Asian Nurs Res.
2021 Feb;15(1):53-59. 10.1016/j.anr.2020.11.002.
Causal Attributions and Quality of Life of Korean Breast Cancer Survivors
- Affiliations
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- 1College of Nursing, The Catholic University of Korea, Seoul, Republic of Korea
- 2Department of Surgery, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
- 3Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, United States
- 4Department of Surgery, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
- KMID: 2512977
- DOI: http://doi.org/10.1016/j.anr.2020.11.002
Abstract
- Purpose
The purpose of this study was threefold: to explore the causal attributions of breast cancer, examine underlying factors of the attributes, and determine their relationship to quality of life among Korean breast cancer survivors.
Methods
The study used a descriptive correlational design, which included quantitative survey questionnaires and an open-ended question to complement the study. Three hundred and three breast cancer survivors were recruited from two university hospitals in South Korea, between January and April 2018. The causal attributions were explored using the Illness Perception Questionnaire Revised and an open-ended question. The survivors' quality of life was assessed using the Functional Assessment of Cancer Therapy for Breast Cancer. The quantitative analysis was performed using the SPSS 25.0 software package; the ATLAS.ti 8 software was used for thematic analysis.
Results
Quantitative and qualitative data of 321 and 238 breast cancer survivors, respectively, were analyzed. “Stress and worry” and “diet or eating habits” were believed to be the two most likely causes of breast cancer. Eleven new causal attributes emerged from the analysis. Being diagnosed with breast cancer at an older age (p < .05), having received chemotherapy (p < .05), and holding nonbehavioral causal attributes (p < .001), were significantly related to lower quality of life.
Conclusion
There were differences between the survivors' beliefs on their causes of disease, and causal factors available from the literature. As the survivors' causal attributes were significantly related to their quality of life, healthcare providers should individually assess and incorporate these attributes into their care.
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