J Korean Clin Nurs Res.  2019 Apr;25(1):15-24. 10.22650/JKCNR.2019.25.1.15.

Factors Influencing Distress in Premenopausal Patients with Breast Cancer Undergoing Endocrine Therapy

Affiliations
  • 1Advanced Practice Nurse, Department of Nursing, Asan Medical Center, Korea.
  • 2Professor, College of Nursing, Ewha Womans University, Korea. yxk12@ewha.ac.kr

Abstract

PURPOSE
The purpose of this study was to investigate relationships among menopausal symptoms, functional status, and distress and to identify factors influencing distress in premenopausal breast cancer patients who had been on endocrine therapy.
METHODS
A descriptive correlational study was conducted. Data were collected using questionnaires from 140 patients with breast cancer undergoing endocrine therapy at a general hospital. Data were analyzed using descriptive statistics, t-test, ANOVA, Tukey HSD test, Pearson's correlation analysis and hierarchical regression analysis.
RESULTS
The mean scores for menopausal symptom, functional status, and distress were 19.65±7.86, 2.67±0.33 and 3.69±2.19, respectively. The menopausal symptoms and distress were positively correlated (r=.76, p<.001). The menopausal symptoms and functional status (r=−.43, p<.001) and functional status and distress (r=−.31, p<.001) were negatively correlated. The most influential factor for distress was menopausal symptoms (β=.79, p<.001).
CONCLUSION
Based on the findings of this study, developing nursing intervention programs focusing on decreasing menopausal symptoms and distress are recommended.

Keyword

Breast Neoplasms; Antineoplastic Hormonal Drugs; Menopause; Activities of Daily Living; Psychological Stress

MeSH Terms

Activities of Daily Living
Antineoplastic Agents, Hormonal
Breast Neoplasms*
Breast*
Female
Hospitals, General
Humans
Menopause
Nursing
Stress, Psychological
Antineoplastic Agents, Hormonal
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