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삶의 목적과 건강 관련 삶의 질과의 연관성: 유방암 환자에서의 단면 연구

Association between purpose in life and health-related quality of life: A cross-sectional study in patients with breast cancer

김두영|김다함|박시운|이일균|한형욱
기독교학문연구회 (Korea Association For Christian Scholarship)|2022.12|신앙과 학문 (faith & scholarship)|제27권 제4호|pp. 199-219|DOI 10.30806/fs.27.4.202212.199

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참고문헌

키워드

재활삶의 질quality of life유방암rehabilitationpsychology심리holistic health전인건강breast neoplasms
주제분류학제간연구

초록

본 연구의 목적은 유방암 환자의 삶의 목적과 건강 관련 삶의 질 사이의 연관성을 조사하는 것이다. 유방암 수술 후 1 년 이내 환자의 의무 기록을 후향적으로 검토하였다. 심리적 평가에는 불안, 우울, 자기 효능감 및 삶의 목적이 포함되었고, 건강 관련 삶의 질은 유럽 암 연구 및 치료기구(European Organization for Research and Treatment of Cancer Quality of Life)에서 개발한 설문지 EORTC QLQ-C30을 사용하여 평가하였다. 유방암 환자 91명이 분석에 포함되었다. 참가자들은 삶의 목적 검사 결과에 따라 2군으로 분류되었다. 높은 삶의 목적군(삶의 목적 점수 100 이상)은 낮은 삶의 목적군(삶의 목적 점수 100 미만)보다 자기 효능감 점수가 유의하게 높았고 불안 및 우울 점수는 유의하게 낮았다. 건강 관련 삶의 질 점수는 높은 삶의 목적군에서 전반적 건강 상태, 정서적 기능, 인지 기능 항목에서 유의하게 높은 점수를 보였다. 삶의 목적은 나이, 암 병기, 수술 유형, 항암 화학 요법 여부 및 유산소 능력을 통제한 후에도 전반적 건강 상태와 유의한 연관성을 보였다. 본 연구의 결과 삶의 목적은 유방암 환자의 불안, 우울 및 자기 효능감 등 심리적 기능과 관련이 있을 뿐 아니라 건강 관련 삶의 질과도 연관성이 있는 것으로 나타났다.

Abstract

The purpose of this study is to investigate the association between purpose in life and health-related quality of life after breast cancer surgery. We retrospectively reviewed the medical records of the patients with breast cancer within 1 year after surgery. Psychological evaluation included anxiety, depression, self-efficacy and purpose in life. Health-related quality of life was assessed using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30. Ninety-one subjects with breast cancer were included in the study. Participants were divided into 2 groups according to the result of purpose in life measure. The high purpose in life group (≥100 in purpose in life scale) showed higher self-efficacy score and lower anxiety and depression scores than the low purpose in life group (<100). With regard to health-related quality of life, the high purpose in life group showed significantly higher scores in global health status, emotional and cognitive functioning. Purpose in life was significantly associated with global health status after adjusting for age, stage, type of surgery, chemotherapy and aerobic capacity. Purpose in life is associated with health-related quality of life as well as other psychological functions such as anxiety, depression and self-efficacy in subjects with breast cancer.

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