지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
이용수
초록· 키워드
오류제보하기
Objectives：As breast cancer has become prevalent, its disease-related burden has been on the rise and a matter of great concern. Delayed presentation of symptomatic breast cancer has an association with lower survival rate. The objective of this study was to understand the effect of stressful life events on delayed presentation of patients with breast cancer.
Methods：A group of newly diagnosed breast cancer patients were interviewed and were asked about patient delay and stressful-life events. Variables related stressful-life events were investigated through Social readjustment rating scale. We divided two groups depending on 3 months of patients delay and analyzed the effect of stressful-life events on patients delay.
Results：Among the patients, 73.6% presented to clinician within 3 months. There was a significant association between patient delay and late cancer stage(p=0.035). In multivariate regression analysis, there were risk factors for longer patient delay in patients with severe stress(OR 2.541, p=0.038), with the first symptom as other than lump(OR 3.614, p=0.014) and patients who did not monthly breast self-examination(irregular : OR 3.802, p=0.024 ; never done : OR 3.196, p=0.052).
Conclusion：The findings suggest that the delayed presentation was associated with late stage diagnosis and was affected by stressful life events significantly. The consideration for stress-related factors would be indispensable for establishing the strategy for early detection.
Methods：A group of newly diagnosed breast cancer patients were interviewed and were asked about patient delay and stressful-life events. Variables related stressful-life events were investigated through Social readjustment rating scale. We divided two groups depending on 3 months of patients delay and analyzed the effect of stressful-life events on patients delay.
Results：Among the patients, 73.6% presented to clinician within 3 months. There was a significant association between patient delay and late cancer stage(p=0.035). In multivariate regression analysis, there were risk factors for longer patient delay in patients with severe stress(OR 2.541, p=0.038), with the first symptom as other than lump(OR 3.614, p=0.014) and patients who did not monthly breast self-examination(irregular : OR 3.802, p=0.024 ; never done : OR 3.196, p=0.052).
Conclusion：The findings suggest that the delayed presentation was associated with late stage diagnosis and was affected by stressful life events significantly. The consideration for stress-related factors would be indispensable for establishing the strategy for early detection.
목차
서론
방법
결과
고찰
참고문헌
참고문헌 (24)
참고문헌 신청
1. [학술지(정기간행물)] - Jemal A / 2011 / Global cancer statistics / CA Cancer J Clin 61 : 69 ~ 90
2. [학술지(정기간행물)] - 정규원 / 2012 / Cancer Statistics in Korea: Incidence, Mortality, Survival, and Prevalence in 2009 / Cancer Research and Treatment 44 (1) : 11 ~ 24
3. [학술지(정기간행물)] - Ramirez AJ / 1999 / Factors predicting delayed presentation of symptomatic breast cancer : a systematic review / Lancet 353 : 1127 ~ 1131
4. [학술지(정기간행물)] - Burgess CC / 1998 / Who and what influences delayed presentation in breast cancer? / Br J Cancer 77 : 1343 ~ 1348
5. [학술지(정기간행물)] - Richards MA / 1999 / Influence of delay on survival in patients with breast cancer : a systematic review / Lancet 353 : 1119 ~ 1126
2. [학술지(정기간행물)] - 정규원 / 2012 / Cancer Statistics in Korea: Incidence, Mortality, Survival, and Prevalence in 2009 / Cancer Research and Treatment 44 (1) : 11 ~ 24
3. [학술지(정기간행물)] - Ramirez AJ / 1999 / Factors predicting delayed presentation of symptomatic breast cancer : a systematic review / Lancet 353 : 1127 ~ 1131
4. [학술지(정기간행물)] - Burgess CC / 1998 / Who and what influences delayed presentation in breast cancer? / Br J Cancer 77 : 1343 ~ 1348
5. [학술지(정기간행물)] - Richards MA / 1999 / Influence of delay on survival in patients with breast cancer : a systematic review / Lancet 353 : 1119 ~ 1126
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UCI(KEPA) : I410-ECN-0101-2016-513-001101012