J Korean Acad Nurs.  2008 Oct;38(5):649-655. 10.4040/jkan.2008.38.5.649.

Factors Influencing Quality of Life in Patients with Gastrointestinal Neoplasms

• Lee EO
• Eom A
• Song R
• Chae YR
• Lam P

• KMID: 1125530
• DOI: http://doi.org/10.4040/jkan.2008.38.5.649

Abstract

PURPOSE: The purpose of this study was to identify the factors influencing quality of life after analyzing the relationship between depression, health promotion and quality of life in patients with gastrointestinal neoplasms.
METHODS
The subjects of this study were 63 people who underwent treatments from 2 general hospitals in Seoul and Daejeon and had no recurrence in stages I & II of gastrointestinal neoplasms. Data was collected from March 1 to April 30, 2006. A questionnaire consisting of Center for Epidemiologic Studies Depression (CES-D), Health Promoting Lifestyle Profile II (HPLP II) and Functional Assessment of Cancer Therapy-Colorectal (FACT-C) was given. The collected data was analyzed with the SPSS program which was used for descriptive statistics, Pearson correlation coefficients and hierarchical multiple regression.
RESULTS
The major findings of this study were as follows: 1) There was a significant relationship between depression (r=-.639, p=.000), health promotion (r=.407, p=.001) and quality of life. 2) Significant factors were depression (F=-4.091, p=.000) and health promotion (F=2.375, p=.021) that explained 46% of quality of life (F=10.022, p=.000).
CONCLUSION
Cancer patients experienced extreme depression which led to a negative effect on quality of life. Health promotion was an important variable to the quality of life and it gave the patients motivation for having a will and belief for better health.

Keyword

Gastrointestinal neoplasms; Depression; Health promotion; Quality of life

MeSH Terms

Adult
Aged
Data Interpretation, Statistical
Depression/psychology
Female
Gastrointestinal Neoplasms/*psychology
Health Promotion
Humans
Male
Middle Aged
Neoplasm Staging
*Quality of Life
Questionnaires

Reference

1. Battle J. Relationship between self-esteem and depression. Psychological Reports. 1978. 42:745–746.

2. Burnham TR, Wilcox A. Effects of exercise on physiological and psychological variables in cancer survivors. Medicine and Science in Sports and Exercise. 2002. 34:1863–1867.

3. Courneya KS, Friedenreich CM, Quinney HA, Fields AL, Jones LW, Fairey AS. A randomized trial of exercise and quality of life in colorectal cancer survivors. European Journal of Cancer Care. 2003. 12:347–357.

4. Ferrans CE. Quality of life: Conceptual issue. Seminars in Oncology Nursing. 1990. 6:248–254.

5. Guren MG, Dueland S, Skovlund E, Fosså SD, Poulsen JP, Tveit KM. Quality of life during radiotherapy for rectal cancer. European Journal of Cancer. 2003. 39:587–594.

6. Jeon KK, Lee MK. Preliminary development of Korean version of CES-D. Korean Journal of Clinical Psychology. 1992. 11:65–76.

7. Kim H, Lee KH, Kim JC, Chung HY, Yoo HJ, Lee JH, et al. Development and validation of Korean Functional Assessment Cancer Therapy-General (FACT-G). The Korean Journal of Clinical Psychology. 2003. 22:215–229.

8. Kim YJ, Yoo HJ, Kim JC, Han OS. Preoperative quality of life in rectal cancer patients. Korean Journal of Clinical Psychology. 2003. 22:743–762.

9. The statistics of death rate in Korea. 2007. 09. Retrieved March 3, 2008. Korea National Statistical Office;from http://www.kosis.kr/domestic/theme/do01_index.jsp.

10. Lee EH, Jeong YH, Kim JS, Song RY, Hwang KY. Statistical methods for health care research. 2006. Seoul: Koonja.

11. Lee PS, Sohn JN, Lee YM, Park EY, Park JS. A correlational study among perceived stress, anger expression, and depression in cancer patients. Journal of Korean Academy of Nursing. 2005. 35:195–205.

12. Lee SH. A study on professional medical team support and information needs of patients with colon cancer. 2006. Seoul: Yonsei University;Unpublished master's thesis.

13. Maeda T, Onuoha FN, Munakata T. The effect of postoperative symptom experience, and personality and psychosocial factors on depression among postgastrectomy patients in Japan. Gastroenterology Nursing. 2006. 29:437–444.

14. Cancer incidence in Korea. 2007. 10. Retrieved March 3, 2008. Ministry of Health, Welfare and Family Affair;from http://stat.mw.go.kr/.

15. Mock V, Pickett M, Ropka ME, Muscari Lin E, Stewart KJ, Rhodes VA, et al. Fatigue and quality of life outcomes of exercise during cancer treatment. Cancer Practice. 2001. 9:119–127.

16. Molife R, Lorigan P, MacNeil S. Gender and survival in malignant tumors. Cancer Treatment Reviews. 2001. 27:201–209.

17. Mutrie N, Campbell AM, Whyte F, McConnachie A, Emslie C, Lee L, et al. Benefits of supervised group exercise programme for women being treated for early stage breast cancer: Pragmatic randomised controlled trial. British Medical Journal. 2007. 10:517–522.

18. Park EH. The effect of breast self-examination (BSE) promotion program on BSE compliance & health promoting behaviors in adult women. 2003. Seoul: Konkuk University;Unpublished master's thesis.

19. Pender NJ, Murdangh CL, Parson MA. Health promotion in nursing practice. 2002. Upper Saddle River, NJ: Prentice Hall.

20. Radloff LS. The CES-D Scale: A self-report depression scale for research in the general population. Journal of Applied Psychology Measurement. 1977. 1:385–401.

21. Schultz AA, Winstead-Fry P. Predictors of quality of life in rural patients with cancer. Cancer Nursing. 2001. 24:12–19.

22. Suh YO. Predictors of quality of life in women with breast cancer. Journal of Korean Academy of Nursing. 2007. 37:459–466.

23. Taechaboonsermsak P, Kaewkungwal J, Singhasivanon P, Fungladda W, Wilailak S. Causal relationship between health promoting behavior and quality of life in cervical cancer patients undergoing radiotherapy. The Southeast Asian Journal of Tropical Medicine and Public Health. 2005. 36:1568–1575.

24. Walker SN, Sechrist KR, Pender NJ. The Health Promoting Lifestyle Profile II. 1995. Omaha: College of Nursing, University of Nebraska Medical Center.

25. Ward WL, Hahn EA, Mo F, Hernandez L, Tulsky DS, Cella D. Reliability and validity of the Functional Assessment of Cancer Therapy-Colorectal (FACT-C) quality of life instrument. Quality of Life Research. 1999. 8:181–195.

26. Wilson TR, Alexander DJ, Kind P. Measurement of health-related quality of life in the early follow-up of colon and rectal cancer. Diseases of the Colon and Rectum. 2006. 49:1692–1702.

27. Wittmann M, Vollmer T, Schweiger C, Hiddemann W. The relation between the experience of time and psychological distress in patients with hematological malignancies. Palliative and Supportive Care. 2006. 4:357–363.

28. Wu C, Hsieh M, Lo S, Lui W, P'eng F. Quality of life of patients with gastric adenocarcinoma after curative gastrectomy. World Journal of Surgery. 1997. 21:777–782.

29. Yang YH. The trajectory of fatigue and quality of life in stomach cancer patients receiving chemotherapy. Journal of Korean Academy of Nursing. 2002. 32:482–491.

30. Yoon HJ, Chung JP, Choi SH, Kim CS, Kang BS, Lee TH, et al. A study on the prognosis and prognostic factors of gastric proper muscle cancer. Korean Journal of Gastroenterology. 2003. 41:87–93.