대장암 환자의 생활습관 개선 영향요인

Abstract

Purpose: This study aimed to investigate the improvement in lifestyle of patients with Colorectal Cancer (CRC) by examining their lifestyle before and after diagnosis, and to identify the factors influencing lifestyle improvement to prevent the recurrence of CRC.

Methods: The participants were 125 patients with CRC who visited the outpatient clinic of Kyungpook National University Chilgok Hospital in Daegu from December 2017 to March 2018. Questionnaires consisted of items on CRC-related lifestyle, knowledge of lifestyle risks for CRC, beliefs of lifestyle improvement (perceived benefits and barriers), self-efficacy, and fear of cancer recurrence. Lifestyle improvement referred to the score given to the improved lifestyle through the score difference in the measure of lifestyle related to CRC before and after diagnosis. The collected data were analyzed using SPSS/WIN 21.0 program.

Results: The factors influencing lifestyle improvement were gender (β=.46, p<.001), age (β=.31, p<.001), knowledge of lifestyle risks for CRC (β=.20, p=.005), perceived benefits of lifestyle improvement (β=.19, p=.008), and number of discomforts(symptoms) that impede lifestyle improvement (β=.17, p=.016). These variables explained 38% of CRC patients’ lifestyle improvement.

Conclusion: These findings suggest that we need to find ways to provide knowledge of the lifestyle risks for CRC to patients with CRC and improve their perceptions of the benefits of lifestyle improvement to promote lifestyle improvement and help prevent the recurrence of CRC after CRC diagnosis.