Barriers to Surveillance Mammography Adherence in Korean Breast Cancer Survivors.
| Autor: | Jang MK; University of Illinois at Chicago., Kim S; Yonsei University., Park CG; University of Illinois at Chicago., Collins EG; University of Illinois., Quinn L; University of Illinois Chicago., Jung Kim M; Yonsei University., Lee Y; Yongin Severance Hospital., Estwing Ferrans C; University of Illinois Chicago. |
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| Jazyk: | angličtina |
| Zdroj: | Oncology nursing forum [Oncol Nurs Forum] 2024 Oct 17; Vol. 51 (6), pp. E37-E49. |
| DOI: | 10.1188/24.ONF.E37-E49 |
| Abstrakt: | 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. |
| Databáze: | MEDLINE |
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