Changes in quality of life among newly diagnosed breast cancer patients in Taiwan

Sue Yueh Cheng, Yeur Hur Lai, Shu Ching Chen, Shiow Ching Shun, Yuan Mei Liao, Shih Hsin Tu, Ching Shyang Chen, Chao Ying Hsiang, Ching Min Chen

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Aim. To examine changes in quality of life among patients with breast cancer and factors related to it, during the first threemonths after diagnosis. Background. Numerous studies have examined quality of life among cancer survivors or among patients with cancer after aggressive treatment; such research has demonstrated that quality of life in the third month after surgery can significantly predict quality of life in the long run. In contrast, changes in quality of life causes among patients during the acute treatment phase have not been well studied. Design. Prospective longitudinal study. Methods. Newly diagnosed patients with breast cancer were recruited during 2008-2009. Sixty-one cases completed the four data collections on the day before operation and one, two and threemonths after surgery. Data were collected using the Functional Living Index-Cancer, Symptom Distress Scale, the Self-Efficacy Scale and a 0-10 Anxiety Numeric Rating Scale. Generalized Estimating Equations were applied for data analysis. Results. There were significant changes in quality of life over the three months following surgery, and the worst quality of life was observed in the first month after surgery. Less advanced stages of cancer, lower anxiety, less symptom distress and higher perceived self-efficacy in the preoperative interview could significantly predict which patients experienced more positive quality of life trends. Fatigue, limited shoulder function and perceived poor appearance were the most significant factors predicting changes of quality of life. Conclusion. Preoperative physical and psychological factors, as well as sense of self-efficacy for managing the cancer, are important factors for predicting changes in patients' quality of life. Relevance to clinical practice. Healthcare providers should be alert to factors contributing to changes of quality of life among patients receiving chemotherapy. Interventions based on these results should be developed and their effectiveness tested for their impact on breast cancer patients' quality of life. Clinical interventions based on these results should be developed to improve breast cancer patients' quality of life.

Original languageEnglish
Pages (from-to)70-79
Number of pages10
JournalJournal of Clinical Nursing
Volume21
Issue number1-2
DOIs
Publication statusPublished - Jan 2012

Fingerprint

Taiwan
Quality of Life
Breast Neoplasms
Self Efficacy
Neoplasms
Anxiety
Health Personnel
Fatigue
Longitudinal Studies
Survivors
Prospective Studies
Interviews
Psychology

Keywords

  • Breast cancer
  • Changes in quality of life
  • Nurses
  • Nursing
  • Self-efficacy
  • Symptom distress

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Changes in quality of life among newly diagnosed breast cancer patients in Taiwan. / Cheng, Sue Yueh; Lai, Yeur Hur; Chen, Shu Ching; Shun, Shiow Ching; Liao, Yuan Mei; Tu, Shih Hsin; Chen, Ching Shyang; Hsiang, Chao Ying; Chen, Ching Min.

In: Journal of Clinical Nursing, Vol. 21, No. 1-2, 01.2012, p. 70-79.

Research output: Contribution to journalArticle

Cheng, SY, Lai, YH, Chen, SC, Shun, SC, Liao, YM, Tu, SH, Chen, CS, Hsiang, CY & Chen, CM 2012, 'Changes in quality of life among newly diagnosed breast cancer patients in Taiwan', Journal of Clinical Nursing, vol. 21, no. 1-2, pp. 70-79. https://doi.org/10.1111/j.1365-2702.2011.03735.x
Cheng, Sue Yueh ; Lai, Yeur Hur ; Chen, Shu Ching ; Shun, Shiow Ching ; Liao, Yuan Mei ; Tu, Shih Hsin ; Chen, Ching Shyang ; Hsiang, Chao Ying ; Chen, Ching Min. / Changes in quality of life among newly diagnosed breast cancer patients in Taiwan. In: Journal of Clinical Nursing. 2012 ; Vol. 21, No. 1-2. pp. 70-79.
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KW - Self-efficacy

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