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Disturbance in ADL from Chemotherapy-induced Peripheral Neuropathy and Quality of Life in Cancer Patients: The Mediating Effect of Psychological Distress
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Kyung Yeon Kim, Seung Hee Lee, Jeong Hye Kim, Pok Ja Oh
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J Korean Acad Nurs 2015;45(5):661-670. Published online October 30, 2015
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DOI: https://doi.org/10.4040/jkan.2015.45.5.661
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 Abstract
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Purpose
The purpose of this study was to examine the mediation of psychological distress in the relationship between disturbance in ADL from chemotherapy induced peripheral neuropathy and quality of life in order to provide a basis for planning nursing interventions to improve the quality of life in cancer patients.
Methods
A purposive sample of 130 patients treated with chemotherapy were recruited in the cross-sectional survey design. Data were collected using self-report questionnaires. The instruments were the Chemotherapy Induced Peripheral Neuropathy Assessment Tool (CIPNAT), Hospital Anxiety Depression Scale (HADS), and Functional Assessment of Cancer Therapy-General (FACT-G).
Results
The mean score for disturbance in ADL from chemotherapy induced peripheral neuropathy was 3.30. Overall quality of life was 2.48. The mean score was 1.04 for psychological distress. The prevalence was 35.4% for anxiety and 47.7% for depression. There were significant correlations among the three variables, disturbance in ADL from chemotherapy induced peripheral neuropathy, psychosocial distress, and quality of life. Psychosocial distress had a complete mediating effect (β= -.74, p <.001) in the relationship between disturbance in ADL from chemotherapy induced peripheral neuropathy and quality of life (Sobel test: Z= -6.11, p <.001).
Conclusion
Based on the findings of this study, nursing intervention programs focusing on disturbance of ADL management, and decrease of psychological distress are highly recommended to improve quality of life in cancer patients.
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Citations
Citations to this article as recorded by  - Sex differences of the association between handgrip strength and health-related quality of life among patients with cancer
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Scientific Reports.2024;[Epub] CrossRef - Development and Effects of a Mobile Application-based Self-Management Program for Chemotherapy-induced Peripheral Neuropathy in Colorectal Cancer Patients
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Korean Journal of Adult Nursing.2022; 34(3): 258. CrossRef - The impact of peripheral neuropathy symptoms, self-care ability, and disturbances to daily life on quality of life among gynecological cancer patients undergoing chemotherapy: a cross-sectional survey
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Supportive Care in Cancer.2019; 27(9): 3357. CrossRef - Dolor neuropático en pacientes oncológicos en tratamiento con bortezomib
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Journal of Korean Academy of Fundamentals of Nursing.2018; 25(3): 176. CrossRef - Neuropathic pain in cancer patients treated with bortezomib
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Neurología (English Edition).2018; 33(1): 28. CrossRef - Predicting health-related quality of life in cancer patients receiving chemotherapy: a structural equation approach using the self-control model
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BMC Health Services Research.2017;[Epub] CrossRef - The psychometric properties of the Turkish version of the Chemotherapy-Induced Peripheral Neuropathy Assessment Tool (CIPNAT)
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European Journal of Oncology Nursing.2017; 31: 84. CrossRef
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