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KMID : 0388320230300030345
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Journal of Korean Academy of Fundamental Nursing
2023 Volume.30 No. 3 p.345 ~ p.356
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The Impact of Symptom Burden, Social Support, Self-Efficacy, and eHealth Literacy on the Quality of Life of Patients Undergoing Breast Cancer Treatment: A Cross-Sectional Study
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Lee Bang-Eun
Uhm Ju-Yeon
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Abstract
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Purpose: The number of breast cancer patients in Korea has steadily increased. However, there are few studiesaddressing quality of life of patients undergoing breast cancer treatment in Korea. This study aimed to identifypredictors of quality of life among patients undergoing breast cancer treatment.
Methods: This descriptive,cross-sectional study included 142 patients with breast cancer undergoing treatment in a cancer hospital. Datawere collected using the MD Anderson Symptom Inventory, Multidimensional Scale of Perceived Social Support,Breast Cancer Survivors Scale, eHealth Literacy Scale, and the Functional Assessment of Cancer Therapy-BreastCancer through self-administered questionnaires from January 12 to December 6, 2022. Differences in the levelof quality of life according to demographic and clinical variables and correlations among continuous variables wereidentified using univariate statistics, and hierarchical multiple regression was used to identify predictors of qualityof life.
Results: Employment status, comorbidities, disease duration, and cancer stage were demographic andclinical variables that showed significant associations with quality of life. Symptom burden, social support,self-efficacy, and eHealth literacy were also significantly associated with quality of life. The predictors of qualityof life were employment status (β=.13, p=.009), cancer stage (β=.12, p=.033), symptom severity (β=-.14, p=.044),symptom interference (β=-.30, p<.001), social support (β=.13, p=.025), and self-efficacy (β=.46, p<.001). Theexplanatory power was approximately 69% (F=26.90, p<.001).
Conclusion: Nursing interventions should beimplemented for patients undergoing breast cancer treatment to improve their quality of life while reducing thesymptom burden and enhancing self-efficacy and social support.
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KEYWORD
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Breast neoplasm, Quality of life, Self efficacy, Social support
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