위암 장기생존자의 주관적 건강상태, 정신건강 및 암스티그마의 관계
Subjective Health Status, Mental Health, and Cancer Stigma in Long-term Cancer Survivors after Gastric Surgery
0
조회
0
다운로드
7
인용
0
참고문헌
키워드
초록
Purpose: The aim of this study was to explore the relationship among subjective health status, mental health, and cancer stigma of long-term cancer survivors after gastric surgery. Methods: In this cross-sectional study, 135 cancer survivors visiting the family medicine clinic of a tertiary hospital were surveyed. Data were collected from March 1 to May 31, 2017. Using the questionnaire, subjective health status, mental health, and cancer stigma were measured and analyzed. Results: The mean scores for subjective health status, stress, and cancer stigma were 80.16, 2.97 and 1.59 respectively. Anxiety and depression rates were 37.1% and 28.9% respectively. Cancer stigma was negatively correlated with subjective health status (r=-.18, p=.036) and positive association with anxiety (r=.23, p=.009), depression (r=.20, p=.023), and stress (r=.21, p=.017). Conclusion: In this study, long-term cancer survivors’ subjective health status, mental health, and cancer stigma were low and these variables were significantly associated. In order to improve the quality of life of long-term gastric cancer survivors, it is necessary to actively evaluate anxiety, depression, stress, and cancer stigma. The appropriate psychosocial care interventions developed through repeated research of survivors of long-term cancer should be continued.
Abstract
Purpose: The aim of this study was to explore the relationship among subjective health status, mental health, and cancer stigma of long-term cancer survivors after gastric surgery. Methods: In this cross-sectional study, 135 cancer survivors visiting the family medicine clinic of a tertiary hospital were surveyed. Data were collected from March 1 to May 31, 2017. Using the questionnaire, subjective health status, mental health, and cancer stigma were measured and analyzed. Results: The mean scores for subjective health status, stress, and cancer stigma were 80.16, 2.97 and 1.59 respectively. Anxiety and depression rates were 37.1% and 28.9% respectively. Cancer stigma was negatively correlated with subjective health status (r=-.18, p=.036) and positive association with anxiety (r=.23, p=.009), depression (r=.20, p=.023), and stress (r=.21, p=.017). Conclusion: In this study, long-term cancer survivors’ subjective health status, mental health, and cancer stigma were low and these variables were significantly associated. In order to improve the quality of life of long-term gastric cancer survivors, it is necessary to actively evaluate anxiety, depression, stress, and cancer stigma. The appropriate psychosocial care interventions developed through repeated research of survivors of long-term cancer should be continued.
참고문헌 (22)
- 최선근, "한국의 암환자 치료와 관리현황", 대한의사협회지, 60(3), pp.228~232 (2017), 대한의사협회[DOI]
- "Cancer statistics"[URL]
- Annual report of cancer statistics in Korea in 2013, "Korea Central Cancer Registry", Korea Central Cancer Registry, ~ (2013)
- 최일주, "위암의 스크리닝 및 진단", 대한소화기학회지, 54(2), pp.67~76 (2009), 대한소화기학회
- Development of delivery system for integrated supportive cancer survivor care, "Park J", National Cancer Center, ~ (2011)
- Cappiello M, "Breast cancer survivors: information and support after treatment", Clin Nurs Res, 16, pp.278~293 (2007)[DOI]
- Han KH, "Factors associated with depression in disease-free stomach cancer survivors", J Pain Symptom Manage, 46, pp.511~522 (2013)[DOI]
- Nordin K, "Psychological reactions in newly diagnosed gastrointestinal cancer patients", Acta Oncol, 36, pp.803~810 (1997)[DOI]
- Shin DW, "Non-cancer mortality among long-term survivors of adult cancer in Korea: national cancer registry study", Cancer Causes Control, 21, pp.919~929 (2010)[DOI]
- Cataldo JK, "Measuring stigma in people with lung cancer: psychometric testing of the cataldo lung cancer stigma scale", Oncol Nurs Forum, 38, pp.E46~E54 (2011)[DOI]
- Chapple A, "Stigma, shame, and blame experienced by patients with lung cancer: qualitative study", BMJ, 328, pp.1470~ (2004)[DOI]
- LoConte NK, "Assessment of guilt and shame in patients with non-small-cell lung cancer compared with patients with breast and prostate cancer", Clin Lung Cancer, 9, pp.171~178 (2008)[DOI]
- Cho J, "Public attitudes toward cancer and cancer patients: a national survey in Korea", Psychooncology, 22, pp.605~613 (2013)[DOI]
- Eom CS, "Impact of perceived social support on the mental health and health-related quality of life in cancer patients: results from a nationwide, multicenter survey in South Korea", Psychooncology, 22, pp.1283~1290 (2013)[DOI]
- "Cancer treatment & survivorship facts & figures 2016-2017"[URL]
- Zigmond AS, "The hospital anxiety and depression scale", Acta Psychiatr Scand, 67, pp.361~370 (1983)[DOI]
- Oh SM, "A study on the standardization of the hospital anxiety and depression scale for Koreans: a comparison of normal, depressed and anxious groups", J Korean Neuropsychiatr Assoc, 38, pp.289~296 (1999)
- Kang M., "Quality of life of breast cancer patients measured by EQ-5D-5L", pp.2017
- 강윤희, "재가노인의주관적건강, 일상생활수행능력, 영양상태간의관계", Journal of Korean Academy of Nursing, 38(1), pp.122~130 (2008), 한국간호과학회
- 이정림, "폐암환자의 스티그마, 디스트레스와 삶의 질의 관계", Asian Oncology Nursing, 11(3), pp.237~246 (2011), 대한종양간호학회
- Cho J, "Association between cancer stigma and depression among cancer survivors: a nationwide survey in Korea", Psychooncology, 22, pp.2372~2378 (2013)
- "National cancer survivor support center"[URL]
