Asian Oncol Nurs.  2013 Sep;13(3):121-127. 10.5388/aon.2013.13.3.121.

The Factors Influencing Quality of Life in Women with Breast Cancer

• Ryu YM
• Yi M

• KMID: 2220752
• DOI: http://doi.org/10.5388/aon.2013.13.3.121

Abstract

PURPOSE
The purpose of the study was to identify the influence of hope, resilience, and spousal support on quality of life in women with breast cancer.
METHODS
A predictive correlational design was used. The data were collected by questionnaires from a convenience sample of 163 women with breast cancer in 2012. The data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson's Correlation Coefficients, and stepwise multiple regression.
RESULTS
Mean age of the participants was 51.5+/-6.39 and 46.0% reported to have stage II at diagnosis and 40.5% were more than 5 years since diagnosis. The quality of life was different by age and type of surgery. Hope, resilience, spousal support, and quality of life were significantly correlated each other (r=.35-.64, p<.01). Quality of life accounted for 23.4% of the variance by resilience, spousal support, and type of surgery. The most important factor was resilience, which explained 18.9% of the variation.
CONCLUSION
The results of the study show the importance of resilience in explaining the quality of life in Korean women with breast cancer. Thus, oncology nurses should focus on resilience to develop and implement more effective interventions to improve patients' quality of life.

Keyword

Breast Neoplasms; Hope; Psychological Resilience; Social Support; Quality of Life

MeSH Terms

Breast Neoplasms*
Breast*
Diagnosis
Female
General Surgery
Humans
Quality of Life*
Resilience, Psychological

Reference

1. Korean Breast Cancer Society. Breast cancer facts and figures. Accessed March 1, 2013. http://www.kbcs.or.kr/journal/file/2010_2012_Breast_Cancer_Facts_and_Figures_updated.pdf.

2. Park EY, Yi M. Illness experience of women with breast cancer in Korea: using feminist phenomenology. J Korean Acad Adult Nurs. 2009; 21:504–518.

3. Sammarco A. Quality of life of breast cancer survivors: a comparative study of age cohorts. Cancer Nurs. 2009; 32:347–356.

4. Byun HS, Kim GD. Impacts of fatigue, pain, anxiety, and depression on the quality of life in patients with breast cancer. Asian Oncol Nurs. 2012; 12:27–34.

5. Suh YO. Predictors of quality of life in women with breast cancer. J Korean Acad Nurs. 2007; 37:459–466.

6. Lee IS. Uncertainty, appraisal and quality of life in patients with breast cancer across treatment phases [dissertation]. Seoul: Yonsei Univ.;2005.

7. Jo KH, Son BK. The relationship of uncertainty, hope, and quality of life in patients with breast cancer. J Korean Acad Nurs. 2004; 34:1184–1193.

8. Kwon EJ, Yi M. Distress and quality of life in breast cancer survivors in Korea. Asian Oncol Nurs. 2012; 12:289–296.

9. Bonanno GA. Loss, trauma, and human resilience: have we underestimated the human capacity to thrive after extremely aversive events? Am Psychol. 2004; 59:20–28.

10. Seligman ME, Csikszentmihalyi M. "Positive psychology: an introduction". Am Psychol. 2000; 55:5–14.

11. Felder B. Hope and coping in patients with cancer diagnoses. Cancer Nurs. 2004; 27:320–324.

12. Spiegel D, Giese-Davis J. Depression and cancer: mechanisms and disease progression. Biol Psychiatry. 2003; 54:269–282.

13. Haase EJ. The adolescent resilience model as a guide to interventions. J Pediatr Oncol Nurs. 2004; 21:289–299.

14. Koo BJ. The influence of resilience, hope, marital intimacy, and family support on quality of life for middle-aged women. J Korean Acad Psychiatr Ment Health Nurs. 2008; 17:421–430.

15. Choi KS, Park JA, Lee J. The effect of symptom experience and resilience on quality of life in patients with colorectal cancers. Asian Oncol Nurs. 2012; 12:61–68.

16. Kang JY. The influence of stress, spousal support, and resilience on the ways of coping among women with breast cancer [dissertation]. Seoul: Seoul National Univ.;2012.

17. Paek KW. The relationship between spouse and quality of life in patients with mastectomy [dissertation]. Jinju: Gyeong-sang National Univ.;2004.

18. Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007; 39:175–191.

19. Nowotny ML. Assessment of hope in patient with cancer: development of an instrument. Oncol Nurs Forum. 1989; 16:57–61.

20. Choi SS. A correlational study on spiritual wellness, hope and perceived health status of urban adults [dissertation]. Seoul: Yonsei Univ.;1990.

21. Wagnild G. The Resilience Scale User's guide for the US English version of the Resilience Scale and the 14-item Resilience Scale (RS-14). Montana: Resilience center;2009.

22. Nam KS. A study on the correlation between spouse support and the body image of female patients who have done mastection and hysterectomy [dissertation]. Seoul: Ewha Womans Univ.;1988.

23. Ferrell BR, Dow KH, Grant M. Measurement of the quality of life in cancer survivors. Qual Life Res. 1995; 4:523–531.

24. Park EY. Changes of quality of life during the period of treatments in patients with high risk breast cancer. J Korean Oncol Nurs. 2001; 1:32–43.

25. Stewart DE, Yuen T. A systematic review of resilience in the physically ill. Psychosomatics. 2011; 52:199–209.

26. Winsett RP, Stender SR, Gower G, Burghen GA. Adolescent self-efficacy and resilience in participants attending a diabetes camp. Pediatr Nurs. 2010; 36:293–296.

27. Gremore TM, Baucom DH, Porter LS, Kirby JS, Atkins DC, Keefe FJ. Stress buffering effects of daily spousal support on women's daily emotional and physical experiences in the context of breast cancer concerns. Health Psychol. 2011; 30:20–30.

28. Skrzypulec V, Tobor E, Drosdzol A, Nowosielski K. Biopsychosocial functioning of women after mastectomy. J Clin Nurs. 2009; 18:613–619.

29. Min JA, Yoon S, Lee CU, Chae JH, Lee C, Song KY, et al. Psychological resilience contributes to low emotional distress in cancer patients. Support Care Cancer. 2013; 21:2469–2476.

30. Deshields T, Tibbs T, Fan MY, Taylor M. Differences in patterns of depression after treatment for breast cancer. Psychooncology. 2006; 15:398–406.