본문 바로가기
KERD
논문KCI 등재

삼중음성 유방암 생존자의 암 재발 두려움과 미충족 요구

Fear of Cancer Recurrence and Unmet Needs in Triple Negative Breast Cancer Survivors

1

조회

0

다운로드

0

인용

0

참고문헌

키워드

주제분류간호학

초록

Purpose: This study aimed to explore the fear of cancer recurrence and unmet needs in triple negative breast cancer survivors. Methods: A cross-sectional descriptive design was used for this study. Data were collected from 331 triple negative breast cancer survivors using Fear of Cancer Recurrence Inventory (FCRI) and the Comprehensive Needs Assessment Tool in cancer (CNAT). In addition, descriptive statistics, a t-test, and one-way ANOVA were used for analysis. Results: Among triple-negative breast cancer survivors, 92.7% experienced fear of cancer recurrence, and 59.2% reported a severe fear of recurrence. The severity of fear of cancer recurrence differed significantly according to monthly household income (t=2.25, p=.025), cancer stage (F=4.26, p=.006), and recurrence history (t=-3.79, p<.001). Unmet needs were notably high, particularly in information and psychological problems. Furthermore, there were differences in unmet needs depending on the severity level of fear of cancer recurrence. Conclusion: Most triple-negative breast cancer survivors experience fear of cancer recurrence, but management was found to be inadequate. Therefore, nursing interventions are needed to alleviate this fear. Additionally, unmet needs vary depending on the severity of the fear of cancer recurrence. It will be necessary to assess the fear of cancer recurrence among triple-negative breast cancer survivors and manage unmet needs according to its severity.

Abstract

Purpose: This study aimed to explore the fear of cancer recurrence and unmet needs in triple negative breast cancer survivors. Methods: A cross-sectional descriptive design was used for this study. Data were collected from 331 triple negative breast cancer survivors using Fear of Cancer Recurrence Inventory (FCRI) and the Comprehensive Needs Assessment Tool in cancer (CNAT). In addition, descriptive statistics, a t-test, and one-way ANOVA were used for analysis. Results: Among triple-negative breast cancer survivors, 92.7% experienced fear of cancer recurrence, and 59.2% reported a severe fear of recurrence. The severity of fear of cancer recurrence differed significantly according to monthly household income (t=2.25, p=.025), cancer stage (F=4.26, p=.006), and recurrence history (t=-3.79, p<.001). Unmet needs were notably high, particularly in information and psychological problems. Furthermore, there were differences in unmet needs depending on the severity level of fear of cancer recurrence. Conclusion: Most triple-negative breast cancer survivors experience fear of cancer recurrence, but management was found to be inadequate. Therefore, nursing interventions are needed to alleviate this fear. Additionally, unmet needs vary depending on the severity of the fear of cancer recurrence. It will be necessary to assess the fear of cancer recurrence among triple-negative breast cancer survivors and manage unmet needs according to its severity.

참고문헌 (30)

  1. Kumar P, "An overview of triple-negative breast cancer", Arch Gynecol Obstet, 293, pp.247~269 (2016)[DOI]
  2. Waks AG, "Breast cancer treatment : a review", JAMA, 321, pp.288~300 (2019)[DOI]
  3. Turkman YE, ""An addendum to breast cancer" : the triple negative experience", Support Care Cancer, 24, pp.3715~3721 (2016)[DOI]
  4. Lebel S, "From normal response to clinical problem : definition and clinical features of fear of cancer recurrence", Support Care Cancer, 24, pp.3265~3268 (2016)[DOI]
  5. Simard S, "Fear of cancer recurrence in adult cancer survivors : a systematic review of quantitative studies", J Cancer Surviv, 7, pp.300~322 (2013)[DOI]
  6. Simonelli LE, "Fear of cancer recurrence : a theoretical review and its relevance for clinical presentation and management", Psychooncology, 26, pp.1444~1454 (2017)[DOI]
  7. Jung SP, "Hazard of recurrence after breast surgery according to hormone receptor status and age", J Breast Dis, 1, pp.15~20 (2013)[DOI]
  8. Luigjes-Huizer YL, "What is the prevalence of fear of cancer recurrence in cancer survivors and patients? A systematic review and individual participant data meta-analysis", Psychooncology, 31, pp.879~892 (2022)[DOI]
  9. Lisy K, "Identifying the most prevalent unmet needs of cancer survivors in Australia : a systematic review", Asia Pac J Clin Oncol, 15, pp.e68~e78 (2019)[DOI]
  10. Harrison JD, "What are the unmet supportive care needs of people with cancer? A systematic review", Support Care Cancer, 17, pp.1117~1128 (2009)[DOI]
  11. Shim EJ, "Comprehensive needs assessment tool in cancer(CNAT) : the development and validation", Support Care Cancer, 19, pp.1957~1968 (2011)[DOI]
  12. Fiszer C, "Prevalence, intensity, and predictors of the supportive care needs of women diagnosed with breast cancer : a systematic review", Psychooncology, 23, pp.361~374 (2014)[DOI]
  13. Hansen DG, "Association between unmet needs and quality of life of cancer patients : a population-based study", Acta Oncol, 52, pp.391~399 (2013)[DOI]
  14. Lee J, "Current treatment landscape for early triple-negative breast cancer(TNBC)", J Clin Med, 12, pp.1524~ (2023)[DOI]
  15. Cohen J, "Statistical power analysis for the behavioral sciences" (1988), Lawrence Erlbaum Associates
  16. Simard S, "Fear of Cancer Recurrence Inventory : development and initial validation of a multidimensional measure of fear of cancer recurrence", Support Care Cancer, 17, pp.241~251 (2009)[DOI]
  17. Shin J, "Validation study for the Korean version of Fear of Cancer Recurrence Inventory", J Korean Med Sci, 32, pp.1792~1799 (2017)[DOI]
  18. Simard S, "Screening and comorbidity of clinical levels of fear of cancer recurrence", J Cancer Surviv, 9, pp.481~491 (2015)[DOI]
  19. Smith AB, "Spotlight on the Fear of Cancer Recurrence Inventory(FCRI)", Psychol Res Behav Manag, 13, pp.1257~1268 (2020)[DOI]
  20. Fardell JE, "Exploring the screening capacity of the Fear of Cancer Recurrence Inventory-Short Form for clinical levels of fear of cancer recurrence", Psychooncology, 27, pp.492~499 (2018)[DOI]
  21. Mahendran R, "Fear of cancer recurrence among cancer survivors in Singapore", Singapore Med J, 62, pp.305~310 (2021)[DOI]
  22. Tran TX, "Fear of cancer recurrence and its negative impact on health-related quality of life in long-term breast cancer survivors", Cancer Res Treat, 54, pp.1065~1073 (2022)[DOI]
  23. Liu JJ, "Systematic review of interventions by nonmental health specialists for managing fear of cancer recurrence in adult cancer survivors", Support Care Cancer, 27, pp.4055~4067 (2019)[DOI]
  24. Bae KR, "Research trends for nurse-led interventions to decrease fear of cancer recurrence", Asian Oncol Nurs, 20, pp.20~27 (2020)[DOI]
  25. Oztas B, "Fear of cancer recurrence and coping attitudes of breast cancer survivors", Eur J Cancer Care(Engl), 31, pp.e13742~ (2022)[DOI]
  26. Bae KR, "Healthcare professionals’ experience of fear of cancer recurrence among cancer survivors", Asian Oncol Nurs, 20, pp.179~188 (2020)[DOI]
  27. Thewes B, "Current approaches to managing fear of cancer recurrence; a descriptive survey of psychosocial and clinical health professionals", Psychooncology, 23, pp.390~396 (2014)[DOI]
  28. Chae BJ, "Unmet needs and related factors of Korean breast cancer survivors : a multicenter, cross-sectional study", BMC Cancer, 19, pp.839~ (2019)[DOI]
  29. Park BW, "Unmet needs of breast cancer patients relative to survival duration", Yonsei Med J, 53, pp.118~125 (2012)[DOI]
  30. Ellegaard MB, "Fear of cancer recurrence and unmet needs among breast cancer survivors in the first five years. A cross-sectional study", Acta Oncol, 56, pp.314~320 (2017)[DOI]

관련 논문AI추천

이 간행물의 다른 논문 (5건)