Asian Oncol Nurs.  2024 Jun;24(2):73-81. 10.5388/aon.2024.24.2.73.

The Influence of Depression, Sleep Quality, and Mental Health Literacy on the Quality of Life in Breast Cancer Patients

Affiliations
  • 1Advanced Oncology Certified Nurse (AOCN), Inje University Busan Paik Hospital, Busan, Korea
  • 2Assistant Professor, College of Nursing, Kosin University, Busan, Korea

Abstract

Purpose
This study aims to measure the impact of depression, sleep quality, and mental health literacy on the quality of life in patients with breast cancer.
Methods
A cross-sectional descriptive study was performed with the participation of 148 hospitalized breast cancer patients. The data analysis utilized independent t-tests, ANOVA, Pearson’s correlation, and stepwise multiple linear regression.
Results
The mean score of quality of life was 85.60±9.43, indicating significant differences according to perceived economic status, the time since diagnosis, and the use of hypnotics and antidepressants. Depression, sleep quality, and mental health literacy were found to have a significant association with quality of life. The regression analyses showed that significant predictors on quality of life were depression (β=-.64, p<.001), sleep quality (β=.19, p=.002), and mental health literacy (β=.11, p=.035). These variables explained 61.0% of the impact on the quality of life in the breast cancer patients.
Conclusion
To enhance the quality of life for breast cancer patients, it will be essential to create a nursing program aimed at reducing depression, improving sleep quality, and enhancing mental health literacy.

Keyword

Breast neoplasms; Depression; Mental health service; Quality of life, Sleep quality
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