본문 바로가기
KERD
논문KCI 등재

다발성 골수종 환자의 삶의 질 영향요인

Factors Influencing Quality of Life in Multiple Myeloma Patients

2

조회

0

다운로드

4

인용

0

참고문헌

키워드

주제분류간호학

초록

Purpose: The purpose of the study was to investigate the relationships among fatigue, pain, anxiety, depression, and quality of life inKorean patients with multiple myeloma and to identify factors influencing their quality of life. Methods: The study design was a crosssectionaldescriptive study. The participants were 92 multiple myeloma patients who visited the outpatient department at a universityhospital in Seoul, Korea. The data were collected from January to April in 2013 with self-reporting questionnaires. Results: The meanscores of quality of life in all dimensions were relatively low. Fatigue, pain, anxiety and depression were all correlated to the globalheath/quality of life, functional quality of life, and symptom quality of life (p<.001). Fatigue, pain and depression accounted for 65.1%(p<.001) in global health/quality of life and 73.6% (p<.001) in functional quality of life, respectively. And fatigue and pain accountedfor 66.4% (p<.001) in symptom quality of life. Conclusion: The results of the study showed that fatigue, pain and depression weremajor predictors of quality of life for patients with multiple myeloma. Therefore, psychological symptoms, such as depression, andphysical symptoms should be integrated into the nursing intervention to improve their quality of life.

Abstract

Purpose: The purpose of the study was to investigate the relationships among fatigue, pain, anxiety, depression, and quality of life inKorean patients with multiple myeloma and to identify factors influencing their quality of life. Methods: The study design was a crosssectionaldescriptive study. The participants were 92 multiple myeloma patients who visited the outpatient department at a universityhospital in Seoul, Korea. The data were collected from January to April in 2013 with self-reporting questionnaires. Results: The meanscores of quality of life in all dimensions were relatively low. Fatigue, pain, anxiety and depression were all correlated to the globalheath/quality of life, functional quality of life, and symptom quality of life (p<.001). Fatigue, pain and depression accounted for 65.1%(p<.001) in global health/quality of life and 73.6% (p<.001) in functional quality of life, respectively. And fatigue and pain accountedfor 66.4% (p<.001) in symptom quality of life. Conclusion: The results of the study showed that fatigue, pain and depression weremajor predictors of quality of life for patients with multiple myeloma. Therefore, psychological symptoms, such as depression, andphysical symptoms should be integrated into the nursing intervention to improve their quality of life.

참고문헌 (30)

  1. "Multiple myeloma"[URL]
  2. "Anual report of cancer statistics in Korea in 2009"[URL]
  3. "Multiple myeloma treatment(In the middle of 2011)"[URL]
  4. The Korean Society of Hematology, "Hematology", pp.345~346 (2006), E*PUBLIC
  5. Ferrell BR, "Quality of life as an outcome variable in the management of cancer pain", Cancer, 63(11 suppl), pp.2321~2327 (1989)
  6. Irvine D, "The prevalence and correlates of fatigue in patients receiving treatment with chemotherapy and radiotherapy : a comparison with the fatigue experienced by healthy individuals", Cancer Nurs, 17, pp.367~378 (1994)
  7. 변혜선, "유방암 환자의 피로, 통증, 불안, 우울이 삶의 질에 미치는 영향", Asian Oncology Nursing, 12(1), pp.27~34 (2012), 대한종양간호학회
  8. 김경덕, "항암화학요법을 받는 췌장암 환자의 통증, 수면장애, 피로가 삶의 질에 미치는 영향", Asian Oncology Nursing, 12(2), pp.117~124 (2012), 대한종양간호학회[DOI]
  9. Redeker NS, "Insomnia, fatigue, anxiety, depression, and quality of life of cancer patients undergoing chemotherapy", Sch Inq Nurs Pract, 14, pp.275~290 (2000)
  10. Sezer O, "Myeloma bone disease : recent advances in biology, diagnosis, and treatment", Oncologist, 14, pp.276~283 (2009)
  11. Green CR, "Cancer-related chronic pain : examining quality of life in diverse cancer survivors", Cancer, 117, pp.1994~2003 (2011)
  12. Morgan MA, "Cancer patients with pain: the spouse", partner relationship and quality of life, 2011, pp.34, 13~23
  13. Hinz A, "Anxiety and depression in cancer patients compared with the general population", Eur J Cancer Care(Engl), 19, pp.522~529 (2010)
  14. 이은옥, "위장암 환자의 삶의 질에 영향을 미치는 요인", Journal of Korean Academy of Nursing, 38(5), pp.649~655 (2008), 한국간호과학회
  15. Han EK, "A study on symptom experience and quality of life of patients undergone hematopoietic stem cell transplantation", master, pp.2012
  16. Booker R, "The relationships among physiologic variables, quality of life, and fatigue in patients with multiple myeloma", Oncol Nurs Forum, 36, pp.209~216 (2009)
  17. Poulos AR, "Pain, mood disturbance, and quality of life in patients with multiple myeloma", Oncol Nurs Forum, 28, pp.1163~1171 (2001)
  18. "FACIT-Fatigue scale-Korean version"[URL]
  19. Zigmond AS, "The hospital anxiety and depression scale", Acta Psychiatr Scand, 67, pp.361~370 (1983)
  20. Oh SM, "A study on the standardization of the hospital anxiety and deperession scale for Koreans", J Korean Neuropsychiatr Assoc, 38, pp.289~296 (1999)
  21. "EORTC QLQ-C30 Korean version"[URL]
  22. 정지연, "항암화학요법을 받은 입원 암환자의 삶의 질에 영향을 미치는 요인", Asian Oncology Nursing, 12(1), pp.84~91 (2012), 대한종양간호학회
  23. 김정혜, "항암화학요법으로 인한 말초신경병증을 경험하는 대장암 환자의 삶의 질", Asian Oncology Nursing, 11(3), pp.254~262 (2011), 대한종양간호학회
  24. 김경덕, "항암화학요법을 받고 있는 유방암 환자의 증상 클러스터와 삶의 질", 성인간호학회지, 23(5), pp.434~445 (2011), 성인간호학회
  25. 김윤선, "유방암 생존자의 삶의 질 영향요인", Asian Oncology Nursing, 11(3), pp.221~228 (2011), 대한종양간호학회
  26. Penttinen HM, "Quality of life and physical performance and activity of breast cancer patient after adjuvant treatments", Psychooncology, 20, pp.1211~1220 (2011)
  27. Robinson DW, "The prognostic significance of patient-reported outcomes in pancreatic cancer cachexia", J Support Oncol, 6, pp.283~290 (2008)
  28. So WK, "The symptom cluster of fatigue, pain, anxiety, and depression and the quality of life of women receiving treatment for breast cancer : a multicenter study", Oncol Nurs Forum, 35, pp.205~214 (2009)
  29. 위은숙, "위암 환자의 고통, 불안, 우울 및 영적 요구", Asian Oncology Nursing, 12(4), pp.314~322 (2012), 대한종양간호학회[DOI]
  30. Meisel JL, "Quality of life in long-term survivors of metastatic breast cancer", Clin Breast Cancer, 12, pp.119~126 (2012)

관련 논문AI추천

이 간행물의 다른 논문 (6건)