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Factors Influencing Distress in Premenopausal Patients with Breast Cancer Undergoing Endocrine Therapy

내분비요법 중인 폐경 전 유방암 환자의 디스트레스 영향 요인

  • Received : 2019.01.09
  • Accepted : 2019.02.22
  • Published : 2019.04.30

Abstract

Purpose: The purpose of this study was to investigate relationships among menopausal symptoms, functional status, and distress and to identify factors influencing distress in premenopausal breast cancer patients who had been on endocrine therapy. Methods: A descriptive correlational study was conducted. Data were collected using questionnaires from 140 patients with breast cancer undergoing endocrine therapy at a general hospital. Data were analyzed using descriptive statistics, t-test, ANOVA, Tukey HSD test, Pearson's correlation analysis and hierarchical regression analysis. Results: The mean scores for menopausal symptom, functional status, and distress were $19.65{\pm}7.86$, $2.67{\pm}0.33$ and $3.69{\pm}2.19$, respectively. The menopausal symptoms and distress were positively correlated (r=.76, p<.001). The menopausal symptoms and functional status (r=-.43, p<.001) and functional status and distress (r=-.31, p<.001) were negatively correlated. The most influential factor for distress was menopausal symptoms (${\beta}=.79$, p<.001). Conclusion: Based on the findings of this study, developing nursing intervention programs focusing on decreasing menopausal symptoms and distress are recommended.

Keywords

Table 1. Demographic and Clinical Characteristics

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Table 2. Levels of Menopausal Symptoms, Functional Status, and Distress

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Table 3. Menopausal Symptoms, Functional Status, and Distress according to Sociodemographic & Illness related Characteristics

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Table 4. Correlation among Menopausal Symptoms, Func-tional Status, and Distress

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Table 5. Factors Influencing Distress

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