Park Jin Hee, Jun Eun Young, Kang Mi Young, Joung Yong Sik, Kim Gu Sang
College of Nursing, Ajou University, Suwon, Korea.
J Korean Acad Nurs. 2009 Oct;39(5):613-21. doi: 10.4040/jkan.2009.39.5.613.
The purposes of this study were to evaluate symptom experience and quality of life (QOL) and to identify the predictors of QOL among breast cancer survivors.
A cross-sectional study was conducted on 200 disease-free breast cancer survivors at two hospitals between December 2007 and July 2008. Functional Assessment of Cancer Therapy Scale-B, Memorial Symptom Assessment Scale-short Form and The Linear Analogue Self Assessment Scale were used to assess symptom experience and QOL in these patients. Data were analyzed using the Pearson correlation, t-test, ANOVA, and stepwise multiple regression with SPSS/WIN 12.0.
The mean score of QOL for breast cancer survivors was 95.81 (+/-18.02). The highest scores among physical and psychological symptoms were sexual interest and anxiety. Year since treatment completion was significantly associated with QOL in sociodemographic variables. Physical and psychological symptoms have a significant negative association with QOL. The results of the regression analyses showed that physical and psychological symptoms were statistically significant in predicting patients' QOL.
Symptom experience and QOL are essential variables that should be acknowledged when delivering health care to breast cancer survivors. More attention to the reduction and management of psychological distress could improve QOL among breast cancer survivors.
本研究旨在评估乳腺癌幸存者的症状体验和生活质量（QOL），并确定生活质量的预测因素。
2007年12月至2008年7月期间，在两家医院对200名无疾病的乳腺癌幸存者进行了一项横断面研究。使用癌症治疗功能评估量表-B、纪念症状评估量表简表和线性模拟自我评估量表来评估这些患者的症状体验和生活质量。使用SPSS/WIN 12.0进行Pearson相关性分析、t检验、方差分析和逐步多元回归分析数据。
乳腺癌幸存者的生活质量平均得分为95.81（±18.02）。身体和心理症状中得分最高的是性兴趣和焦虑。在社会人口统计学变量中，治疗结束后的年份与生活质量显著相关。身体和心理症状与生活质量呈显著负相关。回归分析结果表明，身体和心理症状在预测患者生活质量方面具有统计学意义。
症状体验和生活质量是为乳腺癌幸存者提供医疗服务时应予以承认的重要变量。更多地关注心理困扰的减轻和管理可以改善乳腺癌幸存者的生活质量。
