위절제술을 받은 노인 위암 환자의 성공적 노화와 관련요인

Abstract

PurposeThis study is aimed to identify the relationship of socioeconomic status,physical health status, and emotional status with successful aging in oldergastric cancer patients after gastrectomy.MethodThe data was collected from 124 older adults gastric cancer patients aftergastrectomy at a cancer center in Seoul. The survey was conducted from lateApril to early June in 2013. The following questionnaires were utilized in thisstudy: symptoms distress scale , fear of cancer recurrence, Depressive mood,and successful aging. The data was analyzed with the descriptive statistics toolssuch as t-test, ANOVA with Scheffe test, and Pearson’s correlation using SPSSv18.0(SPSS Inc., Chicago, IL).ResultAmong the 124 subjects of the study, the mean age was 71.58(±5.36) years andmale was 75(60.5%) . The mean period from the surgery was 29.44(±20.31)months and most of subjects(97, 78.2%) were in stage I. The mean value ofsymptom distress was 1.96(±0.60). The mean number of each differentsymptom distress was 4.90(±2.75). The most frequently reported symptom wasfatigue(2.63, ±1.27) being followed by appearance change(2.33, ±1.28),defecation difficulty(2.23, ±1.37), and dumping syndrome(2.23, ±1.32). Themean value of perceived health status was 3.24(±0.72), which is indicating thatmost of the subjects perceived their health in fair status. The level of fear forcancer recurrence was 3.36(±1.01), which is indicating that most of the subjectssometimes had fear that the cancer might recur. Twenty subjects (16.1%) werereported to have mild depression, and the mean value of depression level was2.36(±1.96) for the whole subjects. The mean value of successful aging of thewhole subjects was 3.91(±0.43). The highest value of particular categorizedsuccessful aging factor was 4.28(±0.60) in the satisfaction of children, followedby autonomous life(4.17, ±0.59), self acceptance(4.00, ±0.70), acceptance ofothers(3.83, ±0.73), active life participation(3.60, ±0.80), and self-masterydirected(3.47, ±0.80). The symptom distress, fear of cancer recurrence, anddepressive mood had positive relationship with successful aging, whereasperceived health status and economic status were reversely related withsuccessful aging.ConclusionIn older gastric cancer patients after gastrectomy, their symptom distress, fear ofcancer recurrence, and depressive mood were all significantly associated withsuccessful aging. Thus, from the nursing practice perspective, it can beconferred that the intervenion of those factors should be considered as importantin the care of cancer patients for their successful aging.