Quality of Life and Its Associated factors in Breast Cancer Patients During the Post-Treatment Survivorship

• Main Authors: Bo-Jing Chiu, 邱柏菁
• Other Authors: Fei-Hsiu Hsiao
• Format: Others
• Language: zh-TW
• Published: 2019
• Online Access: http://ndltd.ncl.edu.tw/handle/2vdj4j

碩士 === 國立臺灣大學 === 護理學研究所 === 107 === Background: In Taiwan, the number of breast cancer survivors is increasing rapidly. However, very few studies examine the quality of life (QOL) and its associated factors among breast cancer women who complete the active cancer treatments at least one year. Therefore, there is an insufficient information to inform professionals about how to provide the post-treatment care for breast cancer survivors. Purpose/Objectives: This study aimed to examine the satisfaction with breast and QOL (psychological, physical and sexual well-being) in breast cancer patients at the post-treatment survivorship stage and their associated factors including anxiety, depression, attachment styles in close relationship, and mindfulness trait after controlling disease and treatment factors. Methods: This study adopts the cross-sectional design. The questionnaires were administered to 159 breast cancer patients who had completed the active cancer treatments at least one year. The questionnaires are personal characteristics questionnaire, BREAST-Q, Beck Depression Inventory-II (BDI-II), State-Trait Anxiety Inventory (STAI), Brief Taiwanese version of Experiences in Close Relationships-Revised (ECR-R), and Mindful Awareness Attention Scale (MAAS). Results: The results indicated the scores for satisfaction with breast were 54.04 and three domains of QOL: psychosocial well-being(68.36), physical well-being(72.18), and sexual well-being(42.26). As indicated, the lower scores were satisfaction with breast and sexual well-being. The worse satisfaction with breasts was associated with not receiving radiation therapy, higher levels of anxiety, and lower levels of mindfulness trait. Mediator analysis found that mindfulness increased satisfaction with breasts by reducing the level of anxiety (mindfulness→anxiety→satisfaction with breasts). The predictors of poor sexual well-being are not receiving radiation therapy, higher levels of depression and lower levels of mindfulness trait. Mediator analysis found that mindfulness can enhance sexual well-being by reducing the level of depression (mindfulness→depression→sexual well-being). The lower psychosocial well-being was associated with higher levels of anxiety. Mediator analysis found that mindfulness enhanced psychosocial well-being by reducing the levels of anxiety (mindfulness→anxiety→psychosocial well-being); The lower levels of physical well-being were associated with having antidepressants, no receiving radiation therapy, not receiving breast reconstruction, higher levels of depression and lower levels of mindfulness trait. Mediator analysis found that mindfulness increased physical well-being by reducing the levels of depression (mindfulness→depression→physical well-being). Conclusion: According to the results of this study, the lowest scores were satisfaction with breasts and sexual well-being in breast cancer patients at the post-treatment survivorship stage. The implication of study is to develop mindfulness therapy to reduce anxiety and depression in order to improve breast cancer survivors’ satisfaction with breast and quality of life.