Different pathways in social support and quality of life between Korean American and Korean breast and gynecological cancer survivors
Different pathways in social support and quality of life between Korean American and Korean breast and gynecological cancer survivors
复制标题
DOI：
10.1007/s11136-008-9343-4
复制
发表时间：
2008-06-01
影响因子：
3.5
通讯作者：
Zebrack, Brad
中科院分区：
文献类型：
--
作者：
Lim, Jung-won;Zebrack, Brad
目的：(1)探讨社会支持对生活质量(QOL)的影响，以及(2)朝鲜族和朝鲜族乳腺癌和妇科癌症患者的生活质量预测途径是否存在差异。方法对51名朝鲜族和110名韩裔美国人和110名朝鲜族人进行两种标准化的生活质量和心理苦恼测量。社会支持通过评估功能性社会支持和社会网络结构的项目来衡量。结果功能性社会支持直接影响生活质量和心理困扰，社会网络结构直接和/或间接影响预后。结论本研究通过阐明韩裔美国人和韩国人幸存者的社会支持因素与生存质量之间的关系，为韩裔美国人和韩国人幸存者的生活质量提供了实际的研究资料。考虑到美国和韩国不同的生活条件，这项研究可能会增加研究和干预的效用和有效性，以加强癌症幸存者的社会参与，并减少后续护理的障碍。
Purpose The purpose of this study was to investigate: (1) how social support influences quality of life (QOL) and (2) whether or not the pathways for predicting QOL outcomes differ between Korean American and Korean survivors of breast and gynecological cancer.Methods To identify multiple dimensions of health status and psychosocial outcomes, two standardized QOL and psychological distress measures were administered to 51 Korean Americans and 110 Koreans. Social support was measured by items assessing functional social support and social network structures. Hierarchical multiple regression and path analyses were employed to investigate the effects of social support on outcomes and to compare between Korean Americans and Koreans.Results The findings indicate that functional social support directly influences QOL and psychological distress, and social network structures are directly and/or indirectly associated with outcomes. Moreover, the two groups showed different pathways from social support to outcomes.Conclusion This study provides practical research information by illuminating the relationships between social support components influencing QOL for Korean American and Korean survivors. This study may increase the utility and efficacy of the research and interventions to enhance cancer survivors' social participation and to diminish barriers to follow-up care, considering the different living conditions between the United States and Korea.