Barriers to Surveillance Mammography Adherence in Korean Breast Cancer Survivors.

IF 1.6 4区 医学 Q2 NURSING Oncology nursing forum Pub Date : 2024-10-17 DOI:10.1188/24.ONF.E37-E49
Min Kyeong Jang, Sue Kim, Chang G Park, Eileen G Collins, Laurie Quinn, Min Jung Kim, Yunah Lee, Carol Estwing Ferrans
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Abstract

Objectives: To identify barriers to surveillance mammography adherence in Korean breast cancer survivors (BCSs), which is crucial for early detection of recurrence and new cancers.

Sample & setting: 195 BCSs were recruited from a breast cancer clinic and its support groups at a South Korean hospital.

Methods & variables: This descriptive study used a cross-sectional design. Participants completed a self-administered multi-instrument survey based on a comprehensive framework for adherence, including individual characteristics, symptoms, quality of life, cognitive appraisal, social support, and healthcare system factors.

Results: Having had a mammogram within the past year was considered adherent (n = 177), and no mammography within the past year was considered nonadherent (n = 18). Logistic regression revealed that longer time since diagnosis (p < 0.001), greater depression (p = 0.024), and higher health services utilization (p < 0.001) were predictors of lower mammography adherence (chi square = 76.618, p < 0.001, R2 = 58%).

Implications for nursing: This is the first study to identify depression as a barrier to surveillance mammography in BCSs, suggesting that depression screening and treatment may be important for increasing adherence.

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韩国乳腺癌幸存者坚持监测乳房 X 射线照相术的障碍。
目的:确定韩国乳腺癌幸存者(BCSs)坚持接受乳腺 X 线照相监测的障碍:确定韩国乳腺癌幸存者(BCSs)坚持乳房X线照相监测的障碍,这对早期发现复发和新发癌症至关重要:从韩国一家医院的乳腺癌诊所及其支持小组中招募了 195 名乳腺癌幸存者:这项描述性研究采用横断面设计。参与者完成了一项自填式多工具调查,该调查基于一个全面的依从性框架,包括个人特征、症状、生活质量、认知评价、社会支持和医疗系统因素:在过去一年中接受过乳房X光检查的被认为是依从者(n = 177),在过去一年中没有接受过乳房X光检查的被认为是非依从者(n = 18)。逻辑回归显示,确诊时间较长(p < 0.001)、抑郁程度较高(p = 0.024)和医疗服务利用率较高(p < 0.001)是乳腺放射摄影依从性较低的预测因素(chi square = 76.618,p < 0.001,R2 = 58%):这是第一项将抑郁症视为乳腺放射摄影监测障碍的研究,表明抑郁症筛查和治疗对提高乳腺放射摄影的依从性非常重要。
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来源期刊
Oncology nursing forum
Oncology nursing forum 医学-护理
CiteScore
3.20
自引率
0.00%
发文量
76
审稿时长
>12 weeks
期刊介绍: The mission of the Oncology Nursing Forum, an official publication of ONS, is to Convey research information related to practice, technology, education, and leadership. Disseminate oncology nursing research and evidence-based practice to enhance transdisciplinary quality cancer care. Stimulate discussion of critical issues relevant to oncology nursing.
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