본문 바로가기
KERD
논문KCI 등재

암 예방 건강행위와 관련 요인: 내시경 점막하 박리술을 시행 받은 조기위암 환자를 대상으로

Factors related to Cancer Preventive Behavior among Patients with Early Gastric Cancer who Underwent Endoscopic Submucosal Dissection

0

조회

0

다운로드

0

인용

0

참고문헌

키워드

주제분류간호학

초록

Purpose: The research aimed to investigate the factors affecting cancer preventive behavior among patients with early gastric cancer (EGC) who underwent endoscopic submucosal dissection (ESD). Methods: Data were collected from 126 patients who underwent ESD for EGC and who were recruited from a single university affiliated hospital, Seoul, Korea. The data were analyzed by descriptive statistics, independent t-test, one-way ANOVA, Pearson’s correlation coefficient, and multiple regression analysis. Results: The average score of cancer preventive behavior was 66.87±10.36 out of 90. Correlations between attitude toward cancer and preventive behavior regarding cancer were positive (r=.26, p=.004). Also, the regression analyses revealed that factors affecting cancer preventive behavior included perception of cancer screening, attitude toward cancer, and age. A history of drinking alcohol on the other hand was negatively related to cancer preventive behavior. The regression analyses explained 31% of variance (F=6.50, p=.037). Conclusion: These results suggest that nurses should develop a program for risk groups (people who drink alcohol regularly, are under the age of 65 and who have poor self-health care after ESD). And such a program should include interventions to improve attitudes toward cancer and perception of cancer screening, and encourage physical activity.

Abstract

Purpose: The research aimed to investigate the factors affecting cancer preventive behavior among patients with early gastric cancer (EGC) who underwent endoscopic submucosal dissection (ESD). Methods: Data were collected from 126 patients who underwent ESD for EGC and who were recruited from a single university affiliated hospital, Seoul, Korea. The data were analyzed by descriptive statistics, independent t-test, one-way ANOVA, Pearson’s correlation coefficient, and multiple regression analysis. Results: The average score of cancer preventive behavior was 66.87±10.36 out of 90. Correlations between attitude toward cancer and preventive behavior regarding cancer were positive (r=.26, p=.004). Also, the regression analyses revealed that factors affecting cancer preventive behavior included perception of cancer screening, attitude toward cancer, and age. A history of drinking alcohol on the other hand was negatively related to cancer preventive behavior. The regression analyses explained 31% of variance (F=6.50, p=.037). Conclusion: These results suggest that nurses should develop a program for risk groups (people who drink alcohol regularly, are under the age of 65 and who have poor self-health care after ESD). And such a program should include interventions to improve attitudes toward cancer and perception of cancer screening, and encourage physical activity.

참고문헌 (27)

  1. Bray F, "Global cancer statistics 2018 : GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries", CA Cancer J Clin, 68, pp.394~424 (2018)
  2. 최일주, "위암의 스크리닝 및 진단", 대한소화기학회지, 54(2), pp.67~76 (2009), 대한소화기학회
  3. Hu J, "The comparison between endoscopic submucosal dissection and surgery in gastric cancer : a systematic review and meta-analysis", Gastroenterol Res Pract, 2018, pp.4378945~ (2018)
  4. Morais S, "Risk of second primary cancers among patients with a first primary gastric cancer : a populationbased study in North Portugal", Cancer Epidemiol, 50, pp.85~91 (2017)
  5. Beak NS, "Correct lifestyle for cancer prevention : stress is the origin of all diseases", Sci Technol, 34, pp.88~89 (2001)
  6. Maunsell E, "Stressful life events and survival after breast cancer", Psychosom Med, 63, pp.306~315 (2001)
  7. "10 national cancer prevention recommendations"[URL]
  8. Weller D, "Lifestyle factors in cancer survivors-we have the evidence, but are we doing enough?", Eur J Cancer Care(Engl), 27, pp.e12902~ (2018)
  9. Kasl SV, "Health behavior, illness behavior, and sick role behavior. I. Health and illness behavior", Arch Environ Health, 12, pp.246~266 (1966)
  10. 김일옥, "성인 여성의 암 예방행위에 미치는 영향 요인", 성인간호학회지, 26(4), pp.455~465 (2014), 한국성인간호학회[DOI]
  11. 박영례, "중년남성의 암에 대한 지식, 태도 및 암 예방 건강행위", 재활간호학회지, 17(2), pp.97~103 (2014), 한국재활간호학회
  12. 양야기, "대학생의 암 예방 건강행위 영향요인", 기본간호학회지, 22(1), pp.59~68 (2015), 기본간호학회[DOI]
  13. Suh SR, "A study to advance the development of educational programs for the early detection and prevention of the five major caner in Korea", J Korean Acad Adult Nurs, 10, pp.268~280 (1998)
  14. Kim SK, "Knowledge, attitude, and preventive health behavior of high school students on the six most common cancers in Korea", master, pp.2004
  15. 김영숙, "일 지역 고등학생의 암에 대한 지식, 태도 및 암 예방 건강행위", Child Health Nursing Research, 16(2), pp.102~111 (2010), 한국아동간호학회
  16. 김익지, "대학생의 암에 대한 지식, 태도 및 예방적 건강행위의 관계", Asian Oncology Nursing, 12(1), pp.44~51 (2012), 대한종양간호학회
  17. 김남선, "중년기 성인의 암 예방행위 영향요인", 기본간호학회지, 21(1), pp.29~38 (2014), 기본간호학회
  18. Chun SY, "Do long term cancer survivors have better health-promoting behavior than non-cancer populations?:case-control study in Korea", Asian Pac J Cancer Prev, 16, pp.1415~1420 (2015)
  19. Hawkins ML, "Do cancer survivors develop healthier lifestyle behaviors than the cancer-free population in the PLCO study?", J Cancer Surviv, 11, pp.233~245 (2017)
  20. Mowls DS, "Lifestyle behaviors among US cancer survivors", J Cancer Surviv, 10, pp.692~698 (2016)
  21. 김민경, "Risky Lifestyle Behaviors among Gastric Cancer Survivors Compared with Matched Non-cancer Controls: Results from Baseline Result of Community Based Cohort Study", Cancer Research and Treatment, 50(3), pp.738~747 (2018), 대한암학회
  22. Toshihiro Nishizawa, "Long-Term Outcomes of Using Endoscopic Submucosal Dissection to Treat Early Gastric Cancer", Gut and Liver, 12(2), pp.119~124 (2018), 거트앤리버 소화기연관학회협의회
  23. Jim HS, "Posttraumatic stress and posttraumatic growth in cancer survivorship : a review", Cancer J, 14, pp.414~419 (2008)
  24. 장선희, "암 환자의 외상 후 성장과 생의 의미가 건강증진행위에 미치는 영향", Asian Oncology Nursing, 14(2), pp.100~108 (2014), 대한종양간호학회
  25. Choi JH, "Comparison of quality of life and worry of cancer recurrence between endoscopic and surgical treatment for early gastric cancer", Gastrointest Endosc, 82, pp.299~307 (2015)
  26. Kanera IM, "Prevalence and correlates of healthy lifestyle behaviors among early cancer survivors", BMC Cancer, 16, pp.4~ (2016)
  27. Tabrizi FM, "Health promoting behavior and influencing factors in Iranian breast cancer survivors", Asian Pac J Cancer Prev, 16, pp.1729~1736 (2015)

관련 논문AI추천

이 간행물의 다른 논문 (4건)