Journal List > Asian Oncol Nurs > v.15(4) > 1081846

Boo: Self-care Agency and Quality of Life in Brain Tumor Patients after Surgery

Abstract

Purpose

This study evaluated the levels of self-care agency and quality of life and identified the effect of self-care agency on quality of life in brain tumor patients who had undergone surgical resection of brain tumors.

Methods

Data were collected from 131 patients who visited an outpatient clinic for postoperative regular check-ups. Self-care agency and quality of life were assessed via self-administered questionnaires. Data were analyzed with descriptive, univariate, and hierarchical regression analyses.

Results

The average scores for self-care agency and quality of life were 4.58 (possible range: 1~6) and 3.87 (possible range: 1~5) respectively. Social and thinking functions were the lowest among quality of life sub-scales. Education level was a significant correlate of quality of life in univariate analyses but not in multivariate analysis. Self-care agency accounted for 29.0% of the total variance in quality of life, controlling for education level.

Conclusion

Approaches focusing on enhancing self-care agency could potentially improve quality of life in postoperative brain tumor patients.

Figures and Tables

Table 1

Characteristics of Participants (N=131)

aon-15-211-i001
Characteristics n (%)
Gender Male 43 (32.8)
Female 88 (67.2)
Age (year) <40 44 (33.6)
40~49 41 (31.3)
50~59 35 (26.7)
≥60 11 (8.4)
Marital status Married and living together 102 (77.9)
Else 29 (22.1)
Education ≥College 63 (48.1)
≤High school 68 (51.9)
Employment Employed 68 (51.9)
Unemployed 63 (48.1)
Income (10,000 won) <200 30 (22.9)
200~ < 400 31 (23.7)
≥ 400 70 (53.4)
Smoking Yes 12 (9.2)
No 119 (90.8)
Diagnosis Meningioma 70 (53.4)
Vestibular schwannoma 25 (19.1)
Glioma 23 (17.6)
Else 13 (9.9)
Primary care giver Spouse 97 (74.0)
Parents 18 (13.7)
Children 9 (6.9)
Else 7 (5.4)
Hospital stay (days) ≤ 7 43 (32.8)
8~12 46 (35.1)
≥ 13 42 (32.1)
Complication Yes 29 (22.1)
No 102 (77.9)
Table 2

Levels of Self-care Agency and Quality of Life (N=131)

aon-15-211-i002
Variables Number of items M±SD F p Min Max
Self-care Agency 33 4.58 ± 0.61 2.33 5.94
Quality of life 49 3.87 ± 0.66 20.16 <.001 1.45 5.00
 Mobility 6 3.81 ± 0.90 1.00 5.00
 Language 5 3.88 ± 0.88 1.00 5.00
 Vision 3 4.14 ± 0.78 1.67 5.00
 Thinking function 3 3.53 ± 0.94 1.00 5.00
 Upper extremity function 5 4.15 ± 0.72 1.60 5.00
 Self-care 5 4.29 ± 0.70 1.00 5.00
 Energy 3 3.66 ± 0.91 1.00 5.00
 Mood 5 3.87 ± 0.75 1.60 5.00
 Personality 3 3.65 ± 0.83 1.33 5.00
 Family function 3 3.97 ± 0.83 1.33 5.00
 Social function 5 3.50 ± 0.96 1.00 5.00
 Work 3 3.75 ± 0.95 1.00 5.00
Table 3

Differences in Quality of Life by Characteristics (N=131)

aon-15-211-i003
Characteristics Categories Quality of life t or F p
Gender Male 3.85 - 0.27 .786
Female 3.88
Age (year) < 40 4.00 1.49 .220
40~49 3.86
50~59 3.80
≥ 60 3.58
Marital status Married and living together 3.89 0.50 .622
Else 3.81
Education ≥ College 4.00 2.13 .035
≤ High school 3.75
Employment Employed 3.96 1.49 .140
Unemployed 3.78
Income (10,000 won) < 200 3.79 0.79 .460
200~ < 400 3.80
≥ 400 3.94
Smoking Yes 3.71 0.67 .514
No 3.89
Diagnosis Meningioma 3.83 0.23 .870
Vestibular schwannoma 3.93
Glioma 3.94
Else 3.85
Primary care giver Spouse 3.90 1.21 .310
Parents 3.76
Children 3.60
Else 4.17
Hospital stay (days) ≤ 7 4.01 1.46 .236
8~12 3.81
≥ 13 3.80
Complication Yes 3.75 0.99 .328
No 3.91
Table 4

Correlations between Self-care Agency and Quality of Life (N =131)

aon-15-211-i004
Variables 1 Quality of Life (sub-scales) 14
2 3 4 5 6 7 8 9 10 11 12 13
1. Quality of Life (total) 1 .86 .72 .72 .68 .86 .81 .78 .84 .71 .87 .82 .86 .56
2. Mobility 1 .57 .59 .46 .84 .78 .60 .62 .51 .66 .64 .75 .46
3. Language 1 .73 .62 .55 .48 .43 .52 .43 .57 .43 .49 .41
4. Vision 1 .60 .59 .56 .47 .56 .42 .61 .40 .48 .36
5. Thinking 1 .46 .33 .55 .63 .51 .54 .46 .53 .42
6. Upper function 1 .88 .54 .65 .53 .70 .62 .72 .44
7. Self-care 1 .50 .58 .50 .70 .60 .67 .45
8. Energy 1 .73 .62 .69 .75 .67 .40
9. Mood 1 .69 .74 .70 .67 .43
10. Personality 1 .64 .57 .62 .43
11. Family function 1 .77 .75 .53
12. Social function 1 .81 .49
13. Work 1 .49
14. Self-care Agency 1

All p-values for correlation coefficients are<.001.

Table 5

Factors Affecting Quality of Life (N =131)

aon-15-211-i005
Variables Model 1 Model 2 Tolerance VIF
B β t p B β t p
Education level: ≥ College* 0.24 .18 2.13 .035 0.17 .13 1.75 .082 .989 1.011
Self-care agency 0.56 .54 7.35 < .001 .989 1.011
Model summary R2 = .03, F = 4.54, p = .035 R2 = .32, F = 30.19, p < .001

*Reference: ≤high school.

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