Korean J Women Health Nurs.  2020 Mar;26(1):28-36. 10.4069/kjwhn.2020.03.05.

Influence of lifestyle, depression, and marital intimacy on quality of life in breast cancer survivors

Affiliations
  • 1Department of Nursing, Kunjang University College, Gunsan, Korea
  • 2College of Nursing and Research Institute of Nursing Science, Jeonbuk National University, Jeonju, Korea
  • 3College of Nursing, Jeonbuk National University, Jeonju, Korea
  • 4Department of General Surgery, Presbyterian Medical Center, Jeonju, Korea

Abstract

Purpose
This study investigated lifestyle, depression, marital intimacy, and quality of life (QoL) in breast cancer survivors, with the goal of identifying the impacts of these factors on QoL.
Methods
A sample of 146 breast cancer survivors was surveyed in this cross-sectional study. Data were collected from March 20 to May 30, 2019, using self-report structured questionnaires at a hospital located in Jeonju, Korea. Data were analyzed using the independent t-test, analysis of variance, Pearson correlation coefficients, and hierarchical regression analysis. Participants agreed to complete a face-to-face interview, including administration of the Health Promoting Lifestyle Profile II, Depression Anxiety Stress Scale 21-Depression Scale, Marital Intimacy Scale, and Functional Assessment Cancer Therapy-Breast Cancer tool.
Results
QoL was positively correlated with lifestyle (r=.49, p<.001) and marital intimacy (r=.45, p<.001) and negatively correlated with depression (r=–.72, p<.001). Hierarchical multiple regression analysis showed that depression (β=–0.63, p<.001), marital intimacy (β=0.19, p=.001), and lifestyle (β=0.13, p=.031) had significant effects on the QoL of breast cancer survivors, accounting for 63.3% of variance in related QoL.
Conclusion
This study provides insights into how breast cancer survivors’ QoL was influenced by depression, marital intimacy, and lifestyle. To improve the QoL of breast cancer survivors, healthcare providers should consider developing strategies to decrease depression, to increase marital intimacy, and to improve lifestyle.

Keyword

Life style; Depression; Marital relationship; Quality of life; Breast cancer; 생활습관; 우울; 부부친밀도; 삶의 질; 유방암

Cited by  1 articles

The development of a lifestyle modification mobile application, “Health for You” for overweight and obese breast cancer survivors in Korea
Su-Jin Seo, Ju-Hee Nho, Youngsam Park
Korean J Women Health Nurs. 2021;27(3):243-255.    doi: 10.4069/kjwhn.2021.09.14.


Reference

References

1. Korea Breast Cancer Society. Breast cancer facts & figures 2018 [Internet]. Seoul: Author;2018. [cited 2018 Nov 1]. Available from: http://www.kbcs.or.kr/journal/file/181030.pdf.
2. National Cancer Information Center. Breast cancer [Internet]. Seoul: Author;2020. [cited 2020 Jan 8]. Available from: http://kosis.kr/statHtml/statHtml.do?orgId=117&tblId=DT_117N_A00022&vw_cd=&list_id=&seqNo=&lang_mode=ko&language=kor&obj_var_id=&itm_id=&conn_path=I2.
3. Kwon EJ, Yi M. Distress and quality of life in breast cancer survivors in Korea. Asian Oncol Nurs. 2012; 12(4):289–296.
Article
4. Dieterich M, Stuber J, Reimer T, Erickson N, Berling A. Influence of lifestyle factors on breast cancer risk. Breast Care (Basel). 2014; 9(6):407–414.
Article
5. Doyle C, Kushi LH, Byers T, Courneya KS, Demark-Wahnefried W, Grant B, The 2006 Nutrition, Physical Activity and Cancer Survivorship Advisory Committee, et al. Nutrition and physical activity during and after cancer treatment: an American Cancer Society guide for informed choices. CA Cancer J Clin. 2006; 56(6):323–353.
Article
6. Baek SY, Choi JY. A comparative study on the characteristics of cancer patients and cancer survivors. Asian Oncol Nurs. 2018; 18(1):11–20.
Article
7. Hoffman KE, McCarthy EP, Christopher JR, Andrea KN. Psychological distress in long-term survivors of adult-onset cancer: results from a national survey. Arch Intern Med. 2009; 169(14):1274–1281.
Article
8. Liao MN, Chen SC, Chen SC, Lin YC, Chen MF, Wang CH, et al. Change and predictors of symptom distress in breast cancer patients following the first 4 months after diagnosis. J Formos Med Assoc. 2015; 114(3):246–253.
Article
9. Reyes-Gibby CC, Anderson KO, Morrow PK, Shete S, Hassan S. Depressive symptoms and health-related quality of life in breast cancer survivors. J Womens Health (Larchmt). 2012; 21(3):311–318.
Article
10. Cohee AA, Bigatti SM, Shields CG, Johns SA, Stump T, Monahan PO, et al. Quality of life in partners of young and old breast cancer survivors. Cancer Nurs. 2018; 41(6):491–497.
Article
11. Kaur N, Gupta A, Sharma AK, Jain A. Survivorship issues as determinants of quality of life after breast cancer treatment: report from a limited resource setting. Breast. 2018; 41:120–126.
Article
12. Song S, Ryu E. Posttraumatic growth, dyadic adjustment, and quality of life in breast cancer survivors and their husbands. J Korean Acad Nurs. 2014; 44(5):515–524.
Article
13. Cho OH, Yoo YS. Psychosocial adjustment, marital intimacy and family support of post-mastectomy patients. J Korean Oncol Nurs. 2009; 9(2):129–135.
14. Park JH, Bae SH, Lee E. The influence of marital intimacy on mental health and quality of life in breast cancer survivors. Korean J Health Promot. 2010; 10(4):177–184.
15. Walker SN, Sechrist KR, Pender NJ. The health-promoting lifestyle profile: development and psychometric characteristics. Nurs Res. 1987; 36(2):76–81.
16. Noh JW, Yun HY, Park H, Yu SE. A study of predictive factors affecting health: promoting behaviors of North Korean adolescent refugees. J Prev Med Public Health. 2015; 48(5):231–238.
Article
17. Henry JD, Crawford JR. The short-form version of the Depression Anxiety Stress Scales (DASS-21): construct validity and normative data in a large non-clinical sample. Br J Clin Psychol. 2005; 44(Pt 2):227–239.
Article
18. Lee KH. A measure of marital intimacy. J Korean Home Econ Assoc. 1995; 33(4):235–249.
19. Yoo HJ, Ahn SH, Eremenco S, Kim H, Kim WK, Kim SB, et al. Korean translation and validation of the functional assessment of cancer therapy-breast (FACT-B) scale version 4. Qual Life Res. 2005; 14(6):1627–1632.
Article
20. Avis NE, Crawford S, Manuel J. Quality of life among younger women with breast cancer. J Clin Oncol. 2005; 23(15):3322–3330.
Article
21. Howard-Anderson J, Ganz PA, Bower JE, Stanton AL. Quality of life, fertility concerns, and behavioral health outcomes in younger breast cancer survivors: a systematic review. J Natl Cancer Inst. 2012; 104(5):386–405.
Article
22. Champion VL, Wagner LI, Monahan PO, Daggy J, Smith L, Cohee A, et al. Comparison of younger and older breast cancer survivors and age-matched controls on specific and overall quality of life domains. Cancer. 2014; 120(15):2237–2246.
Article
23. Gorman JR, Malcarne VL, Roesch SC, Madlensky L, Pierce JP. Depressive symptoms among young breast cancer survivors: the importance of reproductive concerns. Breast Cancer Res Treat. 2010; 123(2):477–485.
Article
24. Yoo YG, Choi SK, Hwang SJ, Kim HS. Risk factors of breast cancer according to life style. J Korea Contents Assoc. 2013; 13(4):262–272.
Article
25. Park JH, Kim N, Kang SH. Analysis of physical activity measured by International Physical Activity Questionnaire and actigraph accelerometer, and participation intention for physical activity of breast cancer survivors. J Korean Biol Nurs Sci. 2015; 17(2):104–113.
Article
26. Hwang H. The impact of social cognitive constructs on dietary behaviors in breast cancer survivors. Asian Oncol Nurs. 2016; 16(3):139–146.
Article
27. Ashing-Giwa KT, Lim JW. Examining the impact of socioeconomic status and socioecologic stress on physical and mental health quality of life among breast cancer survivors. Oncol Nurs Forum. 2009; 36(1):79–88.
Article
28. Nho JH, Kim YH, Kook HJ. Effect of a web-based sexual health enhancement program for women with gynecologic cancer and their husbands. Int J Sex Health. 2019; 31(1):50–59.
Article
29. Vaziri S, Lotfi Kashani F. Sexuality after breast cancer: need for guideline. Iran J Cancer Prev. 2012; 5(1):10–15.
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