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Effects of a Comprehensive Rehabilitation Program for Mastectomy Patients  

조옥희 (포천중문의과대학 간호학부)
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Journal of Korean Academy of Nursing / v.34, no.5, 2004 , pp. 809-819 More about this Journal
Abstract
Purpose: The purpose of this study was to investigate the effect of a comprehensive rehabilitation program on physical function, immune response, fatigue and quality of life in mastectomy patients. Method: The subjects included fifty-five patients with breast cancer (27 in the control group and 28 in the experimental group). The subjects in the experimental group participated in a comprehensive rehabilitation program for10 weeks, which was composed of 1 session of education, 2 sessions of stress management, 2 sessions of exercise, and 1 session of peer support group activity per week. Result: The results revealed anincrease in shoulder extension, abduction, external rotation, and internal rotation of the affectedupper extremity, and in shoulder extension and abduction of the healthy upper extremity. Also an increase in quality of life and a decrease in fatigue were significantly higher in the experimental group than the control group. However, the results revealed that the natural killer cell ratio of the experimental group increased but there was no significant difference from that of the control group. Conclusion: The 10-week comprehensive rehabilitation program showed a large affirmative effect on physical function, fatigue and quality of life of breast cancer patients after a mastectomy.
Keywords
Breast neoplasms; Rehabilitation; Fatigue; Quality of life;
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1 Box, R. C., Reul-Hirche, H. M., Bullock-Saxton, J. E., & Furnival, C. M.. (2002). Shoulder movement after breast cancer surgery : results of a randomised controlled study of postoperative physiotherapy. Breast Cancer Res Treat, 75, 35-50   DOI   ScienceOn
2 Cella, D., Eton, D. T., Lai, J. S., Peterman, A. H., & Merkel, D. E.. (2002). Combining anchor and distribution-based methods to derive minimal clinically important differences on the Functional Assessment of Cancer Therapy(FACT) anemia and fatigue scales. J Pain Symptom Manage, 24, 547-561   DOI   ScienceOn
3 King, M. T., Kenny, P., Shiell, A., Hall, J., & Boyages, J. (2000). Quality of life three months and one year after first treatment for early stage breast cancer : Influence of treatment and patient haracteristics. Quality of Life Res, 9, 789-800   DOI   ScienceOn
4 Lee, E. H. (1998). The relationships fatigue and hope to psychosocial adjustment to breast cancer in Korea women receiving post-surgical follow-up treatment. Unpublished doctoral dissertation: New York University
5 Mock, V., Pickett, M., Ropka, M. E., Lin, E. M., Stewart, K. J., Rhodes, V. A., McDaniel, R., Grimm, P. M., Krumm, S., & McCorkle, R. (2001). Fatigue and quality of life outcomes of exercise during cancer treatment. Cancer Practice, 9(3), 119-127
6 Park, J. H. (2002). Patterns and related factors of fatigue during radiotherapy in patients with breast cancer. Unpublished doctoral dissertation, Yonsei University of Korea, Seoul
7 Piper, B. F., Dibble, S. L., Dodd, M. J., Weiss, M. C., Slaughter, R. E., & Paul, S. M. (1998). The revised Piper Fatigue Scale : Psychometric evaluation in women with breast cancer. Oncol Nurs Forum, 25, 677-684
8 Korea Central Cancer Registry Ministry of Health and Welfare Republic of Korea. (2003). 2002 Annual Report of the Korea Central Cancer Registry
9 Isaksson, G., & Feuk, B. (2000). Morbidity from axillary treatment in breast cancer : a follow-up study in a district hospital. Acta Oncol, 39(3), 335-6
10 Lee, K. S., Woo K. J., Sim J. H., & Lee G. H. (1995). The clinical study of grip and pinch strength in normal Korean adult. J of Korean Orthop Assoc, 30(6), 589-1597
11 Chae, Y. R. (2000). Effect of exercise undergoing radiation therapy after breast surgery on physical functioning and natural killer cell cytotoxic activity in breast cancer patients. Unpublished doctoral dissertation, Seoul National University of Korea, Seoul
12 Lee, E. H. (2000). Mediation effect of hope between fatigue and psychosocial adjustment in women with breast cancer. J Korean Acad Nurs, 30(4), 857-868
13 Ferrell, B. R., Grant, M. M., Funk, B. M., Otis-Green, S. A., & Garcia, N. J. (1998). Quality of life breast cancer survivors : implications for developing support services. Oncol Nurs Forum, 25(5), 887-895
14 Brady, M. J., Cella, D. F., Mo, Fei, Bonomi, A. E., Tulsky, D. S., Lloyd, S. R., Deasy, S., Cobleigh, M., & Shiomoto, G. (1997). Reliability and validity of the functional assessment of cancer therapy-breast quality-of-life instrument. J Clin Oncol, 15(3), 974-986
15 Voogd, A. C., Ververs, J. M. M. A., Vingerhoets, A. J. J. M., Roumen, R. M. H., Coebergh, J. W. W., & Crommelin, M. A. (2003). Lymphedema and reduced shoulder function as indicators of quality of life after axillary lymph node dissection for invasive breast cancer. Br J Surg, 90, 76-81   DOI   ScienceOn
16 Na, Y. M., Lee, J. S., Park, J. S., Kang, S. W., Lee, H. D., & Koo, J. Y. (1999). Early rehabilitation program in postmastectomy patients : a prospective clinical trial. Yonsei Med J, 40(1), 1-8
17 Fairey, A. S., Courneya, K. S., Foeld, C. J., & Mackey, J. R. (2002). Physical exercise and immune system function in cancer survivors. Cancer, 94(2), 539-551
18 Bosompra, K., Ashikaga, T., O'Brien, P., Nelson, L., & Skelly J. (2002). Swelling, numbness, pain, and their relationship to arm function among breast cancer survivors : a disablement process model perspective. Breast J, 8(6), 338-348
19 Courneya, K. S., Mackey, J. R., Bell, M. G., Jones, L. W., Field, C. J., & Fairey, A. S. (2003). Randomized controlled trial of exercise training in postmenopausal breast cancer survivor : cardiopulmonary and quality of life outcomes. J Clin Oncol, 21(9), 1660-1668
20 Helgeson, V. S., Cohen, S., Schilz, R., & Vasko, J. (1999). Education and peer discussion group interventions and adjustment to breast cancer. Arch Gen Psychiatry, 56, 340-347   DOI   ScienceOn
21 Servaes, P., Verhagen, C., & Bleijenberg, G. (2002). Relations between fatigue, neuropsychological functioning, and physical activity after treatment for breast carcinoma : daily self-report and objective behavior. Cancer, 95(9), 2017-2026
22 Choi, I. J. (1999). A study on factors related to fatigue in cancer patients receiving chemotherapy. Unpublished master dissertation, Yonsei University, Seoul
23 Yoo, Y. S. (1996). Effects of aquatic exercise program on the shoulder joint function. immune response and emotional state in postmastectomy patients. Unpublished doctoral dissertation, The Catholic University of Korea, Seoul
24 Bakke, A. C., Purtzer, M. Z., & Newton, P. (2002). The effect of hypnotic-guided imagery on psychological well-being and immune function in patients with prior breast cancer. J Psychosom Res, 53, 1131-1137   DOI   ScienceOn
25 Rietman, J. S., Dijkstra, P. U., Hoekstra, H. J., Eisma, W. H., Szabo, B. G., Groothoff, J. W., & Geertzen, J. H. B. (2003). Late morbidity after treatment of breast cancer in relation to daily activities and quality of life: a systemic review. Eur J Surg Oncal, 29, 229-238   DOI   ScienceOn
26 Wingate, L., Croghan, I., Natarajan, N., & Michalek, A. M. (1989). Rehabilitation of the mastectomy patient : A randomized, blind, prospective study. Arch Phys Med Rehabi, 70(1), 21-24
27 Burke, S., & Kissane, D. W. (1999). Psychosocial impact of breast cancer : a review of interventions by specialist providers: A summary of the literature 1976-1996. National Breast Cancer Centre
28 Holley, S. H., & Borger, D. (2001). Energy for living with cancer : preliminary findings of a cancer rehabilitation group intervention study. Oncol Nurs Forum, 28(9), 1393-1396
29 Kim, Y. S. (2002). A descriptive study of quality of life for breast cancer survivors. Unpublished master dissertation, Seoul National University, Seoul