Asian Oncol Nurs.  2018 Jun;18(2):86-93. 10.5388/aon.2018.18.2.86.

Subjective Health Status, Mental Health, and Cancer Stigma in Long-term Cancer Survivors after Gastric Surgery

Affiliations
  • 1Department of Nursing, Asan Medical Center, Seoul, Korea.
  • 2Department of Clinical Nursing, University of Ulsan, Seoul, Korea. pjyun@ulsan.ac.kr

Abstract

PURPOSE
The aim of this study was to explore the relationship among subjective health status, mental health, and cancer stigma of long-term cancer survivors after gastric surgery.
METHODS
In this cross-sectional study, 135 cancer survivors visiting the family medicine clinic of a tertiary hospital were surveyed. Data were collected from March 1 to May 31, 2017. Using the questionnaire, subjective health status, mental health, and cancer stigma were measured and analyzed.
RESULTS
The mean scores for subjective health status, stress, and cancer stigma were 80.16, 2.97 and 1.59 respectively. Anxiety and depression rates were 37.1% and 28.9% respectively. Cancer stigma was negatively correlated with subjective health status (r=−.18, p=.036) and positive association with anxiety (r=.23, p=.009), depression (r=.20, p=.023), and stress (r=.21, p=.017).
CONCLUSION
In this study, long-term cancer survivors' subjective health status, mental health, and cancer stigma were low and these variables were significantly associated. In order to improve the quality of life of long-term gastric cancer survivors, it is necessary to actively evaluate anxiety, depression, stress, and cancer stigma. The appropriate psychosocial care interventions developed through repeated research of survivors of long-term cancer should be continued.

Keyword

Health status; Mental Health; Neoplasms; Stigma; Survivors

MeSH Terms

Anxiety
Cross-Sectional Studies
Depression
Diagnostic Self Evaluation*
Humans
Mental Health*
Quality of Life
Stomach Neoplasms
Survivors*
Tertiary Care Centers

Reference

1. Choi SG. Current status of the management of cancer patients in Korea. J Korean Med Assoc. 2017; 60:228–32.
Article
2. National Cancer Information Center (KR). Cancer statistics [Internet]. Available from. https://www.cancer.go.kr/lay1/S1T648C649/contents.do. [Accessed May 1, 2018].
3. Korea Central Cancer Registry. Annual report of cancer statistics in Korea in 2013. Goyang: Korea Central Cancer Registry;2013.
4. Choi IJ. Gastric cancer screening and diagnosis. Korean J Gastroen-terol. 2009; 54:67–76.
Article
5. Park J, Kwon S. Development of delivery system for integrated supportive cancer survivor care. Goyang: National Cancer Center;2011.
6. Cappiello M, Cunningham RS, Knobf MT, Erdos D. Breast cancer survivors: information and support after treatment. Clin Nurs Res. 2007; 16:278–93.
7. Han KH, Hwang IC, Kim S, Bae JM, Kim YW, Ryu KW, et al. Factors associated with depression in disease-free stomach cancer survivors. J Pain Symptom Manage. 2013; 46:511–22.
8. Nordin K, Glimelius B. Psychological reactions in newly diagnosed gastrointestinal cancer patients. Acta Oncol. 1997; 36:803–10.
Article
9. Shin DW, Ahn E, Kim H, Park S, Kim YA, Yun YH. Non-cancer mortality among long-term survivors of adult cancer in Korea: national cancer registry study. Cancer Causes Control. 2010; 21:919–29.
Article
10. Cataldo JK, Slaughter R, Jahan TM, Pongquan VL, Hwang WJ. Mea-suring stigma in people with lung cancer: psychometric testing of the cataldo lung cancer stigma scale. Oncol Nurs Forum. 2011; 38:E46–54.
Article
11. Chapple A, Ziebland S, McPherson A. Stigma, shame, and blame experienced by patients with lung cancer: qualitative study. BMJ. 2004; 328:1470.
Article
12. LoConte NK, Else-Quest NM, Eickhoff J, Hyde J, Schiller JH. Assessment of guilt and shame in patients with non-small-cell lung cancer compared with patients with breast and prostate cancer. Clin Lung Cancer. 2008; 9:171–8.
Article
13. Cho J, Smith K, Choi EK, Kim IR, Chang YJ, Park HY, et al. Public attitudes toward cancer and cancer patients: a national survey in Korea. Psychooncology. 2013; 22:605–13.
Article
14. Eom CS, Shin DW, Kim SY, Yang HK, Jo HS, Kweon SS, et al. Impact of perceived social support on the mental health and health-related quality of life in cancer patients: results from a nationwide, multicenter survey in South Korea. Psychooncology. 2013; 22:1283–90.
Article
15. American Cancer Society. Cancer treatment & survivorship facts & figures 2016–2017 [Internet]. Available from. https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/cancer-treatment-and-survivorship-facts-and-figures/cancer-treatment-and-survivorship-facts-and-figures-2016-2017.pdf. [Accessed May 6, 2018].
16. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983; 67:361–70.
Article
17. Oh SM, Min KJ, Park DB. A study on the standardization of the hospital anxiety and depression scale for Koreans: a comparison of normal, depressed and anxious groups. J Korean Neuropsychiatr Assoc. 1999; 38:289–96.
18. Kang M. Quality of life of breast cancer patients measured by EQ-5D-5L [dissertation]. Seoul: Seoul National Univ.;2017.
19. Kang Y, Kim M, Lee E. The relationship of perceived health status, ac-tivities of daily living and nutrition status in the community-dwelling Korean elderly. J Korean Acad Nurs. 2008; 38:122–30.
Article
20. Lee JL, Kim KS. The Relationships between stigma, distress, and quality of life in patients with lung cancer. J Korean Oncol Nurs. 2011; 11:237–46.
Article
21. Cho J, Choi EK, Kim SY, Shin DW, Cho BL, Kim CH, et al. Association between cancer stigma and depression among cancer survivors: a nationwide survey in Korea. Psychooncology. 2013; 22:2372–8.
Article
22. National Cancer Center (KR). National cancer survivor support center [Internet]. Available from. http://ncc.re.kr/main.ncc?uri=ncc_survi-vor_02. [Accessed June 15, 2018].
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