선행항암화학요법을 받는 유방암 환자의 불안, 불확실성, 암 대처가 삶의 질에 미치는 영향
The Influence of Anxiety, Uncertainty, and Cancer Coping on the Quality of Life in Breast Cancer Patients Receiving Neoadjuvant Chemotherapy
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Objectives: The purpose of this study was to investigate the influence of anxiety, uncertainty, and cancer coping on the quality of life in breast cancer patients receiving neoadjuvant chemotherapy. Methods: The participants of the study were 103 breast cancer patients who were in B Metropolitan City. Data had been collected between August 28 and November 22, 2020. For data analysis, SPSS/WIN 24.0 program was used, and descriptive, independent t-test, ANOVA and Scheffe’s test, and Pearson’s correlation coefficients and multiple regression were used for analysis. Results: The most influencing factor on quality of life was anxiety (β=-.66, p<.001) which was followed by the number of chemotherapy treatments (β=.23, p<.001), interpersonal cancer coping(β=.18, p=.007) and inter-personal cancer coping (β=.18, p=.004). The overall explanatory power was 78.0%. Conclusion: In order to improve the quality of life for breast cancer patients receiving neoadjuvant chemotherapy, it is necessary to develop a nursing program that may reduce their anxiety, promote cancer coping, and consider the number of their chemotherapy treatments.
Abstract
Objectives: The purpose of this study was to investigate the influence of anxiety, uncertainty, and cancer coping on the quality of life in breast cancer patients receiving neoadjuvant chemotherapy. Methods: The participants of the study were 103 breast cancer patients who were in B Metropolitan City. Data had been collected between August 28 and November 22, 2020. For data analysis, SPSS/WIN 24.0 program was used, and descriptive, independent t-test, ANOVA and Scheffe’s test, and Pearson’s correlation coefficients and multiple regression were used for analysis. Results: The most influencing factor on quality of life was anxiety (β=-.66, p<.001) which was followed by the number of chemotherapy treatments (β=.23, p<.001), interpersonal cancer coping(β=.18, p=.007) and inter-personal cancer coping (β=.18, p=.004). The overall explanatory power was 78.0%. Conclusion: In order to improve the quality of life for breast cancer patients receiving neoadjuvant chemotherapy, it is necessary to develop a nursing program that may reduce their anxiety, promote cancer coping, and consider the number of their chemotherapy treatments.
참고문헌 (30)
- "2016 Cancer Statistics"[URL]
- "Breast Cancer. Are You Curious?"[URL]
- "National Interest Disease Statistics"[URL]
- Omar Hamdy, "Neoadjuvant Therapy Should Be the Standard of Care for Every Node Positive Breast Cancer Patient", Journal of Breast Cancer, 22(1), pp.149~152 (2019), 한국유방암학회[DOI]
- Lee KM, "Longitudinal association of resilience with cancer-related symptoms, and quality of life in breast cancer patients undergoing chemotherapy before surgery", master, pp.2017
- 김선애, "암 극복 베하스운동 프로그램이 유방암 환자의 위기와 불안에 미치는 효과", 근관절건강학회지, 21(1), pp.27~35 (2014), 대한근관절건강학회[DOI]
- 최유현, "유방암 환자의 항암화학요법으로 인한 말초신경병증: 관련요인 및 건강 관련 삶의 질에 미치는 영향", Asian Oncology Nursing, 20(2), pp.83~91 (2020), 대한종양간호학회[DOI]
- Schott AF, "Defining the benefits of neoadjuvant chemotherapy for breast cancer", J Clin Oncol, 30, pp.1747~1749 (2012)
- Gil KM, "Triggers of uncertainty about recurrence and long-term treatment side effects in older African American and Caucasian breast cancer survivors", Oncol Nurs Forum, 31, pp.633~639 (2004)
- 이인숙, "유방암 환자의 치료 단계에 따른 불확실성과 삶의 질", 석사, 간호학, pp.2005
- Moorey S, "The Cancer Coping Questionnaire : a self-rating scale for measuring the impact of adjuvant psychological therapy on coping behaviour", Psychooncology, 12, pp.331~344 (2003)
- 유양숙, "응급실 간호사의 법의간호 교육에 대한 인식과 요구도", 성인간호학회지, 24(5), pp.499~508 (2012), 한국성인간호학회
- Mitchell RJ, "Design and Analysis of Ecological Experiments", pp.1993, Hall
- Zigmond AS, "The hospital anxiety and depression scale", Acta Psychiatr Scand, 67, pp.361~370 (1983)
- Oh SM, "A study on the standardization of the hospital anxiety and depression scale for Koreans", J Korean Neuropsychiatr Assoc, 38, pp.289~296 (1999)
- Mishel MH, "The measurement of uncertainty in illness", Nurs Res, 30, pp.258~263 (1981)
- 김윤선, "유방암 생존자의 삶의 질 영향요인", Asian Oncology Nursing, 11(3), pp.221~228 (2011), 대한종양간호학회
- 김종남, "한국판 암 대처 질문지의 타당화", 한국심리학회지: 건강, 9(2), pp.395~414 (2004), 한국건강심리학회
- Brady MJ, "Reliability and validity of the functional assessment of cancer therapybreast quality-of-life instrument", J Clin Oncol, 15, pp.974~986 (1997)
- Yoo HJ, "Korean translation and validation of the functional assessment of cancer therapy-breast (FACT-B) scale version 4", Qual Life Res, 14, pp.1627~1632 (2005)
- Cho IJ, "Effects of body image, anxiety, and depression on empowerment in mastectomy patients", master, pp.2015
- 김윤선, "항암화학요법을 받는 암 환자의 불확실성 경험", Asian Oncology Nursing, 18(3), pp.115~126 (2018), 대한종양간호학회[DOI]
- Oh JM, "The effects of genetic knowledge, post-traumatic stress, and cancer coping on ovarian cancer survivor’s post-traumatic growth", master, pp.2019
- Lim SY, "Perception of the meaning in life in early breast cancer survivors : using the Q methodology", master, pp.2021
- 김윤정, "항암화학요법을 받은 유방암 여성의 인지기능과암 대처가 삶의 질에 미치는 영향", 여성건강간호학회지, 22(3), pp.182~190 (2016), 한국여성건강간호학회[DOI]
- 박진희, "유방암 생존자의 신체적 증상, 정서적 증상과 삶의 질", Journal of Korean Academy of Nursing, 39(5), pp.613~621 (2009), 한국간호과학회
- 이경남, "여성 유방암환자의 성생활 경험", Asian Oncology Nursing, 11(3), pp.210~220 (2011), 대한종양간호학회
- 조계화, "유방암 환자의 불확실성, 희망 및 삶의 질과의 관계", Journal of Korean Academy of Nursing, 34(7), pp.1184~1193 (2004), 한국간호과학회
- 전수연, "유방암 환자에서의 디스트레스의 유병률 및 디스트레스가 삶의 질에 미치는 영향", 정신신체의학, 18(2), pp.72~81 (2010), 한국정신신체의학회
- Tarhani M, "Uncertainty, anxiety, depression and the quality of life in patients with cancer", Oncol Radiother, 1, pp.20~27 (2020)
