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항암화학요법을 받은 유방암 생존자의 불확실성과 사회적 지지가 삶의 질에 미치는 영향

Impacts of Uncertainty and Social Support on the Quality of Life of Breast Cancer Survivors after Chemotherapy: Based on Self-help Group Participants

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주제분류간호학

초록

Purpose: This study aimed to determine the impact of uncertainty and social support on the quality of life of breast cancer survivors who received chemotherapy. Methods: Data was collected from 119 participants diagnosed with breast cancer who had completed chemotherapy and were active members of breast cancer self-help groups in cities D and B. Results: Factors influencing the quality of life were, in order of significance, uncertainty (β=-.58, p<.001), family history (β=-.15, p=.029), and medical staff support (β=.15, p=.043). The overall explanatory power was measured at 45.0%. It was observed that a lower level of uncertainty and a higher level of support from medical staff correlated with a better quality of life. Furthermore, participants without a family history of breast cancer were found to have a better quality of life than those with a family history of breast cancer. Conclusion: These findings suggest that enhancing the quality of life of breast cancer survivors after chemotherapy requires nursing interventions aimed at reducing uncertainty and bolstering support from medical staff.

Abstract

Purpose: This study aimed to determine the impact of uncertainty and social support on the quality of life of breast cancer survivors who received chemotherapy. Methods: Data was collected from 119 participants diagnosed with breast cancer who had completed chemotherapy and were active members of breast cancer self-help groups in cities D and B. Results: Factors influencing the quality of life were, in order of significance, uncertainty (β=-.58, p<.001), family history (β=-.15, p=.029), and medical staff support (β=.15, p=.043). The overall explanatory power was measured at 45.0%. It was observed that a lower level of uncertainty and a higher level of support from medical staff correlated with a better quality of life. Furthermore, participants without a family history of breast cancer were found to have a better quality of life than those with a family history of breast cancer. Conclusion: These findings suggest that enhancing the quality of life of breast cancer survivors after chemotherapy requires nursing interventions aimed at reducing uncertainty and bolstering support from medical staff.

참고문헌 (30)

  1. "Korean national cancer registration 2022"[URL]
  2. 김경덕, "유방암 생존자의 증상, 불확실성이 삶의 질에 미치는 영향", 간호와 혁신, 25(2), pp.1~10 (2021), 간호혁신연구소[DOI]
  3. 이정아, "장기 유방암 경험자의 관리", 대한의사협회지, 59(4), pp.266~275 (2016), 대한의사협회[DOI]
  4. Brem S, "Management of treatment-related symptoms in patients with breast cancer", Clin J Oncol Nurs, 15, pp.63~71 (2011)
  5. Mishel MH, "Uncertainty in illness", Image J Nurs Sch, 20, pp.225~232 (1988)
  6. 현동림, "선행항암화학요법을 받는 유방암 환자의 불안, 불확실성, 암 대처가 삶의 질에 미치는 영향", Asian Oncology Nursing, 22(1), pp.37~45 (2022), 대한종양간호학회
  7. Dirksen SR, "Predicting well-being among breast cancer survivors", J Adv Nurs, 32, pp.937~943 (2000)
  8. Sammarco A, "Quality of life, social support, and uncertainty among Latina breast cancer survivors", Oncol Nurs Forum, 35, pp.844~849 (2008)
  9. 태영숙, "암환자가 지각한 사회적지지, 희망과 삶의 질과의 관계", 재활간호학회지, 4(2), pp.219~231 (2001), 한국재활간호학회
  10. 오영경, "젊은 유방암 환자의 불확실성이 삶의 질에 미치는 영향 : 부부친밀도의 매개효과를 중심으로", Journal of Korean Academy of Nursing, 48(1), pp.50~58 (2018), 한국간호과학회
  11. 권은진, "한국 유방암 생존자들의 디스트레스와 삶의 질", Asian Oncology Nursing, 12(4), pp.289~296 (2012), 대한종양간호학회[DOI]
  12. Avis NE, "Quality of life among younger women with breast cancer", J Clin Oncol, 23, pp.3322~3330 (2005)
  13. Katz AH, "Selfgroup concepts and applications" (1992), The Chales Press
  14. 김미숙, "자조집단 프로그램이 유방암환자의 삶의 질에 미치는 효과", Asian Oncology Nursing, 3(1), pp.45~55 (2003), 대한종양간호학회
  15. 문성미, "유방암 환자의 건강관련 삶의 질과 림프부종, 어깨관절운동, 피로 및 사회적 지지와의 관계", Journal of Breast Cancer, 13(2), pp.212~218 (2010), 한국유방암학회
  16. Brady MJ, "Reliability and validity of the Functional Assessment of Cancer Therapy-Breast quality-of-life instrument", J Clin Oncol, 15, pp.974~986 (1997)
  17. 이정란, "항암화학요법을 받는 유방암 환자의 인지기능감퇴와 삶의 질에 관한 연구: 건강증진행위의 매개효과", 성인간호학회지, 28(2), pp.202~212 (2016), 한국성인간호학회[DOI]
  18. 정재원, "항암화학요법을 받는 부인암환자의 기능상태와 사회심리적 적응", 여성건강간호학회지, 11(1), pp.58~66 (2005), 한국여성건강간호학회
  19. Tae YS, "The relationship between hope and quality of life of cancer patients", Korean J Adult Nurs, 8, pp.80~92 (1986)
  20. Donovan KA, "Symptoms and uncertainty in breast cancer survivors : a 1-year longitudinal approach", J Behav Med, 37, pp.835~846 (2014)
  21. 황은경, "항호르몬요법을 받는 유방암 환자의 삶의 질 영향 요인", Journal of Korean Academy of Nursing, 44(1), pp.108~117 (2014), 한국간호과학회
  22. Sawesi S, "Reasons for nonadherence to tamoxifen and aromatase inhibitors for the treatment of breast cancer : a literature review", Clin J Oncol Nurs, 18, pp.E50~E57 (2014)
  23. Cicero V, "The role of attachment dimensions and perceived social support in predicting adjustment to cancer", Psychooncology, 18, pp.1045~1052 (2009)
  24. 천상순, "유방암 환자의 질병단계에 따른 가족 지지, 스트레스 및 삶의 질의 관계", 여성건강간호학회지, 16(1), pp.10~19 (2010), 한국여성건강간호학회
  25. 박소영, "중·고령 초기 유방암 생존자가 경험한 진단 이후의 삶", 보건사회연구, 40(1), pp.90~123 (2020), 한국보건사회연구원[DOI]
  26. Ritz LJ, "Effects of advanced nursing care on quality of life and cost outcomes of women diagnosed with breast cancer", Oncol Nurs Forum, 27, pp.923~932 (2000)
  27. 전명희, "국내 고위험 유전성 유방암 환자의 유전자검사 경험", Asian Oncology Nursing, 5(2), pp.146~158 (2005), 대한종양간호학회
  28. Myklebust M, "Experience of Norwegian female BRCA1 and BRCA2 mutation-carrying participants in educational support groups : a qualitative study", J Genet Couns, 25, pp.1198~1206 (2016)
  29. Mishel MH, "Middle range theory for nursing", pp.53~86 (2014), Springer
  30. 서미아, "유방암 생존자의 애착손상과 부부만족도 및 정신건강 간의 상관관계", 보건사회연구, 35(3), pp.278~306 (2015), 한국보건사회연구원[DOI]

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