KUKU

KU ScholarWorks

  • myKU
  • Email
  • Enroll & Pay
  • KU Directory
    • Login
    View Item 
    •   KU ScholarWorks
    • Dissertations and Theses
    • Dissertations
    • View Item
    •   KU ScholarWorks
    • Dissertations and Theses
    • Dissertations
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    PREDICTORS OF QUALITY OF LIFE WITH AXILLARY REVERSE

    Thumbnail
    View/Open
    Adkins_ku_0099D_13599_DATA_1.pdf (1.334Mb)
    Issue Date
    2014-08-31
    Author
    Adkins, Barbara
    Publisher
    University of Kansas
    Format
    110 pages
    Type
    Dissertation
    Degree Level
    Ph.D.
    Discipline
    Nursing
    Rights
    This item is protected by copyright and unless otherwise specified the copyright of this thesis/dissertation is held by the author.
    Metadata
    Show full item record
    Abstract
    Breast cancer is the second most common cancer among women in the United States. Sentinel lymph node biopsy for staging early breast cancer in clinically node negative patients is supported by the American Society of Clinical Oncology due to a greater morbidity associated with axillary lymph node dissection. Quality of life benefits of sentinel lymph node biopsy compared to axillary lymph node dissection are inconsistent and many studies have used quality of life questionnaires alone. This descriptive correlational study was a primary analysis of factors that predicted quality of life over two years based on a modified Health Related Quality of Life Model. The sample consisted of 185 women, ages 29 to 88 who had the new axillary reverse mapping surgical procedure following an axillary lymph node dissection with sentinel lymph node biopsy or axillary lymph node dissection with or without sentinel lymph node biopsy. Descriptive analyses were conducted for occurrence of lymphedema and measures of physical function, general health perceptions, and health-related quality of life over two years. Individual characteristics, relationships of biological factors, symptoms, and functional status to general health perception and health-related quality of life were evaluated through separate regression analyses conducted at three time points over two years. Data were collected from the SF-36 and the axillary reverse mapping surgery form. Up to 31% of the variance in General Health Perception was explained by seven variables (age, body mass index, surgery, pain, lymphedema, physical functioning, and strength) with physical functioning and pain contributing the most. As much as 37% of variance in mental component summary was explained by the same seven variables with physical functioning and pain contributing the most. Only 19% of the variance for physical component summary was explained by five variables (age, body mass index, surgery, lymphedema, and muscle strength) with body mass index and muscle strength contributing the most at two years. Results provide information to help nurses formulate extended interventions and education for improving the perceptions and objective outcomes of women after undergoing axillary surgery for breast cancer.
    URI
    http://hdl.handle.net/1808/15766
    Collections
    • Dissertations [4475]
    • KU Med Center Dissertations and Theses [464]

    Items in KU ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.


    We want to hear from you! Please share your stories about how Open Access to this item benefits YOU.


    Contact KU ScholarWorks
    785-864-8983
    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    785-864-8983

    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    Image Credits
     

     

    Browse

    All of KU ScholarWorksCommunities & CollectionsThis Collection

    My Account

    LoginRegister

    Statistics

    View Usage Statistics

    Contact KU ScholarWorks
    785-864-8983
    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    785-864-8983

    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    Image Credits
     

     

    The University of Kansas
      Contact KU ScholarWorks
    Lawrence, KS | Maps
     
    • Academics
    • Admission
    • Alumni
    • Athletics
    • Campuses
    • Giving
    • Jobs

    The University of Kansas prohibits discrimination on the basis of race, color, ethnicity, religion, sex, national origin, age, ancestry, disability, status as a veteran, sexual orientation, marital status, parental status, gender identity, gender expression and genetic information in the University’s programs and activities. The following person has been designated to handle inquiries regarding the non-discrimination policies: Director of the Office of Institutional Opportunity and Access, IOA@ku.edu, 1246 W. Campus Road, Room 153A, Lawrence, KS, 66045, (785)864-6414, 711 TTY.

     Contact KU
    Lawrence, KS | Maps