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Barriers to Surveillance Mammography Adherence in Korean Breast Cancer Survivors.

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  • معلومة اضافية
    • المصدر:
      Publisher: Oncology Nursing Society Country of Publication: United States NLM ID: 7809033 Publication Model: Print Cited Medium: Internet ISSN: 1538-0688 (Electronic) Linking ISSN: 0190535X NLM ISO Abbreviation: Oncol Nurs Forum Subsets: MEDLINE
    • بيانات النشر:
      Publication: Pittsburgh, PA : Oncology Nursing Society
      Original Publication: New York, Oncology Nursing Society.
    • الموضوع:
      Breast Neoplasms*/psychology ; Mammography*/statistics & numerical data ; Mammography*/psychology ; Cancer Survivors*/psychology ; Cancer Survivors*/statistics & numerical data ; Patient Compliance*/statistics & numerical data ; Patient Compliance*/psychology; Humans ; Female ; Middle Aged ; Republic of Korea ; Cross-Sectional Studies ; Adult ; Aged ; Surveys and Questionnaires ; Early Detection of Cancer/psychology ; Early Detection of Cancer/statistics & numerical data
    • نبذة مختصرة :
      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.
    • Contributed Indexing:
      Keywords: adherence; breast neoplasms; cancer care; mammography; survivors; survivorship
    • الموضوع:
      Date Created: 20241021 Date Completed: 20241021 Latest Revision: 20241021
    • الموضوع:
      20250114
    • الرقم المعرف:
      10.1188/24.ONF.E37-E49
    • الرقم المعرف:
      39431687