Abstract
This study was intended to investigate and identify, from the viewpoint of resilience, factors assumed to affect QOL of those early-stage breast cancer patients in their adult life stage who were within 30 months after having received breast surgery. For this purpose, a questionnaire survey composed of such items as QOL-ACD, GSES, SRS-18, Resilience Scale and personal attributes was conducted by means of mailing the questionnaire form to 150 patients. The answers were collected from 110 people, out of which valid responses were 93(response rate:84.5%).
First, by applying a hierarchical multiple regression analysis method the author observed and studied the changes of the decision coefficient R2 in order to check each factor for the explicability. As a result, it was proved that Positive Future Orientation provided a positive influence on the QOL-ACD total score as well as on the Physical condition, Psychological condition, Social attitude, and Face scale QOLs. It implied that paying attention to the patients' resilience is a significant contribution to considering the assistance of the improvement of the patients' QOL.
Logistic regression analysis revealed that in terms of QOL enhancement the following factors are implied as affecting to the QOL:daughter's support(OR=4.24)had significant relationships with the activity QOL;less Anxiety Concerning Failure(OR=3.30)and daughter's support(OR=2.56)with the physical condition QOL;less Anxiety Concerning Failure(OR=6.12)with the Psychological condition QOL;more Positive Future Orientation(OR=4.88)with the Social attitude QOL. No significant relationships were observed with the personal factor or disease factor.
