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논문 기본 정보

자료유형
학술저널
저자정보
Seol Ki Ho (Department of Radiation Oncology Catholic University of Daegu School of Medicine) Bong Su Hyun (Department of Psychiatry Catholic University of Daegu School of Medicine) Kang Dae Hun (Department of Psychiatry The Armed Forces Daejeon Hospital) Kim Jun Won (Department of Psychiatry Catholic University of Daegu School of Medicine)
저널정보
대한신경정신의학회 PSYCHIATRY INVESTIGATION PSYCHIATRY INVESTIGATION 제18권 제1호
발행연도
2021.1
수록면
80 - 87 (8page)

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Objective Approximately half of patients with cancer have comorbidities, such as adjustment disorder, major depressive disorder, and delirium. Radiotherapy can cause psychological problems, e.g., the fear of treatment and its side effects, anxiety, depression, and social isolation. Health-related quality of life (QoL) must be determined to evaluate the effectiveness of cancer treatment. We analyzed the clinical, psychological, and sociodemographic factors influencing the QoL of patients with cancer who were undergoing radiotherapy.Methods Twenty-six patients undergoing radiotherapy (10 male, 16 female) were included. Sociodemographic and clinical data were collected prior to radiotherapy. Psychosocial factors were assessed by self-reported questionnaires before, immediately after, and 3 months after radiotherapy. A multivariate regression analysis identified factors affecting QoL at each time point.Results Patients’ diagnoses were breast, cervical, prostate, endometrial, rectal, hypopharyngeal, laryngeal, liver, gallbladder, esophageal, ovarian, lung, and skin cancers. Before radiotherapy, better resilience was significantly associated with a higher QoL score (R<sup>2</sup>=0.199, p=0.033). Immediately after radiotherapy, financial difficulty was significantly associated with a lower QoL score (R<sup>2</sup>=0.274, p=0.010). Three months after radiotherapy, the presence of chronic disease (R<sup>2</sup>=0.398, p=0.002) and the severity of nausea and vomiting were significantly associated with a lower QoL score (R<sup>2</sup>=0.278, p=0.014).Conclusion Resilience, financial difficulty, the presence of chronic diseases, and the severity of nausea and vomiting significantly influenced the QoL of patients with cancer who were undergoing radiotherapy. Factors affecting QoL varied at each time point. Thus, patients with cancer should undergo regular mental health assessments, including assessments of QoL. Multidimensional (physical, psychological, and social) approaches and individualized time-based interventions are needed to improve the QoL of cancer patients undergoing radiotherapy.
#Cancer patient #Radiotherapy #Mental health #Quality of life.

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참고문헌 (55)

참고문헌 신청
정규원 / 2018 / Cancer Statistics in Korea: Incidence, Mortality, Survival, and Prevalence in 2015 / Cancer Research and Treatment 50(2):303~316 google schola Statics Korea / 2017 Cause of death statics google schola Antoni MH / 2013 / Psychosocial intervention effects on adaptation, disease course and biobehavioral processes in cancer / Brain Behav Immun 30:S88 google schola Stanton AL / 2006 / Psychosocial concerns and interventions for cancer survivors / J Clin Oncol 24:5132~5137 google schola Cassileth BR / 1985 / A psychological analysis of cancer patients and their next-of-kin / Cancer 55:72~76 google schola

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