[논문]항암화학요법을 받은 여성 유방암 생존자의 우울, 낙관성 및 외상 후 성장이 건강관련 삶의 질에 미치는 영향

김부경; 성미혜; 최성인

doi:10.14370/jewnr.2021.27.1.43

항암화학요법을 받은 여성 유방암 생존자의 우울, 낙관성 및 외상 후 성장이 건강관련 삶의 질에 미치는 영향
Impact of Depression, Optimism and Posttraumatic Growth on Health-related Quality of Life in Female Breast Cancer Survivors Receiving Adjuvant Chemotherapy 원문보기

동서간호학연구지 = Journal of East-West nursing research, v.27 no.1, 2021년, pp.43 - 50

김부경 (인제대학교 간호대학) , 성미혜 (인제대학교 간호대학, 건강과학연구소) , 최성인 (부산과학기술대학교 간호학과)

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Purpose: The purpose of this study was to identify the influence of depression, optimism and posttraumatic growth on health-related quality of life in female breast cancer survivors received adjuvant chemotherapy. Methods: In total, 115 female breast cancer survivors participated in this descriptive correlational study. The participants answered self-report questionnaires. Data were collected from 1 June 2020 to 10 June 2020, and were analyzed using descriptive statistics, the t-test, one-way ANOVA, Pearson correlation coefficients, and stepwise multiple regression with SPSS for Windows ver. 24.0. Results: The mean age of the breast cancer survivors was 45.83 years. The mean score for the degree of health-related quality of life was 81.85 out of 148 points. Participants' scores for health-related quality of life differed significantly based on economic status (F=5.36 p=.006) and hobbies (t=-3.37, p=.001). Health-related quality of life was negatively correlated with depression (r=-.73, p<.001), and positively correlated with optimism (r=.65, p<.001) and posttraumatic growth (r=.28, p=.002). Depression (𝛽=-.55, p<.001) was the most significant factor that affects health-related quality of life, followed by optimism (𝛽=.29, p<.001), and post-traumatic growth (𝛽=.12, p=.048), which together accounted for 62.2% (F=63.61, p<.001) of the variance. Conclusion: It is necessary to develop educational programs for breast cancer survivors to reduce depression, increase optimism and post-traumatic growth, and improve the health-related quality of life. By adapting these programs, positiveness may increase and this may lead to improvement of health-related quality of life for breast cancer survivors.

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표/그림 (4)

표 Table 1. Differences of Health-related Quality of Life according to Characteristics of Participants (N=115)
표 Table 2. Degree of Depression, Optimism, Posttraumatic Growth and Health-related Quality of Life (N=115)
표 Table 3. Correlations among Depression, Optimism, Posttraumatic Growth and Health-related Quality of Life (N=115)
표 Table 4. Factors affecting Health-related Quality of Life (N=115)

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