Asian Oncol Nurs.  2023 Jun;23(2):47-55. 10.5388/aon.2023.23.2.47.

Factors related to Cancer Preventive Behavior among Patients with Early Gastric Cancer who Underwent Endoscopic Submucosal Dissection

Affiliations
  • 1Nurse, Department of Nursing, Severance Hospital, Seoul, Korea
  • 2Professor, College of Nursing · Mo-Im Kim Nursing Research Institute, Yonsei University, Seoul, Korea
  • 3Professor, Department of Internal Medicine, College of Medicine, Yonsei University, Seoul, Korea
  • 4General Manager, Division of Nursing, Yong In Severance Hospital, Yongin · Adjunct Professor, College of Nursing, Yonsei University, Seoul, Korea

Abstract

Purpose
The research aimed to investigate the factors affecting cancer preventive behavior among patients with early gastric cancer (EGC) who underwent endoscopic submucosal dissection (ESD).
Methods
Data were collected from 126 patients who underwent ESD for EGC and who were recruited from a single university affiliated hospital, Seoul, Korea. The data were analyzed by descriptive statistics, independent t-test, one-way ANOVA, Pearson’s correlation coefficient, and multiple regression analysis.
Results
The average score of cancer preventive behavior was 66.87±10.36 out of 90. Correlations between attitude toward cancer and preventive behavior regarding cancer were positive (r=.26, p=.004). Also, the regression analyses revealed that factors affecting cancer preventive behavior included perception of cancer screening, attitude toward cancer, and age. A history of drinking alcohol on the other hand was negatively related to cancer preventive behavior. The regression analyses explained 31% of variance (F=6.50, p=.037).
Conclusion
These results suggest that nurses should develop a program for risk groups (people who drink alcohol regularly, are under the age of 65 and who have poor self-health care after ESD). And such a program should include interventions to improve attitudes toward cancer and perception of cancer screening, and encourage physical activity.

Keyword

Stomach neoplasms; Endoscopic submucosal dissection; Cancer survivors; Health behavior
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