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http://dx.doi.org/10.22650/JKCNR.2019.25.1.15

Factors Influencing Distress in Premenopausal Patients with Breast Cancer Undergoing Endocrine Therapy  

Kim, Jiyoung (Department of Nursing, Asan Medical Center)
Kang, Younhee (College of Nursing, Ewha Womans University)
Publication Information
Journal of Korean Clinical Nursing Research / v.25, no.1, 2019 , pp. 15-24 More about this Journal
Abstract
Purpose: The purpose of this study was to investigate relationships among menopausal symptoms, functional status, and distress and to identify factors influencing distress in premenopausal breast cancer patients who had been on endocrine therapy. Methods: A descriptive correlational study was conducted. Data were collected using questionnaires from 140 patients with breast cancer undergoing endocrine therapy at a general hospital. Data were analyzed using descriptive statistics, t-test, ANOVA, Tukey HSD test, Pearson's correlation analysis and hierarchical regression analysis. Results: The mean scores for menopausal symptom, functional status, and distress were $19.65{\pm}7.86$, $2.67{\pm}0.33$ and $3.69{\pm}2.19$, respectively. The menopausal symptoms and distress were positively correlated (r=.76, p<.001). The menopausal symptoms and functional status (r=-.43, p<.001) and functional status and distress (r=-.31, p<.001) were negatively correlated. The most influential factor for distress was menopausal symptoms (${\beta}=.79$, p<.001). Conclusion: Based on the findings of this study, developing nursing intervention programs focusing on decreasing menopausal symptoms and distress are recommended.
Keywords
Breast Neoplasms; Antineoplastic Hormonal Drugs; Menopause; Activities of Daily Living; Psychological Stress;
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