韩国中青年癌症幸存者生活质量的网络分析

IF 2.4 3区医学 Q1 NURSING

Asia-Pacific Journal of Oncology Nursing Pub Date : 2025-03-07 DOI:10.1016/j.apjon.2025.100684

Yoonjung Kim , Dahee Wi , Eunjin Kim , Jiae Lee

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引用次数: 0

摘要

目的本研究旨在识别和比较癌症幸存者生活质量因素的网络结构，为有针对性的干预提供信息。方法利用2019-2021年韩国国家健康与营养调查（KNHANES）中330名年龄在18-64岁之间的癌症幸存者的数据进行横断面研究。参与者被分为两组：患有癌症的癌症幸存者和没有癌症的癌症幸存者。采用EBICglasso算法进行网络分析，评估健康相关生活质量8项量表（HINT-8）测量的8个生活质量（QoL）组成部分：爬楼梯、疼痛、活力、工作能力、抑郁、记忆、睡眠质量和幸福感。结果网络分析显示两组之间存在明显的模式。在目前患有癌症的幸存者中，抑郁、工作能力和活力是最主要的生活质量组成部分，这表明需要有针对性的心理和职业支持。相比之下，没有当前癌症的幸存者表现出一个工作能力、疼痛和爬楼梯（身体功能）起主导作用的网络，强调疼痛管理和功能康复的重要性。工作能力在两组中都是一个关键的决定因素，表明其在整个生存过程中的持续影响。此外，没有当前癌症的幸存者的网络结构显示出更大的互联性，反映了长期生存挑战的复杂相互作用。结论：该研究强调了对癌症生存进行个性化、分期化干预的必要性。在两组中，工作仍然是中心，强调其在整个生存过程中对生活质量的持续影响。由于抑郁症的中心地位，心理支持对患有当前癌症的癌症幸存者至关重要，治疗后的长期疼痛管理变得越来越重要。这些发现为护理实践提供了有价值的见解，表明针对工作相关挑战、心理困扰和慢性症状管理的量身定制干预措施可以提高生活质量，促进幸存者重新融入日常生活。

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Network analysis of quality of life among young and middle-aged Korean cancer survivors

Objective

This study aimed to identify and compare the network structure of quality of life factors among cancer survivors to inform tailored interventions.

Methods

A cross-sectional study was conducted using data from 330 cancer survivors aged 18–64 years, drawn from the 2019–2021 Korea National Health and Nutrition Examination Survey (KNHANES). Participants were categorized into two groups: cancer survivors with current cancer and those without. Network analysis using the EBICglasso algorithm was performed to assess eight quality of life (QoL) components measured by the Health-related Quality of Life Instrument with 8 Items (HINT-8) scale: climbing stairs, pain, vitality, work ability, depression, memory, sleep quality, and happiness.

Results

The network analysis revealed distinct patterns between the two groups. Among survivors with current cancer, depression, work ability, and vitality were the most central QoL components, suggesting a need for targeted psychological and occupational support. In contrast, survivors without current cancer exhibited a network where work ability, pain, and climbing stairs (physical function) played a dominant role, emphasizing the importance of pain management and functional rehabilitation. Work ability emerged as a critical determinant in both groups, indicating its sustained impact throughout the survivorship continuum. Additionally, the network structure in survivors without current cancer showed greater interconnectedness, reflecting the complex interplay of long-term survivorship challenges.

Conclusions

The study highlights the need for personalized, stage-specific interventions in cancer survivorship. Work remained central in both groups, emphasizing its ongoing impact on quality of life throughout the survivorship journey. While psychological support is crucial to cancer survivors with current cancer due to the centrality of depression, long-term pain management becomes increasingly important post-treatment. These findings provide valuable insights for nursing practice, suggesting that tailored interventions addressing work-related challenges, psychological distress, and chronic symptom management could improve quality of life and facilitate survivors' reintegration into daily life.

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