scholarly journals Factors affecting the quality of life of gastric cancer survivors

Author(s):  
Jahyun Choi ◽  
Sanghee Kim ◽  
Mona Choi ◽  
Woo Jin Hyung

Abstract Background The number of gastric cancer survivors has been increasing, and such survivors experience various changes in their lives post-recovery. Adapting to these changes requires appropriate interventions that can improve their quality of life (QoL). This study was conducted to investigate the factors affecting the QoL of gastric cancer survivors and provide basic data for effective intervention. Methods Data were collected between September 8 and September 29, 2017, from the Gastric Cancer Center at a tertiary hospital. Questionnaire surveys were conducted using the EORTC QLQ-C30/STO22, Self-Efficacy-Scale, Multidimensional Scale of Perceived Social Support, and Quality of Life-Cancer Survivors Questionnaire on gastric cancer survivors who were followed up for 3 years after gastrectomy. Data were analyzed using descriptive statistics, t test, ANOVA, Pearson’s correlation coefficient, and multiple regression analysis. Results A total of 136 gastric cancer survivors completed the questionnaire survey. There were significant positive correlations of QoL with self-efficacy, functional status, and social support (r = .35, p < .001; r = .53, p < .001; r = .26, p < .001, respectively). There were significant negative correlations of QoL with general symptoms (r =  − .39, p < .001) and gastric cancer-specific symptoms (r =  − .51, p < .001). The regression model explained 48.3% of the QoL, and the affecting factors were gastric cancer-specific symptoms (β =  − .397, p < .001), religious belief (β = .299, p < .001), functional status (β = .251, p = .003), and self-efficacy (β = .191, p = .004). Conclusion This study confirmed that gastric cancer-specific symptoms, spiritual well-being, self-efficacy, and functional status affect the QoL of gastric cancer survivors. Hence, these factors should be considered in the interventions to improve the QoL of gastric cancer survivors.

2021 ◽  
Author(s):  
Jahyun Choi ◽  
Sanghee Kim ◽  
Mona Choi ◽  
Woo Jin Hyung

Abstract Background: The number of gastric cancer survivors has been increasing, and such survivors experience various changes in their lives post-recovery. Adapting to these changes requires appropriate interventions that can improve their quality of life (QoL). This study was conducted to investigate the factors affecting the QoL of gastric cancer survivors to provide basic data for effective intervention.Methods: Data were collected between September 8 and September 29, 2017 from the Gastric Cancer Center at a tertiary hospital. Questionnaire surveys were conducted using the EORTC QLQ-C30/STO22, Self-Efficacy-Scale, Multidimensional Scale of Perceived Social Support, and Quality of Life-Cancer Survivors Questionnaire on gastric cancer survivors who were followed up for three years after gastrectomy. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson’s correlation coefficient, and stepwise multiple regression analysis.Results: A total of 136 gastric cancer survivors completed the questionnaire survey. There were significant positive correlations of QoL with self-efficacy, functional status, and social support (r=.35, p<.001; r=.53, p<.001; r=.26, p<.001, respectively). There were significant negative correlations of QoL with general symptoms, gastric cancer-specific symptoms (r=-.39, p<.001; r=-.51, p<.001). The regression model explained 48.3% of the QoL, and the affecting factors were gastric cancer-specific symptoms (β=-.397, p<.001), religious belief (β=.299, p<.001), functional status (β=.251, p=.003), and self-efficacy (β=.191, p=.004).Conclusion: This study confirmed that gastric cancer-specific symptoms, spiritual well-being, self-efficacy and functional status affect the QoL of gastric cancer survivors. Hence, these factors should be considered in the interventions to improve the QoL of gastric cancer survivors.


Author(s):  
NUR RACHMAT ◽  
MOHAMMAD FANANI ◽  
DARSONO DARSONO ◽  
SUWARTO SUWARTO

Objective: The study aims to investigate the contributions of self-efficacy, motivation, religiosity, social support, optimism, and subjective well-being as factors affecting quality of life on individuals with transfermoral amputation. Through empowerment, it is expected that there will be an increase in independence and socioeconomy. The ultimate goal of the empowerment process is for independence. Methods: This study used observational analytic with cross-sectional approach. The sample in this study was 110 post-transfemoral amputation patients. Data taken from questionnaires of self-efficacy, motivation, religiosity, social support, optimism, subjective well-being and quality of life were analyzed using structural equation modeling. Results: There was no influence of motivation on quality of life (critical ratio [CR]=0.535 <1.96; p=0.592 <0.05). There was a statistically significant positive effect of self-efficacy on quality of life (CR=3.082> 1.96; p=0.002 <0.05). There was a statistically significant positive effect of religiosity on quality of life (CR=2.919> 1.96; p=0.004 <0.05). There was no influence from social support for quality of life (CR=0.082 <1.96; p=0.935 <0.05). There was a statistically significant positive effect of optimism on quality of life (CR=2.307> 1.96; p=0.021 <0.05). There was a statistically significant positive effect of subjective well-being on quality of life (CR=2.089> 1.96; p=0.037 <0.05). Conclusion: The quality of life of patients with post-transfemoral amputation is positively and significantly influenced by optimism, religiosity, self-efficacy, and subjective well-being.


2019 ◽  
Vol 54 (3) ◽  
pp. 176-192 ◽  
Author(s):  
Jessica N Rivera Rivera ◽  
Jessica L Burris

Abstract Background Quality of life is a multidimensional concept that includes perceptions of one’s physical, psychological, social, and spiritual functioning, all of which are theorized to be interdependent. The focus of this study is social functioning, which itself is a multidimensional concept that includes social support and social constraint among other things. In cancer survivors, social support receives most of the research attention, but social constraint may have a stronger influence on quality of life. Purpose This systematic literature review evaluates which aspect of social functioning—social support or social constraint—has a stronger relationship with the psychological functioning of cancer survivors. Methods The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed in the identification and review of 32 independent records. Multiple measures of social support and social constraint were used across studies, with most having adequate psychometric properties. Psychological outcomes were divided into (a) general distress, (b) cancer-specific distress, (c) general well-being, and (d) cancer-specific well-being. Results For general and cancer-specific distress, social constraint exhibited a larger association with distress than social support. Similarly, for general well-being, most studies reported a stronger association with social constraint than social support. For cancer-specific well-being, the opposite was true such that associations were stronger for social support than social constraint. Conclusions Results highlight the importance of considering social constraint when examining quality-of-life outcomes like psychological distress and well-being. Findings support social constraint as a target in interventions to reduce cancer survivors’ distress, while social support could be considered in attempts to promote cancer-specific well-being.


PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0245478
Author(s):  
Leonard Turnier ◽  
Michelle Eakin ◽  
Han Woo ◽  
Mark Dransfield ◽  
Trisha Parekh ◽  
...  

Background The purpose of this study was to explore the association between perceived social support and COPD outcomes and to determine whether the associations are mediated by depressive symptoms. Methods Subjects with COPD who were enrolled as part of SPIROMICS were included in this analysis. Questionnaires relating to quality of life, symptom burden, and functional status were administered at annual clinic visits for over a 3 year period. In both cross-sectional and longitudinal analyses, we examined the association of social support as measured by the FACIT-F with COPD outcomes. Cross sectional analyses used multivariable linear or logistic regression, adjusting for covariates. For longitudinal analyses, generalized linear mixed models with random intercepts were used. Models were adjusted with and without depressive symptoms and mediation analyses performed. Results Of the 1831 subjects with COPD, 1779 completed the FACIT- F questionnaire. In adjusted cross-sectional analysis without depressive symptoms, higher perceived social support was associated with better quality of life, well-being, 6 minute walk distance, and less dyspnea. When also adjusting for depressive symptoms, all associations between social support and COPD outcomes were attenuated and no longer statistically significant. Mediation analysis suggested that depressive symptoms explained the majority (> = 85%) of the association between social support and measured COPD outcomes. Results of the longitudinal analysis were consistent with the cross-sectional analyses. There was no association between social support and odds of exacerbations. Conclusion Higher social support was associated with better COPD outcomes across several measures of morbidity including quality of life, respiratory symptoms, and functional status. In addition, these associations were largely attenuated when accounting for depressive symptoms suggesting that the beneficial association of social support with COPD outcomes may be largely mediated by the association between social support and depression. Trial registration SPIROMICS was approved by Institutional Review Boards at each center and all participants provided written informed consent (clinicaltrials.gov: NCT01969344).


BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e038953
Author(s):  
Jane Frankland ◽  
Sally Wheelwright ◽  
Natalia V Permyakova ◽  
David Wright ◽  
Nicole Collaço ◽  
...  

ObjectivesTo describe prevalence and predictors of poor sexual well-being for men and women over 5 years following treatment for colorectal cancer.DesignProspective longitudinal study, from presurgery to 5 years postsurgery, with eight assessment points. Logistic regression models predicted sexual well-being from presurgery to 24 months and 24 months to 60 months; time-adjusted then fully adjusted models were constructed at each stage.SettingTwenty-nine hospitals in the UK.ParticipantsPatients with Dukes’ stage A–C, treated with curative intent, aged ≥18 years and able to complete questionnaires were eligible.Outcome measuresThe dependent variable was the Quality of Life in Adult Cancer Survivors sexual function score. Independent variables included sociodemographic, clinical and psychosocial characteristics.ResultsSeven hundred and ninety participants provided a sexual well-being score for at least one time point. Thirty-seven per cent of men and 14% of women reported poor sexual well-being at 5 years. Baseline predictors for men at 24 months included having a stoma (OR 1.5, 95% CI 1.02 to 2.20) and high levels of depression (OR 2.69/2.01, 95% CI 1.68 to 4.32/1.12 to 3.61); men with high self-efficacy (OR confident 0.33/0.48, 95% CI 0.18 to 0.61/0.24 to 1.00; very confident 0.25/0.42, 95% CI 0.13 to 0.49/0.19 to 0.94) and social support (OR 0.52/0.56, 95% CI 0.33 to 0.81/0.35 to 0.91) were less likely to report poor sexual well-being. Predictors at 60 months included having a stoma (OR 2.30/2.67, 95% CI 1.22 to 4.34/1.11 to 6.40) and high levels of depression (OR 5.61/2.58, 95% CI 2.58 to 12.21/0.81 to 8.25); men with high self-efficacy (very confident 0.14, 95% CI 0.047 to 0.44), full social support (OR 0.26; 95% CI 0.13 to 0.53) and higher quality of life (OR 0.97, 95% CI 0.95 to 0.98) were less likely to report poor sexual well-being. It was not possible to construct models for women due to low numbers reporting poor sexual well-being.ConclusionsSeveral psychosocial variables were identified as predictors of poor sexual well-being among men. Interventions targeting low self-efficacy may be helpful. More research is needed to understand women’s sexual well-being.


2019 ◽  
Vol 101 (1) ◽  
pp. 83-94
Author(s):  
Yi-Ping Hsieh ◽  
Soonhee Roh ◽  
Yeon-Shim Lee

This study aims to examine the mediating effect of quality of life on associations between both spiritual well-being and social support and depression among American Indian (AI) women cancer survivors. We collected cross-sectional data from AI women in the Midwest who were cancer survivors ( n = 73) with a self-administered survey. We employed a series of linear regression to examine the mediation model. We found spiritual well-being and social support were negatively associated with depression. These results indicate the importance of spiritual well-being and social support as protective and resilient factors in reducing the risk of depression. Moreover, these associations were fully mediated by the women’s self-perception of their quality of life. Considering cultural-specific resilience, our findings would be useful for the design, adjustment, and implementation of future psychotherapeutic protocols for AI cancer survivors.


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