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Factors affecting the health-promoting behavior of thyroid cancer survivors: comparison by stage of cancer survivorship

Authors
 Kyung Ah Park  ;  Sanghee Kim  ;  Eui Geum Oh  ;  Heejung Kim  ;  Hang-Seok Chang  ;  Soo Hyun Kim 
Citation
 SUPPORTIVE CARE IN CANCER, Vol.30(4) : 3429-3439, 2022-04 
Journal Title
SUPPORTIVE CARE IN CANCER
ISSN
 0941-4355 
Issue Date
2022-04
MeSH
Cancer Survivors* ; Cross-Sectional Studies ; Health Behavior ; Humans ; Iodine Radioisotopes / therapeutic use ; Neoplasms* ; Surveys and Questionnaires ; Survivors ; Thyroid Gland
Keywords
Health-promoting behavior ; Social support ; Survival stage ; Thyroid cancer survivors
Abstract
Purpose: The purpose of this study was to identify differences in factors affecting health-promoting behaviors according to the survival stage of thyroid cancer survivors.

Methods: This descriptive cross-sectional study analyzed data from 354 thyroid cancer survivors after diagnosis. The survivors were divided into three stages: (1) the acute stage (< 2 years after diagnosis), (2) extended stage (2-5 years after diagnosis), and (3) permanent stage (≥ 5 years after diagnosis). To measure health-promoting behavior, the revised Korean version of the Health Promoting Lifestyle Profile questionnaires was used. The factors affecting the health-promoting behavior included social support, self-efficacy, fear of recurrence, and symptoms. Multiple regression analysis was used to analyze factors affecting the health-promoting behavior according to survival stage.

Result: The factors affecting the health-promoting behavior of thyroid cancer survivors differed by survival stage. In the acute stage, the factors of health-promoting behavior were self-efficacy (t = 4.76, p < .001) and social support (t = 3.54, p < .001). In the extended stage, symptoms (t = - 3.65, p < .001), social support (t = 2.61, p = .011), fear of recurrence (t = 2.18, p = .032), and receipt of radioiodine treatment (t = - 2.18, p = .032) were found to be significant variables that affected health-promoting behaviors. In the permanent stage, social support (t = 2.79, p = .007), receipt of radioiodine treatment (t = - 3.21, p = .002), and age (t = - 2.77, p = .007) were significant variables that affected health-promoting behaviors.

Conclusion: The experience of thyroid cancer survivors varies as they progress through the survival stages; thus, health-promotion interventions should be tailored to each survival stage.
Files in This Item:
T202200622.pdf Download
DOI
10.1007/s00520-022-06799-9
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Kim, Sanghee(김상희) ORCID logo https://orcid.org/0000-0002-9806-2757
Kim, Heejung(김희정) ORCID logo https://orcid.org/0000-0003-3719-0111
Oh, Eui Geum(오의금) ORCID logo https://orcid.org/0000-0002-6941-0708
Chang, Hang Seok(장항석) ORCID logo https://orcid.org/0000-0002-5162-103X
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/188253
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