Korean J Adult Nurs.
2020 Aug;32(4):385-398. 10.7475/kjan.2020.32.4.385.
Health-related Quality of Life and Its Related Factors among Cancer Survivors and General Adults: Focusing on Lifestyle Behaviors and Mental Health
- Affiliations
-
- 1Nurse, Chonnam National University Hwasun Hospital, Hwasun, Korea
- 2Associate Professor, College of Nursing, Chonnam National University, Gwangju, Korea
- 3Associate Professor, Seoul Women’s College of Nursing, Seoul, Korea
- KMID: 2505701
- DOI: http://doi.org/10.7475/kjan.2020.32.4.385
Abstract
- Purpose
The purpose of this study was to examine lifestyle behaviors, mental health, and Health-Related Quality of Life (HRQoL) and identify the effects of lifestyle behaviors and mental health on the HRQoL of cancer survivors and general adults.
Methods
Secondary data analysis was conducted. The data used in the study were drawn from the Korea National Health and Nutrition Examination Survey VII-2 (January 1, 2017, to December 31, 2017). A sample of 190 cancer survivors (mean age, 65.12 years; women, 63.7%) and 1,815 general adults (mean age, 52.67 years; women, 52.6%) was used, focusing on demographic characteristics, lifestyle behaviors (including tobacco smoking, alcohol drinking, physical activity, and eating behavior), and mental health (including sleeping hours, stress, and depressive symptoms). Descriptive statistics, independent t-test, one-way ANOVA, Pearson’s correlation coefficient, and hierarchical stepwise multiple regression were performed to analyze the data.
Results
The overall mean of HRQoL for all the participants was 0.96±0.08 (0.93±0.11 for cancer survivors and 0.97±0.08 for general adults). For cancer survivors, age, depressive symptoms, and moderate intensity physical activity were associated with HRQoL (adjusted R 2 =.180, p<.001). For general adults, age, education level, economic activity, income level, walking, sodium intake, depressive symptoms, and stress were associated with HRQoL (adjusted R 2 =.165, p<.001).
Conclusion
Cancer survivors had lower HRQoL than general adults. Differences were found in the factors associated with HRQOL in cancer survivors and general adults. Therefore, customized health programs and policies should be developed and provided for each group to improve their HRQoL.
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