Factors Influencing Rehabilitation among Cancer Survivors

Jooyeon Park; Nahyun Kim

doi:10.7475/kjan.2017.29.5.463

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Park and Kim: Factors Influencing Rehabilitation among Cancer Survivors

Original Article

Korean J Adult Nurs 2017;29(5):463-471.

Published online: 9 October 2017

DOI: https://doi.org/10.7475/kjan.2017.29.5.463

Factors Influencing Rehabilitation among Cancer Survivors

Jooyeon Park, MSN, RN, Nahyun Kim, Ph.D., RN

College of Nursing, Keimyung University, Daegu, Korea

Corresponding author: Kim, Nahyun College of Nursing, Keimyung University, 1095 Dalgubeol-daero, Daegu 42601, Korea. Tel: +82-53-580-3928, Fax: +82-53-580-3916, E-mail: drkim@kmu.ac.kr

Received 16 June 201711 October 2017 Accepted 22 October 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.

Abstract

Purpose

The objective of the study was to identify impact of depression, fatigue, family support, and resilience on rehabilitation among cancer survivors.

Methods

One hundred and twenty-four participants who visited an outpatient department were recruited from a university hospital in Korea. An inclusion criterion was no reported relapse following the primary cancer treatment. Data were collected from July 1st to August 31st, 2014. Data analysis included an independent t-test, ANOVA, Pearson correlation coefficients and multiple regression using the SPSS 19.0 program.

Results

Rehabilitation of those with colon and breast cancer was significantly correlated with depression, fatigue, family support and resilience. In a regression analysis, cancer rehabilitation accounted for 79.2% of the variance of depression, fatigue, monthly household income and resilience. The most significant factor affecting the success of rehabilitation was depression (β=-0.39, p<.001).

Conclusion

The results of the study indicate the importance of managing depression for the successful rehabilitation of cancer survivors. Nurses should prioritize the development and implementation of effective interventions for the improvement of rehabilitation among cancer survivors.

Keywords: Neoplasms, Survivors, Rehabilitation

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Table 1.

Differences in Cancer Rehabilitation by Participant's Characteristics (N=124)

Characteristics	Categories	n (%)	M± SD	t or F (p)
Age (year)	≤49	13 (10.5)	90.08±13.94	1.23 (.303)
	50~59	29 (23.4)	94.14±16.02
	60~69	29 (23.4)	91.10±21.56
	≥70	53 (42.7)	86.32±18.45
Gender	Male	53 (42.7)	90.87±19.71	0.63 (.529)
Gender	Female	71 (57.3)	88.76±17.83
Types of cancer	Breast	33 (26.6)	84.27±16.95	-1.99 (.049)
Types of cancer	Colon	91 (73.4)	91.62±18.55
Level of education	≤ Elementary school	41 (33.1)	82.05±18.84	4.69 (.004)
	Junior high school	23 (18.5)	90.70±19.63
	High school	39 (31.5)	92.21±16.05
	≥ College	21 (16.9)	98.67±15.28
Spouse	Present	91 (73.4)	92.60±17.35	3.06 (.003)
Spouse	None	33 (26.6)	81.55±18.88
Job	Present	22 (17.7)	97.59±18.63	2.27 (.025)
Job	None	102 (82.3)	87.95±17.94
Religion	Present	54 (43.5)	90.83±17.24	0.62 (.535)
Religion	None	70 (56.5)	88.76±19.26
Monthly household income	100~199	42 (33.9)	80.05±16.38	15.69 (＜.001)
	200~299	23 (18.5)	86.39±19.92
	300~399	24 (19.4)	88.25±17.06
	≥400	35 (28.2)	104.31±9.94
Treatment	Op	14 (11.3)	86.86±25.88	1.69 (.171)
	Op+CTx	60 (48.4)	93.38±18.14
	Op+CTx+RT	45 (36.3)	86.38±15.40
	Op+CTx+RT+HT	5 (4.0)	82.40±17.47
Recurrence or metastasis	None	89 (71.8)	89.65±18.54	1.15 (.319)
	Recurrence	12 (9.7)	83.17±21.61
	Metastasis	23 (18.5)	93.09±15.54
Activity level compared to time before onset of cancer	No change	23 (18.5)	100.26±16.88	26.64 (＜.001)
	A small reduction	75 (60.5)	92.96±15.21
	Reduction ≥50%	26 (21.0)	70.77±14.72

Op=operation; CTx=chemotherapy; RT=radiation therapy; HT=hormone therapy.

Table 2.

Level of Fatigue, Depression, Family Support, Resilience, and Cancer Rehabilitation (N=124)

Variables (numbers of item)	M± SD	Range (min-max)
Fatigue (22)	71.54±55.67	0~186
Depression (20)	39.30±10.38	22~64
Family support (11)	44.96±9.57	19~55
Resilience (25)	93.29±15.20	56~123
Cancer rehabilitation (40)	89.66±18.63	41~116

Table 3.

Relationships between Research Variables (N=124)

Variables	Fatigue	Depression	Family support	Resilience	Cancer rehabilitation
	r (p)	r (p)	r (p)	r (p)	r (p)
Fatigue		.86 (＜.001)	-.46 (＜.001)	-.68 (＜.001)	-.82 (＜.001)
Depression			-.60 (＜.001)	-.82 (＜.001)	-.86 (＜.001)
Family support				.52 (＜.001)	.54 (＜.001)
Resilience					.76 (＜.001)
Cancer rehabilitation

Table 4.

Factors associated with Cancer Rehabilitation (N=124)

Variables	B	SE	β	t	p	VIF
Depression	-0.68	0.19	-.39	-3.65	＜.001	6.38
Fatigue	-0.11	0.03	-.33	-3.98	＜.001	3.86
Monthly household income^†	5.67	1.93	.14	2.93	.004	1.29
Resilience	0.19	0.09	.16	2.20	.029	3.03
	R²=.792, Adjusted R²=.785, F=113.14, p＜.001

^† Dummy variable.

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