부부관계기능이 한국 여성 유방암 환자의 증상 인식 후 치료 지연에 미치는 영향
The Influence of Marital Relationship Functioning on Delayed Presentation of Breast Cancer Patient in Korea
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Objectives：Early detection and treatment of breast cancer has a high correlation with survival. Nevertheless, onethird of the patients who are newly diagnosed with breast cancer do not visit hospital within three months of recognizing their symptoms. This study was performed to determine the influence of marital relationship functioning on the time it takes patients with symptomatic breast cancer to present to hospital. Methods：Two hundred and sixteen post-operative breast cancer patients who were referred to the Stress Clinic at the Breast Cancer Center at Kyungpook National University Hospital were included. We divided the patients into two groups: early presentation(within three months), and delayed presentation(after three months) once a diagnosis of breast cancer is determined. Marital relationship functioning was evaluated with the Global Assessment of Relational Functioning(GARF) tool. Results：Fifty seven patients fell into the delayed presentation group(i.e. they presented to the Stress Clinic after three months). It was determined that advanced stage cancer was more prevalent in the delayed presentation group (p=0.035). Patient delay was associated with a higher level of dysfunctional marital relationship functioning(OR= 3.861, 95% CI=1.003-12.553). Conclusion：Dysfunctional marital relationship functioning was found to be an important factor associated with delayed presentation for the treatment of breast cancer.
Abstract
Objectives：Early detection and treatment of breast cancer has a high correlation with survival. Nevertheless, onethird of the patients who are newly diagnosed with breast cancer do not visit hospital within three months of recognizing their symptoms. This study was performed to determine the influence of marital relationship functioning on the time it takes patients with symptomatic breast cancer to present to hospital. Methods：Two hundred and sixteen post-operative breast cancer patients who were referred to the Stress Clinic at the Breast Cancer Center at Kyungpook National University Hospital were included. We divided the patients into two groups: early presentation(within three months), and delayed presentation(after three months) once a diagnosis of breast cancer is determined. Marital relationship functioning was evaluated with the Global Assessment of Relational Functioning(GARF) tool. Results：Fifty seven patients fell into the delayed presentation group(i.e. they presented to the Stress Clinic after three months). It was determined that advanced stage cancer was more prevalent in the delayed presentation group (p=0.035). Patient delay was associated with a higher level of dysfunctional marital relationship functioning(OR= 3.861, 95% CI=1.003-12.553). Conclusion：Dysfunctional marital relationship functioning was found to be an important factor associated with delayed presentation for the treatment of breast cancer.
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