Change of the Self-care Agency and Quality of Life after Craniotomy among Patients with Brain tumor according to time

Su Youn Lee; Se Na Jung; Su Min Jung; Hyun Jin Cho; Hye Kyung Kim

doi:10.5388/aon.2019.19.3.117

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Lee, Jung, Jung, Cho, and Kim: Change of the Self-care Agency and Quality of Life after Craniotomy among Patients with Brain tumor according to time

Original Article

Asian Oncology Nursing 2019; 19(3): 117-125.

Published online: 30 September 2019

DOI: https://doi.org/10.5388/aon.2019.19.3.117

Change of the Self-care Agency and Quality of Life after Craniotomy among Patients with Brain tumor according to time

Su Youn Lee¹

, Se Na Jung¹

, Su Min Jung¹

, Hyun Jin Cho¹

, Hye Kyung Kim²

¹Solid Tumor Center, Seoul St. Mary's Hospital, Seoul, Korea.

²Department of Nursing, Seoul St. Mary's Hospital, Seoul, Korea.

Address reprint requests to: Lee, Su Youn. Seoul St. Mary's Hospital, B1 Solid Tumor Center, 505 Banpodong, Seocho-gu, Seoul 06591, Korea. Tel: +82-2-2258-2796, Fax: +82-2-2258-2780, eupnea20@naver.com

Received 22 May 2019 Revised 21 June 2019 Accepted 9 September 2019

Korean Oncology Nursing Society

(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-nd/4.0/) 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 identify the self-care agency and quality of life (QOL) among patients with brain tumors after craniotomy.

Methods

A sample of 96 patients was recruited from a university hospital in Seoul. Data were collected through a structured questionnaire from August 2017 to December 2018. Data were analyzed with descriptive statistics, t-tests, ANOVA, Pearson correlations and multiple regression analyses with SPSS 24.0, IBM.

Results

The mean scores of the 1st and 2nd stages in the self-care agency increased from 4.75 to 5.15, and in the quality of life rose from 67.94 to 78.60. The score of the second stage was higher than the first in all sub-scales of the self-care agency and the quality. Physical function was the only sub-scale of the self-care agency that affected quality of life in both stages (1st: β=.71, p<.001, 2nd : β=.77, p<.001).

Conclusion

Based on the result, to improve QOL with brain tumor after craniotomy, it is important to assess physical function of patients and provide appropriate interventions.

Keywords: Brain tumor, Craniotomy, Self-care agency, Quality of life

Figures and Tables

Table 1

Differences in Self-care Agency, Quality of life according to General and Clinical Characteristics (N= 96)

^*Scheffé test; 1^st time= Postoperative 5~7 days; 2^nd time= Postoperative 12 (±1) wks.

Table 2

Change of Level of Self-care Agency and Quality of Life of Patients according to the Process of Surgery (N= 96)

1^st time= Postoperative 5~7 days; 2^nd time= Postoperative 12 (±1) wks; Self-care agency includes cognitive aspects of self-care, physical skills, judgement & decisional making process physical skills, information-seeking behaviors, perception of self-monitoring and attention to self-management.

Table 3

Correlations between Self-care Agency and Quality of Life (N= 96)

1^st time= Postoperative 5~7 days; 2^nd time= Postoperative 12 (±1) wks.

Table 4

Factor Influencing Self-care Agency on Quality of Life according to the Process of Surgery (N= 96)

1^st time= Postoperative 5~7 days; 2^nd time= Postoperative 12 (±1) wks; VIF= Variance inflation factor: 1^st time result was adjusted by diagnosis, 2^nd time result was adjusted by neurological disorders after operation, experience of re-operation and complication after operation.

References

1. Dho YS, Jung KW, Ha J, Seo Y, Park CK, Won YJ, et al. An updated nationwide epidemiology of primary brain tumors in Republic of Korea, 2013. Brain Tumor Res Treat. 2017; 5:16–23.

2. Lapointe S, Perry A, Butowski NA. Primary brain tumors in adults. Lancet. 2018; 392:432–446.

3. Yoshida S, Morii K. The role of surgery in the treatment of brain metastasis: a retrospective review. Acta Neurochir (Wien). 2004; 146:767–770.

4. National Cancer Information Center (KR). Cancer statistics:survival and prevalence rate 2010 ~ 2015 [Internet]. Accessed June 11, 2019. Available from: http://www.cancer.go.kr.

5. Litofsky NS, Resnick AG. The relationships between depression and brain tumors. J Neurooncol. 2009; 94:153–161.

6. Kim SJ. The cognitive function and health-related quality of life in patients with glioblastoma throughout the stage of treatment [dissertation]. Seoul: Yonsei Univ.;2013.

7. Rozmovits L, Khu KJ, Osman S, Gentili F, Guha A, Bernstein M. Information gaps for patients requiring craniotomy for benign brain lesion: a qualitative study. J Neurooncol. 2010; 96:241–247.

8. Taphoorn MJ, Sizoo EM, Bottomley A. Review on quality of life issues in patients with primary brain tumors. Oncologist. 2010; 15:618–626.

9. Park JH. The relationships of depression and family support, self-esteem of brain tumor patients [dissertation]. Seoul: Yonsei Univ.;2011.

10. Mauer M, Stupp R, Taphoorn MJ, Coens C, Osoba D, Marosi C, et al. The prognostic value of health-related quality-of-life data in predicting survival in glioblastoma cancer patients: results from an international randomised phase III EORTC Brain Tumour and Radiation Oncology Groups, and NCIC Clinical Trials Group study. Br J Cancer. 2007; 97:302–307.

11. Boo S. Self-care agency and quality of life in brain tumor patients after surgery. Asian Oncol Nurs. 2015; 15:211–218.

12. Feys HM, De Weerdt WJ, Selz BE, Cox Steck GA, Spichiger R, Vereeck LE, et al. Effect of a therapeutic intervention for the hemiplegic upper limb in the acute phase after stroke: a single-blind, randomized, controlled multicenter trial. Stroke. 1998; 29:785–792.

13. Lee MS. Relationships between self-care agency and quality of life of head and neck cancer patients following surgery [dissertation]. Seoul: Ewha Womans Univ.;2004.

14. Jung Y. The relationship between self-care agency and quality of life of cancer patients. J Korean Acad Adult Nurs. 1993; 5:188–201.

15. Kim JH, Choi JH. Postoperative changes in body weight, anxiety, depression, and quality of life after radical gastrectomy among patients with gastric cancer. Asian Oncol Nurs. 2014; 14:139–145.

16. Komatsu H, Watanuki S, Koyama Y, Iino K, Kurihara M, Uesugi H, et al. Nurse counseling for physical activity in patients undergoing esophagectomy. Gastroenterol Nurs. 2018; 41:233–239.

17. Geden E, Taylor S. Construct and empirical validity of the self-as-carer inventory. Nurs Res. 1991; 40:47–50.

18. So HS. Testing construct validity of self-as-carer inventory and its predictors. J Korean Acad Adult Nurs. 1992; 4:147–161.

19. Yun YH, Park YS, Lee ES, Bang SM, Heo DS, Park SY, et al. Validation of the Korean version of the EORTC QLQ-C30. Qual Life Res. 2004; 13:863–868.

20. Cho SH, Yun KS, Jung S. Factors influencing self-efficacy, grit, symptom clusters on self-care agency in brain neoplasms patients. Asian Oncol Nurs. 2018; 18:188–197.

21. Bae JM, Shim MS. A study on self-care agency and quality of life in patients with heart valve surgery. J Korea Acad Ind Coop Soc. 2011; 12:3978–3983.

22. Orem DE, Taylor SG, Renpenning KM. Nursing: concepts of practice. St. Louis, MO: Mosby;2001.

23. Lee YW. A study of quality of life in middle-aged men. J Korean Acad Nurs. 2002; 32:539–549.

24. Lee HO, Kim KS. Health-care utilization and health-related quality of life between the insured in national health insurance and the recipients in medical aid program. Korean J Soc Welf Res. 2015; 44:187–210.

25. Han SS, Shin IS, Kim YJ. Factors that influence quality of life in cancer patients. Korean J Health Promot Dis Prev. 2009; 9:33–40.

26. Park JS, Oh YJ. Factors influencing on quality of life in gynecological cancer patients. Korean J Adult Nurs. 2012; 24:52–63.

27. Jun YH, Lee KH, Kim WJ. Influence of anxiety, stress and concern for recurrence on quality of life, and controlling effect of social support among cancer patients. Health Welf. 2010; 12:115–137.

28. Kim MS, Yang SH, Kim IS, Hong JT, Sung JH, Son BC, et al. Assessment of quality of life after resection of petroclival meningiomas. J Korean Brain Tumor Soc. 2012; 11:23–27.

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ORCID iDs

Su Youn Lee
https://orcid.org/0000-0001-7120-2660

Se Na Jung
https://orcid.org/0000-0002-4079-2562

Su Min Jung
https://orcid.org/0000-0001-9402-4705

Hyun Jin Cho
https://orcid.org/0000-0001-5692-5756

Hye Kyung Kim
https://orcid.org/0000-0002-7856-7133

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