즉시 유방재건술을 받은 유방암 환자의 수술만족도와 삶의 질
Factors Influencing Quality of Life Among Breast Cancer Patients Following Immediate Breast Reconstruction
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Purpose: The purpose of this study was to identify factors that influence quality of life (QoL) of breast cancer patients who underwent immediate breast reconstruction. Methods: A total of 113 patients were enrolled. Patients’ operative satisfaction and QoL were measured using satisfaction with breast and the European Organization for Research and Treatment of Cancer Breast-Cancer-Specific Quality of Life questionnaires. Results: The mean operative satisfaction was 54.41±15.57 out of 100. For QoL, the mean functional score was 45.25±20.10 and the symptom score was 25.26±15.79. Significant correlation was seen between operative satisfaction and functional QoL (r=.47, p<.001), and between operative satisfaction and symptom QoL (r=-.35, p<.001). The operative satisfaction and method of reconstruction were identified as influencing factors for functional QoL with explanatory power of 34.1%. The operative satisfaction, method of reconstruction, marital status and neoadjuvant chemotherapy were identified as influencing factors for symptom QoL with explanatory power of 28.6%. Conclusion: The results confirmed operative satisfaction and QoL among breast cancer patients who underwent immediate breast reconstruction, and the factors influencing their QoL. The results of this study are expected to help towards the decision making of patients under consideration for immediate breast reconstruction.
Abstract
Purpose: The purpose of this study was to identify factors that influence quality of life (QoL) of breast cancer patients who underwent immediate breast reconstruction. Methods: A total of 113 patients were enrolled. Patients’ operative satisfaction and QoL were measured using satisfaction with breast and the European Organization for Research and Treatment of Cancer Breast-Cancer-Specific Quality of Life questionnaires. Results: The mean operative satisfaction was 54.41±15.57 out of 100. For QoL, the mean functional score was 45.25±20.10 and the symptom score was 25.26±15.79. Significant correlation was seen between operative satisfaction and functional QoL (r=.47, p<.001), and between operative satisfaction and symptom QoL (r=-.35, p<.001). The operative satisfaction and method of reconstruction were identified as influencing factors for functional QoL with explanatory power of 34.1%. The operative satisfaction, method of reconstruction, marital status and neoadjuvant chemotherapy were identified as influencing factors for symptom QoL with explanatory power of 28.6%. Conclusion: The results confirmed operative satisfaction and QoL among breast cancer patients who underwent immediate breast reconstruction, and the factors influencing their QoL. The results of this study are expected to help towards the decision making of patients under consideration for immediate breast reconstruction.
참고문헌 (31)
- 정규원, "Prediction of Cancer Incidence and Mortality in Korea, 2016", Cancer Research and Treatment, 48(2), pp.451~457 (2016), 대한암학회
- Yun HJ, "Breast cancer facts & figures", Korean Breast Cancer Society, ~ (2018)
- 박금자, "유방절제술 환자의 신체상과 삶의 질의 관계", Asian Oncology Nursing, 8(2), pp.86~92 (2008), 대한종양간호학회
- Jo NH, "Body image and quality of life by types and time-series of breast surgery", Korean J Womens Health, 10, pp.19~35 (2009)
- Heo MH, "Breast cancer facts & figures", Korean Breast Cancer Society, ~ (2016)
- Eltahir Y, "Quality-of-life outcomes between mastectomy alone and breast reconstruction : comparison of patient-reported BREAST-Q and other health-related quality-of-life measures", Plast Reconstr Surg, 132, pp.201e~209e (2013)
- 이명선, "한국 유방암 여성들의 유방재건술에 관한 의사결정 경험", Journal of Korean Academy of Nursing, 46(6), pp.894~904 (2016), 한국간호과학회
- Kronowitz SJ, "Delayed-immediate breast reconstruction", Plast Reconstr Surg, 113, pp.1617~1628 (2004)
- 남상근, "유방 전절제술 후 즉시 유방 재건술을 시행 받은 유방암 환자의 치료 성적", Journal of Breast Disease, 2(2), pp.44~50 (2014), 한국유방암학회[DOI]
- Al-Ghazal SK, "The psychological impact of immediate rather than delayed breast reconstruction", Eur J Surg Oncol, 26, pp.17~19 (2000)
- Nahabedian MY, "Breast reconstruction : a review and rationale for patient selection", Plast Reconstr Surg, 124, pp.55~62 (2009)
- 조영규, "유방암 환자에서 피부보존 유방절제술 후 실리콘 보형물을 이용한 즉시 유방 재건술", Archives of Plastic Surgery, 37(6), pp.749~757 (2010), 대한성형외과학회
- Yueh JH, "Patient satisfaction in postmastectomy breast reconstruction : a comparative evaluation of DIEP, TRAM, latissimus flap, and implant techniques", Plast Reconstr Surg, 125, pp.1585~1595 (2010)
- Pusic AL, "Development of a new patient-reported outcome measure for breast surgery : the BREAST-Q", Plast Reconstr Surg, 124, pp.345~353 (2009)
- Yun YH, "Cross-cultural application of the Korean version of the European Organization for Research and Treatment of Cancer(EORTC)breast-cancer-specific quality of life questionnaire(EORTC QLQ-BR23)", Support Care Cancer, 12, pp.441~445 (2004)
- McCarthy CM, "Patient satisfaction with postmastectomy breast reconstruction : a comparison of saline and silicone implants", Cancer, 116, pp.5584~5591 (2010)
- Pusic AL, "Patient-reported outcomes 1 year after immediate breast reconstruction : results of the mastectomy reconstruction outcomes consortium study", J Clin Oncol, 35, pp.2499~2506 (2017)
- Min SY, "Oncological safety and quality of life associated with mastectomy and immediate breast reconstruction with a latissimus dorsi myocutaneous flap", Breast J, 16, pp.356~361 (2010)
- 김수현,전은영, "유방암 환자의 우울에 영향을 미치는 요인", Asian Oncology Nursing, 6(2), pp.133~142 (2006), 대한종양간호학회
- Acil H, "Comparison of quality of life of Turkish breast cancer patients receiving breast conserving surgery or modified radical mastectomy", Asian Pac J Cancer Prev, 15, pp.5377~5381 (2014)
- Nissen MJ, "Quality of life after postmastectomy breast reconstruction", Oncol Nurs Forum, 29, pp.547~553 (2002)
- Han J, "Quality of life and satisfaction after breast cancer operation", Arch Gynecol Obstet, 282, pp.75~82 (2010)
- 이숙정, "유방절제술 환자의 상지감각변화와 삶의 질", Asian Oncology Nursing, 11(3), pp.229~236 (2011), 대한종양간호학회
- 강지영, "유방암 여성의 스트레스, 배우자 지지, 회복력과 대처", Asian Oncology Nursing, 15(1), pp.1~8 (2015), 대한종양간호학회
- Liu C, "Quality of life and patient satisfaction after microsurgical abdominal flap versus staged expander", implant breast reconstruction : a critical study of unilateral immediate breast reconstruction using patient-reported outcomes instrument BREAST-Q, 2014, pp.146, 117~126
- Tønseth KA, "Quality of life, patient satisfaction and cosmetic outcome after breast reconstruction using DIEP flap or expandable breast implant", J Plast Reconstr Aesthet Surg, 61, pp.1188~1194 (2008)
- Albornoz CR, "Implant breast reconstruction and radiation : a multicenter analysis of long-term health-related quality of life and satisfaction", Ann Surg Oncol, 21, pp.2159~2164 (2014)
- Langendijk JA, "Prospective study on quality of life before and after radical radiotherapy in non-small-cell lung cancer", J Clin Oncol, 19, pp.2123~2133 (2001)
- Poortmans P, "Optimal approach in early breast cancer : radiation therapy", EJC Suppl, 11, pp.27~36 (2013)
- 박진희, "보조적 항암요법을 받는 유방암 환자의 증상 경험 및 삶의 질의 변화", Asian Oncology Nursing, 15(2), pp.67~74 (2015), 대한종양간호학회
- Potter S, "Evaluating the cosmetic outcome of breast reconstruction : a comparison of patients’ and healthcare professionals’ views and their associations with patient satisfaction and quality of life", Cancer Res, 69, pp.4135~ (2009)