유방암 환자의 건강관련 삶의 질과 림프부종, 어깨관절운동, 피로 및 사회적 지지와의 관계

• Published in: Journal of breast cancer pp. 212 - 218
• Main Authors: 문성미, 이은현, 송영숙, 전미선
• Format: Journal Article
• Language: Korean
• Published: 한국유방암학회 01.06.2010
• Subjects: 일반외과학
• ISSN: 1738-6756; 2092-9900

Purpose: The purpose of this study was to identify the variables that are associated with the health related quality of life (HRQOL) for patients with breast cancer. Methods: A total of 112 subjects were recruited from a cancer center at a university hospital by using convenience sampling. The subjects were asked to complete questionnaires about HRQOL, fatigue and social support (family and medical team support). A trained research assistant then measured the subjects’ shoulder range of motion (ROM) and the arm parameters for lymphedema. The data was analyzed using t-tests, Mann-Whitney tests, ANOVA, Pearson’s correlation coefficient and hierarchical multiple regression analysis. Results: The HRQOL was strongly correlated with fatigue (r=-0.80, p<0.01). It was also positively correlated with family support (r=0.57, p<0.01) and medical team support (r=0.33, p<0.01). The HRQOL was significantly lower for the patients who had limited shoulder rotation. Fatigue and family support together explained 65% of the variance in the HRQOL for the patients with breast cancer, after controlling for education and income. Of them, fatigue uniquely explained 32% of the variance in the HRQOL. Conclusion: Fatigue was the strong predictor of the HRQOL. This result suggests that fatigue might be primary managed for improving the HRQOL of patients with breast cancer. KCI Citation Count: 10