Women's Health Nursing (여성건강간호학회지)

Korean Society of Women Health Nursing (한국여성건강간호학회)
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Impact of Cognitive Function and Cancer Coping on Quality of Life among Women with Post-chemotherapy Breast Cancer

항암화학요법을 받은 유방암 여성의 인지기능과 암 대처가 삶의 질에 미치는 영향

  • 김윤정 (이화여자대학교 간호대학) ;
  • 강숙정 (이화여자대학교 간호대학)
  • Received : 2016.07.21
  • Accepted : 2016.08.31
  • Published : 2016.09.20
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Abstract

Purpose: This study was done to identify effects of cognitive function and cancer coping on quality of life among women with breast cancer treated with antineoplastic agents. Methods: The study was correlational research and participants were 145 women with breast cancer who had received antineoplastic agents. Data were collected from October to November, 2015 via online replies. Cognitive function was measured with the Functional Assessment of Cancer Therapy-Cognitive Function Version-3 (FACT-Cog), cancer coping, with the Korean Cancer Coping Questionnaire (K-CCQ), and quality of life with the Functional Assessment of Cancer Therapy-Breast Version-4 (FACT-B). Data were analyzed using descriptive statistics, t-test, ANOVA, $Scheff{\acute{e}}$ test, ANCOVA, Bonferroni test, partial correlation coefficient, and hierarchical multiple regression with SPSS 21. Results: Cognitive functions, total individual coping, and interpersonal coping explained 42% of quality of life. Cognitive function (${\beta}=.35$, p<.001) was the best predictor of quality of life, followed by total individual coping (${\beta}=.34$, p<.001), and interpersonal coping (${\beta}=.26$, p<.001). Conclusion: Results indicate that cognitive function and cancer coping are meaningful factors for quality of life among breast cancer survivors. Therefore when developing intervention programs for these women, content on cognitive function and coping skills as well as coping resources should be included.

Keywords

References

  1. National Cancer Information Center. Cancer incidence rate [Internet]. Goyang: National Cancer Information Center; 2015 [cited 2015 September 6]. Available from: http://www.cancer.go.kr/mbs/cancer/subview.jsp?id=cancer_040101000000
  2. Park BW, Hwang SY. Depression and coping in breast cancer patients. Journal of Breast Cancer. 2009;12(3):199-209. https://doi.org/10.4048/jbc.2009.12.3.199
  3. Deprez S, Amant F, Smeets A, Peeters R, Leemans A, Van Hecke W, et al. Longitudinal assessment of chemotherapyinduced structural changes in cerebral white matter and its correlation with impaired cognitive functioning. Journal of Clinical Oncology. 2012;30(3):274-281. https://doi.org/10.1200/JCO.2011.36.8571
  4. Weiss B. Evaluation of multiple neurotoxic outcomes in cancer chemotherapy. Advances in Experimental Medicine and Biology. 2010;678:96-112.
  5. Hutchinson AD, Hosking JR, Kichenadasse G, Mattiske JK, Wilson C. Objective and subjective cognitive impairment following chemotherapy for cancer: A systematic review. Cancer Treatment Reviews. 2012;38(7):926-934. https://doi.org/10.1016/j.ctrv.2012.05.002
  6. Jean-Pierre P, Winters PC, Ahles TA, Antoni M, Armstrong FD, Penedo F, et al. Prevalence of self-reported memory problems in adult cancer survivors: A national cross-sectional study. Journal of Oncology Practice. 2012;8(1):30-34. https://doi.org/10.1200/JOP.2011.000231
  7. Chae YR. Relationships of perceived health status, depression and quality of life of breast cancer survivors. Korean Journal of Adult Nursing. 2005;17(1):119-127.
  8. Fitch MI, Gray RE, Godel R, Labrecque M. Young women's experiences with breast cancer: An imperative for tailored information and support. Canadian Oncology Nursing Journal. 2008;18(2):74-86. https://doi.org/10.5737/1181912x1827479
  9. Lee JH, Byun HS, Kim GD. Impacts of the mood state on the quality of life in breast cancer survivors. Journal of the Korea Contents Association. 2014;14(7):356-366.
  10. Kim GD. Impact of climacteric symptoms and fatigue on the quality of life in breast cancer survivors: The mediating effect of cognitive dysfunction. Asian Oncology Nursing. 2014;14 (2):58-65. https://doi.org/10.5388/aon.2014.14.2.58
  11. Chung BY, Cho EJ. Correlates influencing cognitive impairment in breast cancer patients receiving chemotherapy. Asian Oncology Nursing. 2012;12(3):221-229. https://doi.org/10.5388/aon.2012.12.3.221
  12. Wagner LI, Butt Z, Sweet JJ, Cella D. Measuring patient self-reported cognitive function: Development of the functional assessment of cancer therapy-cognitive function instrument. The Journal of Supportive Oncology. 2009;7(6):W32-W39.
  13. Park JH, Bae SH, Jung YS, Jung YM. The psychometric properties of the Korean version of the functional assessment of cancer therapy-cognitive (FACT-Cog) in Korean patients with breast cancer. Supportive Care in Cancer. 2015;23(9):2695-2703. https://doi.org/10.1007/s00520-015-2632-x
  14. Moorey S, Frampton M, Greer S. The cancer coping questionnaire: A self-rating scale for measuring the impact of adjuvant psychological therapy on coping behaviour. Psycho-Oncology. 2003;12(4):331-344. https://doi.org/10.1002/pon.646
  15. Kim JN, Kwon JH, Kim SY, Yu BH, Hur JW, Kim BS, et al. Validation of Korean-cancer coping questionnaire (K-CCQ). The Korean Journal of Health Psychology. 2004;9(2):395-414.
  16. Greer S, Moorey S, Watson M. Patients' adjustment to cancer: The Mental Adjustment to Cancer (MAC) scale vs clinical ratings. Journal of Psychosomatic Research. 1989;33(3):373-377. https://doi.org/10.1016/0022-3999(89)90027-5
  17. Brady MJ, Cella DF, Mo F, Bonomi AE, Tulsky DS, Lloyd SR, et al. Reliability and validity of the functional assessment of cancer therapy-breast quality-of-life instrument. Journal of Clinical Oncology. 1997;15(3):974-986. https://doi.org/10.1200/JCO.1997.15.3.974
  18. Yoo HJ, Ahn SH, Eremenco S, Kim H, Kim WK, Kim SB, et al. Korean translation and validation of the functional assessment of cancer therapy-breast (FACT-B) scale version 4. Quality of Life Research. 2005;14(6):1627-1632. https://doi.org/10.1007/s11136-004-7712-1
  19. Ha EH, Lee SH, Jeong J, Lee HD, Lee JE, Nam SJ, et al. Biopsychosocial predictors of the quality of life in breast cancer patients. Journal of Breast Cancer. 2010;13(2):219-226. https://doi.org/10.4048/jbc.2010.13.2.219
  20. Kim GD, Kim KH. Symptom cluster and quality of life in patients with breast cancer undergoing chemotherapy. Korean Journal of Adult Nursing. 2011;23(5):434-445.
  21. Hedayati E, Alinaghizadeh H, Schedin A, Nyman H, Albertsson M. Effects of adjuvant treatment on cognitive function in women with early breast cancer. European Journal of Oncology Nursing. 2012;16(3):315-322. https://doi.org/10.1016/j.ejon.2011.07.006
  22. Janelsins MC, Kohli S, Mohile SG, Usuki K, Ahles TA, Morrow GR. An update on cancer- and chemotherapy-related cognitive dysfunction: Current status. Seminars in Oncology. 2011; 38(3):431-438. https://doi.org/10.1053/j.seminoncol.2011.03.014
  23. Lee JH, Lee HK. The mediating role of meaning in life in the relationship between religious coping styles and posttraumatic growth among christians. Korean Journal of Religious Education. 2011;36:171-192.
  24. Munir F, Burrows J, Yarker J, Kalawsky K, Bains M. Women's perceptions of chemotherapy-induced cognitive side affects on work ability: A focus group study. Journal of Clinical Nursing. 2010;19(9-10):1362-1370. https://doi.org/10.1111/j.1365-2702.2009.03006.x
  25. Silva SM, Crespo C, Canavarro MC. Pathways for psychological adjustment in breast cancer: A longitudinal study on coping strategies and posttraumatic growth. Psychology & Health. 2012;27(11):1323-1341. https://doi.org/10.1080/08870446.2012.676644
  26. Drageset S, Lindstrom TC, Underlid K. Coping with breast cancer: Between diagnosis and surgery. Journal of Advanced Nursing. 2010;66(1):149-158. https://doi.org/10.1111/j.1365-2648.2009.05210.x
  27. Biegler KA, Chaoul MA, Cohen L. Cancer, cognitive impairment, and meditation. Acta Oncologica. 2009;48(1):18-26. https://doi.org/10.1080/02841860802415535
  28. Kang G, Oh S. Effects of mindfulness meditation program on perceived stress, ways of coping, and stress response in breast cancer patients. Journal of Korean Academy of Nursing. 2012; 42(2):161-170. https://doi.org/10.4040/jkan.2012.42.2.161
  29. Park JH, Bae SH. A meta-analysis of chemotherapy related cognitive impairment in patients with breast cancer. Journal of Korean Academy of Nursing. 2012;42(5):644-658. https://doi.org/10.4040/jkan.2012.42.5.644

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