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연세대학교 의과대학 Yonsei Medical Journal Yonsei Medical Journal 제53권 제1호
발행연도
2012.1
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118 - 125 (8page)

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Purpose: The present study aims to evaluate the prevalence of unmet needs among breast cancer survivors, to assess the relationships between unmet needs and depression and quality of life, and to explore the extent to which unmet needs of breast cancer patients relate to the time elapsed since surgery. Materials and Methods: Among 1,250 eligible patients who participated in the study, 1,084 cases (86.7%) were used for analysis. Clinicopathological and social parameters were reviewed and the Supportive Care Needs Survey, Functional Assessment of Cancer Therapy-Breast cancer instrument, and Beck Depression Inventory were administered. The frequency of unmet needs, the association between unmet needs and depression and/or quality of life (QOL) and the impact of the time elapsed since surgery on the patients’ unmet needs were analyzed. Results: The highest levels of unmet needs were found to be in the health system and information domain. Patients with a survival duration of less than 1 year since surgery showed significantly higher unmet needs in all need domains except the sexuality domain (p<0.001) than participants in the other groups. Patients with a survival duration of 1-3 years also experienced significantly higher psychological and information needs than long-term survivors (>5 years). In addition, unmet needs were significantly associated with depression (p<0.001) and QOL (p<0.001). Conclusion: The present study demonstrated that long-term breast cancer survivors had a significantly lower level of unmet needs than patients with survival duration of less than 3 years after surgery and patients with survival duration of less than 1 year since surgery suffered the greatest unmet needs. QOL might be enhanced if interventions are made for specific unmet needs of each patient group.
#Breast carcinoma #unmet needs #quality of life #depression

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참고문헌 (26)

참고문헌 신청
Ahn SH / 2007 / Health-related quality of life in disease-free survivors of breast cancer with the general population / Ann Oncol 18 : 173 ~ 182 google schola Akechi T / 2011 / Patient’s perceived need and psychological distress and/or quality of life in ambulatory breast cancer patients in Japan / Psychooncology 20 : 497 ~ 505 google schola Beesley V / 2008 / Unmet needs of gynaecological cancer survivors: implications for developing community support services / Psychooncology 17 : 392 ~ 400 google schola Bonevski B / 2000 / Evaluation of an instrument to assess the needs of patients with cancer. Supportive Care Review Group / Cancer 88 : 217 ~ 225 google schola Brady MJ / 1997 / Reliability and validity of the Functional Assessment of Cancer Therapy-Breast quality-of-life instrument / J Clin Oncol 15 : 974 ~ 986 google schola

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