추적 기간에 따른 유방암 생존자들의 디스트레스와 삶의 질
Distress and Quality of Life for Breast Cancer Survivors during Follow-Up Periods in Korea
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Purpose: Few studies have reported postdiagnosis differences in distress and quality of life (QOL) for breast cancer (BC) survivors. Here we investigated the differences in distress and QOL for BC survivors in Korea, during follow-up. Methods: Completed questionnaires were collected from 179 BC survivors in 2013. Functional Assessment of Cancer Therapy-Breast was administered to measure the distress and Distress Thermometer and Problem List was administered to measure the QOL. Results: The mean QOL score was 96.69 (standard deviation, ±20.33). Seventy-nine patients (44.1%) with distress-test scores >4 were assigned to the severe distress group. The patient group with higher family income had high QOL score (p=0.008). In addition, QOL scores were significantly higher in patients who lived longer after diagnosis (p=0.016). Patients at high TNM stage had low QOL scores (p=0.006). Furthermore, older patients tended to have high distress scores (p=0.028). Based on duration of the postdiagnosis period, we divided the patients into two groups. Seventy patients had a postdiagnosis period <2 years; 109 patients, postdiagnosis period ≥2 years. Distress score of the under-2-year group (4.26±2.73) was significantly higher (p=0.044) than that of the longer-than-2-year group (3.47±2.42). Conclusion: BC survivors showed improvement in physical well-being, emotional well-being, and functional well-being domain of QOL over time. However, social well-being and BC subscale score were only slightly improved over time. It is possible that cancer patients’ supporting programs are focused on the recently diagnosed patients or those currently undergoing treatment. Therefore, more support should be made available to long-term BC survivors.
Abstract
Purpose: Few studies have reported postdiagnosis differences in distress and quality of life (QOL) for breast cancer (BC) survivors. Here we investigated the differences in distress and QOL for BC survivors in Korea, during follow-up. Methods: Completed questionnaires were collected from 179 BC survivors in 2013. Functional Assessment of Cancer Therapy-Breast was administered to measure the distress and Distress Thermometer and Problem List was administered to measure the QOL. Results: The mean QOL score was 96.69 (standard deviation, ±20.33). Seventy-nine patients (44.1%) with distress-test scores >4 were assigned to the severe distress group. The patient group with higher family income had high QOL score (p=0.008). In addition, QOL scores were significantly higher in patients who lived longer after diagnosis (p=0.016). Patients at high TNM stage had low QOL scores (p=0.006). Furthermore, older patients tended to have high distress scores (p=0.028). Based on duration of the postdiagnosis period, we divided the patients into two groups. Seventy patients had a postdiagnosis period <2 years; 109 patients, postdiagnosis period ≥2 years. Distress score of the under-2-year group (4.26±2.73) was significantly higher (p=0.044) than that of the longer-than-2-year group (3.47±2.42). Conclusion: BC survivors showed improvement in physical well-being, emotional well-being, and functional well-being domain of QOL over time. However, social well-being and BC subscale score were only slightly improved over time. It is possible that cancer patients’ supporting programs are focused on the recently diagnosed patients or those currently undergoing treatment. Therefore, more support should be made available to long-term BC survivors.
참고문헌 (18)
- "Cancer facts & figures 2015"[URL]
- Head BA, "Use of the Distress Thermometer to discern clinically relevant quality of life differences in women with breast cancer", Qual Life Res, 21, pp.215~223 (2012)
- Manning-Walsh J, "Social support as a mediator between symptom distress and quality of life in women with breast cancer", J Obstet Gynecol Neonatal Nurs, 34, pp.482~493 (2005)
- Lee ES, "Health-related quality of life in survivors with breast cancer 1 year after diagnosis compared with the general population: a prospective cohort study", Ann Surg, 253, pp.101~108 (2011)
- Ganz PA, "Physical and psychosocial recovery in the year after primary treatment of breast cancer", J Clin Oncol, 29, pp.1101~1109 (2011)
- Den Oudsten BL, "Determinants of overall quality of life in women over the first year after surgery for early stage breast cancer", Qual Life Res, 18, pp.1321~1329 (2009)
- Shim EJ, "Distress and its correlates in Korean cancer patients: pilot use of the distress thermometer and the problem list", Psychooncology, 17, pp.548~555 (2008)
- Yoo HJ, "Korean translation and validation of the functional assessment of cancer therapy-breast (FACT-B) scale version 4", Qual Life Res, 14, pp.1627~1632 (2005)
- Jeffe DB, "The effects of surgery type and chemotherapy on early-stage breast cancer patients’ quality of life Oover 2-year follow-up", Ann Surg Oncol, 23, pp.735~743 (2016)
- 권은진, "한국 유방암 생존자들의 디스트레스와 삶의 질", Asian Oncology Nursing, 12(4), pp.289~296 (2012), 대한종양간호학회[DOI]
- Ploos van Amstel FK, "Distress screening remains important during follow-up after primary breast cancer treatment", Support Care Cancer, 21, pp.2107~2115 (2013)
- Montazeri A, "Quality of life in patients with breast cancer before and after diagnosis: an eighteen months follow-up study", BMC Cancer, 8, pp.330~ (2008)
- 서연옥, "유방암 환자의 삶의 질 영향요인", Journal of Korean Academy of Nursing, 37(4), pp.459~466 (2007), 한국간호과학회
- Avis NE, "Quality of life among younger women with breast cancer", J Clin Oncol, 23, pp.3322~3330 (2005)
- So WK, "Anxiety, depression and quality of life among Chinese breast cancer patients during adjuvant therapy", Eur J Oncol Nurs, 14, pp.17~22 (2010)
- Mosher CE, "A review of age differences in psychological adjustment to breast cancer", J Psychosoc Oncol, 23, pp.101~114 (2005)
- 박병우, "Quality of Life Differences between Younger and Older Breast Cancer Patients", Journal of Breast Cancer, 14(2), pp.112~118 (2011), 한국유방암학회
- 이윤수, "유방완전절제술을 받은 여성의 심리사회적 경험:자조집단 참여자 중심으로", 한국사회복지학, 59(3), pp.99~124 (2007), 한국사회복지학회[DOI]