scholarly journals Factors affecting the health-promoting behavior of thyroid cancer survivors: comparison by stage of cancer survivorship

Author(s):  
Kyung Ah Park ◽  
Sanghee Kim ◽  
Eui Geum Oh ◽  
Heejung Kim ◽  
Hang-Seok Chang ◽  
...  

Abstract Purpose The purpose of this study was to identify differences in factors affecting health-promoting behaviors according to the survival stage of thyroid cancer survivors. Methods This descriptive cross-sectional study analyzed data from 354 thyroid cancer survivors after diagnosis. The survivors were divided into three stages: (1) the acute stage (< 2 years after diagnosis), (2) extended stage (2–5 years after diagnosis), and (3) permanent stage (≥ 5 years after diagnosis). To measure health-promoting behavior, the revised Korean version of the Health Promoting Lifestyle Profile questionnaires was used. The factors affecting the health-promoting behavior included social support, self-efficacy, fear of recurrence, and symptoms. Multiple regression analysis was used to analyze factors affecting the health-promoting behavior according to survival stage. Result The factors affecting the health-promoting behavior of thyroid cancer survivors differed by survival stage. In the acute stage, the factors of health-promoting behavior were self-efficacy (t = 4.76, p < .001) and social support (t = 3.54, p < .001). In the extended stage, symptoms (t =  − 3.65, p < .001), social support (t = 2.61, p = .011), fear of recurrence (t = 2.18, p = .032), and receipt of radioiodine treatment (t =  − 2.18, p = .032) were found to be significant variables that affected health-promoting behaviors. In the permanent stage, social support (t = 2.79, p = .007), receipt of radioiodine treatment (t =  − 3.21, p = .002), and age (t =  − 2.77, p = .007) were significant variables that affected health-promoting behaviors. Conclusion The experience of thyroid cancer survivors varies as they progress through the survival stages; thus, health-promotion interventions should be tailored to each survival stage.

2021 ◽  
Author(s):  
Kyung Ah Park ◽  
Sanghee Kim ◽  
Eui Geum Oh ◽  
Heejung Kim ◽  
Hang-Seok Chang ◽  
...  

Abstract Purpose: The purpose of this study was to identify differences in factors affecting health-promoting behaviors according to the survival stage of thyroid cancer survivors.Methods: The factors affecting the health-promoting behavior of thyroid cancer survivors included general characteristics, social support, self-efficacy, fear of recurrence, and symptoms. There were 354 patients diagnosed with thyroid cancer and underwent a related surgery, who completed the questionnaire and were included in the data analysis. Multiple regression analysis was used to analyze factors affecting the health-promoting behavior according to survival stage.Results: Among the sub-areas of health-promoting behavior, thyroid cancer survivors had the highest score of 2.83/4.00 in the health responsibility area and the lowest score of 2.36/4.00 in the exercise area. The factors affecting the health-promoting behavior of thyroid cancer survivors differed by survival stage. In the acute stage, the factors of health-promoting behavior were self-efficacy (t = 4.76, p < .001) and social support (t = 3.54, p < .001). In the extended stage, symptoms (t=-3.65, p < .001), social support (t = 2.61, p = .011), fear of recurrence (t = 2.18, p = .032), and receipt of radioiodine treatment (t=-2.18, p = .032) were found to be significant variables that affected health-promoting behaviors. In the permanent stage, social support (t = 2.79, p = .007), receipt of radioiodine treatment (t=-3.21, p = .002), and age (t=-2.77, p = .007) were significant variables that affected health-promoting behaviors.Conclusion: The experience of thyroid cancer survivors varies as they progress through the survival stages, thus health-promotion interventions should be tailored to each survival stage.


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.


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