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Lee and Park: The Comparison of Health Promotion Behavior, Post Traumatic Growth and Quality of Life according to Stages of Survivorship in Patients with Female Genital Neoplasm
Original Research

Korean J Adult Nurs 2013;25(3):312-321.

Published online: 18 June 2013

DOI: https://doi.org/10.7475/KJAN.2013.25.3.312

The Comparison of Health Promotion Behavior, Post Traumatic Growth and Quality of Life according to Stages of Survivorship in Patients with Female Genital Neoplasm

Eun Sil Lee1, Jeong Sook Park2,

1Keimyung University Dongsan Medical Center, Daegu

2College of Nursing, Keimyung University, Daegu, Korea

Corresponding author: Park, Jeong Sook College of Nursing Keimyung University 2800 Dalgubeoldaero, Dalseo-gu, Daegu 704-701, Korea. Tel: +82-53-580-3907, Fax: +82-53-580-3949, E-mail: jsp544@kmu.ac.kr

Received 22 November 201219 June 2013       Accepted 23 June 2013

© 2013 Korean Society of Adult Nursing

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.

Abstract

Purpose

The purpose of this study was to compare health promotion behavior, post-traumatic growth and quality of life according to the stages of survivorship in patients with female genital neoplasm.

Methods

Data were collected from August 1st, 2011 to September 31st 2011 from 142 gynecologic cancer patients who completed treatment or were treated at an out-patient clinic. The instrument were HPLP developed by Walker, Sechrist & Pender, PTGI developed by Tedeschi & Calhoun, and Korean C-QOL.

Results

Health promotion behavior scores were significantly higher in the acute survival stage than the extended survival stage. Post-traumatic growth score was higher in the acute survival stage than the extended survival stage. The quality of life scores were higher in the lasting survival stage than the extended survival stage.

Conclusion

Gynecological cancer patients in the extended survival stage reported low scores of health promotion behavior, post-traumatic growth and quality of life. Intervention needed to be developed to improve health promotion behavior, post-traumatic growth and quality of life for patients with female genital neoplasm in the extended survival stage.

Keywords: Female genital neoplasm, Survivorship, Health promotion, Quality of life

REFERENCES

Bellizzi K. M.., Blank T. O.2006. Understanding the dynamics of post-traumatic growth in breast cancer survivors. Health Psychology. 25(1):47–56.
Bernhard H.., Georg K.., Martin K.., Roland M.., Handsjord S.., Martin D., et al. 2001. Quality of life in breast cancer patients-not enough attention for long term survivors. Psychosomatics. 42(1):117–23.
Cappiello M.., Cunningham R.., Knobf M.., Erdos D.2007. Breast cancer survivors information and support after treatment. Clinical Nursing Research. 16(4):278–293.
Cordova M. J.., Cunningham L. C.., Carlson C. R.2001. Posttraumatic growth following breast cancer: A controlled comparison study. Health Psychology. 20(3):176–185.
crossref
Ferrell B.1996. The quality of lives. Oncology Nursing Forum. 23(6):907–908.
Jeong K. S.2006. Relationship among body image, self-esteem and health promotion behavior in mastectomy patients. Unpublished master's thesis, Kosin University, Busan.
Kim E. K.2009. Health promotion, stress and quality of life in patients with gynecologic cancer patients. Unpublished master's thesis, Keimyung University, Daegu.
Kim Y. S.1999. The quality of life analysis in cervix cancer patients. Unpublished master's thesis, Han Yang University, Seoul.
Kim Y. S.2002. Factors affecting quality of life in breast cancer survivors. Unpublished master's thesis, Seoul National University, Seoul.
Knobf M. T.2002. The experience of premature menopause in women with early stage breast cancer. Nursing Research. 51(1):9–17.
Lee E. H.2007. Development and psychometric evaluation of a quality of life scale for Korean patients with cancer. Journal of Korean Academy of Nursing. 37(3):324–333.
Lim J.., Han I.2008. Comparison of quality of life on the stage of cancer survivorship for breast and gynecological cancer survivors. Journal of Korean Social Welfare. 60(1):5–27.
Mast M. E.1998. Survivors of breast cancer: Illness uncertainty, positive reappraisal, and emotional distress. Oncology Nursing Forum. 25(3):555–562.
Mols F.., Thong M. S.., Vreugdenhil G.., Lonneke V.2009. Longterm cancer survivors experience work changes after diagnosis: Results of a population-based study. Psychooncol-ogy. 18(12):1252–1260.
crossref
Mullen F.1995. Seasons of survival: Reflection of a physician with cancer. The New England Journal of Medicine. 26(3):270–273.
National Cancer Information Center. 2010. Cancer survival statistics. Retrieved December 5, 2009, from. http://www.cancer.go.kr.
National Cancer Institute Office of Cancer Survivorship. 2011. About survivorship research: Survivorship definition. Retrieved May 12, 2011.http://dccps.nci.nih.gov/ocs.
Oh B. J.1994. A structural model for health promotion and quality of life in people with cancer. Journal of Korean Academy of Nursing. 26(3):632–652.
crossref
Park J. S.2002. The effects of an women's health promotion program on health promotion lifestyles, health status and quality of life in the service system. Journal of Korean Academy of Nursing. 34(3):1194–1204.
Park S. M.., Lim M. K.., Jung K. W.., Shin S. A.., Yoo K. Y.., Yun Y. H., et al. 2007. Prediagnosis smoking, obesity, insulin resistance, and second primary cancer risk in cancer survivors: National Health Insurance Corporation Study. Journal of Clinical Oncology. 25(30):4835–4843.
Pender N. J.., Pender A. R.1987. Health promotion in nursing practice. 2nd ed.Norwalk, CT: Appleton and Lange.
Sammarco A.2008. Quality of life, social support, and uncertainty among Latin breast cancer survivors. Oncology Nursing Forum. 35(5):844–849.
Shin H. W.., Noh D. Y.2009. Correlates of existential wellbeing and their association with health-related quality of life in breast cancer survivors compared with the general population. Breast Cancer Research & Treatment. 118(1):139–150.
crossref
Tedeschi R. G.., Calhoun L. G.1996. The posttraumatic growth inventory: Measuring the positive legacy of trauma. Journal of Traumatic Stress. 9(3):455–472.
crossref
Tedeschi R. G.., Calhoun L. G.2004. Posttraumatic growth: Conceptual foundations and empirical evidence. Psychological Inquiry. 15(1):1–18.
The Korean Association of Obstetricians and Gynecologists. 2010. Annual report of gynecologic cancer registry program in Korean for 2004. Korean Journal of Obstetrics and Gynecology. 21(3):151–162.
Thornton A. A.2002. Perceiving benefits in the cancer experience. Journal of Clinical Psychology in Medical Settings. 9(2):153–165.
Walker S. N.., Sechrist K. R.., Pender N. J.1987. Health-promoting lifestyle profile: Development and psychometric characteristics. Nursing Research. 36(2):74–81.
Weiss T.2004. Posttraumatic growth in women with breast cancer and their husbands: An intersubjective validation study. Journal of Psychosocial Oncology. 20(2):65–80.
Wendy D. W.., Beredis P. R.., Colleen M.., Isaac L.., Elizabeth C.2000. Current health behaviors and readiness to pursue lifestyle changes among men and women diagnosed with early stage breast carcinomas. American Cancer Society. 88(3):674–684.
Yang A. J.2009. Mindfulness, positive cancer coping styles, and posttraumatic growth in breast cancer survivor-the mediating effect of positive coping styles. Unpublished master's thesis, Ewha Womans University. Seoul.
Yun Y. H.2005. Assessment and research of quality of life in gynecologic cancer patients. Korean Journal of Obstetrics and Gynecology. 16(3):182–187.
crossref

Table 1.
General Characteristics according to Stages of Survivorship in Gynecologic Cancer Patients (N=142)
Characteristics Categories Acute SS (n=38) Extended SS (n=58) Lasting SS (n=46) Total (n=142) x2 p
n (%) n (%) n (%) n (%)
Age (year) 20~39 2 (5.3) 9 (15.5) 3 (6.5) 14 (9.9) 25.53 ＜.001
40~49 19 (50.0) 12 (20.7) 7 (15.3) 38 (26.8)
50~59 15 (39.4) 26 (44.8) 18 (39.1) 59 (41.6)
≥60 2 (5.3) 11 (19.0) 18 (39.1) 31 (21.8)
Education level ≤Elementary school 3 (7.9) 10 (17.2) 12 (26.1) 25 (17.6) 8.55 .200
Middle school 9 (23.7) 15 (25.9) 15 (32.7) 39 (27.5)
High school 17 (44.7) 24 (41.4) 11 (23.9) 52 (36.6)
≥University 9 (23.7) 9 (15.5) 8 (17.4) 26 (18.3)
Marital status Non married 5 (13.2) 6 (10.3) 6 (13.1) 17 (12.0) 4.21 .378
Married 29 (76.3) 45 (77.6) 29 (63.0) 103 (72.5)
Divorce and others 4 (10.5) 7 (12.1) 11 (23.9) 22 (15.5)
Job Yes 19 (50.0) 21 (36.2) 13 (28.3) 53 (37.3) 4.25 .119
No 19 (50.0) 37 (63.8) 33 (71.7) 89 (62.7)
Religion Yes 31 (81.6) 36 (62.1) 33 (71.7) 100 (70.4) 4.25 .119
No 7 (18.4) 22 (37.9) 13 (28.2) 42 (29.6)
Monthly income (10,000 won) ＜100 8 (21.1) 12 (20.7) 21 (45.7) 41 (28.9) 14.18 .028
100~199 9 (23.7) 21 (36.2) 12 (26.0) 42 (29.6)
200~299 10 (26.3) 16 (27.6) 5 (10.9) 31 (21.8)
≥300 11 (28.9) 9 (15.5) 8 (17.4) 28 (19.7)

SS=survival stage.

Table 2.
Disease Characteristics according to Stages of Survivorship in Gynecologic Cancer Patients (N=142)
Characteristics Categories Acute SS (n=38) Extended SS (n=58) Lasting SS (n=46) Total (n=142) x2 p
n (%) n (%) n (%) n (%)
Diagnosis Cervical cancer 13 (34.2) 25 (43.1) 23 (50.0) 61 (43.0) 13.82 .032
Endometrial cancer 12 (31.6) 12 (20.7) 13 (28.3) 37 (26.1)
Ovarian cancer 6 (15.8) 1 (1.7) 2 (4.3) 9 (6.3)
Others cancer 7 (18.4)) 20 (34.5) 8 (17.4) 35 (24.6)
Recurrence Yes 3 (7.9) 19 (32.8) 6 (13.0) 28 (19.7) 10.88 .004
No 35 (92.1) 39 (67.2) 40 (87.0) 114 (80.3)
Treatment method Surgery 9 (23.7) 21 (36.2) 10 (21.7) 40 (28.1) 13.44 .036
Chemotherapy 7 (18.4) - 6 (13.0) 13 (9.2)
Surgery+Chemotherapy+R adiation therapy 17 (44.7) 27 (46.6) 19 (41.4) 63 (44.4)
Other (hormone therapy, radiation therapy) 5 (13.2) 10 (17.2) 11 (23.9) 26 (18.3)
Disease stage Stage I 18 (47.4) 32 (55.2) 21 (45.7) 71 (50.1) 3.06 .801
Stage II 11 (28.8) 12 (20.7) 11 (23.9) 34 (23.9)
Stage III 8 (21.1) 13 (22.4) 11 (23.9) 32 (22.5)
Stage IV 1 (0.7) 1 (1.7) 3 (6.5) 5 (3.5)
Perceived health status activity Asymptomatic normal 17 (44.7) 26 (44.8) 31 (67.4) 74 (52.1) 6.96 .138
Normal activity but job impossible 18 (47.4) 29 (50.0) 14 (30.4) 61 (43.0)
Simple job possible 3 (7.9) 3 (5.2) 1 (2.2) 7 (4.9)
Cost burden Patient 12 (31.6) 23 (39.7) 15 (32.6) 50 (35.2) 3.54 .471
Spouse 21 (55.2) 24 (41.4) 19 (41.3) 64 (45.1)
Parents, children, others 5 (13.2) 111 (18.9) 12 (26.1) 28 (19.7)
Economic level High 18 (47.4) 26 (44.8) 19 (41.3) 63 (44.4) 0.69 .952
Middle 17 (44.7) 29 (50.0) 24 (52.2) 70 (49.3)
Low 3 (7.9) 3 (5.2) 3 (6.5) 9 (6.3)
Table 3.
Health Promotion Behavior, Post Traumatic Growth & Quality of Life according to Stages of Survivorship in Gynecologic Cancer Patients (N=142)
Characteristics Categories Acute SSa (n=38) Extended SSb (n=58) Lasting SSc (n=46) Total F p Tukey HSD
M±SD M±SD M±SD M±SD
Health promoting behavior Nutrition 2.86±0.57 2.51±0.52 2.67±0.61 2.66±0.58 2.76 .067  
Physical activity 3.07±0.68 2.78±0.59 2.93±0.71 2.90±0.66 1.01 .366
Stress management 2.90±0.58 2.57±0.56 2.69±0.72 2.70±0.63 1.75 .178
Interpersonal relations 2.92±0.61 2.38±0.56 2.65±0.71 2.61±0.66 4.84 .009 b＜a
Health responsibility 2.84±0.66 2.34±0.59 2.63±0.73 2.57±0.68 4.93 .009 b＜a
Spiritual growth 2.73±0.67 2.27±0.62 2.55±0.75 2.48±0.70 2.99 .054  
Total 2.87±0.50 2.45±0.52 2.67±0.66 2.65±0.59 3.58 .030 b＜a
Post traumatic growth Appreciation for life 3.57±0.98 3.00±1.08 3.37±1.25 3.27±1.13 2.35 .099  
New possibilities 3.27±1.45 2.67±1.18 3.13±1.07 2.98±1.13 2.94 .056
Personal strength 3.24±0.95 2.59±1.45 3.30±1.20 3.00±1.16 5.90 .003 b＜a, c
Spiritual change 3.71±1.19 3.15±1.34 3.60±1.14 3.44±1.17 2.57 .080  
Relating to others 3.43±1.10 2.94±1.11 3.34±1.12 3.20±1.13 1.97 .143
Total 3.40±0.95 2.83±1.08 3.31±1.05 3.18±1.05 3.50 .033 b＜a
Quality of life Physical status 2.56±0.82 2.49±0.86 2.82±0.74 2.61±0.82 2.55 .082  
Emotional status 2.48±1.08 2.48±0.86 3.07±0.80 2.67±0.94 7.88 .001 a, b＜c
Social status 2.03±1.03 1.95±0.96 2.22±1.06 2.06±1.01 1.47 .233  
Concern status 1.37±1.17 1.41±1.16 2.29±1.28 1.69±1.27 11.76 ＜.001 a, b＜c
Coping function 2.93±0.66 2.36±0.86 2.46±0.96 2.55±0.87 3.79 .025 b, c＜a
Total   2.42±0.56 2.28±0.63 2.69±0.56 2.31±0.63 7.82 .001 b＜c
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