Korean J Adult Nurs.  2019 Jun;31(3):325-336. 10.7475/kjan.2019.31.3.325.

Factors Influencing the Improvement in Lifestyle Among Patients with Colorectal Cancer

Affiliations
  • 1Nurse, Department of Nursing, Kyungpook National University Chilgok Hospital, Daegu, Korea.
  • 2Associate Professor, College of Nursing, Keimyung University, Daegu, Korea. sejun2@kmu.ac.kr

Abstract

PURPOSE
This study aimed to investigate the improvement in lifestyle of patients with Colorectal Cancer (CRC) by examining their lifestyle before and after diagnosis, and to identify the factors influencing lifestyle improvement to prevent the recurrence of CRC.
METHODS
The participants were 125 patients with CRC who visited the outpatient clinic of Kyungpook National University Chilgok Hospital in Daegu from December 2017 to March 2018. Questionnaires consisted of items on CRC-related lifestyle, knowledge of lifestyle risks for CRC, beliefs of lifestyle improvement (perceived benefits and barriers), self-efficacy, and fear of cancer recurrence. Lifestyle improvement referred to the score given to the improved lifestyle through the score difference in the measure of lifestyle related to CRC before and after diagnosis. The collected data were analyzed using SPSS/WIN 21.0 program.
RESULTS
The factors influencing lifestyle improvement were gender (β=.46, p<.001), age (β=.31, p<.001), knowledge of lifestyle risks for CRC (β=.20, p=.005), perceived benefits of lifestyle improvement (β=.19, p=.008), and number of discomforts(symptoms) that impede lifestyle improvement (β=.17, p=.016). These variables explained 38% of CRC patients' lifestyle improvement.
CONCLUSION
These findings suggest that we need to find ways to provide knowledge of the lifestyle risks for CRC to patients with CRC and improve their perceptions of the benefits of lifestyle improvement to promote lifestyle improvement and help prevent the recurrence of CRC after CRC diagnosis.


MeSH Terms

Ambulatory Care Facilities
Colorectal Neoplasms*
Daegu
Diagnosis
Gyeongsangbuk-do
Health Behavior
Humans
Life Style*
Recurrence

Reference

1. National Cancer Information Center. Colorectal cancer [Internet]. Gyeonggi: National Cancer Information Center;2017. cited 2018 November 8. Available from: https://www.cancer.go.kr/lay1/program/S1T211C214/cancer/view.do?cancer_seq=3797.
2. National Onco Venture. Incidence rate, survival rate by type of cancer at home and abroad [Internet]. Gyeonggi: National Cancer Center;2016. cited 2019 April 14. Available from: http://nov.ncc.re.kr/%EC%A7%88%EB%B3%91%ED%86%B5%EA%B3%84-%EA%B5%AD%EB%82%B4%EC%99%B8-%EC%95%94%EC%A2%85%EB%B3%84-%EB%B0%9C%EC%83%9D%EC%9C%A8-%EC%83%9D%EC%A1%B4%EC%9C%A8/.
3. Kim YM, Park BK, Park JW, Han EC, Ryoo SB, Jeong SY, et al. The analysis of risk factors for overall survival after recurrence in recurred colorectal carcinoma. Korean Journal of Clinical Oncology. 2014; 10(2):97–102. DOI: 10.14216/kjco.14018.
Article
4. Yang JH. The actual experiences of the living world among cancer patients. Journal of Korean Academy of Nursing. 2008; 38(1):140–151. DOI: 10.4040/jkan.2008.38.1.140.
Article
5. National Cancer Institute. Colorectal cancer prevention [Internet]. Bethesda: National Cancer Institute;2016. cited 2017 January 24. Available from: https://www.cancer.gov/types/colorectal/hp/colorectal-prevention-pdq#link/_1.
6. Lewis CM, Wolf WA, Xun P, Sandler RS, He K. Racial differences in dietary changes and quality of life after a colorectal cancer diagnosis: a follow-up of the study of outcomes in colorectal cancer survivors cohort. The American Journal of Clinical Nutrition. 2016; 103(6):1523–1530. DOI: 10.3945/ajcn.115.126276.
Article
7. Meyerhardt JA, Heseltine D, Niedzwiecki D, Hollis D, Saltz LB, Mayer RJ, et al. Impact of physical activity on cancer recurrence and survival in patients with stage III colon cancer: findings from CALGB 89803. Journal of Clinical Oncology. 2006; 24(22):3535–3541. DOI: 10.1200/jco.2006.06.0863.
Article
8. Walter V, Jansen L, Hoffmeister M, Ulrich A, Chang-Claude J, Brenner H. Smoking and survival of colorectal cancer patients: population-based study from Germany. International Journal of Cancer. 2015; 137(6):1433–1445. DOI: 10.1002/ijc.29511.
Article
9. Kang H-T, Bahk HJ, Shim J-Y, Kim NK. Management of longterm colorectal cancer survivors in Korea. Journal of the Korean Medical Association. 2016; 59(4):276–286. DOI: 10.5124/jkma.2016.59.4.276.
Article
10. Lynch BM, Cerin E, Newman B, Owen N. Physical activity, activity change, and their correlates in a population-based sample of colorectal cancer survivors. Annals of Behavioral Medicine. 2007; 34(2):135–143. DOI: 10.1007/BF02872668.
Article
11. Kwon SJ. A study on the correlation between health behaviours of adolescents and social factors. Journal of the Korean Society of School Health. 1996; 9(1):69–75.
12. Tarr GP, Crowley A, John R, Kok JB, Lee HN, Mustafa H, et al. Do high risk patients alter their lifestyle to reduce risk of colorectal cancer. BMC Gastroenterology. 2014; 14:22. DOI: 10.1186/1471-230x-14-22.
Article
13. Yun HM, Kim KY, Lee TY, Kim HJ, Kim KH, Kim DK. The factors affecting health promotion behavior among stomach cancer patients. Journal of the Korea Academia-Industrial cooperation Society. 2011; 12(10):4513–4522. DOI: 10.5762/kais.2011.12.10.4513.
Article
14. Rosenstock IM, Strecher VJ, Becker MH. Social learning theory and the Health Belief Model. Health Education & Behavior. 1988; 15(2):175–183. DOI: 10.1177/109019818801500203.
Article
15. So IS, Jeong HS. Predictive factors to health promotion behaviors in breast cancer patients using Pender's Health Promotion Model. Journal of the Korea Academia-Industrial cooperation Society. 2017; 18(3):258–269. DOI: 10.5762/KAIS.2017.18.3.258.
16. Simard S, Savard J. Fear of cancer recurrence inventory: development and initial validation of a multidimensional measure of fear of cancer recurrence. Supportive Care in Cancer. 2009; 17(3):241–251. DOI: 10.1007/s00520-008-0444-y.
Article
17. Choi YO, Lee JH. Impact of stroke knowledge, fear of recurrence on health behavior in patients with ischemic stroke. Korean Journal of Adult Nursing. 2017; 29(3):302–312. DOI: 10.7475/kjan.2017.29.3.302.
Article
18. Shin N, Kang Y. The relationships among health locus of control and resilience, social support and health promoting behavior in patients with newly diagnosed coronary artery diseases. Korean Journal of Adult Nursing. 2015; 27(3):294–303. DOI: 10.7475/kjan.2015.27.3.294.
Article
19. Adamowicz K, Zaucha R. Evaluation of the impact of cancer treatment on the adoption and consolidation of pro-health attitudes in the field of cancer in treated patients with colon cancer. Journal of Cancer Education. 2018; 33(2):309–316. DOI: 10.1007/s13187-016-1112-4.
Article
20. Rosenstock IM. Historical origins of the Health Belief Model. Health Education & Behavior. 1974; 2(4):328–335. DOI: 10.1177/109019817400200403.
Article
21. Shin J, Goo A, Ko H, Kim JH, Lim SU, Lee HK, et al. Validation study for the Korean version of fear of cancer recurrence inventory. Journal of Korean Medical Science. 2017; 32(11):1792–1799. DOI: 10.3346/jkms.2017.32.11.1792.
Article
22. Kim HY, Choi SY. A comparative study of lifestyle with cancer patients and control group. Journal of the Korean Data Analysis Society. 2011; 13(3):1225–1240.
23. Shin HY. Lifestyle changes in stroke survivors [master's thesis]. Busan: Inje University;2014.
24. Min ES, Hur MH. Predictors of compliance in hypertensive patients. Journal of Korean Academy of Fundamentals of Nursing. 2012; 19(4):474–482. DOI: 10.7739/jkafn.2012.19.4.474.
Article
25. Sung AS. Relationships among performed health behaviors, health belief, and nursing needs in gastro-colorectal cancer patients [master's thesis]. Busan: Kosin University;2004.
26. Berstad P, Løberg M, Larsen IK, Kalager M, Holme Ø, Botteri E, et al. Long-term lifestyle changes after colorectal cancer screening: randomised controlled trial. Gut. 2015; 64(8):1268–1276. DOI: 10.1136/gutjnl-2014-307376.
Article
27. Moskal A, Norat T, Ferrari P, Riboli E. Alcohol intake and colorectal cancer risk: a dose-response meta-analysis of published cohort studies. International Journal of Cancer. 2007; 120(3):664–671. DOI: 10.1002/ijc.22299.
Article
28. Moon JS. A study of instrument development for health belief of Korean adults [dissertation]. Seoul: Yonsei University;1990.
29. Sherer M, Maddux JE, Mercandante B, Prentice-Dunn S, Jacobs B, Rogers RW. The self-efficacy scale: construction and validation. Psychological Reports. 1982; 51(2):663–671. DOI: 10.2466/pr0.1982.51.2.663.
Article
30. Kim JH. An effect of guided imagery applied to hemodialysis patients. The Korean Journal of Stress Research. 1995; 3(2):157–169.
31. Choi KS, Jun M. Cancer worry experiences among colorectal cancer patients and families who have a family history of colorectal cancer. Asian Oncology Nursing. 2013; 13(4):313–321. DOI: 10.5388/aon.2013.13.4.313.
Article
32. Jeon YH, Park GJ. Relationships between specific self-efficacy, family support, and self-care performance for patients with stomach cancer after gastrectomy. Journal of the Korea Academia-Industrial cooperation Society. 2018; 19(1):456–465. DOI: 10.5762/KAIS.2018.19.1.456.
33. Ko HK, Park GJ. Effects of self-efficacy promotion program on self-efficacy, self-care behavior, and quality of life in breast cancer patients receiving radiotherapy. Journal of Korean Oncology Nursing. 2011; 11(2):136–146. DOI: 10.5388/jkon.2011.11.2.136.
Article
34. Koh HJ, Kim CN, Park KM, Park JS, Park YS, Kwak HW. Cancer-related knowledge, attitude, and preventive health behavior of middle-aged women in Korea. Keimyung Journal of Nursing Science. 2011; 15(1):41–55.
35. Kim HJ, Chae SO, Park YS, Woo SH. The relationship between perceived health status, health conception and health promoting behavior in the elderly. J Korea Community Health Nurs Acad Soc. 2001; 15(2):262–274.
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