식도암 수술 환자의 우울과 연하관련 삶의 질
Depression and Dysphagia-Specific Quality of Life in Patients Who Have Undergone Esophageal Cancer Surgery
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Objective: Depression is commonly seen in patients who have undergone surgery for esophageal cancer. The purpose of this study was to describe the degree of depression and dysphagia-specific quality of life (QoL) in patients who underwent surgery for esophageal cancer, to identify the relationship between depression and dysphagia-specific QoL and to find the factors affecting dysphagia-specific QoL. Methods: This study is a descriptive correlation study. The participants were 132 patients who had undergone esophageal cancer surgery at a university hospital in Seoul. Data were collected through a questionnaire from September 2022 to May 2023. The Korean version of the Center for Epidemiologic Studies Depression Scale Revised (K-CESDR) and Dysphagia-specific QoL questionnaire were used. Data were analyzed using the t-test, one-way ANOVA, Pearson correlation, and multiple linear regression. Results: Forty-six (34.8%) participants showed a risk of depression and the mean dysphagia-specific QoL score was 65.83 (±15.83). There was a significant correlation between depression and the dysphagia-specific QoL. Factors that significantly affect the dysphagia-specific QoL were found to be marital status (β=−.16, P=.037), number of complications and level of discomfort (β=−.17, P=.036), depression (β=−.35, P＜.001), time elapsed post-surgery, and elapsed period over 3 years or post operative elapsed period (over 3 years) (β=.29, P＜.001). Among these factors, depression (β=−.35, P＜.001) had the maximum influence on dysphagia-specific QoL. Conclusion: Depression has a significant effect on the dysphagia-specific QoL of patients who underwent surgery for esophageal cancer. Therefore, it is necessary to develop proper interventions to reduce depression, complications, and the resultant discomfort associated with the surgery. We suggest developing more valid tools for measuring the dysphagia-specific QoL for cancer surgery patients.
Abstract
Objective: Depression is commonly seen in patients who have undergone surgery for esophageal cancer. The purpose of this study was to describe the degree of depression and dysphagia-specific quality of life (QoL) in patients who underwent surgery for esophageal cancer, to identify the relationship between depression and dysphagia-specific QoL and to find the factors affecting dysphagia-specific QoL. Methods: This study is a descriptive correlation study. The participants were 132 patients who had undergone esophageal cancer surgery at a university hospital in Seoul. Data were collected through a questionnaire from September 2022 to May 2023. The Korean version of the Center for Epidemiologic Studies Depression Scale Revised (K-CESDR) and Dysphagia-specific QoL questionnaire were used. Data were analyzed using the t-test, one-way ANOVA, Pearson correlation, and multiple linear regression. Results: Forty-six (34.8%) participants showed a risk of depression and the mean dysphagia-specific QoL score was 65.83 (±15.83). There was a significant correlation between depression and the dysphagia-specific QoL. Factors that significantly affect the dysphagia-specific QoL were found to be marital status (β=−.16, P=.037), number of complications and level of discomfort (β=−.17, P=.036), depression (β=−.35, P＜.001), time elapsed post-surgery, and elapsed period over 3 years or post operative elapsed period (over 3 years) (β=.29, P＜.001). Among these factors, depression (β=−.35, P＜.001) had the maximum influence on dysphagia-specific QoL. Conclusion: Depression has a significant effect on the dysphagia-specific QoL of patients who underwent surgery for esophageal cancer. Therefore, it is necessary to develop proper interventions to reduce depression, complications, and the resultant discomfort associated with the surgery. We suggest developing more valid tools for measuring the dysphagia-specific QoL for cancer surgery patients.
참고문헌 (36)
- Annual report of cancer statistics in Korea in 2020, "Korea Central Cancer Registry", Ministry of Health and Welfare, ~ (2022)
- "24 Carcinomas, time of cancerization, gender 5-year relative survival rate statistics" (2023)[URL]
- Jung HK, "Epidemiology of and risk factors for esophageal cancer in Korea", Korean J Helicobacter Up Gastrointest Res, 19, pp.145~148 (2019)[DOI]
- Lou F, "Esophageal cancer recurrence patterns and implications for surveillance", J Thorac Oncol, 8, pp.1558~1562 (2013)[DOI]
- Short MW, "Esophageal cancer", Am Fam Physician, 95, pp.22~28 (2017)
- Uhlenhopp DJ, "Epidemiology of esophageal cancer : update in global trends, etiology and risk factors", Clin J Gastroenterol, 13, pp.1010~1021 (2020)[DOI]
- Kim S, "The prevalence of smoking and its implications for tobacco control polices in South Korea", Health Welf Policy Forum, 307, pp.6~22 (2022)[DOI]
- Korea Health Statistics 2021: Korea National Health and Nutrition Examination Survey (KNHANES VIII-3), "Korea Disease Control and Prevention Agency (KDCA)", KDCA, ~ (2022)
- Watanabe M, "Recent progress in multidisciplinary treatment for patients with esophageal cancer", Surg Today, 50, pp.12~20 (2020)[DOI]
- Chevallay M, "Esophageal cancer surgery : review of complications and their management", Ann N Y Acad Sci, 1482, pp.146~162 (2020)[DOI]
- Borggreve AS, "Surgical treatment of esophageal cancer in the era of multimodality management", Ann N Y Acad Sci, 1434, pp.192~209 (2018)[DOI]
- Benz C, "Factors resulting in postoperative dysphagia following esophagectomy : a narrative review", J Thorac Dis, 13, pp.4511~4518 (2021)[DOI]
- Toh Y, "Health-related quality of life after esophagectomy in patients with esophageal cancer", Esophagus, 19, pp.47~56 (2022)[DOI]
- Bouras G, "The psychological impact of symptoms related to esophagogastric cancer resection presenting in primary care : a national linked database study", Eur J Surg Oncol, 43, pp.454~460 (2017)[DOI]
- Ju YH, "Distress and quality of life in patients with esophageal cancer", Asian Oncol Nurs, 18, pp.40~46 (2018)[DOI]
- Hellstadius Y, "A longitudinal assessment of psychological distress after oesophageal cancer surgery", Acta Oncol, 56, pp.746~752 (2017)[DOI]
- Yang YS, "Comparison of long-term quality of life in patients with esophageal cancer after Ivor-Lewis, Mckeown, or Sweet esophagectomy", J Gastrointest Surg, 23, pp.225~231 (2019)[DOI]
- Chen AY, "The development and validation of a dysphagia-specific quality-of-life questionnaire for patients with head and neck cancer : the M. D. Anderson dysphagia inventory", Arch Otolaryngol Head Neck Surg, 127, pp.870~876 (2001)
- Kim MS, "The risk of dysphagia and dysphagia-specific quality of life among community dwelling older adults in senior center", Korean J Adult Nurs, 26, pp.393~402 (2014)[DOI]
- "The effects of the oral care program for improving swallowing function of the elderly using welfare centers on depression, self efficacy, subjective oral health status and swallowing related quality of life", J Korean Acad Community Health Nurs, 31, pp.166~178 (2020)[DOI]
- Han MA, "The effects of electrical stimulation treatment(VitalStim)on SWAL-QOL in stroke with dysphagia", J Korean Acad Dysphagia Rehabil, 2, pp.38~46 (2010)
- Kim JY, "Factors influencing swallowing-related quality of life in patients with dysphagia", JKAIS, 17, pp.421~431 (2016)[DOI]
- Gillespie MB, "Swallowing-related quality of life after head and neck cancer treatment", Laryngoscope, 114, pp.1362~1367 (2004)[DOI]
- Plowman-Prine EK, "The relationship between quality of life and swallowing in Parkinson’s disease", Mov Disord, 24, pp.1352~1358 (2009)[DOI]
- Radloff LS, "The CES-D scale : a self-report depression scale for research in the general population", Appl Psychol Meas, 1, pp.385~401 (1977)[DOI]
- Eaton WW, "The use of psychological testing for treatment planning and outcomes assessment: instruments for adults. 3rd ed. Vol. 3, Instruments for adults", pp.363~377 (2004), Routledge
- Lee S, "Validation of the Korean version of Center for Epidemiologic Studies Depression Scale-Revised(K-CESD-R)", Korean J Psychosom Med, 24, pp.83~93 (2016)
- Schulz U, "Long-term effects of spousal support on coping with cancer after surgery", J Soc Clin Psychol, 23, pp.716~732 (2004)[DOI]
- Kauppila JH, "Medical and surgical complications and health-related quality of life after esophageal cancer surgery", Ann Surg, 271, pp.502~508 (2020)[DOI]
- Katz A, "Long-term quality of life after esophagectomy for esophageal cancer", Ann Thorac Surg, 115, pp.200~208 (2023)[DOI]
- Wormald JC, "Does the site of anastomosis for esophagectomy affect long-term quality of life?", Dis Esophagus, 29, pp.93~98 (2016)[DOI]
- Hellstadius Y, "Aspects of emotional functioning following oesophageal cancer surgery in a populationbased cohort study", Psychooncology, 24, pp.47~53 (2015)[DOI]
- Verschuur EM, "Experiences and expectations of patients after oesophageal cancer surgery : an explorative study", Eur J Cancer Care(Engl), 15, pp.324~332 (2006)[DOI]
- Renna ME, "Depression and anxiety in colorectal cancer patients : ties to pain, fatigue, and inflammation", Psychooncology, 31, pp.1536~1544 (2022)[DOI]
- Wi ES, "Distress, depression, anxiety, and spiritual needs of patients with stomach cancer", Asian Oncol Nurs, 12, pp.314~322 (2012)[DOI]
- Komatsu H, "Nurse counseling for physical activity in patients undergoing esophagectomy", Gastroenterol Nurs, 41, pp.233~239 (2018)[DOI]