aon Asian Oncology Nursing Asian Oncol Nurs 2287-2434 2287-447X Korean Oncology Nursing Society 10.5388/aon.2017.17.4.213 aon-17-213 Original Article Relationships among Hope, Self-care Agency and Quality of Life of Female Oncology Patients with Lymphedema BaeKa Ryeong 1 ImYoung Soon 2 NohGie Ok 3 SonYoojung 4 SeoHan Gil 4 Samsung Advanced Institute for Health Science & Technology, Sungkyunkwan University, Seoul, South Korea Department of Nursing, Kyungbuk College, Yeongju, South Korea Department of Nursing, Konyang University, Daejeon, South Korea Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul, South Korea Address reprint requests to: Im, Young Soon Department of Nursing, Kyungbuk College 77, Deahakro, Yeongju-si, Gyeongsangbuk-do 36133, Korea Tel: +82-54-630-5149 Fax: +82-54-632-5142 E-mail: cathrina@daum.net 122017 5122017 174 213219 09Nov2017 20Dec2017 26Dec2017 Copyright © 2017 Korean Ophthalmological Society 2017 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Purpose

The purpose of this study was to investigate the relationships among hope, self-care agency and quality of life of female oncology patients with lymphedema.

 Methods

From May 2014 to April 2016, questionnaire responses of 102 patients diagnosed with secondary lymphedema were collected. The data of 100 patients were analysed using the IBM SPSS Statistics 21.0 program.

 Results

There was a statistically significant correlation between hope and self-care agency. Self-care agency increased when participants had higher hope (r=.44, p<.001). Moreover, participants with higher Physical Component Summary (PCS) scores also had higher Mental Component Summary (MCS) scores (r=.77, p<.001).

 Conclusion

Educational programs and organized support for improving hope and PCS are needed to increase self-care agency and MCS of female cancer patients with secondary lymphedema.

 Neoplasms Lymphedema Hope Self Care Quality of Life REFERENCES National Cancer Information Center (KR) What is lymphedema? [Internet] Available from https://www.cancer.go.kr/lay1/S1T426C427/contents.do [Accessed October 5, 2017]. Park JH Comparisons of physiological and psychosocial symptoms for breast cancer patients with and without lymphedema J Korean Acad Adult Nurs. 20061835766 Kang SH Hwang KH Sim YJ Jeong HJ Lee TH Kim SH The prevalence and risk factors of lower limb lymphedema in the patients with gynecologic neoplasms Korean J Obstet Gynecol. 20095281520 The Korean Society of Internal Medicine, Harrison's Internal Medicine Editorial Committee Harrison's internal medicine 17th ed. Seoul MIP 2010 Cho MO Jung HM Jun JY Sohn SK Yoo YJ No MY A study on self-care among the lymphedema patients J Korean Acad Adult Nurs. 20031538392 Jung HM Cho MO Factors influencing the emotional state of patients with lymphedema J Korean Acad Nurs. 20063684552 Hamilton R Thomas R Renegotiating hope while living with lymph-oedema after cancer: a qualitative study Eur J Cancer Care (Engl). 20162582231 Herth K Abbreviated instrument to measure hope: development and psychometric evaluation J Adv Nurs. 19921712519 Tae YS Choi YS Nam GH Bae JY Development of the hope scale for Korean cancer patients Korean J Adult Nurs. 20172921123 Orem DE Taylor SG Renpenning KM Nursing: concepts of practice 6th ed. St. Louis, MO Mosby 2001 Park HS Oh SJ Park KY A study on nursing care and self-care of lymphedema in mastectomy patients J Korean Acad Adult Nurs. 20061838694 Mak SS Mo KF Suen JJ Chan SL Ma WL Yeo W Lymphedema and quality of life in Chinese women after treatment for breast cancer Eur J Oncol Nurs. 2009131105 Rowlands IJ Beesley VL Janda M Hayes SC Obermair A Quinn MA Quality of life of women with lower limb swelling or lymphedema 3–5 years following endometrial cancer Gynecol Oncol. 20141333148 Yu SY Kim JH Lower limb lymphedema and quality of life in gynecologic cancer patients Asian Oncol Nurs. 201717208 Han KH Kim MH A study on the relationship between hope and self-care agency in hemodialysis patients Korean J Rehabil Nurs. 20014 13745 Boo S Self-care agency and quality of life in brain tumor patients after surgery Asian Oncol Nurs. 2015152118 Han SS Shin IS Kim YJ Factors that influence quality of life in cancer patients Korean J Health Promot Dis Prev. 200993340 Tae YS Youn S Effect of a forgiveness nursing intervention program on hope and quality of life in woman cancer patients J Korean Oncol Nurs. 2006611120 Geden E Taylor S Self-as carer: a preliminary evaluation. Proceedings of the Seventh Annual Nursing Research Conference Columbia, MO: University of Missouri-Columbia School of Nursing 1988 Jung Y The relationship between self-care agency and quality of life of cancer patients J Korean Acad Adult Nurs. 19935188201 Ware JE Jr Sherbourne CD The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection Med Care. 19923047383 Ryu EJ Lee JM Choi SY The relationships of pain cognition, performance status, and hope with health-related quality of life in cancer patients J Korean Acad Adult Nurs. 20071915565 Tae YS Kim MY Influencing factors on hope among patients with breast cancer J Korean Oncol Nurs. 200998694 Byun JG Lee JP Park JY Kim YM Lee EH Chang KH Factors influencing quality of life of cervical cancer patients in Korea Korean J Obstet Gynecol. 200949256372 Kim SI Lim MC Lee JS Lee Y Park K Joo J Impact of lower limb lymphedema on quality of life in gynecologic cancer survivors after pelvic lymph node dissection Eur J Obstet Gynecol Reprod Biol. 2015192316 Langbecker D Hayes SC Newman B Janda M Treatment for upper-limb and lower-limb lymphedema by professionals specializing in lymphedema care Eur J Cancer Care (Engl). 20081755764 Song HJ Hyun MY Lee EJ Hope, self-care agency and mental health in patients with chronic schizophrenia J Korean Acad Psychiatr Ment Health Nurs. 2011201807 Park GY Study on the hope, resilience, ability to self-care, and quality of life hemodialysis patients [dissertation] Seoul Hanyang Univ. 2016 Figures and Tables

Differences of Hope, Self-care agency and Quality of Life according to General Characteristics (N =100)

Characteristics Categories n (%) Hope Self-care agency Quality of life – PCS Quality of life – MCS
M ± SD t or F (p) M ± SD t or F (p) M ± SD t or F (p) M ± SD t or F (p)
Age (year) 19~39 a 52 (52.0) 36.36 ± 6.84 1.50 154.88 ± 19.52 1.49 45.61 ± 9.63 4.43 39.47 ± 11.88 9.38
40~59 b 43 (43.0) 34.08 ± 7.68 (.228) 147.84 ± 23.36 (.230) 52.51 ± 13.19 (.014) 50.33 ± 17.64 (＜.001)
60~79 c 5 (5.0) 37.56 ± 7.56 144.96 ± 21.44 54.25 ± 21.59 a＜ b∗ 61.47 ± 17.53 a＜ b, c∗
Religion Yes 85 (85.0) 35,76 ± 7.20 1.11 152.00 ± 20.80 0.81 49.10 ± 12.33 0.17 45.48 ± 15.41 0.35
No 15 (15.0) 33.48 ± 7.56 (.268) 147.20 ± 24.00 (.419) 48.52 ± 13.04 (.869) 43.90 ± 20.15 (.728)
Living with partner Yes 76 (76.0) 36.24 ± 7.08 2.13 154.24 ± 20.48 2.51 47.61 ± 12.34 -2.04 43.86 ± 16.25 -1.53
No 24 (24.0) 32.76 ± 7.44 (.036) 142.08 ± 21.76 (.014) 53.44 ± 11.66 (.044) 49.60 ± 15.11 (.129)
Education level ≤ Middle school 29 (29.0) 33.72 ± 8.04 1.10(.336) 148.48 ± 26.24 0.34(.711) 51.80 ± 10.60 1.08(.343) 48.37 ± 14.94 1.09(.341)
High school 39 (39.0) 35.88 ± 6.96 152.96 ± 18.88 48.26 ± 14.03 45.33 ± 18.56
≥ College 32 (32.0) 36.36 ± 6.96 152.00 ± 19.20 47.39 ± 11.64 42.29 ± 13.64
Occupation Yes 27 (27.0) 35.88 ± 6.60 0.38 152.32 ± 20.48 0.31 45.59 ± 8.35 -2.09 40.60 ± 10.56 -2.20
No 73 (73.0) 35.28 ± 7.56 (.707) 151.04 ± 21.76 (.758) 50.27 ± 13.39 (.040) 46.95 ± 17.47 (.031)
Monthly house income (10,000 won) ＜100 a 13 (13.0) 35.64 ± 7.92 2.86 153.92 ± 17.60 2.08 52.55 ± 9.48 2.29 51.91 ± 14.85 1.39
100~200 b 18 (18.0) 32.88 ± 7.20 (.041) 143.36 ± 26.24 (.107) 54.51 ± 7.53 (.083) 48.39 ± 12.00 (.250)
201~300 c 21 (21.0) 33.12 ± 5.76 146.24 ± 19.52 47.01 ± 9.49 42.49 ± 12.21
≥300 d 48 (48.0) 37.44 ± 7.44 155.84 ± 20.16 46.86 ± 14.81 43.45 ± 18.75
Type of cancer Breast cancer 75 (75.0) 35.52 ± 7.56 0.24 151.68 ± 20.48 0.26 47.95 ± 12.78 -1.50 45.17 ± 16.72 -0.07
Gynecological cancer 25 (25.0) 35.16 ± 6.72 (.808) 150.40 ± 23.68 (.796) 52.20 ± 10.67 (.137) 45.44 ± 14.42 (.945)
Lymphedema site Upper limb 71 (71.0) 35.52 ± 7.56 0.22 151.68 ± 20.80 0.29 47.93 ± 12.87 -1.47 45.10 ± 16.82 -0.14
Lower limb 29 (29.0) 35.16 ± 6.60 (.823) 150.40 ± 23.04 (.772) 52.07 ± 10.48 (.144) 45.63 ± 14.16 (.887)
Operation Yes 92 (92.0) 35.76 ± 7.20 1.15 152.96 ± 20.16 2.44 49.29 ± 12.53 0.77 45.11 ± 16.45 -0.27
No 8 (8.0) 32.64 ± 8.52 (.253) 134.08 ± 26.88 (.017) 45.78 ± 10.56 (.445) 46.73 ± 12.16 (.786)
Chemotherapy Yes 91 (91.0) 35.40 ± 7.32 -0.23 151.04 ± 21.44 -0.35 48.83 ± 12.57 -0.46 45.09 ± 16.30 -0.30
No 9 (9.0) 36.00 ± 8.64 (.821) 153.60 ± 21.12 (.731) 50.83 ± 10.69 (.645) 46.79 ± 14.65 (.763)
Radiation therapy Yes 71 (71.0) 35.28 ± 8.64 -0.43 152.32 ± 20.16 0.68 49.02 ± 13.16 0.02 46.23 ± 16.94 0.97
No 29 (29.0) 36.00 ± 7.68 (.667) 149.12 ± 24.32 (.496) 48.98 ± 10.41 (.986) 42.80 ± 13.81 (.336)

Scheffé post hoc.

Descriptive Statistics of Hope, Self-care Agency, and Quality of Life (N =100)

Variables M ± SD Range
Hope 35.18 ± 6.67 12~48
Self-care agency 151.32 ± 21.32 32~192
Quality ot life: PCS 49.01 ± 12.38 0~100
 PCS Physical functioning (PF) 43.40 ± 22.76 0~100
 Role-physical (RP) 47.94 ± 30.11 0~100
 Role-physical (RP) Bodily pain (BP) 52.10 ± 21.99 0~100
 Bodily pain (BP) General health (GH) 52.60 ± 17.14 0~100
Quality ot life: MCS 45.24 ± 16.10 0~100
 MCS Vitality (VT) 48.30 ± 17.87 0~100
 Social functioning (SF) 52.38 ± 16.64 0~100
 Role-emotional (RE) 40.08 ± 33.66 0~100
 Mental health (MH) 40.20 ± 18.90 0~100

PCS= Physical component summary; MCS= Mental component summary.

Correlation among Hope, Self-care Agency, and Quality of Life (N =100)

Variables　 Hope Self-care agency Quality of life: PCS Quality of life: MCS
r (p) r (p) r (p) r (p)
Self-care agency .44 (＜.001) 1    
Quality of life: PCS -.05 (.615) -.13 (.210) 1  
Quality of life: MCS -.02 (.881) -.15 (.135) .77 (＜.001) 1

PCS= Physical component summary; MCS= Mental component summary.