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Lee, Eom, Song, Chae, and Lam: Factors Influencing Quality of Life in Patients with Gastrointestinal Neoplasms
Original Article
Journal of Korean Academy of Nursing

Journal of Korean Academy of Nursing 2008; 38(5): 649-655.

Published online: 30 October 2008

DOI: https://doi.org/10.4040/jkan.2008.38.5.649

Factors Influencing Quality of Life in Patients with Gastrointestinal Neoplasms

Eun Ok Lee1, Aeyong Eom2, Rhayun Song3, Young Ran Chae4, Paul Lam5

1Emeritus Professor, College of Nursing, Seoul National University, Seoul, Korea.

2Full time Instructor, Department of Nursing, Margaret Pritchard University, Jeonju, Korea.

3Associate Professor, Department of Nursing, Chungnam National University, Daejeon, Korea.

4Associate Professor, Department of Nursing, Kangwon National University, Chuncheon, Korea.

5Conjoint Lecturer, Department of Family Medicine, University of New South Wales, Sydney, Australia.

Address reprint requests to: Eom, Aeyong. Department of Nursing, Margaret Pritchard University, 168-1 ga Junghwasan-dong, Wansan-gu, Jeonju 560-714, Korea. Tel: 82-63-230-7766, Fax: 82-63-231-7790, libby1024@mpu.ac.kr

Received 10 April 2008       Accepted 29 September 2008

Copyright © 2008 Korean Society of Nursing Science

Abstract

Purpose

The purpose of this study was to identify the factors influencing quality of life after analyzing the relationship between depression, health promotion and quality of life in patients with gastrointestinal neoplasms.

Methods

The subjects of this study were 63 people who underwent treatments from 2 general hospitals in Seoul and Daejeon and had no recurrence in stages I & II of gastrointestinal neoplasms. Data was collected from March 1 to April 30, 2006. A questionnaire consisting of Center for Epidemiologic Studies Depression (CES-D), Health Promoting Lifestyle Profile II (HPLP II) and Functional Assessment of Cancer Therapy-Colorectal (FACT-C) was given. The collected data was analyzed with the SPSS program which was used for descriptive statistics, Pearson correlation coefficients and hierarchical multiple regression.

Results

The major findings of this study were as follows: 1) There was a significant relationship between depression (r=-.639, p=.000), health promotion (r=.407, p=.001) and quality of life. 2) Significant factors were depression (F=-4.091, p=.000) and health promotion (F=2.375, p=.021) that explained 46% of quality of life (F=10.022, p=.000).

Conclusion

Cancer patients experienced extreme depression which led to a negative effect on quality of life. Health promotion was an important variable to the quality of life and it gave the patients motivation for having a will and belief for better health.

Keywords: Gastrointestinal neoplasms, Depression, Health promotion, Quality of life

Figures and Tables

Table 1
General Characteristics of the Subjects (N=63)
jkan-38-649-i001
Table 2
Correlations between Demographic, Depression, Health Promotion and Quality of Life (N=63)
jkan-38-649-i002

*Dummy coded: 1=female; CES-D=Center for Epidemiologic Studies Depression Scale; HPLP II=Health Promoting Lifestyle Profile II; Pwb=physical well being; Swb=social/family well being; Ewb=emotional well being; Fwb=functional well being; Ccc=colorectal cancer concerns; FACT-C=functional assessment of cancer therapy scales for colorectal cancer.

Table 3
The Predictors of Quality of Life (N=63)
jkan-38-649-i003

*Dummy coded: 1=female; CES-D=Center for Epidemiologic Studies Depression Scale; HPLP II=Health Promoting Lifestyle Profile.

Notes

This work was supported by the Korea Research Foundation Grant funded by the Korean Government (MOEHRD) (KRF-2005-042-E00168).

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