본문 바로가기
KERD
논문KCI 등재

유방암 생존자와 중년여성의 갱년기 증상 및 인지기능 비교

Comparison of Climacteric Symptoms and Cognitive Impairment in Breast Cancer Survivors and Healthy Women

0

조회

0

다운로드

9

인용

0

참고문헌

키워드

주제분류간호학

초록

Purpose: This study was to compare climacteric symptoms and cognitive impairment in breast cancer survivors (n=51) and healthy women (n=51). Methods: This study was conducted from January 4th, 2012 to February 16th, 2012. We individually matched healthy women to breast cancer survivors based on age and education, and assessed a questionnaire regarding climacteric symptoms and cognitive impairment. Data were analyzed by using χ2, t-test, and Pearson correlation with the SPSS/Win 12.0 program. Results: The average score for the climacteric symptoms (19.71) was significantly different (t=-2.78, p=.006) to the average for the breast cancer survivors (15.53). The average cognitive impairment score for the breast cancer survivors (86.37) was significantly different (t=-2.45,p=.016) to the average score for the healthy women (67.92). The climacteric symptoms score showed a significant relationship with cognitive impairment. Conclusion: These results support that adjuvant chemotherapy and anti-hormone therapy are associated with climacteric symptoms and adverse cognitive effects in breast cancer survivors.

Abstract

Purpose: This study was to compare climacteric symptoms and cognitive impairment in breast cancer survivors (n=51) and healthy women (n=51). Methods: This study was conducted from January 4th, 2012 to February 16th, 2012. We individually matched healthy women to breast cancer survivors based on age and education, and assessed a questionnaire regarding climacteric symptoms and cognitive impairment. Data were analyzed by using χ2, t-test, and Pearson correlation with the SPSS/Win 12.0 program. Results: The average score for the climacteric symptoms (19.71) was significantly different (t=-2.78, p=.006) to the average for the breast cancer survivors (15.53). The average cognitive impairment score for the breast cancer survivors (86.37) was significantly different (t=-2.45,p=.016) to the average score for the healthy women (67.92). The climacteric symptoms score showed a significant relationship with cognitive impairment. Conclusion: These results support that adjuvant chemotherapy and anti-hormone therapy are associated with climacteric symptoms and adverse cognitive effects in breast cancer survivors.

참고문헌 (30)

  1. Hess LM, "Chemotherapy related change in cognitive function : A conceptual model", Oncol Nurs Forum, 34, pp.971~980 (2007)
  2. Brem S, "Management of treatment-related symptoms in patients with breast cancer : Current strategies and future directions", Clin J Oncol Nurs, 15, pp.63~71 (2011)
  3. Biglia N, "Effects of surgical and adjuvant therapies for breast cancer on sexuality, cognitive functions, and body weight", J Sex Med, 7, pp.1891~1900 (2010)
  4. Mols F, "Quality of life among long-term breast cancer survivors : A systematic review", Eur J Cancer, 41, pp.2613~2619 (2005)
  5. Vearncombe KJ, "Predictors of cognitive decline after chemotherapy in breast cancer patients", J Int Neuropsychol Soc, 15, pp.951~962 (2009)
  6. Weiss B, "Evaluation of multiple neurotoxic outcomes in cancer chemotherapy", Adv Exp Med Biol, 678, pp.96~112 (2010)
  7. Biegler KA, "Cancer, cognitive impairment, and mediation", Acta Oncol, 48, pp.18~26 (2009)
  8. Ah DV, "Cognitive dysfunction and it’s relationship to quality of life in breast cancer survivors", Oncol Nurs Forum, 36, pp.326~334 (2009)
  9. Moon JM, "Menopause symptoms, fatigue, and quality of life in post-chemotherapy breast cancer survivors", pp.2009
  10. Jansen CE, "Preliminary results of a longitudinal study of changes in cognitive function in breast cancer patients undergoing chemotherapy with doxorubicin and cyclophosphamide", Psycho-oncology, 17, pp.1189~1195 (2008)
  11. Vardy J, "Cognitive function in breast cancer survivors", Cancer Treat Res, 151, pp.1451~1467 (2009)
  12. Bender CM, "Cognitive impairment associated with adjuvant therapy in women with breast cancer", Psycho-oncology, 15, pp.422~430 (2006)
  13. Hermelink K, "Cognitive function during neoadjuvant chemotherapy for breast cancer : Results of a prospective, multicenter, longitudinal study", Cancer, 109, pp.1905~1913 (2007)
  14. Nelson CJ, "Chemotherapy and cognitive deficit : Mechanisms, findings, and potential interventions", Palliat Support Care, 5, pp.273~280 (2007)
  15. Jenkins V, "A 3-year prospective study of the effects of adjuvant treatment on cognition in women with early stage breast cancer", Br J Cancer, 94, pp.828~834 (2006)
  16. Calvio L, "Measures of cognitive function and work in occupationally active breast cancer survivors", J Occup Environ Med, 52, pp.219~227 (2010)
  17. Schilling V, "Self reported cognitive problems in women receiving adjuvant therapy for breast cancer", Eur J Oncol Nurs, 11, pp.6~15 (2007)
  18. Catherine EJ, "A metaanalysis of the sensitivity of various neuropsychological test used to detect chemotherapy induced cognitive impairment in patients with breast cancer", Oncol Nurs Forum, 34, pp.997~1005 (2007)
  19. Phillips KA, "Do aromatase inhibitors have adverse effects on cognitive function?", Breast Cancer Res, 13, pp.203~ (2011)
  20. Falleti MG, "The nature and severity of cognitive impairment associated with adjuvant chemotherapy in women breast cancer : A meta-analysis of the current literature", Brain Cogn, 59, pp.60~70 (2005)
  21. Wefel JS, "Acute and late onset cognitive dysfunction associated with chemotherapy in women with breast cancer", Cancer, 116, pp.3348~3356 (2010)
  22. Jo HS, "A comparative study on climacteric symptoms of natural menopausal women and artificial menopausal women", J Korean Acad Nurs, 31, pp.692~700 (2001)
  23. Development of the cognitive function scale for breast cancer patients, "Chung BY", Ministry of Education, Science and Technology, ~ (2011)
  24. Carpente JS, "Hot flashes and related outcomes in breast cancer survivors and matched comparison women", Oncol Nurs Forum, 29, pp.16~25 (2002)
  25. Crandall C, "Association of breast cancer and it’s therapy with menopause-related symptoms", Menopause, 11, pp.519~530 (2004)
  26. Lejbak L, "Endocrine therapy is associated with low performance on some estrogen-sensitive cognitive task in postmenopausal women with breast cancer", J Clin Exp Neuropsychol, 32, pp.836~846 (2010)
  27. Ganz PA, "Breast cancer, menopause, and long term survivorship : Clitical issue for the 21st century", Am J Med, 118, pp.1365~1415 (2005)
  28. Yun MR, "Menopausal symptoms and menstrual changes in breast cancer survivors treated with adjuvant chemotherapy", pp.2004
  29. Silverman DHS, "Cognitive dysfunction associated with chemotherapy for breast cancer", Future Neurol, 2, pp.271~277 (2007)
  30. Victor WH, "Cognitive changes after menopause : Influence of estrogen", Clin Obstet Gynecol, 51, pp.618~626 (2008)

관련 논문AI추천

이 간행물의 다른 논문 (6건)