DOI QR코드

DOI QR Code

Spiritual Health and Fatigue of Patients with Breast Cancer according to Treatment Phases

유방암 환자의 치료단계에 따른 영적건강과 피로

  • 태영숙 (고신대학교 간호대학) ;
  • 최금희 (부산성모병원 간호부) ;
  • 정윤경 (진주보건대학교 간호과) ;
  • 권수혜 (고신대학교 전인간호과학연구소)
  • Received : 2012.08.06
  • Accepted : 2012.12.12
  • Published : 2012.12.31

Abstract

Purpose: The study was to identify the level of Spiritual Health and Fatigue in women with breast cancer according to three treatment phases (post op phase, adjuvant phase, follow up phase). Methods: The research method was a cross-sectional descriptive study. Data were collected from 161 women patients with a diagnosis of breast cancer. Both in-patient and out-patient units from two general hospitals were the source of subjects. The subjects completed two standardized instruments: the "Spiritual Health Scale" developed by Highfield and the "Fatigue Scale" developed and revised by Piper. The data were analyzed using frequency, percentage, ${\chi}^2$, ANOVA, Scheff$\acute{e}$ test, Pearson's correlation coefficients, and Multiple regression. Results: The subscale scores of Self-Esteem of spiritual health and fatigue in patients with breast cancer differed among the three treatment phases (F=3.14, p= .046; F=3.31, p= .039). Significant correlations were found between spiritual health and fatigue. The variables which explained 29% of the variance in fatigue in breast cancer patients were education, religious belief, economic status, and spiritual health. Conclusion: The study results demonstrated that spiritual health significantly explain fatigue. It is needed to develop nursing interventions to improve the spiritual health of breast cancer patients to manage fatigue according to treatment phases.

Keywords

References

  1. Berger, A. M., & Higginbotham, P. (2000). Correlates of fatigue during and following adjuvant breast cancer chemotherapy: A pilot study. Oncology Nursing Forum, 27, 1443- 1448.
  2. 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. Oncology Nursing Forum, 33 (1), 18-26. http://dx.doi.org/10.1188/06.ONF.E18-E26
  3. Cha, S. J. (2007). The relationship between spiritual health and fatigue in breast surgery patients undergoing adjuvant chemotherapy. Unpublished master's thesis, Kosin University, Busan.
  4. Curt, G. A., Breitbart, W., Cella, D., Groopman, J. E., Horning, S. J., Itri, L. M., et al. (2000). Impact of cancer-related fatigue on the lives of patients: New findings from the fatigue coalition. The Oncogist, 5, 353-360.
  5. Gibson, L. R., & Parker, V. (2003). Inner resources as predictors of psychological well-being in middle-income African American breast cancer survivors. Cancer Control, 10 (5), 52-59. https://doi.org/10.1177/107327480301005s08
  6. Grant, M. (1995). Alterations in nutrition in McCorkle, R. Grant, M. Frank-stromborg, M. Barid (Eds). S.B. Cancer Nursing: A comprehensive textbook. Saunders: Philadelphia London.
  7. Ha, E. H., Seo, J. E., Jeong, J., Yang, J. H., Nam, S. J., Lee, J. E., et al. (2008). Biopsychosocial predictors of depressive disorder in breast cancer patients. Korea Journal of Clinical Psychology, 27 (4), 961-976. https://doi.org/10.15842/kjcp.2008.27.4.011
  8. Heim, E., Valach, L., Schaffner, L. (1997). Coping and pychosocial adaptation longitudinal effects over time and stages in breast cancer. Psychosomatic Medicine, 59, 408- 418. https://doi.org/10.1097/00006842-199707000-00011
  9. Highfield, M. E. F. (1992). Spiritual health of oncology patients: Nurse and patient perspectives Cancer Nursing 15 (1), 1045-1052.
  10. Jacobsen, P. B., Hann, D. M., Azzarello, L. M., Horton, J., Balducci, L., & Lyman, G. H. (1999). Fatigue in women receiving adjuvant chemotherapy for breast cancer: Characteristics, course, and correlates. Journal of Pain and Symptom management, 18, 233-242. https://doi.org/10.1016/S0885-3924(99)00082-2
  11. Kenefick, A. L. (2006). Patterns of symptom distress in older women after surgical treatment for breast cancer. Oncology Nursing Forum, 33 (2), 327-335. http://dx.doi.org/10.1188/06.ONF.327-335
  12. Kim, M. J. (1994). A survey on changes in quality of life of patients who perceived radiation therapy after surgery for breast cancer. Journal of Korean Academy of Nursing, 24 (4), 652-665.
  13. Lee, E. H. (1999). Construct reliability of the revised Piper Fatigue Scale in Korean women with breast cancer. Journal of Korean Academy of Nursing, 29 (3), 485-493. https://doi.org/10.4040/jkan.1999.29.3.485
  14. Lee, E. H. (2001). Fatigue and hope: Relationships to psychosocial adjustment in Korean women with breast cancer, Applied Nursing 14, 87-93. ISSN: 0897-1897 PMID: 11319704. https://doi.org/10.1053/apnr.2001.22374
  15. Lee, W. H., Kim, M. S., & Kim, S. H. (2001). A study of validity and reliability of a spiritual health inventory (SHI) for Korean patients with cancer. Journal of Korean Academy of Adult Nursing, 13 (2), 234-246.
  16. Lin, H. R., & Bauer-Wu, S. M. (2003). Psychospiritual well- being in patients with advanced cancer: An integrative review of the literature. Journal of Advanced Nursing, 44, 69-80. http://dx.doi.org/10.1046/j.1365-2648.2003.02768.x.
  17. Manning-Walsh, J. K. (2005). Psychospritual well-being and symptom distress in women with breast cancer. Oncology Nursing Forum, 32 (3), 543-549. http://dx.doi.org/10.1188/05.ONF.E56-E62.
  18. Meraviglia, M. G. (2004). The effects of spirituality on well-being of people with lung cancer. Oncology Nursing Forum, 31 (1), 89-94. http://dx.doi.org/10.1188/04.ONF.89-94.
  19. Meraviglia, M. (2006). Effects of spiritually in breast cancer survivors. Oncology Nursing Forum, 33 (1), E1-E7. http:// dx.doi.org/10.1188/06.ONF.E1-E7.
  20. Morea, J. M., Friend, R., & Bennet, R. M. (2008). Conceptualizing and measuring illness self concept: A comparison with self-esteem and optimism in predicting fibromyalgia adjustment. Research in Nursing & Health, 31 , 563-575. https://doi.org/10.1002/nur.20294
  21. National Cancer Center. (2012). Annual report for Korean cancer registration work. Seoul: National Cancer Center.
  22. Park, E. Y., & Lee, E. O. (2001). Patients with high risk breast cancer. Journal of Korean Oncology Nursing, 1 (1), 121- 130.
  23. Patrick, D. L., Ferketich, S. L., Frame, P. S., Harris, J. J., Hendricks, C. B., Levin, B., et al. (2004). National institutes of health state-of-the-science conference statement: Symptom management in cancer: Pain, depression, and fatigue, July 15-17, 2002. Journal of the National Cancer Institute Monographs, 32, 9-16.
  24. 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. Oncology Nursing Forum, 25 (4), 677-684.
  25. Skalla, K. A., & McCoy, J. P. (2006). Spiritual assessment of patients with cancer: The moral authority, vocational, aesthetic, social, and transcendent model. Oncology Nursing Forum, 33 (4), 745-751. http://dx.doi.org/10.1188/06.ONF.745-751.
  26. Son, S. M. (2009). Predictive factors of fatigue in breast cancer patients undergoing chemotherapy. Unpublished master's thesis, Kosin University, Busan.
  27. Suh, S. R., So, H. S., Chung, B. Y., Kim Y. O., & Sohn, S. K. (2000). Handbook of oncology nursing. Seoul: Hyunmoonsa.
  28. Tae, Y. S., & Kim, M. Y. (2007). Correlation between depression and spiritual health in women with Cancer, Journal of Oncology Nursing, 7 , 169-178.
  29. Taylor, E. J. (1993). Factors associated with meaning in life among people with recurrent cancer, Oncology Nursing Forum, 20, 1399-1407.
  30. Von, A. D., Kang, D., & Carpenter, J. S. (2008). Predictors of cancer-related fatigue in women with breast cancer before, during, and after adjuvant therapy. Cancer Nursing, 31 (2), 134-144. https://doi.org/10.1097/01.NCC.0000305704.84164.54
  31. Li, Y., & Yuan, C. (2011). Level of fatigue in Chinese women with breast cancer and its correlates: A cross-sectional questionnaire survey. Journal of the American Academy of Nurse Practitioners, 23 (3), 153-160. https://doi.org/10.1111/j.1745-7599.2010.00591.x

Cited by

  1. The Impact of Clinical Nurses' Terminal Care Attitude and Spiritual Health on Their Terminal Care Stress vol.17, pp.4, 2014, https://doi.org/10.14475/kjhpc.2014.17.4.232
  2. Development of Audio-visual Aids of Death Education for Hospice Patients and Their Families vol.19, pp.3, 2016, https://doi.org/10.14475/kjhpc.2016.19.3.240
  3. Quality of Life and Prolonged Symptoms in Korean Breast Cancer Survivors vol.45, pp.1, 2012, https://doi.org/10.1097/ncc.0000000000000894