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Quality of life among Korean gastrointestinal cancer survivors

 Soojung Ahn  ;  Hyejeong Jung  ;  Sanghee Kim  ;  Sang Joon Shin  ;  Chang Gi Park  ;  Sang Hui Chu 
 European Journal of Oncology Nursing, Vol.30 : 15-21, 2017 
Journal Title
 European Journal of Oncology Nursing 
Issue Date
Adult ; Aged ; Aged, 80 and over ; Asian Continental Ancestry Group/psychology* ; Asian Continental Ancestry Group/statistics & numerical data* ; Cancer Survivors/psychology* ; Cancer Survivors/statistics & numerical data* ; Colorectal Neoplasms/psychology* ; Cross-Sectional Studies ; Female ; Humans ; Male ; Middle Aged ; Quality of Life/psychology* ; Republic of Korea ; Stomach Neoplasms/psychology* ; Surveys and Questionnaires
Gastrointestinal cancer ; Quality of life ; Survivorship
PURPOSE: The number of gastrointestinal (GI) cancer survivors has been steadily increasing owing to early diagnosis and improved cancer treatment outcomes. The quality of life (QoL) of cancer survivors can provide distinct prognostic information and represent their functioning. This study aimed to investigate the levels of symptoms, psychological distress, and QoL of GI cancer survivors, and identify factors associated with QoL. METHOD: A cross-sectional survey was conducted among 145 survivors of gastric or colorectal cancer in a university-affiliated hospital, Seoul, South Korea. The questionnaire consisted of the M. D. Anderson Symptom Inventory Gastrointestinal Cancer Module, Distress Thermometer, and brief version of the World Health Organization Quality of Life Assessment Instrument. Quantile regression was used to assess the associated factors of QoL. The 10th, 25th, 50th, 75th, and 90th conditional quantiles were considered. RESULTS: The most common symptoms were fatigue (24.9%), numbness or tingling (17.2%), feeling bloated (17.2%), dry mouth (15.9%), and difficulty remembering (11.8%). Thirty-two percent (47/145) of the participants reported severe distress. A level of symptoms was significantly associated in the 10th and 25th quantiles, representing poor QoL. Economic burden was a significant influencing factor in all quantiles. CONCLUSION: Our results indicate that high burden from symptoms might be associated with lower QoL in GI cancer survivors, and higher economic burden from cancer treatment was associated with lower QoL. These results suggest that symptom management and support for economic difficulties should be included in the strategies to enhance the QoL of GI cancer survivors.
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3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
2. College of Dentistry (치과대학) > Others (기타) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
김상희(Kim, Sanghee) ORCID logo https://orcid.org/0000-0002-9806-2757
박창기(Park, Chang Gi)
신상준(Shin, Sang Joon) ORCID logo https://orcid.org/0000-0001-5350-7241
추상희(Chu, Sang Hui) ORCID logo https://orcid.org/0000-0001-6877-5599
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