Open Access, Peer-reviewed
pISSN 2287-2434
eISSN 2287-447X
    Asian Oncol Nurs. 2014 Jun;14(2):51-57. Korean.
    Published online Jun 30, 2014.
    https://doi.org/10.5388/aon.2014.14.2.51
    © 2014 Korean Oncology Nursing Society
    Original Article

    Influence of Spiritual Health and Fatigue on Depression in Breast Cancer Patients

    Kyeongsook Jeong,1 Jeeun Heo,1 and Youngsook Tae2
      • 1Kosin University Research Institute of Holistic Nursing Science Researcher, Busan, Korea.
      • 2Colleage of Nursing, Kosin University, Busan, Korea.
    • Address reprint requests to: Tae, Youngsook. Department of Nursing, Kosin University, 262 Gamcheon-ro, Se-gu, Busan 602-703, Korea. Tel: +82-51-990-6446, Fax: +82-51-990-3031, Email: taehope@kosin.ac.kr
    Received February 06, 2014; Accepted June 02, 2014.

    This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

    Abstract

    Purpose

    This study was to examine the impact of spiritual health and fatigue on the depression among breast cancer patients. The research design was descriptive study.

    Methods

    Data were collected through three structured questionnaires: the 'Spiritual Health Scale', developed by Highfield, 'Fatigue Scale' developed and revised by Piper, 'Depression Scale' developed by Zung. The participants of this study were 161 breast cancer patients of both in-patient and out-patient units from two general hospitals in B metropolitan city. The data were analyzed using t-test, ANOVA, Scheffe's test, Pearson's correlation coefficients, and Stepwise multiple regression.

    Results

    Participants with higher depression had lower scores for spiritual health (r= -.71, p<.001) and higher scores for fatigue (r=.57, p<.001). The factors seen as contributing to depression were spiritual health, fatigue and cancer insurance. These variables were explained 57.4% of the variance in depression. spiritual health were explained 50.5%.

    Conclusion

    The depression of breast cancer patients can be reduced if spiritual health is impoved and fatigue is decreased. Therefore, we suggest developing nursing intervention program that leads to improve spiritual health and decrease fatigue of breast cancer patients for reducing depression.

    Keywords
    Breast Neoplasms Patients; Depression; Spirituality; Fatigue

    Tables

    Table 1
    General Characteristics of he Participants (N=161)

    Table 2
    Degree of Spiritual Health, Fatigue and Depression (N=161)

    Table 3
    Differences in Depression by General Characteristics (N=161)

    Table 4
    Correlation between Spiritual Health, Fatigue and Depression (N=161)

    Table 5
    Affecting Factors on Depression (N=161)

    References

      1. Korean Breast Cancer Society. 2013 Breast Facts and Figures updated. [Accessed October, 2013].
        http://www.kbcs.or.kr.
      1. Tae YS, Kim MY. Relationships between family support, perceived health status and self-esteem in Korean women with breast cancer. J Korean Oncol Nurs 2011;11:41–48.
      1. Brem S, Kumar NB. Management of treatment-related symptoms in patients with breast cancer: current strategies and future directions. Clin J Oncol Nurs 2011;15:63–71.
      1. Brunault P, Suzanne I, Trzepidur-Edom M. Depression is associated with some patient-perceived cosmetic change, but not with radiotherapy-induced late toxicity, in long term breast cancer. Psychooncology 2013;22:590–597.
      1. Park EY, Yi M. Illness experience of women with breast cancer in korea: using feminist phenomenology. J Korean Acad Adult Nurs 2009;21:504–518.
      1. Reyes-Gibby CC, Anderson KO, Morrow PK, Shete S, Hassan S. Depressive symptoms and health-related quality of life in breast cancer survivors. J Womens Health (Larchmt) 2012;21:311–318.
      1. Lee SJ, Kim J, Park YM. Influence of depression on cancer metastasis. J Korean Oncol Nurs 2008;8(2):105–110.
      1. Manning-Walsh JK. Psychospritual well-being and symptom distress in women with breast cancer. Oncol Nurs Forum 2005;32(3):543–549.
      1. Badger TA. Depression assessment and psychosocial intervention for cancer survivors and their partners. Oncol Nurs Forum 2008;35:76–82.
      1. Burgess C, Cornelius V, Love S, Graham J, Richard M, Ramirez A. Depression and anxiety in women with early breast cancer: five year observational cohort study. BMJ 2005;330:702–705.
      1. Ferrell BR, Smith SL, Juarez G, Melancon C. Meaning of illness spirituality in ovarian cancer survivors. Oncol Nurs Forum 2003;30:249–258.
      1. Highfield MF. Spiritual health of oncology patients : nurse and patient perspectives. Cancer Nurs 1992;15:1–8.
      1. Tae YS, Kim MY. Correlation between depression and spiritual health in women with cancer. J Korean Oncol Nurs 2007;7:169–178.
      1. Son SM. In: Predictive factors of fatigue in breast cancer patients undergoing chemotherapy [dissertation]. Busan: Kosin Univ.; 2009.
      1. Tae YS, Heitkemper M, Kim MY. A path analysis: a model of depression in Korean women with breast cancer-mediating effects of self-esteem and hope. Oncol Nurs Forum 2012;39:E49–E57.
      1. Kwon OJ, Tae YS. Relationships between hope and depression in patients with breast cancer. J Wholistic Nurs Res 2013;6:123–136.
      1. Kim SH, Jun EY, Lee WH. The factors influencing depression in patients with breast cancer. J Korean Oncol Nurs 2006;6:133–142.
      1. Lee WH, Kim MS, Kim SH. A study of validity and reliability of a spiritual health inventory (SHI) for Korean patients with cancer. J Korean Acad Adult Nurs 2001;13:234–246.
      1. Piper BF, Dibble SL, Dodd MJ, Weiss MC, Slaughter RE, Paul SM. The revised Piper fatigue scale: psychometric evaluation in women with breast cancer. Oncol Nurs Forum 1998;25:677–684.
      1. Lee EH. Construct reliability of the revised Piper Fatigue Scale in Korean women with breast cancer. J Korean Acad Nurs 1999;29:485–493.
      1. Zung WWK. Self-rating depression scale in an outpatient clinic: further validation of the SDS. Arch Gen Psychiatry 1965;13(6):508–515.
      1. Kwan IG. In: (An) exploratory study on awareness of disease, health locus of control, depression and pain perception of cancer patients [dissertation]. Seoul: Seoul Univ.; 1984.
      1. Cha SJ. In: The relationship between spiritual health and fatigue in breast surgery patients undergoing adjuvant chemotherapy [dissertation]. Busan: Kosin Univ.; 2007.
      1. Morea JM, Friend R, Bennet RM. Conceptualizing and measuring illness self concept: a comparison with self-esteem and optimism in predicting fibromyalgia adjustment. Res Nurs Health 2008;31:563–575.
      1. Byun HS, Kim GD. Impacts of fatigue, pain, anxiety, and depression on the quality of life in patients with breast cancer. Asian Oncol Nurs 2012;12:27–34.
      1. Bower JE, Ganz PA, Desmond KA, Bernaards C, Rowland JH, Meyerowitz BE, et al. Fatigue in long-term breast carcinoma survivors: a longitudinal investigation. Cancer 2006;106:751–758.
      1. Kim JH. Influencing factors on depression in stomach cancer patients receiving chemotherapy. Korean J Adult Nurs 2012;24(6):588–596.
      1. Fann JR, Thomas-Rich AM, Katon WJ, Cowley D, Pepping M, McGregor BA, et al. Major depression after breast cancer: a review of epidemiology and treatment. Gen Hosp Psychiatry 2008;30:112–126.
      1. Stanley MA, Bush AL, Camp ME, Jameson JP, Phillips LL, Barber CR, et al. Older adults' preferences for religion / spirituality in treatment for anxiety and depression. Aging & Mental Health 2011;15:334–343.
      1. Vaughan FE. In: The inward arc: healing and wholeness in psychotherapy and spirituality. Boston: Shambhala Publications; 1986.
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    MeSH Terms
    Breast Neoplasms*
    Depression*
    Fatigue*
    Hospitals, General
    Humans
    Insurance
    Nursing
    Outpatients
    Piper
    Research Design
    Spirituality
    Surveys and Questionnaires
    Metrics
    Share
    Tables
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