우리나라 암 경험자의 삶의 질과 관련 요인
Quality of Life and Associated Factor among Cancer Survivors in Korea
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연구배경: 새로운 치료제의 개발과 효과적인 암 치료의발전으로 인해 암 생존율과 암 경험자의 수명 연장 및 삶의질이 높아졌다. 또한, 삶의 질은 현대 사회에서 암 경험자에게 가장 중요한 관심사가 되었다. 본 연구는 이러한 암경험자들의 삶의 질에 영향을 주는 요인에 대해 살펴보고자 한다. 방법: 본 연구는 제6기 국민영양조사(2013-2015)를 바탕으로 자료를 수집하였다. 19세 이상의 성인 총 16,522명의참여자 중에서 721명의 과거에 암 진단을 받은 환자가 분석에 포함되었다. 삶의 질은 EuroQoL-5D를 이용하여 운동능력, 자기관리, 일상활동, 통증/불편, 불안/우울 다섯 가지 항목을 평가하였다. 결과: 암 경험자는 일반 인구 및 다른 만성 질환자와 비교시 삶의 질이 더 낮다. 암 경험자 중 나이는 운동능력에큰 연관성이 있었다. 자기 관리는 나이, 여성, 소득수준, 동반질환 유무에 영향을 받았다. 소득수준이 높을수록 더 나은 자기 관리를 보였다. 일상활동 영역은 직업 유무, 스트레스, 동반질환 유무와 연관성이 있었다. 일상활동과 직업유무를 살펴볼 때, 직업이 없는 경우 더 일상활동이 떨어지는 것으로 나타났다. 통증/불편 영역은 여성, 교육수준, 스트레스와 관련성이 있었다. 교육수준이 높을수록 통증/불편이 더 낮게 나타났다. 불안/우울 영역은 나이, 여성, 스트레스와 연관성을 보였다. 결론: 암 경험자의 삶의 질을 높이기 위하여 의료인은 암경험자의 삶의 질에 영향을 주는 여러 요인들을 염두에 두고 적절한 치료를 해 나가는 것이 필요하다.
Abstract
Background:New and more effective treatments for cancer have resulted in individuals living longer with a better quality of life. Thus, the Quality of life (QoL) is now a major concern of cancer survivors. This study tried to identify the factors affecting the quality of life among cancer survivors. Methods: Data was collected from the sixth (2013-2015) National Health and Nutrition Survey. Among total 16,522 participants aged 19 years old or more, 721 cancer survivors who had any previous history of cancer were included in the analysis. QoL was measured using EuroQoL-5D which evaluated 5 domains including the problem of mobility, self-care, usual activity, pain, and anxiety. Results: Cancer survivors had lower QoL than the general population and participants with other chronic disease. Among cancer survivors, age had the strongest association with mobility. The problem of self-care was affected by age, female, income state, and comorbidity. More income had an impact on better self-care. The problem of usual activity was affected by job state, stress and comorbidity. There was a positive association between job status and the problem of usual activity. The problem of pain was related with female, education state, and stress. Higher education was associated with lower problem of pain. The problem of anxiety was in relation with age, female, and stress. Conclusions: To improve the QoL of cancer survivors, the appropriate intervention is needed for effective management considering the different factors which affect the QoL of the cancer survivors.
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