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Original Article
Factors Influencing Quality of Life in Patients with Gastrointestinal Neoplasms
Eun Ok Lee, Aeyong Eom, Rhayun Song, Young Ran Chae, Paul Lam
Journal of Korean Academy of Nursing 2008;38(5):649-655.
DOI: https://doi.org/10.4040/jkan.2008.38.5.649
Published online: October 30, 2008

1Emeritus Professor, College of Nursing, Seoul National University, Seoul, Korea.

2Full time Instructor, Department of Nursing, Margaret Pritchard University, Jeonju, Korea.

3Associate Professor, Department of Nursing, Chungnam National University, Daejeon, Korea.

4Associate Professor, Department of Nursing, Kangwon National University, Chuncheon, Korea.

5Conjoint Lecturer, Department of Family Medicine, University of New South Wales, Sydney, Australia.

Address reprint requests to: Eom, Aeyong. Department of Nursing, Margaret Pritchard University, 168-1 ga Junghwasan-dong, Wansan-gu, Jeonju 560-714, Korea. Tel: 82-63-230-7766, Fax: 82-63-231-7790, libby1024@mpu.ac.kr
• Received: April 10, 2008   • Accepted: September 29, 2008

Copyright © 2008 Korean Society of Nursing Science

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  • Purpose
    The purpose of this study was to identify the factors influencing quality of life after analyzing the relationship between depression, health promotion and quality of life in patients with gastrointestinal neoplasms.
  • Methods
    The subjects of this study were 63 people who underwent treatments from 2 general hospitals in Seoul and Daejeon and had no recurrence in stages I & II of gastrointestinal neoplasms. Data was collected from March 1 to April 30, 2006. A questionnaire consisting of Center for Epidemiologic Studies Depression (CES-D), Health Promoting Lifestyle Profile II (HPLP II) and Functional Assessment of Cancer Therapy-Colorectal (FACT-C) was given. The collected data was analyzed with the SPSS program which was used for descriptive statistics, Pearson correlation coefficients and hierarchical multiple regression.
  • Results
    The major findings of this study were as follows: 1) There was a significant relationship between depression (r=-.639, p=.000), health promotion (r=.407, p=.001) and quality of life. 2) Significant factors were depression (F=-4.091, p=.000) and health promotion (F=2.375, p=.021) that explained 46% of quality of life (F=10.022, p=.000).
  • Conclusion
    Cancer patients experienced extreme depression which led to a negative effect on quality of life. Health promotion was an important variable to the quality of life and it gave the patients motivation for having a will and belief for better health.
  • Keywords: Gastrointestinal neoplasms; Depression; Health promotion; Quality of life
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Table 1
General Characteristics of the Subjects (N=63)
jkan-38-649-i001.jpg
Table 2
Correlations between Demographic, Depression, Health Promotion and Quality of Life (N=63)
jkan-38-649-i002.jpg

*Dummy coded: 1=female; CES-D=Center for Epidemiologic Studies Depression Scale; HPLP II=Health Promoting Lifestyle Profile II; Pwb=physical well being; Swb=social/family well being; Ewb=emotional well being; Fwb=functional well being; Ccc=colorectal cancer concerns; FACT-C=functional assessment of cancer therapy scales for colorectal cancer.

Table 3
The Predictors of Quality of Life (N=63)
jkan-38-649-i003.jpg

*Dummy coded: 1=female; CES-D=Center for Epidemiologic Studies Depression Scale; HPLP II=Health Promoting Lifestyle Profile.

Figure & Data

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        Factors Influencing Quality of Life in Patients with Gastrointestinal Neoplasms
        J Korean Acad Nurs. 2008;38(5):649-655.   Published online October 30, 2008
        DOI: https://doi.org/10.4040/jkan.2008.38.5.649
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      Factors Influencing Quality of Life in Patients with Gastrointestinal Neoplasms
      Factors Influencing Quality of Life in Patients with Gastrointestinal Neoplasms

      General Characteristics of the Subjects (N=63)

      Correlations between Demographic, Depression, Health Promotion and Quality of Life (N=63)

      *Dummy coded: 1=female; CES-D=Center for Epidemiologic Studies Depression Scale; HPLP II=Health Promoting Lifestyle Profile II; Pwb=physical well being; Swb=social/family well being; Ewb=emotional well being; Fwb=functional well being; Ccc=colorectal cancer concerns; FACT-C=functional assessment of cancer therapy scales for colorectal cancer.

      The Predictors of Quality of Life (N=63)

      *Dummy coded: 1=female; CES-D=Center for Epidemiologic Studies Depression Scale; HPLP II=Health Promoting Lifestyle Profile.
      Table 1 General Characteristics of the Subjects (N=63)

      Table 2 Correlations between Demographic, Depression, Health Promotion and Quality of Life (N=63)

      *Dummy coded: 1=female; CES-D=Center for Epidemiologic Studies Depression Scale; HPLP II=Health Promoting Lifestyle Profile II; Pwb=physical well being; Swb=social/family well being; Ewb=emotional well being; Fwb=functional well being; Ccc=colorectal cancer concerns; FACT-C=functional assessment of cancer therapy scales for colorectal cancer.

      Table 3 The Predictors of Quality of Life (N=63)

      *Dummy coded: 1=female; CES-D=Center for Epidemiologic Studies Depression Scale; HPLP II=Health Promoting Lifestyle Profile.

      Table 1

      Table 2

      Table 3

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