대한간호학회지 (Journal of Korean Academy of Nursing)

한국간호과학회 (Korean Society of Nursing Science)
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유방암 생존자의 신체적 증상, 정서적 증상과 삶의 질

Symptom Experience and Quality of Life in Breast Cancer Survivors

  • 박진희 (아주대학교 간호대학) ;
  • 전은영 (연세대학교 간호대학) ;
  • 강미영 (제일병원 유방암클리닉) ;
  • 정용식 (아주대학교 의과대학 외과) ;
  • 김구상 (아주대학교 의과대학 외과)
  • 발행 : 2009.10.30
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초록

The purposes of this study were to evaluate symptom experience and quality of life (QOL) and to identify the predictors of QOL among breast cancer survivors. Methods: A cross-sectional study was conducted on 200 disease-free breast cancer survivors at two hospitals between December 2007 and July 2008. Functional Assessment of Cancer Therapy Scale-B, Memorial Symptom Assessment Scale-short Form and The Linear Analogue Self Assessment Scale were used to assess symptom experience and QOL in these patients. Data were analyzed using the Pearson correlation, t-test, ANOVA, and stepwise multiple regression with SPSS/WIN 12.0. Results: The mean score of QOL for breast cancer survivors was 95.81 (${\pm}18.02$). The highest scores among physical and psychological symptoms were sexual interest and anxiety. Year since treatment completion was significantly associated with QOL in sociodemographic variables. Physical and psychological symptoms have a significant negative association with QOL. The results of the regression analyses showed that physical and psychological symptoms were statistically significant in predicting patients' QOL. Conclusion: Symptom experience and QOL are essential variables that should be acknowledged when delivering health care to breast cancer survivors. More attention to the reduction and management of psychological distress could improve QOL among breast cancer survivors.

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참고문헌

  1. Alfano, C. M., & Rowland, J. H. (2006). Recovery issues in cancer survivorship: A new challenge for supportive care. Cancer Journal, 12, 432-443 https://doi.org/10.1097/00130404-200609000-00012
  2. Ashing-Giwa, K. T., Padilla, G., Tejero, J., Kraemer, J., Wright, K., Coscarelli, A., et al. (2004). Understanding the breast cancer experience of women: A qualitative study of African American, Asian American, Latina and Caucasian cancer survivors. Psychooncology, 13, 408-428 https://doi.org/10.1002/pon.750
  3. Avis, N. E., Crawford, S., & Manuel, J. (2005) Quality of life among younger women with breast cancer. Journal of Clinical Oncology, 23, 3322-3330 https://doi.org/10.1200/JCO.2005.05.130
  4. Brandberg, Y., Sandelin, K., Eriksonm, S., Jurell, G., Liljegren, A., Lindblom, A., et al. (2008). Psychological reactions, quality of life, and body image after bilateral prophylactic mastectomy in women at high risk for breast cancer: A prospective 1-year followup study. Journal of Clinical Oncology, 26, 3943-3949 https://doi.org/10.1200/JCO.2007.13.9568
  5. Cappiello, M., Cunningham, R. S., Knobf, M. T., & Erdos, D. (2007). Breast cancer survivors: Information and support after treatment. Clinical Nursing Research, 16, 278-293 https://doi.org/10.1177/1054773807306553
  6. Chang, V. T., Hwang, S. S., Feuerman, M., Kasimis, B. S., & Thaler, H. T. (2000). The memorial symptom assessment scale short form (MSAS-SF). Cancer, 89, 1162-1171 https://doi.org/10.1002/1097-0142(20000901)89:5<1162::AID-CNCR26>3.0.CO;2-Y
  7. Engel, J., Kerr, J., Schlesinger-Raab, A., Sauer, H., & Ho_lzel, D. (2004). Quality of life following breast-conserving therapy or mastectomy:Results of a 5-year prospective study. Breast Journal, 10, 223-231 https://doi.org/10.1111/j.1075-122X.2004.21323.x
  8. Ferrell, B. R., Dow, K. H., & Grant, M. (1995). Measurement of the quality of life in cancer survivors. Quality of Life Research, 4, 523-531 https://doi.org/10.1007/BF00634747
  9. Ganz, P. A., Desmond, K. A., Leedham, B., Rowland, J. H., Meyerowitz, B. E., & Belin, T. R. (2002). Quality of life in long-term, disease-free survivors of breast cancer: A follow-up study. Journal of the National Cancer Institute, 94, 39-49 https://doi.org/10.1093/jnci/94.1.39
  10. Hwang, S. Y., Park, B. W., & Lee, K. S. (2001). A psychosocial support program for women with primary breast carcinoma. Journal of Korean Surgical Society, 61, 357-363
  11. Janz, N. K., Mujahid, M., Chung, L. K., Lantz, P. M., Hawley, S. T., Morrow, M., et al. (2007). Symptom experience and quality of life of women following breast cancer treatment. Journal of Women's Health, 16, 1348-1361 https://doi.org/10.1089/jwh.2006.0255
  12. Jun, E. Y. (2007). The effects of a sexual life reframing program on marital intimacy, body image and sexual function among breast cancer survivors. Unpublished doctoral dissertation, Yonsei University, Seoul
  13. Kim, C. J., Hur, H. K., Kang, D. H., & Kim, B. H. (2006). The effects of psychosocial interventions to improve stress and coping in patients with breast cancer. Journal of Korean Academy of Nursing, 36, 169-178
  14. Kim, J. N. (2008). Long-term effect of the integrative group psychotherapy on the quality of life and emotional states in breast cancer patients. Korean Journal of Health Psychology, 13, 513-536
  15. Korean Breast Cancer Society. (2008). A white paper on breast cancer. Seoul: Author
  16. Loerzel, V. W., McNees, P., Powel, L. L., Su, X., & Meneses, K. (2008). Quality of life in older women with early-stage breast cancer in the first year of survivorship. Oncology Nursing Forum, 35, 924-932 https://doi.org/10.1188/08.ONF.924-932
  17. Lu, W., Cui, Y., Chen, X., Zheng, Y., Gu, K., Cai, H., et al. (2009). Changes in quality of life among breast cancer patients three years post-diagnosis. Breast Cancer Research Treatment, 114, 357-369 https://doi.org/10.1007/s10549-008-0008-3
  18. McNair, D. M., Lorr, M., & Droppleman, L. F. (1971). Manual for the profile of mood states. San Diego, CA: Educational and Industrial Testing Service
  19. Mehnert, A., & Koch, U. (2008, May). Psychological comorbidity and health-related quality of life and its association with awareness, utilization, and need for psychosocial support in a cancer register-based sample of long-term breast cancer survivors. Journal of Psychosomatic Research, 64, 383-391 https://doi.org/10.1016/j.jpsychores.2007.12.005
  20. Millar, K., Purushotham, A. D., McLatchie, E., George, W. D., & Murray, G. D. (2005). A 1-year prospective study of individual variation in distress, and illness perceptions, after treatment for breast cancer. Journal of Psychosomatic Research, 58, 335-342 https://doi.org/10.1016/j.jpsychores.2004.10.005
  21. Min, H. S., Park, S. Y., Lim, J. S., Park, M. O., Won, H. J., & Kim, J. Y. (2008). A study on behaviors for preventing recurrence and quality of life in breast cancer survivors. Journal of Korean Academy of Nursing, 38, 187-194 https://doi.org/10.4040/jkan.2008.38.2.187
  22. Montazeri, A., Vahdaninia, M., Harirchi, I., Ebrahimi, M., Khaleghi, F., & Jarvandi, S. (2008). Quality of life in patients with breast cancer before and after diagnosis: An eighteen months follow-up study. BMC Cancer, 11, 330-339 https://doi.org/10.1186/1471-2407-8-330
  23. Mrozek, E., & Shapiro, C. L. (2005). Survivorship and complications of treatment in breast cancer. Clinical Advances in Hematology and Oncology, 3, 211-222
  24. National Cancer Information Center. (2008, August). National cancer statistics. Retrieved October 10, 2008, from http://www.cancer.go.kr
  25. National Coalition for Cancer Survivorship. (2008, May). NCCS Resources. Retrieved October 11, 2008, from http://www.canceradvocacy.org/resources/publications/
  26. Paskett, E. D., Alfano, C. M., Davidson, M. A., Andersen, B. L., Naughton, M. J., Sherman, A., et al. (2008). Breast cancer survivors' health-related quality of life: Racial differences and comparisons with noncancer controls. Cancer, 113, 3222-3230 https://doi.org/10.1002/cncr.23891
  27. Phillips, K. A., Osborne, R. H., Giles, G. G., Dite, G. S., Apicella, C., Hopper, J. L., et al. (2008). Psychosocial factors and survival of young women with breast cancer: A population-based prospective cohort study. Journal of Clinical Oncology, 26, 4666-4671 https://doi.org/10.1200/JCO.2007.14.8718
  28. Suh, Y. O. (2007). Predictors of quality of life in women with breast cancer. Journal of Korean Academy of Nursing, 37, 459-466
  29. Sutherland, H. J., Walker, P., & Till, J. E. (1988). The development of a method for determining oncology patients' emotional distress using linear analogue scales. Cancer Nursing, 11, 303-308
  30. Thompson, P. (2007). The relationship of fatigue and meaning in life in breast cancer survivors. Oncology Nursing Forum, 34, 653-660 https://doi.org/10.1188/07.ONF.653-660

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  7. A comparison of quality of life and satisfaction of women with early-stage breast cancer treated with breast conserving therapy vs. mastectomy in southern China vol.20, pp.10, 2009, https://doi.org/10.1007/s00520-011-1364-9
  8. 자폐성장애 아동 부모의 삶의 전환과정 측정도구 개발 vol.42, pp.6, 2009, https://doi.org/10.4040/jkan.2012.42.6.861
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  11. Menopausal symptoms, sexual function, depression, and quality of life in Korean patients with breast cancer receiving chemotherapy vol.21, pp.9, 2013, https://doi.org/10.1007/s00520-013-1815-6
  12. 항호르몬요법을 받는 유방암 환자의 삶의 질 영향 요인 vol.44, pp.1, 2009, https://doi.org/10.4040/jkan.2014.44.1.108
  13. 유방암 환자의 회복탄력성과 외상후 스트레스가 삶의 질에 미치는 영향 vol.20, pp.1, 2009, https://doi.org/10.4069/kjwhn.2014.20.1.83
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  16. Factors that Influence Korean Breast Cancer Patients to Undergo Cancer Rehabilitation Therapy vol.15, pp.2, 2009, https://doi.org/10.5388/aon.2015.15.2.106
  17. Changes of Symptom Distress and Quality of Life in Breast Cancer Patients Receiving Adjuvant Therapy vol.15, pp.2, 2009, https://doi.org/10.5388/aon.2015.15.2.67
  18. 유방암여성 임파워먼트 측정도구 개발 및 타당화 vol.45, pp.4, 2009, https://doi.org/10.4040/jkan.2015.45.4.613
  19. Validity and reliability of EQ-5D-3L for breast cancer patients in Korea vol.13, pp.None, 2009, https://doi.org/10.1186/s12955-015-0399-x
  20. 대장암 환자의 항암화학요법 관련 인지손상과 삶의 질: 심리적 디스트레스(우울·불안)의 매개효과 vol.46, pp.1, 2009, https://doi.org/10.4040/jkan.2016.46.1.19
  21. 암 치료를 받은 간호사의 직장복귀 경험 vol.17, pp.6, 2009, https://doi.org/10.5762/kais.2016.17.6.215
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  24. Effects of Self-Lymph Massage Method among Breast Cancer Survivors vol.23, pp.2, 2009, https://doi.org/10.7587/kjrehn.2020.112
  25. 한방 입원치료를 통해 항암화학요법 후 발생한 부작용이 개선된 유방암 환자 6례 vol.33, pp.2, 2020, https://doi.org/10.15204/jkobgy.2020.33.2.124
  26. Analysis of Health management Awareness and Practice Experience of Breast Cancer Survivors using Focus Group Interviews vol.23, pp.1, 2009, https://doi.org/10.7587/kjrehn.2020.48
  27. Unmet Needs for Job Maintenance of Breast Cancer Survivors vol.27, pp.3, 2020, https://doi.org/10.7739/jkafn.2020.27.3.298
  28. Association between sleep quality, anxiety and depression among Korean breast cancer survivors vol.8, pp.3, 2021, https://doi.org/10.1002/nop2.710