Factors Affecting Participation in Leisure Activities in Patients after Breast Cancer Surgery.

Yoshiteru Akezaki,Masato Kikuuchi,Eiji Nakata,Masaki Okamoto,Makiko Hamada,Hideaki Kurokawa,Shozo Ohsumi,Ritsuko Tominaga,Kenjiro Aogi,Shinsuke Sugihara

doi:10.3390/healthcare9081078

Abstract

Background: The purpose of this study was to investigate the factors related to patient’s participation in leisure activity in breast cancer patients with axillary lymph node dissection at 3 months after surgery. Methods: In total, 160 women who were employed before their surgery were evaluated. Age, body mass index (BMI), employment, level of lymph node dissection, marital status, children, coresident household members, preoperative chemotherapy, postoperative chemotherapy, postoperative hormonal therapy, postoperative radiotherapy, shoulder range of motion test, upper limb function, quality of life, and patient’s participation in leisure activity were evaluated. Results: Patients who undertook leisure activities constituted the leisure activity group, and patients who did not constituted the non-leisure activity group. Global health status, emotional function, social function, and dyspnea were significantly different between the leisure activity group and the non-leisure activity group at 3 months after surgery (p < 0.05). Regarding factors that affected participation in leisure activities, logistic regression analysis showed that only participation in leisure activities before surgery was significantly associated with participation in leisure activities at 3 months after surgery (p < 0.05). Conclusion: Patients who did not participate in leisure activities prior to surgery were unlikely to participate 3 months after surgery and thus require intervention to encourage their involvement.

Highlights

Breast cancer is the most frequent cancer type among women [1]
Of the breast cancer patients who underwent mastectomy with lymph node dissection at our institution from November 2013 to December 2016, 237 patients who were referred to the Department of Rehabilitation Medicine had available data of factors investigated for
Among patients who participated in leisure activities before surgery, 29 were in the leisure activity group at 3 months after the surgery (Table 1)

Summary

Introduction

Advances in medicine and technology enable early diagnosis of breast cancer and better treatment options, improving survival rates. Breast cancer treatment modalities include surgery, chemotherapy, and radiation therapy. In postoperative patients with breast cancer, in addition to improving upper limb function, a return to daily life may lead to improved quality of life (QOL). Life includes participation in leisure activities, which may mitigate disease-induced stress and reduce feelings of isolation and loneliness [9]. Experienced developments in hobbies after diagnosis is shown to reduce deaths from breast cancer [10]. Patients with hobbies lived longer than those without, with an increased number of hobbies reducing the risk of death and curability depending on treatment [9]. Identifying factors that influence patient’s participation in leisure activity after surgery will help in implementing interventions that promote patient’s participation in leisure activity

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Discussion

Conclusion