폐암 환자의 증상클러스터, 불확실성, 사회적 지지가 건강 관련 삶의 질에 미치는 영향
Effects of Symptom Clusters, Uncertainty and Social Support on Health-related Quality of Life in Patient with Lung Cancer
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Purpose: The purpose of this study was to identify the effects of symptom clusters, uncertainty, and social support on the health-relatedquality of life among patients with lung cancer. Methods: Data were collected with questionnaires on general characteristics, degree of symptoms, uncertainty, social support, and health-related quality of life. Results: The health-related quality of life according to the general characteristics of the subjects showed statistically significant differences in various factors. These factors included the degree of education, occupation, primary caregiver, medical expense burden, diagnosis name, stages of cancer, time of diagnosis, hospitalization, and treatment. A total of 23 symptoms were analyzed, revealing the presence of three symptom clusters: (1) Emotional cluster, (2) Cancer symptom cluster, and (3) Treatment adverse event cluster. Significant correlations were observed between the health-related quality of life, uncertainty, and social support among the subjects. Variables that significantly affected the healthrelated quality of life of the subjects were uncertainty, social support, and the cluster of cancer symptoms. Conclusion: The results of this study provide valuable data for developing nursing intervention strategies aimed at improving the health-related quality of life of patients with lung cancer.
Abstract
Purpose: The purpose of this study was to identify the effects of symptom clusters, uncertainty, and social support on the health-relatedquality of life among patients with lung cancer. Methods: Data were collected with questionnaires on general characteristics, degree of symptoms, uncertainty, social support, and health-related quality of life. Results: The health-related quality of life according to the general characteristics of the subjects showed statistically significant differences in various factors. These factors included the degree of education, occupation, primary caregiver, medical expense burden, diagnosis name, stages of cancer, time of diagnosis, hospitalization, and treatment. A total of 23 symptoms were analyzed, revealing the presence of three symptom clusters: (1) Emotional cluster, (2) Cancer symptom cluster, and (3) Treatment adverse event cluster. Significant correlations were observed between the health-related quality of life, uncertainty, and social support among the subjects. Variables that significantly affected the healthrelated quality of life of the subjects were uncertainty, social support, and the cluster of cancer symptoms. Conclusion: The results of this study provide valuable data for developing nursing intervention strategies aimed at improving the health-related quality of life of patients with lung cancer.
참고문헌 (30)
- "The major cancer mortality"[URL]
- "Cancer survival rate"[URL]
- Langeveld NE, "Quality of life in young adult survivors of childhood cancer", Support Care Cancer, 10, pp.579~600 (2002)
- Sanson-Fisher R, "Quality of life research : is there a difference in output between the major cancer types?", Eur J Cancer Care(Engl), 19, pp.714~720 (2010)
- Yoon JS, "Factors for the quality of life in advanced lung cancer patients over the age of 65", master, pp.2015
- 김정혜, "항암화학요법으로 인한 말초신경병증을 경험하는 대장암 환자의 삶의 질", Asian Oncology Nursing, 11(3), pp.254~262 (2011), 대한종양간호학회
- Wasalski E, "Health-related quality of life data in cancer clinical trials for drug registration : the value beyond reimbursement", JCO Clin Cancer Inform, 5, pp.112~124 (2021)
- 하은혜, "유방암 환자의 건강관련 삶의 질이 우울증상에 미치는 영향", 한국심리학회지:여성, 16(4), pp.499~515 (2011), 한국여성심리학회[DOI]
- Lee JA, "Uncertainty, distress, resilience and health-related quality of life in lung cancer patient", master, pp.2017
- Ferrans CE, "Conceptual model of health-related quality of life", J Nurs Scholarsh, 37, pp.336~342 (2005)
- Hwang MK, "Effects of uncertainty, appraisal of uncertainty, and self-efficacy on the quality of life of elderly patients with lung cancer receiving chemotherapy: based on Mishel’s theory of uncertainty", Medicina, 59, pp.1051~ (2023)
- Syamsir PG, "Uncertainty in illness for patient with lung cancer : a literature review", Proc Int Agronursing Conf, 5, pp.209~219 (2023)
- 김경옥, "노인 암 환자의 불확실성과 사회적 지지가 삶의 질에 미치는 영향", Asian Oncology Nursing, 17(3), pp.180~187 (2017), 대한종양간호학회
- Wang T, "Dyadic effects of social support, illness uncertainty on anxiety and depression among lung cancer patients and their caregivers : a cross-sectional study", Support Care Cancer, 31, pp.402~ (2023)
- Hill EM, "Intolerance of uncertainty, social support, and loneliness in relation to anxiety and depressive symptoms among women diagnosed with ovarian cancer", Psychooncology, 28, pp.553~560 (2019)
- Bottomley A, "Social support and the cancer patient--a need for clarity", Eur J Cancer Care(Engl), 6, pp.72~77 (1997)
- Hofman A, "Improving social support to increase QoL in lung cancer patients", Cancer Manag Res, 13, pp.2319~2327 (2021)
- 채윤정, "폐암 환자의 생존단계별 증상, 우울 및 삶의 질 비교", Asian Oncology Nursing, 17(2), pp.79~86 (2017), 대한종양간호학회[DOI]
- 이선영, "게피티니브 치료를 받은 비소세포폐암 환자의 다발성 증상군 (Symptom Cluster)", Asian Oncology Nursing, 9(2), pp.77~85 (2009), 대한종양간호학회
- Dodd MJ, "Symptom clusters and their effect on the functional status of patients with cancer", Oncol Nurs Forum, 28, pp.465~470 (2001)
- 김경덕, "항암화학요법을 받고 있는 유방암 환자의 증상 클러스터와 삶의 질", 성인간호학회지, 23(5), pp.434~445 (2011), 한국성인간호학회
- 이효진, "임상 연구에서 연구 표본수의 산출", 대한 견주관절 학회지, 16(1), pp.53~57 (2013), 대한견주관절학회
- Lee HJ, "Symptom clusters and caregiver burden in patients with lung cancer", master, pp.2017
- Mishel MH, "Uncertainty in illness", Image J Nurs Sch, 20, pp.225~232 (1988)
- 정재원, "항암화학요법을 받는 부인암환자의 기능상태와 사회심리적 적응", 여성건강간호학회지, 11(1), pp.58~66 (2005), 한국여성건강간호학회
- Zimet GD, "The multidimensional scale of perceived social support", J Pers Assess, 52, pp.30~41 (1988)
- Shin JS, "The effect of social supports on psychosocial well-being of the unemployed", Korean J Soc Welf, 37, pp.241~269 (1999)
- Cella DF, "Reliability and validity of the Functional Assessment of Cancer Therapy-Lung(FACT-L)quality of life instrument", Lung Cancer, 12, pp.199~220 (1995)
- Yoo H, "Korean translation and validation of the functional assessment of cancer therapy-lung(FACT-L)version 4", Qual Life Res, 15, pp.161~166 (2006)
- 태영숙, "암환자가 지각한 사회적지지, 희망과 삶의 질과의 관계", 재활간호학회지, 4(2), pp.219~231 (2001), 한국재활간호학회
