Abstract
Purpose
This study was aimed to identify the influencing factors on the quality of life among breast cancer survivors.
Methods
The subjects were 159 female patients who visited out-patient department (OPD) after the mass removal surgery for breast cancer and had completed adjuvant treatments such as chemotherapy, radiation therapy at a university hospital and a general hospital. Data collection was conducted using the Ferrell QOL scale, the Mishel uncertainty scale, the Fitts & Osgoods body image scale revised by Jeon & Kim. the Rosenberg self-esteem scale, and the Kang family support scale.
Results
The level of QOL in the participants was in the middle. There were a significant correlation between QOL, uncertainty, self-esteem, and family support. There were significant differences in QOL with the perceived health condition and the best support person. In a regression analysis, the most powerful predictor of QOL was body image (21.7%). Altogether uncertainty and perceived health condition explained 28.6% of the variance of QOL of the participants.
References
1. 2009 cancer statistics. National Cancer Information Center. accessed on 1 september 2010. Available at: http://www.cancer.go.kr/cms/statics/incidence/index.html.
2. Allen JD, Savadatti S, Levy AG. The transition from breast cancer 'patients' to 'survivors'. Psychooncology. 2009. 18:71–78.
3. Bower JE, Ganz PA, Desmond KA, Rowland JH, Meyerowitz BE, Belin TR. Fatigue in breast cancer survivors: Occurrence, correlates, and impact on quality of life. J Clin Oncol. 2000. 18:743–753.
4. Dorval M, Maunsell E, Deshenes L, Brisson J, Masse B. Long-term quality of life after breast cancer; comparison of 8-year survivors with population controls. J Clin Oncol. 1998. 16:487–494.
5. Ferrell BR, Grant MM, Funk BM, Otis-Green SA, Garcia NJ. Quality of life in breast cancer survivors: implications for developing support services. Oncol Nurs Forum. 1998. 25:887–895.
6. Oh PJ. A structural model for health promotion and quality of life in people with cancer. J Nurs Acad Soc. 1996. 26:632–652.
7. Sammarco A. Quality of life, social support, and uncertainty among Latina breast cancer survivors. Oncol Nurs Forum. 2008. 35:844–849.
8. Jo KH, Son BK. The relationship of uncertainty, hope and quality of life in patients with breast cancer. J Korean Acad Nurs. 2004. 34:1184–1192.
9. Chae YR. Relationships of perceived health status, depression, and quality of life of breast cancer survivors. J Korean Acad Adult Nurs. 2005. 17:119–127.
10. Choi JS. Predictive factors of quality of life in mastectomy patients [master thesis]. 2007. Busan: Kosin Univ..
12. Mast ME. Survivors of breast cancer: illness uncertainty, positive reappraisal, and emotional distress. Oncol Nurs Forum. 1998. 25:555–562.
13. Stuart GW, Laraia MT. Principle and practices of psychiatric nursing. 1998. St, Louis: Mosby.
14. Hartl K, Janni W, Kastner R, Sommer H, Stauber M. Long-term quality of life, body image, and anxiety in women after breast cancer. Geburtshife und Frauenheikunde. 2003. 63:446–452.
15. Kang HS. Experimental study of the effects of reinforcement education for rehabilitation on hemiplegia patient's self care activities [dissertation]. 1985. Seoul: Yonsei Univ..
17. Suh YO. Predictors of quality of life in women with breast cancer. J Korean Acad Nurs. 2007. 37:459–466.
18. Ferrell BR, Dow KH, Leigh S, Gulasekaram P. Quality of life in long-term cancer surviors. Oncol Nurs Forum. 1995. 22:915–922.
19. Lee IS. Uncertainty, appraisal, and quality of life in patients with breast cancer across treatment phases [master thesis]. 2004. Seoul: Yonsei Univ..
20. Mishel MH. Uncertainty in illness, Image. J Nurs Scholarship. 1981. 20:225–232.
21. So HS. Changes on the uncertainty, ways of doing, and depression for patients with uterine cervical cancer during the early adaptation process: A longitudinal study [dissertation]. 1995. Seoul: Yonsei Univ.
22. Jeon JY, Kim HJ. A study on body image, spouse support, and psychosocial adjustment of patients in mastectomy. J Korean Acad Adult Nurs. 1996. 8:394–409.
23. Rosenberg M. Society and the adoliescent self-image [dissertation]. 1965. NJ: Princeton Univ..
24. Chon BJ. Self-esteem: a test of its measurability. Yonsei Med J. 1974. 11:107–124.
25. So HY, Min HS, Park SY. The quality of life of breast cancer patient. Chungnam J Nurs Acad . 2006. 9:93–100.
26. Wyatt G, Friedman LL. Long-term female cancer survivors: quality of life issues and clinical implications. Cancer Nurs. 1996. 19:1–7.
27. Hur HK, Kim DR, Kim DH. The relationship of treatment side effects, family support, and quality of life in patient with cancer. J Korean Acad Nurs. 2003. 33:71–78.
28. Byun TH, Lew JM, Cha SM, Jung PJ, Kim IG. A study on the perception of breast reconstruction in mastectomized patients. J Korean Soc Plast Reconstr Surg. 1994. 21:1225–1233.
29. Lee PS. A study on self-esteem, support, and quality of life in ostomates [master thesis]. 2009. Seoul: Ewha Women Univ..
30. Park SY. The change of quality of life, depression, and family support according to the process of treatment in breast cancer patients [master thesis]. 2005. Daejeon: Chungnam Univ..