DOI QR코드

DOI QR Code

Influencing Factors on Depression in Stomach Cancer Patients Receiving Chemotherapy

항암화학요법을 받는 위암 환자의 우울과 영향요인

  • Received : 2012.09.06
  • Accepted : 2012.12.07
  • Published : 2012.12.31

Abstract

Purpose: The purpose of this study was to identify factors that influence depression in stomach cancer patients receiving chemotherapy at outpatient clinic. Methods: A cross-sectional design was used. Ninety two subjects diagnosed with stomach cancer and receiving chemotherapy agreed to participated in the study. Subjects completed a survey which included questions about depression, symptom experience, social support and self-efficacy. Results: The level of depression was $13.45{\pm}6.92$. Reported depression differed according to patient's perceived health status. Depression was significantly correlated with symptom experience, social support and self-efficacy. The most important factor related to depression was symptom experience, followed by social support and self-efficacy. These three factors could explain about 47% of depression in stomach cancer patients receiving chemotherapy. Conclusion: Although the level of depression in stomach cancer patients receiving chemotherapy was relatively low, 34.8% of patients reported to have depression. It is important to apply nursing intervention including screening of depression level in stomach cancer patients receiving chemotherapy that focused on symptom experience and to consider about social support and self-efficacy at outpatient clinic.

Keywords

References

  1. Bandura, A. A. (1977). Self-efficacy toward a unifying theory of behavioral change. Psychological Review, 84 , 191-215. https://doi.org/10.1037/0033-295X.84.2.191
  2. Bowers, L., & Boyle, D. A. (2003). Depression in patients with advanced cancer. Clinical Journal of Oncology Nursing, 7 (3), 281-288. https://doi.org/10.1188/03.CJON.281-288
  3. Boyajian, R. (2010). Depression's impact on survival in patients with cancer. Clinical Journal of Oncology Nursing, 14 (5), 649-652. https://doi.org/10.1188/10.CJON.649-652
  4. Chon, K. K., & Rhee, M. K. (1992). Preliminary development of korean version of CES-D. Korean Journal of Clinical Psychology, 11 , 65-76.
  5. Cobb, S. (1976). Social support as a moderator of life stress. Psychosomatic Medicine, 38 (5), 300-313. https://doi.org/10.1097/00006842-197609000-00003
  6. Fulcher, C. D., Badger, T., Gunter, A. K., Marrs, J. A., & Reese, J. M. (2008). Putting Evidence Into $Practice^{(R)}$: Intervention for depression. Clinical Journal of Oncology Nursing, 12 (1), 131-140. https://doi.org/10.1188/08.CJON.131-140
  7. Kang, J. I., & Namkoong, K. (2007). Psychosocial aspects and mental health in cancer patients. Journal of Korean Neuropsychiastric Association, 46 (5), 421-429.
  8. Kim, J. H. (2012). A model for medication adherence in cancer patients receiving oral chemotherapy. Unpublished doctoral dissertation. Chung-Ang University. Seoul.
  9. Kim, H. Y. (2009). A structural model for psychosocial adjustment in early breast cancer patients, Unpublished doctoral dissertation. Chonnam National University. Daejeon.
  10. Kim, G. D., & Kim, K, H. (2011). Symptom cluster aand quality of life in patients with breat cancer undergoing chemotherapy. Korean Journal Of Adult Nursing, 23 (5), 434- 445.
  11. Kim, S. J., Rha, S. Y., Song, S. K., Namkoong, K., Chung, H, C. Yoon, S. K., et al. (2011). Prevalence and associated factors of psychological distress among korean cancer patients. General Hospital Psychiatry, 33 , 246-252. https://doi.org/10.1016/j.genhosppsych.2011.02.008
  12. Korea National Cancer Information Center. (2009). Cancer statistics. Retrieved August 20, 2012, from http://www. cancer.go.kr/cms/statics/incidence/index.html.
  13. Korea National Cancer Information Center. (2008). Recommendations for distress managemenet in cancer patients. Retrieved September 28, 2012, from http://www.cancer. go.kr/ncic/cics_g/cics_g02/cics_g027/1389214_6065.html.
  14. Lee, E. O., Eom, A., Song, R., Chae, Y. R., & Lam, P. (2008). Factors infuencing quality of life in patients with gastrointestinal neoplasms. Journal of Korean Academy of Nursing, 38 (5), 649-655. https://doi.org/10.4040/jkan.2008.38.5.649
  15. Lenz, E. R., Suppe, F., Gift, A. G., Pugh, L. C., & Milligan, E. A. (1995). Collaborative development of middle-range nursing theories: Toward a theory of unpleasant symptoms. Advances in Nursing Science, 17 (3), 1-13.
  16. McMillan, S. C., Tofthagen, C., & Morgan, M. A. (2008). Relationships among pain, sleep disturbances, and depressive symptoms in outpatients from a comprehensive cancer center. Oncology Nursing Forum, 35 (4), 603- 611. https://doi.org/10.1188/08.ONF.603-611
  17. Miaskowski, C., Cooper, B. A., Paul, S. M., Dodd, M., Lee, K., Aouizerat, B. E., et al. (2006). Subgroups of patients with cancer with different symptom experiences and quality of life outcomes: A cluster analysis. Oncology Nursing Forum, 33 (5), 79-89. https://doi.org/10.1188/06.ONF.E79-E89
  18. Mystakidou, K., Parpa, E., Tsilika, E., Gogou, P., Panagiotou, I., Galanos, A., et al. (2010). Self-efficacy, depression, and physical distress in males and females with cancer. Journal of Hospice and Palliative Medicine, 27 (8), 518-525. https://doi.org/10.1177/1049909110376808
  19. National Comprehensive Cancer Network. (2013). Distress management. Retrieved September 28, 2012, from http://www. nccn.org/professionals/physician_gls/f_guidelines.asp#s upportive.
  20. Oh, H. S. (1993). Health promoting behaviors and quality of life of Korean women with arthritis. Journal of Korean Academy of Nursing, 23 (4), 617-630.
  21. Park, J. H. (2002). Patterns and related factors of fatigue during radiotherapy in patients with breast cancer. Unpublished Master's thesis, the Yonsei University, Seoul.
  22. Payne, J. K., Piper, B. F., Rabinowitz, I., & Zimmerma, M. B. (2006). Biomarkers, fatigue, sleep, and depressive symptoms in women with breast cancer: A pilot study. Oncology Nursing Forum, 33 (4), 775-783. https://doi.org/10.1188/06.ONF.775-783
  23. Radloff, L. S. (1977) The CES-D: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385-401. https://doi.org/10.1177/014662167700100306
  24. Sahin, Z. A., & Tan, M. (2012). Loneliness, depression, and social support of patients with cancer and their caregivers. Clinical Journal of Oncology Nursing, 16 (2), 145- 149.
  25. Samarel, N., Leddy, S. K., Greco, K., Cooley, M. E., Torres, S. C., Tulman, L., et al. (1996). Development and testing of the symptom experience scale. Journal of Pain and Symptom Management, 12, 221-228. https://doi.org/10.1016/0885-3924(96)00150-9
  26. Satin, J. R., Linden, W., & Phillips, M. J. (2009). Depression as a predictor of disease progression and mortality in cancer patients: A meta-analysis. Cancer, 115 , 5349-5361. http:// dx.doi.org/10.1002/cnr.24561.
  27. Sherbourne, A. D., & Stewart, A. L. (1991). The MOS social support survey. Social Science and Medicine, 32 (6), 705- 714. https://doi.org/10.1016/0277-9536(91)90150-B
  28. Sherer, M., Maddux, J. E., Mercandante, B., Prentice-Dunn, S., Jacobs, B., & Rogers, R. (1982). The self-efficacy scale: Construction and validation. Psychological Reports, 51 , 663- 671. https://doi.org/10.2466/pr0.1982.51.2.663
  29. Son, H. G., Kim, S. H., & Sohn, S. K. (2007). Relationship between fatigue and depression in patients with hemato malignancy receiving chemotherapy. Journal of Korean Oncology Nursing, 7 (1), 14-25.
  30. Tavoli, A., Mohagheghi, M. A., Montazeri, A., Roshan, A., Tavoli, Z., & Omidvari, S. (2007). Anxiety and depression in patients with gastrointestinal cancer: Does knowledge of cancer diagnosis matter? BMC Gastroenterology, 7 (28), 1-6. http://dx.doi.org/10.1186/1471-230X-7-28.

Cited by

  1. Influence of Spiritual Health and Fatigue on Depression in Breast Cancer Patients vol.14, pp.2, 2014, https://doi.org/10.5388/aon.2014.14.2.51
  2. Postoperative Changes in Body Weight, Anxiety, Depression, and Quality of Life after Radical Gastrectomy among Patients with Gastric Cancer vol.14, pp.3, 2014, https://doi.org/10.5388/aon.2014.14.3.139
  3. A Predictive Model of Quality of Life for Stomach Cancer Patients with Gastrectomy vol.27, pp.6, 2015, https://doi.org/10.7475/kjan.2015.27.6.613
  4. Factors Influencing on Resilience of Elderly Gastric Cancer Patients vol.17, pp.3, 2017, https://doi.org/10.5388/aon.2017.17.3.170
  5. Distress and Quality of Life in Patients with Esophageal Cancer vol.18, pp.1, 2018, https://doi.org/10.5388/aon.2018.18.1.40
  6. Factors Affecting Cognitive Function in Patients with Stomach Cancer vol.18, pp.4, 2018, https://doi.org/10.5388/aon.2018.18.4.241
  7. 직장절제술을 받은 남성 직장암 환자의 성건강 프로그램의 효과 vol.29, pp.3, 2017, https://doi.org/10.7475/kjan.2017.29.3.225
  8. Impact of Posttraumatic Growth and Health Promoting Behavior on Quality of Life in Patients with Gastrointestinal Cancer vol.28, pp.1, 2012, https://doi.org/10.7739/jkafn.2021.28.1.32