Factors Influencing the Improvement in Lifestyle Among Patients with Colorectal Cancer

Song Ok Lim; Sangeun Jun

doi:10.7475/kjan.2019.31.3.325

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Lim and Jun: Factors Influencing the Improvement in Lifestyle Among Patients with Colorectal Cancer

Original Article

Korean Journal of Adult Nursing 2019; 31(3): 325-336.

Published online: 20 June 2019

DOI: https://doi.org/10.7475/kjan.2019.31.3.325

Factors Influencing the Improvement in Lifestyle Among Patients with Colorectal Cancer

Song Ok Lim¹

, Sangeun Jun²

¹Nurse, Department of Nursing, Kyungpook National University Chilgok Hospital, Daegu, Korea.

²Associate Professor, College of Nursing, Keimyung University, Daegu, Korea.

Corresponding author: Jun, Sangeun. College of Nursing, Keimyung University, 1095 Dalgubeol-daero, Dalseo-gu, Daegu 42601, Korea. Tel: +82-53-258-7653, Fax: +82-53-258-7616, sejun2@kmu.ac.kr

Received 19 March 2019 Revised 18 May 2019 Accepted 5 June 2019

Korean Society of Adult Nursing

(open-access):

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

This study aimed to investigate the improvement in lifestyle of patients with Colorectal Cancer (CRC) by examining their lifestyle before and after diagnosis, and to identify the factors influencing lifestyle improvement to prevent the recurrence of CRC.

Methods

The participants were 125 patients with CRC who visited the outpatient clinic of Kyungpook National University Chilgok Hospital in Daegu from December 2017 to March 2018. Questionnaires consisted of items on CRC-related lifestyle, knowledge of lifestyle risks for CRC, beliefs of lifestyle improvement (perceived benefits and barriers), self-efficacy, and fear of cancer recurrence. Lifestyle improvement referred to the score given to the improved lifestyle through the score difference in the measure of lifestyle related to CRC before and after diagnosis. The collected data were analyzed using SPSS/WIN 21.0 program.

Results

The factors influencing lifestyle improvement were gender (β=.46, p<.001), age (β=.31, p<.001), knowledge of lifestyle risks for CRC (β=.20, p=.005), perceived benefits of lifestyle improvement (β=.19, p=.008), and number of discomforts(symptoms) that impede lifestyle improvement (β=.17, p=.016). These variables explained 38% of CRC patients' lifestyle improvement.

Conclusion

These findings suggest that we need to find ways to provide knowledge of the lifestyle risks for CRC to patients with CRC and improve their perceptions of the benefits of lifestyle improvement to promote lifestyle improvement and help prevent the recurrence of CRC after CRC diagnosis.

Keywords: Colorectal neoplasms, Recurrence, Life style, Knowledge, Health behavior

Figures and Tables

Table 1

Differences in Lifestyle Improvement according to General and Disease-related Characteristics of Patients with Colorectal Cancer (N=125)

^†Hypertension, hyperlipidemia, diabetes, heart disease, liver disease, kidney disease, etc.

Table 2

Lifestyle Improvement, Knowledge of Lifestyle Risks for Colorectal Cancer, Beliefs of Lifestyle Improvement, Self-efficacy, Fear of Cancer Recurrence in Patients with Colorectal Cancer (N=125)

Table 3

Correlations between Lifestyle Improvement, Knowledge of Lifestyle Risks for Colorectal Cancer, Beliefs of Lifestyle Improvement, Self-efficacy, Fear of Cancer Recurrence (N=125)

Table 4

The Factors Influencing Lifestyle Improvement in Patients with Colorectal Cancer (N=125)

CI=confidence interval; S.E.=standard error; ^†Dummy coded (reference)=Gender (women), Age (≥70 years), Number of discomforts (symptoms) that impede lifestyle improvement (≥2).

ACKNOWLEDGEMENT

This article is a condensed form of the first author's master's thesis from Keimyung University.

Notes

^{CONFLICTS OF INTEREST} The authors declared no conflict of interest.

^AUTHORSHIP

Study conception and design acquisition - LSO and JS.
Data collection - LSO.
Analysis and interpretation of the data - LSO and JS.
Drafting and critical revision of the manuscript - LSO and JS.

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ORCID iDs

Song Ok Lim
https://orcid.org/0000-0002-1139-8224

Sangeun Jun
https://orcid.org/0000-0002-1988-0357

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