Korean J Adult Nurs.  2019 Oct;31(5):552-561. 10.7475/kjan.2019.31.5.552.

Quality of Life and Supportive Care Needs of Back-to-Work Breast Cancer Survivors

Affiliations
  • 1Professor, College of Nursing, Konyang University, Daejeon, Korea.
  • 2Assistant Professor, Department of Nursing, Seoul Women's College of Nursing, Seoul, Korea.
  • 3Professor, Department of Surgery, Konyang University Hospital, Daejeon, Korea.
  • 4Associate Professor, College of Nursing, Konyang University, Daejeon, Korea. mrkim@konyang.ac.kr

Abstract

PURPOSE
The purpose of this study was to identify the relationship between the supportive care needs and quality of life of back-to-work breast cancer survivors, and determine the factors that affect their quality of life.
METHODS
Data were collected from 146 patients who had undergone surgery and treatment for breast cancer at Konyang University Hospital in Daejeon city and were receiving outpatient care from December 21, 2017 to November 30, 2018. The collected data were analyzed using the SPSS/WIN 21.0 program with descriptive statistics, an independent t-test, a one-way ANOVA, the Duncan test, Pearson's correlation coefficient, and hierarchical multiple regression.
RESULTS
Back-to-work breast cancer survivors show higher physical and mental health indices, which reflect quality of life, when they have fewer physical supportive care needs. Additionally, their physical and mental health indices based on the characteristics of the illness differed according to the cancer stage.
CONCLUSION
It is necessary to develop and test the effectiveness of health education programs that meet the supportive care needs and improve the quality of life of breast cancer survivors returning to work.


MeSH Terms

Ambulatory Care
Breast Neoplasms*
Breast*
Health Education
Humans
Mental Health
Needs Assessment
Quality of Life*
Return to Work*
Social Adjustment
Survivors*

Reference

1. National Cancer Information Center. Cancer incidence rate [Internet]. Goyang: National Cancer Information Center;2017. cited 2017 December 31. Available from: https://www.cancer.go.kr/lay1/S1T648C650/contents.do.
2. Jung KW, Won YJ, Kong HJ, Oh CM, Lee DH, Lee JS. Cancer statistics in Korea: incidence, mortality, survival, and prevalence in 2011. Cancer Research and Treatment. 2014; 46(2):109–123. DOI: 10.4143/crt.2014.46.2.109.
Article
3. Min HS, Park SY, Lim JS, Park MO, Won HJ, Kim JI. Study on behaviors for preventing recurrene and quality of life in breast cancer survivors. Journal of Korean Academy of Nursing. 2008; 38(2):187–194.
4. Leong SPL, Shen Z-Z, Liu T-J, Qqarwal G, Tajima T, Paik N-S, et al. Is breast cancer the same disease in Asian and Western countries? World Journal of Surgery. 2010; 34(10):2308–2324. DOI: 10.1007/s00268-010-0683-1.
Article
5. Kim YS, Tae YS. The influencing factors on quality of life among breast cancer survivors. Journal of Korean Oncology Nursing. 2011; 11(3):221–228. DOI: 10.5388/jkon.2011.11.3.221.
Article
6. Lee IJ. An exploratory study on the effect of social exclusion on the quality of life of cancer survivors. Journal of Future Social Work Research. 2016; 7(2):123–148.
7. Chae YR. Relationships of perceived health status, depression, and quality of life of breast cancer survivors. Korean Journal of Adult Nursing. 2005; 17(1):119–127.
8. Byun HS, Kim GD. Impacts of fatigue, pain, anxiety, and depression on the quality of life in patients with breast cancer. Asian Oncology Nursing. 2012; 12(1):27–34. DOI: 10.5388/aon.2012.12.1.27.
Article
9. Jo KH, Son BK. The relationship of uncertainty, hope and quality of life in patients with breast cancer. Journal of Korean Academy of Nursing. 2004; 34(7):1184–1192. DOI: 10.4040/jkan.2004.34.7.1184.
Article
10. Kwon EJ, Yi M. Distress and quality of life in breast cancer survivors in Korea. Asian Oncology Nursing. 2012; 12(4):289–296. DOI: 10.5388/aon.2012.12.4.289.
Article
11. Noh YH. Breast cancer survivor's conquest experience. Journal of Qualitative Research. 2003; 4(1):7–25.
12. Song S. Posttraumatic growth, dynamic adjustment, and quality of life in breast cancer survivors and spouses [master's thesis]. Seoul: Chung-Ang University;2013. 1–82.
13. Hong SH. Development and evaluation of transitional care program based on the theory of transition for young breast cancer survivors [dissertation]. Seoul: Yonsei University;2013. 1–143.
14. De Jong M, Tamminga SJ, van Es RJJ, Frings-Dresen MHW, de Boer AGEM. The quality of working life questionnaire for cancer survivors (QWLQ-CS): factorial structure, internal consistency, construct validity and reproducibility. BMC Cancer. 2018; 18(1):66–79. DOI: 10.1186/s12885-017-3966-1.
Article
15. Lydon A, Hughes S. Cancer in the workplace: evaluation of a resource to help those affected by cancer, return to work in the UK. International Journal of Therapy and Rehabilitation. 2012; 19(12):689–695. DOI: 10.12968/ijtr.2012.19.12.689.
Article
16. Nachreiner NM, Dagher RK, McGovern PM, Baker BA, Alexander BH, Gerberich SG. Successful return to work for cancer survivors. AAOHN journal : official journal of the American Association of Occupational Health Nurses. 2007; 55(7):290–295. DOI: 10.1177/216507990705500705.
Article
17. Howden S, Jones D, Martin D, Nicol M. Employment and chronic non-cancer pain: insights into work retention and loss. Work. 2003; 20(3):199–204.
18. Kennedy F, Haslam C, Munir F, Pryce J. Return to work following cancer: a qualitative exploratory study into the experience of returning to work following cancer. European Journal of Cancer Care(Engl). 2017; 16(1):17–25. DOI: 10.1111/j.1365-2354.2007.00729.x.
19. Coluzzi PH, Grant M, Doroshow JH, Rhiner M, Ferrell B, Rivera L. Survey of the provision of supportive care services at National Cancer Institute-designated cancer centers. Journal of Clinical Oncology. 1995; 13(3):756–764. DOI: 10.1200/JCO.1995.13.3.756.
Article
20. Liao MN, Chen SC, Chen SC, Lin YC, Hsu YH, Hung HC, et al. Changes and predictors of unmet supportive care needs in Taiwanese women with newly diagnosed breast cancer. Oncology Nursing Forum. 2012; 39(5):E380–E389.
Article
21. Bonevski B, Sanson-Fisher R, Girgis A, Burton L, Cook P, Boyes A. Evaluation of an instrument to assess the needs of patients with cancer. Cancer. 2000; 88(1):217–225. DOI: 10.1002/(SICI)1097-0142(20000101)88:1<217::AID-CNCR29>3.0.CO;2-Y.
Article
22. Boyes AW, Girgis A, D'Este C, Zucca AC. Prevalence and correlates of cancer survivors' supportive care needs 6 months after diagnosis: a population-based cross-sectional study. BMC Cancer. 2012; 12(1):150.
Article
23. Bae J. Impact of supportive care needs and family support on quality of life of advanced cancer patients in chemotherapy [master's thesis]. Seoul: Seoul National University;2015. 1–78.
24. Ware JE, Kosinski M, Keller SD. A 12-item short-form health survey: construction of scales and preliminary tests of reliability and validity. Medical Care. 1996; 34(3):220–233.
25. Gates MF, Lackey NR, White M. Comparison of needs of hospice and clinical patients with cancer. Cancer Nursing Practice. 1995; 3:225–232.
26. Kim YJ, Kang SJ. Impact of cognitive function and cancer coping on quality of life among women with post-chemotherapy breast cancer. Korean Journal of Women Health Nursing. 2016; 22(3):182–190. DOI: 10.4069/kjwhn.2016.22.3.182.
Article
27. Shimozuma K, Ganz PA, Petersen L, Hirji K. Quality of life in the first year after breast cancer surgery: rehabilitation needs and patterns of recovery. Breast Cancer Research and Treatment. 1999; 56(1):45–57. DOI: 10.1023/A:1006214830854.
Article
28. Lim J, Han I. Comparison of quality of life on the stage of cancer survivorship for breast and gynecological cancer survivors. Journal of Korean Social Welfare Administration. 2008; 60(1):5–27.
29. Broeckel JA, Jacobsen PB, Horton J, Baldcci L, Lyman GH. Characteristics and correlates of fatigue after adjuvant chemotherapy for breast cancer. Journal of Clinical Oncology. 1998; 16(5):1689–1696. DOI: 10.1200/JCO.1998.16.5.1689.
Article
30. Kim GD. Impact of climacteric symptoms and fatigue on the quality of life in breast cancer survivors: the mediating effect of cognitive dysfunction. Asian Oncology Nursing. 2014; 14(2):58–65. DOI: 10.5388/aon.2014.14.2.58.
Article
31. Bae KR, Cho J, Jeon SH. A literature review of return-to-work interventions for cancer survivors. Korean Journal of Occupational Health Nursing. 2019; 28(2):83–93. DOI: 10.5807/kjohn.2019.28.2.83.
32. Vrkljan B, Miller-Polgar J. Meaning of occupational engagement in life-threatening illness: a qualitative pilot project. Canadian journal of occupational therapy. Revue canadienne d'ergothérapie. 2001; 68(4):237–246. DOI: 10.1177/000841740106800407.
Article
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