DOI QR코드

DOI QR Code

The relation between comprehensive health needs of cancer patient and the quality of life

암환자의 포괄적 건강 요구도와 삶의 질과의 관계

  • Baik, Hyung-Won (Dept. of Health Education and Management, Ewha Womans University) ;
  • Kim, Myung (Dept. of Health Education and Management, Ewha Womans University)
  • 백형원 (이화여자대학교 보건관리학) ;
  • 김명 (이화여자대학교 대학원 보건관리학과)
  • Received : 2014.10.22
  • Accepted : 2014.11.20
  • Published : 2014.12.28

Abstract

This study was examined relation to comprehensive needs and the quality of life in cancer patient. The Study period was 15 to 24 October 2012. The participants were 100 cancer patients more than 20 years old with cancer. Information and educational requirements are the highest need, and social support is the lowest one in patients with cancer. The longer survival time after diagnosis of cancer was, the higher social support requirements were needed. The Information and education requirement about healthy life showed higher in a family history of cancer. The cancer patients with stage IV ask higher service requirement significantly. and showed that physical and psychological requirements were getting higher, the quality of life became lower. As a result of this study, Physical and Psychological requirements were the most significant factors that affect the quality of life in cancer patients. Therefore, it is necessary to develop the physical and psychological supporting system and to provide appropriate Intervention for them.

본 연구는 암환자의 포괄적 건강 요구도와 삶의 질의 관계를 알아보기 위해 시행되었다.. 2012년 10월15일부터 24일까지 만 20세 이상의 암환자 110명으로부터 자료를 수집하여 분석하였다. 정보 및 교육요구가 가장 높고, 사회적지지에 대한 요구가 가장 낮았다. 암 진단 후 생존기간이 길어질수록 사회적 지지 요구가 높았다. 암 가족력이 있을 때 정보 및 교육 요구도, 4기 암환자에서 병원시설 및 서비스 요구가 높게 나타났다. 신체적 심리적 요구가 높아질수록 삶의 질은 낮아졌다. 신체적, 심리적 요구는 암환자의 삶의 질에 영향을 미치는 요인으로, 이에 대한 지지체계개발과 적절한 중재방법 제공이 필요할 것으로 생각된다.

Keywords

References

  1. K. W. Jung, Y. J. Won, H. J. Kong, C. M. Oh, H. G. Seo, J. S. Lee. Cancer Statistics in Korea: Incidence, Mortality, Survival and Prevalence in 2010. Cancer Res Treat Vol. 45, No. 1, pp. 1-14, 2013. https://doi.org/10.4143/crt.2013.45.1.1
  2. Ministry of Health & welfare, National Cancer Center. 2010 Annual report of cancer Registry in Korea. Seoul; Ministry of Health & Welfare, National Cancer Center: 2012.
  3. F. A. Parsaie, M. Golchin, I. Asvadi, A comparison of nurse and patient perceptions of chemotherapy treatment stressors. Cancer Nursing, Vol. 23, No. 5, pp. 371-374, 2000. https://doi.org/10.1097/00002820-200010000-00008
  4. L. E. Carlson, C. J. Angen, High levels of untreated distress and fatigue in cancer patients. British Journal cancer, Vol. 90, No. 12, pp. 297-304, 2004.
  5. H. J. Kim, D. H. Kim, Nursing Educational Needs for Discharge after Thyroid Cancer Surgery. Journal Korean academic society nursing education, Vol. 17, No. 2, pp. 287-295, 2011. https://doi.org/10.5977/JKASNE.2011.17.2.287
  6. J. H. Lee, J. A. Oh, J. K. Cho, S. H. Kim, Y. Y. Kim, Development of educational materials and information demands on disease control for patients with breast cancer. Nursing Science, Vol. 16, No. 1, pp. 34-43, 2004.
  7. K. H. Kim, B. Y. Chung, K. D. Kim, H. S. Byun, Perceived Family Support and Quality of Life in Patients with Cancer. Journal Korean Oncology Nursing, Vol. 9, No. 1, pp. 52-59, 2009.
  8. I. S. Shin, The effects that influence the quality of life in cancer patients[dissertation]. Seoul: Kyung Hee Univ, Korean, 2005.
  9. L. Kitrungrote & M. Z. Cohen, Quality of life of family caregivers of patients with cancer: a literature review. Oncology Nursing Forum, Vol. 33, No. 3, pp. 625-632. 2006. https://doi.org/10.1188/06.ONF.625-632
  10. E. O. Lee, A. Y. Eom, R. Y. Song, Y. R. Chae, Lam. Paul, Factors Influencing Quality of Life in Patients with Gastrointestinal Neoplasms. Journal of Korean Academy of Nursing, Vol. 38, No. 5, pp. 649-655. 2008. https://doi.org/10.4040/jkan.2008.38.5.649
  11. M. Daher, Cultural beliefs and values in cancer patients. Ann Oncology, Vol. 23, No. 3, pp 66-69. 2012. https://doi.org/10.1093/annonc/mds091
  12. H. S. Byun, G. D. Kim, Impacts of Fatigue, Pain, Anxiety, and Depression on the Quality of Life in Patients with Breast Cancer. Asian Oncology Nursing, Vol. 12, No. 1, pp 27-34. 2012. https://doi.org/10.5388/aon.2012.12.1.27
  13. I. C. Hwang, H. Y. Ahn, A Review on Palliative Care Research Outcomes: Focus on the Quality of Life. Korean Journal Hospice Palliative Care, Vol. 15, No. 3, pp. 141-146, 2012.
  14. H. J. Kim, D. H. Kim, Nursing Educational Needs for Discharge after Thyroid Cancer Surgery. The Journal of Korean academic society of nursing education, Vol. 17, No. 2, pp. 287-295, 2011. https://doi.org/10.5977/JKASNE.2011.17.2.287
  15. K. J. Han, E. O. Lee, M. J. Kim, Y. S. Park, Y. S. Hah, M. S. Song, Cancer Patients' Needs When Chemotherapy Ends. Asian Oncology Nursing, Vol. 5, No. 2, pp. 107-115, 2005.
  16. I. J. Lee, The Effects of Stress on Quality of Life in Cancer Patients : Focusing on the Moderating Effects of Post-traumatic Growth. Health and Social Welfare Review, Vol. 32, No. 3, pp. 522-557, 2012. https://doi.org/10.15709/hswr.2012.32.3.522
  17. Y. S. Kim, B. H. Kim, The Quality of Life Analysis in Patients with Cervical Cancer. Korean Journal Hospice Palliative Care, Vol. 7, No. 1, pp. 8-16, 2004.
  18. Y. S. Tae, E. S. Kang, M. H. Lee, K. J. Park, The Relationship among Perceived Social Support, Hope and Quality of Life of Cancer Patients. Korean Journal Rehabilitation Nursing, Vol. 4, No. 2, pp. 219-231, 2001.
  19. I. S. Kwon, Y. Eun, The Homecare Needs of Cancer Patients. Journal Korean Academy Nursing, Vol. 29, No. 4, pp. 743-54, 1998.
  20. K. J. Han, E. O. Lee, M. J. Kim, Y. S. Park , Y. S. Hah, M. S. Song, Cancer Patients' Needs When Chemotherapy Ends. Asian Oncology Nursing, Vol. 5, No. 2, pp. 107-115, 2005.
  21. L. W. Pedro, Quality of life for long-term survivors of cancer. Cancer Nursing, Vol. 24, pp. 1-11, 2001.
  22. E. S. Wi, J. S. Yong, Distress, Depression, Anxiety, and spiritual Needs of Patients with Stomach Cancer. Asian Oncology Nursing, Vol. 12, No. 4, pp. 314-322, 2012. https://doi.org/10.5388/aon.2012.12.4.314
  23. J. H. Cho, K. Smith, E. K. Choi, I. R. Kim, Y. J. Chang, H. Y. Park, Public attitudes toward cancer and cancer patients: a national survey in Korea. Psycho-Oncology, Vol. 22, No. 3, pp. 605-613, 2013. https://doi.org/10.1002/pon.3041
  24. D. B. Agem, T. Taskila, A. Ojajarvi, V. D. Fjh, V. Jham, Cancer survivors and unemployment. JAMA, Vol. 301, No. 7, pp. 753-762, 2009. https://doi.org/10.1001/jama.2009.187
  25. B. Nausheen, A. Kamel, Familial social support and depression in breast cancer; An exploratory study on a Pakistani sample. Psycho-Oncology, Vol. 16, No. 9, pp. 859-862, 2007. https://doi.org/10.1002/pon.1136
  26. J. C. Yang, W. K. Chung, Psychology and Quality of Life in Cancer Patients on Radiation Therapy. Radiation Oncology Journal, Vol. 22, No. 45, pp. 271-279, 2004.
  27. J. C. Holland, B. D. Bultz, The NCCN guideline for distress management: a case for making distress the sixth vital sign. Journal of the National Comprehensive Cancer Network, Vol. 5, No. 1, pp. 3-7, 2007. https://doi.org/10.6004/jnccn.2007.0003
  28. K.S. Choi, M. H. Jun, Cancer Worry Experiences among Colorectal Cancer Patients and Families who have a Family History of Colorectal Cancer. Asian Oncology Nursing, Vol. 13, No. 4, pp. 313-321, 2013. https://doi.org/10.5388/aon.2013.13.4.313
  29. E. K. Kim, Y. S. Park, Health Promotion, Stress and Quality of Life in Patients with Genital Neoplasms. Korean Journal Rehabilitation Nursing, Vol. 13, No. 2, pp. 114-122, 2010.
  30. E. S. Lee, J. S. Park, The Comparison of Health Promotion Behavior, Post Traumatic Growth and Quality of Life according to Stages of Survivorship in Patients with Female Genital Neoplasm. Korean Journal Adult Nursing, Vol. 25, No. 3, pp. 312-321, 2013. https://doi.org/10.7475/kjan.2013.25.3.312
  31. E. K. Kim, Y. S. Park, Health Promotion, Stress and Quality of Life in Patients with Genital Neoplasms. Korean Journal Rehabilitation Nursing, Vol. 13, No. 2, pp. 114-122, 2010.