Browse > Article
http://dx.doi.org/10.5762/KAIS.2017.18.3.258

Predictive Factors to Health Promotion Behaviors in Breast Cancer Patients Using Pender's Health Promotion Model  

So, In-Suk (Division of Nursing, Chungbuk National University Hospital)
Jeong, Hye-Sun (Department of Nursing, Kongju National University)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.18, no.3, 2017 , pp. 258-269 More about this Journal
Abstract
This study was conducted to examine the predictive factors for health promotion behaviors of breast cancer patients, focusing on Pender's health promotion model (1996). Data were collected from 121 patients using a structured questionnaire from September 18 to October 26 in 2015. The data were analyzed with a t-test, ANOVA, Pearson's correlation coefficients, and hierarchical multiple regression analysis using SPSS 20.0 for Windows. The predictive factors for the health promotion behavior of the participants were social support, commitment to a plan of action, prior behavior, activity related effects, perceived self-efficacy, family function, perceived benefits of action, and situational influences. The total explanatory power of these factors was 57.8%. Development and application of a nursing intervention plan that enhances patient compliance with health promotion behavior is needed to enable breast cancer patients undergoing rehabilitation to maintain their optimal health and live a high-quality life. Patients who showed a low degree of predictive factors identified in this study are in particular need of attention.
Keywords
Breast cancer patient; Commitment to a plan of action; Health promotion behaviors; Pender's Health Promotion Model; Social support;
Citations & Related Records
Times Cited By KSCI : 12  (Citation Analysis)
연도 인용수 순위
1 E. S. Lee, J. S. Park, "The Comparison of Health Promotion Behavior, Post Traumatic Growth and Quality of Life according to Stages of Survivorship in Patients with Female Genital Neoplasm", Korean Journal of Adult Nursing, Vol. 25, No. 3, pp. 312-321, 2013. DOI: https://doi.org/10.7475/kjan.2013.25.3.312   DOI
2 Y. S. Lee, "Psychosocial Experience in Post-mastectomy Women", Korean Journal of Social Welfare, Vol. 59, No. 3, pp. 33-124, 2007.   DOI
3 N. H. Jo, "A study on body image and quality of life according to method of surgery and time series after surgery in patients with breast cancer", Unpublished master's thesis, Kyungpook National University, 2005.
4 H. J. Kim, A study on health promoting behavior in post-mastectomy women, Unpublished master's thesis, Chonnam National University, 2000.
5 N, J. Pender, A. R. Pender, "Health promotion in nursing practice." Conn, Appleton & Lange, 1982.
6 N, J. Pender, A. R. Pender, "Attitudes, subjective norms, and intentions to engage in health behaviors". Nursing Research, Vol. 35, No. 1, pp. 15-18, 1986.
7 N, J. Pender, A. R. Pender, "Health promotion in nursing practice". 2rd Edition, Appleton & Lange, 1987.
8 S. N. Walker, K. R.vSechrist N. J. Pender, "The Health-Promotion Lifestyle Profile. Development and psychometric characteristics", Nursing Research, Vol. 136, No. 20, pp. 76-81, 1987.
9 E. J. Lee, "A Study on factors affecting Public Health Center Work force for Health Behavior based on Pender's Health Promotion Model", Unpublished master's thesis, Ewha Womans University, 2011.
10 M. Harding, "Health promotion behaviors and psychological distress in cancer survivors", Oncology Nursing Forum, Vol. 39, No. 2, pp. 132-140, 2012. DOI: https://doi.org/10.1188/12.ONF.E132-E140   DOI
11 B. J. Oh, "A Model for health promoting behaviors and quality of life in people with stomach cancer" Unpublished doctoral dissertation, Seoul National University, 1994.
12 Y. W. Lee, E. H. Lee, "Predicting factors of breast self-examination among middle aged women," Korean Journal of Adult Nursing, Vol. 12, No. 4, pp. 551-559, 2002.
13 R. Lee, S. H. Kim, K. S. Lee, M. K. Seo, Development and Validation of Self-Efficacy Scale for Self-Management of Breast Cancer (SESSM-B). Journal of Korean Academy of Nursing, Vol. 42, No. 3, pp. 385-395, 2012. DOI: https://doi.org/10.4040/jkan.2012.42.3.385   DOI
14 D. H. Olsen, C. S. Russell, D. H. Sprenkle, "Circumplex Model. Systemic assessment and treatment of families", Bighamton. The Haworth Press, 1989.
15 J. S. Park, "The Effect of Health Promotion Programs on Health Promoting Behavior and Cardiovascular Risk Factors of Middle-aged Women", Journal of Adult Nursing, Vol. 14, No. 2, pp. 233-243, 2002.
16 S. N. Yun, S. Y. Kim, J. Y. Lee, "Factors Affecting Women's Behaviors for Health Promotion by Life Span", Korean Journal of Health Promotion, Vol. 4, No. 4, pp. 207-215, 2005.
17 H. S. Kim, "A Study of Influential Factors on Health Promoting Behavior among Korean Seniors in Community", Unpublished doctoral dissertation, Soongsil University, 2009.
18 H. M. Seo, Y. S. Hah, A study of factors influencing on health promoting lifestyle in the elderly -Application of Pender's Health Promotion Model-, Journal of Korean Academy of Nursing, Vol. 34, No. 7, pp. 1288-1297, 2004.   DOI
19 National Cancer Information Center[Internet], Current state of main cancer prevalence rate, by gender and types of cancer, [cited 2017 Jan], Available From: http://www.cancer.go.kr/mbs/cancer/subview.jsp?id=canc er_040201000000,(accessed Jan., 31, 2016)
20 S. N. Yun, S. Y. Kim, Korean Woman's Health Promotion Behavior, Seoul University Press, 2005.
21 H. S. Byun, B. Y. Chung, H J. Park, "Experiences of Sexuality of Women in Breast Cancer Survivors", Korean Journal of Adult Nursing, Vol. 23, No. 5, pp.446-459, 2011.
22 H. J. Kim, H. S. So, "A Study on Health Promoting Behavior In Post-Mastectomy Patients". Journal of Adult Nursing, Korean Journal of Adult Nursing, Vol. 13, No. 1, pp. 82-95, 2001.
23 D. S. Dizon, Quality of life after breast cancer: Survivorship and sexuality. The Breast Journal, Vol. 15, No. 5, pp. 500-504, 2009. DOI: https://doi.org/10.1111/j.1524-4741.2009.00766.x   DOI
24 H. S. Park, G. Y. Cho, K. Y. Park. "The Effects of a Rehabilitation Program on Physical Health, Physiological Indicator and Quality of Life in Breast Cancer Mastectomy Patients", Journal of Korean Academy of Nursing, Vol. 36, No. 2, pp. 310-320, 2006.   DOI
25 Korean Breast Cancer Society [Internet]. Breast Cancer Fact & Figures, [cited 2016 Dec], Available From: http://www.kbcs.or.kr/journal/file/2016_Breast_Cancer_F acts_and_Figures.pdf.(accessed Jan., 31, 2016)
26 K. S. Yang, "The Structural Equation Modelon Resilience of Breast Cancer Patients Receiving Chemotherapy", Unpublished doctoral dissertation, Ewha Woman's university, 2014.
27 Y. M. Ryu, M. S. Lee, "The factors Influencing Quality of Life in Women with Breast Cancer", Asian Oncology Nursing, Vol. 13, No. 3, pp. 121-127, 2013. DOI: https://doi.org/10.5388/aon.2013.13.3.121   DOI
28 F. Ersin, Z. Bahar, "Effect of health belief model and health promotion model on breast cancer early diagnosis behavior, a systematic review. Asian Pacific Journal of Cancer Prevention, Vol. 12, No. 10, pp. 2555-2562, 2011.
29 K. S. Jeong, "Structural Equation Model on Health Promotion Behavior in Breast Cancer Survivors", Unpublished doctoral dissertation, Kosin University, 2014.
30 K. S. Jeong, G. J. Park, "Relationships among Body Image, Self-esteem and Health Promotion Behavior in Mastectomy Patients", Asian Oncology Nursing, 7(1), pp.36-46, 2007.
31 M. Yi, J. Kim, J, "Factors influencing health-promoting behaviors In Korean breast cancer survivors", European Journal of Oncology Nursing, Vol. 17, No. 2, pp. 138-145, 2013. DOI: https://doi.org/10.1016/j.ejon.2012.05.001   DOI
32 K. M. Jin, "The relationship between the health promoting behaviors and the quality of life in patients with breast cancer", Unpublished master's thesis, Wonkwang University, 2006
33 N. J Pender, "Health promotion in nursing practice", 3rd Edition, Standford, Appleton & Lange, 1996.
34 G. Juarez, B. Ferrell, G. Uman, Y. Podnos, L. D. Wagman, "Distress and quality of life concerns of family care givers of patients under going palliative surgery", Cancer Nursing, Vol. 31, pp. 2-10, 2008. DOI: https://doi.org/10.1097/01.NCC.0000305682.13766.c2   DOI
35 Y. W. Lee, E. H. Lee, K. B. Shin, M. S. Song, "A Comparative Study of Korean and Korean-American Women in Their Health Beliefs related to Breast Cancer and the Performance of Breast Self-Examination", Journal of Korean Academy of Nursing, Vol. 34, No. 2, pp. 307-314, 2004. DOI: https://doi.org/10.1158-1055-9965.EPI-08-0589   DOI
36 H. K. Kim, "Factors Influencing Health Promoting Behaviors of University Students using Pender's Model", Korean Journal of Women Health Nursing, Vol. 12, No. 2, pp. 132-141, 2006.
37 J. H. Han, "Review of rehabilitation programs for cancer survivors", Journal of the Korea Academia-Industrial cooperation Society, Vol. 17, No. 12, pp, 307-315, 2016.   DOI
38 Guilin Huang, Yiping Wu, Guiqing Zhang, Pinghua Zhang & Jie Gao, Analysis of the psychological condition as and related factors of breast cancer patients. Chinese-German Journal of Clinical Oncology, Vol. 9, No. 1, pp.53-57, 2010. DOI: https://doi.org/10.1007/s10330-009-0135-2   DOI
39 K. H. Kim, B. Y. Chung, K. D. Kim, H. S. Byun, "Perceived Family Support and Quality of Life in Patients with Cancer", Asian Oncology Nursing, Vol. 9, No. 1, pp. 52-59, 2009.
40 H. K. Hur, D. R. kim, D. H. Kim, "The Relationships of Treatment Side Effects, Family Support, and Quality of Life in Patient with Cancer", Journal of Korean Academy of Nursing, Vol. 33, No. 1, pp. 71-78, 2003.   DOI
41 N. J. Pender, C. L. Murdaugh, M. A. Parsons, Health promotion in nursing practice 5th ed. Upper Saddle River, NJ : Prentice Hall, 2006.
42 N. Rottmann, S. O. Dalton, J. Christensen, K. Frederiksen, C. Johansen, "Self-efficacy, adjustment style and well-being in breast cancer patients: A longitudinal study, Quality of Life Research, Vol. 19, No. 6, pp. 827-836, 2010. DOI: https://doi.org/10.1007/s11136-010-9653-1   DOI
43 E. J. Coups, B. J. Park, M. B. Feinstein, R. M. Steingart, B. L. Egleston, D. J. Wilson, J. S. Ostroff, "Physical Activity among Lung Cancer Survivors: Change across the Cancer Trajectory and Associations with Quality of Life", American association for cancer research inc, Vol. 18, No. 2, pp. 664-672, 2009.