부인암 환자의 삶의 질 예측요인 = Factors Influencing on Quality of Life in Gynecological Cancer Patients

다국어 초록 (Multilingual Abstract)

The purpose of this study was to measure the quality of life (QOL) and to identify the factors influencing QOL in gynecological cancer patients. Methods: The subjects of this study were 242 people who were receiving medical therapy or follow-up after surgery from one general hospital in Daegu. Data were collected from August 1, 2010 to January 31, 2011. A questionnaire including questions on QOL, distress score, distress problem,depression, anxiety, insomnia, perceived health status and body image were completed by the subjects. Results:The mean score of QOL was 70.68±13.40. Religion, job, presence of spouse, level of education, household income, financial compensation, disease stage and recurrence were the significant factors related to QOL.
Distress score, distress problem, depression, anxiety, insomnia, perceived health status and body image were also significant factors influencing QOL. Sixty eight percent of the variance in subjective overall QOL can be explained by body image, distress problem, distress score, anxiety, level of education and perceived health status (Cum R2=0.689, F=76.316, p<.001). Body image was the most important factor related to QOL. Conclusion: An integrative care program which includes general, disease-related and psychosocial characteristics of patients is essential to improve QOL in gynecological cancer patients.

참고문헌 (Reference)

1 정재원, "항암화학요법을 받는 부인암환자의 기능상태와 사회심리적 적응" 여성건강간호학회 11 (11): 58-66, 2005

2 김영화, "항암화학요법을 받는 부인암 환자의 치료 부작용, 우울 및 수면의 질의 관계" 여성건강간호학회 16 (16): 276-287, 2010

3 이주영, "항암화학요법을 받는 부인암 환자의 삶의 질에 관한 연구" 여성건강간호학회 13 (13): 290-298, 2007

4 이은현, "한국 암 특이형 삶의 질 측정도구(C-QOL) 개발 및 평가" 한국간호과학회 37 (37): 324-333, 2007

5 박영숙, "퇴원 후 전화상담중재가 부인암환자의 지각된 건강상태, 심리적 안녕과 간호만족도에 미치는 효과" 한국간호교육학회 14 (14): 294-304, 2008

6 전미선, "자궁경부암환자의 삶의 질에 영향을 미치는 치료관련 및 심리사회적 요인" 대한방사선종양학회 23 (23): 201-210, 2005

7 채영란, "유방암 절제술을 받은 여성의 지각된 건강상태, 우울 및 삶의 질의 관계" 성인간호학회 17 (17): 119-127, 2005

8 정재원, "유방암 여성이 인식한 배우자와의 친밀감과 삶의 질" 대한종양간호학회 9 (9): 122-128, 2009

9 박진희, "유방암 생존자의 신체적 증상, 정서적 증상과 삶의 질" 한국간호과학회 39 (39): 613-621, 2009

10 태영숙, "여성암 환자의 영적 건강과 우울의 관계" 대한종양간호학회 7 (7): 169-178, 2007

11 오복자, "암환자의 대응양식에 따른 자가간호행위 비교연구" 대한종양간호학회 9 (9): 136-144, 2009

12 김은경, "부인암 환자의 건강증진행위, 스트레스 및 삶의 질" 한국재활간호학회 13 (13): 114-122, 2010

13 전나미, "부인암 여성의 성 욕구, 성 흥분, 질분비, 절정감, 성 만족도, 성교 통증에 대한 심리사회적 예측요인" 한국간호과학회 40 (40): 24-32, 2010

14 Howell, D., "Women's experiences with recurrent ovarian cancer" 26 : 10-17, 2003

15 Han, M. S., "The interrelation between the bereavement, depression and the quality of life of patients who went through hysterectomy due to uterus cancer" Chonbuk National University 2005

16 Penson, R. T., "Quality of life considerations in gynecologic cancer" 95 (95): 247-257, 2006

17 Reis, N., "Quality of life and sexual functioning in gynecological cancer patients : Results from quantitative and qualitative data" 14 : 137-146, 2010

18 Vachon, M., "Psychosocial distress and coping after cancer treatment" 106 (106): 26-31, 2006

19 Choi, J. S., "Predictive factors of quality of life in mastectomy patients" Kosin University 2008

20 Joseph, F., "Insomnia in cancer patients" 6 (6): 6-14, 2004

21 Nho, J. H., "Information needs and quality of life in gynecologic cancer patients" Seoul National University 2008

22 Kwon, E. J., "Distress and quality of life after completion of cancer treatment in breast cancer patients" Seoul National University 2009

23 Kim, J. H., "Development of recommendations for distress management toward improvement of quality of life in cancer patients" Ministry of Health & Welfare 2009

24 Spiegel, D., "Depression and cancer : Mechanisms and disease progression" 54 : 269-282, 2003

25 National Comprehensive Cancer Network., "Clinical practice guidelines in oncology: Distress management"

26 Jeong, G. H., "Body image and depression in post-hysterectomy patients" Ewha Womans University 1988

27 Ministry of Health & Welfare, "Annual report of cnacer statistics in Korea in 2008"

28 Lee, E. M., "A study of medical service utilization in patient with depression undergoing mastectomy and hysterectomy" Korea University 2009

29 Lawston, M. P., "A research and service oriented multilevel assessment instrument" 37 (37): 91-99, 1982

30 Seo, H. S., "A case study on sex control of married women" Keimyung University 1993