Mutrie, N., Campbell, A. M., Whyte, F., McConnachie, A., Emslie, C., Lee, L., et al. (2007). Benefits of supervised group exercise programme for women being treated for early stage breast cancer: Pragmatic randomised controlled trial. British Medical Journal, 10, 517-522 https://doi.org/10.1136/bmj.s1-10.43.517
  18. Park, E. H. (2003). The effect of breast self-examination (BSE) promotion program on BSE compliance & health promoting behaviors in adult women. Unpublished master's thesis, Konkuk University, Seoul
  19. Pender, N. J., Murdangh, C. L., & Parson, M. A. (2002). Health promotion in nursing practice. Upper Saddle River, NJ: Prentice Hall
  20. Radloff, L. S. (1977). The CES-D Scale: A self-report depression scale for research in the general population. Journal of Applied Psychology Measurement, 1, 385-401 https://doi.org/10.1177/014662167700100306
  21. Schultz, A. A., & Winstead-Fry, P. (2001). Predictors of quality of life in rural patients with cancer. Cancer Nursing, 24, 12-19 https://doi.org/10.1097/00002820-200102000-00002
  22. Suh, Y. O. (2007). Predictors of quality of life in women with breast cancer. Journal of Korean Academy of Nursing, 37, 459-466
  23. Taechaboonsermsak, P., Kaewkungwal, J., Singhasivanon, P., Fungladda, W., & Wilailak, S. (2005). Causal relationship between health promoting behavior and quality of life in cervical cancer patients undergoing radiotherapy. The Southeast Asian Journal of Tropical Medicine and Public Health, 36, 1568-1575
  24. Walker, S. N., Sechrist, K. R., & Pender, N. J. (1995). The Health Promoting Lifestyle Profile II. College of Nursing, University of Nebraska Medical Center, Omaha
  25. Ward, W. L., Hahn, E. A., Mo, F., Hernandez, L., Tulsky, D. S., & Cella, D. (1999). Reliability and validity of the Functional Assessment of Cancer Therapy-Colorectal (FACT-C) quality of life instrument. Quality of Life Research, 8, 181-195 https://doi.org/10.1023/A:1008821826499
  26. Wilson, T. R., Alexander, D. J., & Kind, P. (2006). Measurement of health-related quality of life in the early follow-up of colon and rectal cancer. Diseases of the Colon and Rectum, 49, 1692-1702 https://doi.org/10.1007/s10350-006-0709-9
  27. Wittmann, M., Vollmer, T., Schweiger, C., & Hiddemann, W. (2006). The relation between the experience of time and psychological distress in patients with hematological malignancies. Palliative and Supportive Care, 4, 357-363
  28. Wu, C., Hsieh, M., Lo, S., Lui, W., & P'eng, F. (1997). Quality of life of patients with gastric adenocarcinoma after curative gastrectomy. World Journal of Surgery, 21, 777-782 https://doi.org/10.1007/s002689900305
  29. Yang, Y. H. (2002). The trajectory of fatigue and quality of life in stomach cancer patients receiving chemotherapy. Journal of Korean Academy of Nursing, 32, 482-491
  30. Yoon, H. J., Chung, J. P., Choi, S. H., Kim, C. S., Kang, B. S., Lee, T. H., et al. (2003). A study on the prognosis and prognostic factors of gastric proper muscle cancer. Korean Journal of Gastroenterology, 41, 87-93