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J Korean Soc Matern Child Health > Volume 23(1); 2019 > Article
Journal of The Korean Society of Maternal and Child Health 2019;23(1):45-55.
DOI: https://doi.org/10.21896/jksmch.2019.23.1.45    Published online January 31, 2019.
Impacts of Symptom Clusters, Performance and Emotional Status on the Quality of Life of Patients with Gynecologic Cancer
Eun Jung Bae1, So Yeon Lee1, Hyang Mi Jung2
1Department of Nursing, Dongnam Institute of Radiological & Medical Sciences, Busan, Korea
2Department of Nursing, Dongeui University, Busan, Korea
부인암 환자의 증상 클러스터, 활동정도, 정서상태가삶의 질에 미치는 영향
배은정1, 이소연1, 정향미2
1동남권원자력의학원
2동의대학교 간호학과
Correspondence:  Hyang Mi Jung,
Email: hmjung@deu.ac.kr
Abstract
Purpose
To determine impacts of symptom clusters, performance and emotional status on the quality of life of gynecologic cancer patients.
Methods
Subjects completed questionnaires consisting of four measurements: symptom cluster, performance and emotional status, and the quality of life. A total of 104 completed data sets were analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and a multiple regression analysis using the SPSS 21.0 program.
Results
Fatigue was identified as the most prevalent symptom (77.9%) and sweating (2.08) as the most severe and uncomfortable symptom (1.80). Six symptom clusters, performance status, anxiety and depression were negatively correlated with quality of life. Four symptom clusters were positively correlated with performance status, and six symptom clusters were positively correlated with anxiety and depression. Factors affecting quality of life were abdominal discomfort cluster (β=-0.23, p=0.005), performance status (β=-0.20, p=0.020), and depression (β=-0.42, p<0.001). The model was statistically significant explaining 42.5% of variance (F=26.369, p<0.001).
Conclusion
The findings supported that symptom clusters and depression negatively influence the quality of life and need to be addressed as we are caring for patients and promoting quality of life.
Key Words: symptom, emotion, quality of life


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