• 제목, 요약, 키워드: Survivors

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한국 유방암 생존자들의 디스트레스와 삶의 질 (Distress and Quality of Life in Breast Cancer Survivors in Korea)

  • 권은진;이명선
    • 종양간호연구
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    • v.12 no.4
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    • pp.289-296
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    • 2012
  • Purpose: The purposes of this study were to find the levels of distress and quality of life of breast cancer survivors in Korea and to identify relationship between distress and quality of life. Methods: The data were collected from 122 breast cancer survivors in 2009. To measure the distress and quality of life, the 'Distress Thermometer and Problem List' and the 'Functional Assessment Cancer Therapy-Breast' were used respectively. Results: The mean score of distress was 4.77 (${\pm}2.35$) and 63.1% of the subjects reported a distress score of 4 or more, indicating a clinically significant level of distress. Among these, the most frequently reported problem area was emotion, followed by family. The mean score of the quality of life was 88.22 (${\pm}18.41$), signifying 6.13 out of 10. The levels of distress and the quality of life were negatively correlated (r=-.38, p<.001). Conclusion: The results of the study indicate that distress is prevalent in Korean breast cancer survivors and the distress is related negatively with their quality of life. Thus oncology professionals continuously need to assess distress of breast cancer survivors and to provide appropriate psychosocial interventions to improve their quality of life.

암 생존자의 이차암 검진 영향요인에 대한 경로분석: 위암, 대장암, 유방암 생존자 대상으로 (A Path Analysis on Factors Influencing Second Primary Cancer Screening Practices in Stomach, Colon, and Breast Cancer Survivors)

  • 양영희
    • 대한간호학회지
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    • v.44 no.2
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    • pp.139-148
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    • 2014
  • Purpose: This study was conducted to identify the factors influencing second primary cancer (SPC) screening practice by examining the relationships of physical symptoms, knowledge and attitudes regarding SPC screening, perceived risk, primary cancer type, and demographic factors of cancer survivors. Methods: Participants were 308 survivors of stomach, colon, or breast cancer recruited from 2 university hospitals in Korea. Data were collected using a questionnaire and analyzed using IBM SPSS 21.0 and AMOS 18.0. Results: The proportion of participants taking all cancer screenings according to national guidelines was 40%. They had moderate knowledge and a relatively positive attitude regarding SPC screening and high cancer risk perception. The participants had taken fewer SPC screenings after than before cancer diagnosis. The factors influencing cancer risk perception were age, physical symptoms, knowledge regarding SPC and primary cancer type (stomach). The factors influencing SPC screening practice were age, gender, economic status, knowledge regarding SPC screening, and primary cancer types (colon). Conclusion: It is important for clinical professionals to recognize that survivors of cancer are susceptible to another cancer. Education on SPC screening for these survivors should focus on communicating with and encouraging them to have regular cancer screenings.

Influence of Offspring on Quality of Life among Cancer Patients and Survivors: Results from the Korean Longitudinal Study of Aging (KLoSA), 2008-2011

  • Kim, Jae-Hyun;Park, Eun-Cheol
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.23
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    • pp.10531-10537
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    • 2015
  • Background: To examine whether offspring improve or reduce quality of life (QOL) among cancer patients and survivors. Materials and Methods: We used data from the Korean Longitudinal Study of Aging (KLoSA) from 2008 to 2011. There were 490 research subjects in our study: 245 cancer patients and survivors and 245 controls matched using propensity scores. Results: For cancer patients and survivors with no offspring, the QOL estimate was -2.831 lower (SE: 5.508, p-value: 0.623) than that of those with two offspring, while for those with five or more offspring, the QOL estimate was 7.336 higher (SE: 2.840, p-value: 0.036). For non-cancer patients and survivors with one child, the QOL estimate was -11.258 lower (SE: 2.430, p-value: 0.002) than that of those with two offspring, while for those with five or more offspring, the QOL estimate was -4.881 lower (SE: 2.484, p-value: 0.090). Conclusions: This article provides evidence for a beneficial effect of offspring upon QOL in cancer patients and survivors, indicating that offspring are important for them.

유방암 생존자의 인조유방 사용경험 (Experiences of the Use of External Breast Prosthesis among Breast Cancer Survivors in Korea)

  • 전은영;최순란;강희선
    • 여성건강간호학회지
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    • v.18 no.1
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    • pp.49-61
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    • 2012
  • Purpose: The purpose of this study was to examine the experiences of the use of external breast prostheses among breast cancer survivors in Korea. Methods: A qualitative descriptive study was conducted, using focus groups. Data were collected from breast cancer survivors who were patients of C women's hospital in Seoul, Korea. Data were analyzed using content analysis in order to identify significant themes. Results: Participants included forty breast cancer survivors who had mastectomy as a surgical treatment. Four themes emerged from the collected data were: 1) concern over the high price of external breast prosthesis, 2) irregular use of external breast prosthesis, 3) unsatisfied with mastectomy bra, and 4) wanting to hide or not to talk about using breast prosthesis openly. Conclusion: Since most participants reported irregular use and negative experiences related to external breast prosthesis or mastectomy bra use, healthcare workers should allow more time for proper fitting and counseling and consulting with breast cancer survivors. In addition, health care providers as well as family and friends should keep in mind that cancer survivors need support that can help them cope by using positive reframing. Furthermore, improvements in the coverage of costs and services are needed for these women. This would be helpful for breast prosthesis users.

뇌졸중 환자가 지각한 스트레스, 사회적 지지 및 재활 동기와의 관계 (Relationships among Rehabilitation Motivation, Perceived Stress and Social Support in Stroke Survivors)

  • 문지영;조복희
    • 재활간호학회지
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    • v.14 no.1
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    • pp.24-31
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    • 2011
  • Purpose: The purpose of this study was to identify related factors of stress, social support and rehabilitation motivation of stroke survivors and analyze their relationship. Method: A sample of 106 stroke survivors completed face-to-face interviews. The levels of stress, social support and rehabilitation motivation were measured by the Neuman's stress, Multidimentional Scale Perceived Social Support and Han's Rehabilitation Motivation, respectively. The t-test, ANOVA, and Pearson correlation were conducted using the SPSS 17.0. Results: The mean scores of stress, social support and rehabilitation motivation were 3.3 (SD=0.76), 3.2 (SD=0.88), and 3.4 (SD=0.49) respectively. Compared to stroke survivors who had no spouses, those with spouses had a lower level of stress (t=9.52, p=.003), a higher level of social support (t=7.32, p=.008) and a higher level of rehabilitation motivation (t=15.39, p=.001). The rehabilitation motivation was significantly higher in stroke survivors with higher education (F=5.00, p=.001), more monthly income (F=15.39, p=.001), greater income satisfaction (F=3.80, p=.026), shorter duration of disease (F=3.64, p=.030) and absence of dysarthria (t=6.81, p=.010). Stress, social support and rehabilitation motivation are significantly related with each other. Conclusion: The findings suggest that these significant factors should be considered when caring for stroke survivors.

부인암 생존자의 심리적 디스트레스와 성역할태도, 가사분담이 삶의 질에 미치는 영향 (Impacts of Psychological Distress, Gender Role Attitude, and Housekeeping Sharing on Quality of Life of Gynecologic Cancer Survivors)

  • 김건희;김문정
    • 여성건강간호학회지
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    • v.24 no.3
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    • pp.287-296
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    • 2018
  • Purpose: To determine impacts of psychological distress, gender role attitude, and housekeeping sharing on quality of life of gynecologic cancer survivors. Methods: Subjects completed questionnaires consisting of four measurements: FACT-G (ver. 4) for quality of life, anxiety and depression from SCL-90-R for psychological distress, gender role attitude, and housekeeping sharing. A total of 158 completed data sets were analyzed by descriptive statistics, independent t-test, ANOVA, Pearson's correlation coefficient, and multiple regression analysis using SPSS 21.0 program. Results: Quality of life was significantly and negatively correlated with psychological distress (r=-0.64, p<.001), but not with gender role attitude (r=-0.14, p=.820) or housekeeping sharing (r=0.08, p=.350). Psychological distress was significantly and positively correlated with gender role attitude (r=0.25, p<.010). Factors that significantly impacted quality of life were type of cancer (t=2.27, p=.025), number of treatment methods (t=2.58, p=.011), education level (t=3.33, p<.001), and psychological distress (t=-9.96, p<.001). Conclusion: Nursing interventions that can relieve psychological distress need to be developed for gynecologic cancer survivors. Nurses need to put priority on ovarian cancer survivors who have low education level with multiple treatment methods when performing nursing interventions to improve the quality of life of gynecologic cancer survivors.

유방암 절제술을 받은 여성의 지각된 건강상태, 우울 및 삶의 질의 관계 (Relationships of Perceived Health Status, Depression and Quality of Life of Breast Cancer Survivors)

  • 채영란
    • 성인간호학회지
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    • v.17 no.1
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    • pp.119-127
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    • 2005
  • Purpose: The purpose of this study was to describe the degree of perceived health status, depression and quality of life(QOL) and to examine the relationships among these factors in breast cancer survivors. Methods: The subjects were 105 women with mastectomy after breast cancer diagnosis who were in the out-patient department of surgery at SNUH in Seoul. Data was collected using self-report instruments. The instruments included 1-item for perceived health status, Chae and Choe's QOL scale for Korean breast cancer survivors, and Beck Depression Inventory(BDI) as well as socio-demographic and medical information. Data were analyzed with SPSS WIN 10.0 program. Results: The levels of perceived health status and QOL were moderate. Mild depression was found on the BDI. QOL and depression showed a negative correlation(r= -.598), whereas QOL and perceived health status was correlated positively(r=.370). Depression, perceived health status, and time since diagnosis accounted for 47.4% of variance of the QOL. Depression was the most significant predictor of QOL in breast cancer survivors. Conclusion: Breast cancer survivors may experience depression and alteration in QOL. Future nursing research should be directed toward the implementation and evaluation of interventions that promote QOL and decrease depression in breast cancer survivors.

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Factors Affecting the Quality of Life of Korean Cancer Survivors Who Return to the Workplace

  • Han, Kyu-Tae;Park, Eun-Cheol;Kim, Sun Jung;Jang, Sung-In;Shin, Jaeyong;Kim, Chan Ok;Choi, Jaw Woo;Lee, Sang Gyu
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.20
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    • pp.8783-8788
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    • 2014
  • Background: Although the prevalence of cancer is increasing, it is no longer synonymous with death. The number of cancer survivors is estimated to be increasing due to development in medical treatments and social programs; cancer survivors are increasingly returning to work after long-term unemployment. Thus, we examined the quality of life (QOL) and the factors associated with return of cancer survivors to the workplace. Materials and Methods: This study was performed using the 2008 Community Health Survey administered by the Korea Centers for Disease Control and Prevention (N=548). We used Chi-square tests to compare demographic variables based on self-perceived health status, and analysis of variance (ANOVA) to compare QOL scores among groups. We also performed a mixed-model analysis of the relationship between QOL and factors at the workplaces of cancer survivors. Results: Based on the results of our study, the overall QOL of cancer survivors was associated with 'mutual respect', 'free emotional expression', occupation, and age. Moreover, different trends of QOL according to self-perceived health were identified on additional analysis. In the 'bad' self-perceived health group, QOL was significantly different according to income. The QOL of cancer survivors in the low-income group was lower than in the other groups. Conversely, the 'normal' group had a lower QOL caused by 'no mutual respect' and "no free emotional expression" in the workplace. The QOL in the 'good' group based on self-perceived health was higher in the younger age group. Conclusions: There may be a significant relationship between QOL and workplace factors for cancer survivors, although further study is needed to investigate this relationship in detail. This may facilitate formulation of policy and efforts to prevent and manage the decline in the QOL of cancer survivors returning to work.

암 생존자의 삶의 질에 영향을 미치는 요인: 2010-2014 국민건강영양조사 자료 활용 (Factors Influencing Quality of Life among Cancer Survivors: Using KNHANES 2010-2014)

  • 강숙정
    • 한국콘텐츠학회논문지
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    • v.16 no.9
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    • pp.628-637
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    • 2016
  • 본 연구의 목적은 암 생존자의 삶의 질에 영향을 미치는 요인을 확인하여 암 생존자들이 일상생활로 복귀하여 안정되고 질 높은 삶을 영위하도록 하는 전략의 기초를 마련하고자 하는 것이다. 본 연구에서는 질병 관리본부가 실시한 국민건강영양조사의 원시자료(2010-2014)를 사용하였다. 본 연구의 대상자는 암 생존자 610명이었고 이들의 평균 진단경과 기간은 약 11년이었다. 암 생존자들의 삶의 질에 영향을 미치는 가장 강력한 요인은 활동제한 여부(${\beta}$=.30, p<.001)였으며, 연령(${\beta}$=-.20, p<.001), 주관적 건강상태(${\beta}$=-.19, p<.001), 경제수준(${\beta}$=.12, p=.004), 성별(${\beta}$=-.08, p=.027) 순으로 유의미한 영향요인으로 나타났다. 본 연구를 통하여 신체적 혹은 정신적 장애로 인한 일상생활 혹은 사회활동 제약이 암 생존자들의 삶의 질에 부정적인 영향을 주는 것을 알 수 있었다. 이에 암 생존자들의 일상활동을 용이하게 할 수 있도록 지지, 관리할 수 있는 인력 혹은 건강관리 체계가 필요하다고 사료된다.

Socio-Demography and Medical History as Predictors of Health-Related Quality of Life of Breast Cancer Survivors

  • Ramadas, Amutha;Qureshi, Ahmad Munir;Dominic, Nisha Angela;Botross, Nevein Philip;Riad, Amgad;Arasoo, Valliammai Jayanthi Thirunavuk;Elangovan, Soman
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.4
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    • pp.1479-1485
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    • 2015
  • Background: Even after completion of conventional treatment, breast cancer survivors continue to exhibit a variety of psychological and physical symptoms, affecting their quality of life. The study aimed to investigate the relationship between socio-demography, medical characteristics and health-related quality of life (HR-QOL) of a sample of breast cancer survivors in Malaysia. Materials and Methods: This pilot cross-sectional survey was conducted among breast cancer survivors (n=40) who were members of Breast Cancer Support Group Centre Johor Bahru. A validated self-administered questionnaire was used to identify the relationships between socio-demography, medical characteristics and HR-QOL of the participants. Results: Living with family and completion of treatment were significant predictive factors of self-rated QOL, while living with family and ever giving birth significantly predicted satisfaction with health and physical health. Psychological health had moderate correlations with number of children and early cancer stage. Survivors' higher personal income (>MYR4,500) was the only significant predictor of social relationship, while age, income more than MYR4,500 and giving birth significantly predicted environment domain score. Conclusions: The findings suggested the survivors coped better in all four HR-QOL domains if they were married, lived with family, had children and were employed.