ปัจจัยที่มีความสัมพันธ์กับความมั่นคงทางอาหารของสตรีที่เป็นมะเร็งเต้านม

Abstract

Objectives: To study 1) food security of women with breast cancer; 2) the relationship of personal and family factors, interpersonal and external factors, time and change factors, as well as security food; and 3) the relationship of food security with health status of women with breast cancer
Research design: Descriptive correlational research
Methods: The participants were 197 women with breast cancer, aged between of 20 and 59 years through convenience sampling with inclusion criteria. Data were collected using a self-administered questionnaire. The instruments were general information questionnaire, food security questionnaire, social support questionnaire, health and quality of life questionnaire, and nutrition and muscle strength assessment. Data were analyzed by descriptive statistics, Spearman’s rank correlation, and Chi-square test.
Findings: Most participants had poor food security by having the problem with food quantity at the highest level, followed by food quality, food anxiety, food security, and the impact from breast cancer during the past one month and the past one year respectively. Income (personal and family factors was correlated with food security (rs = .241, p = .001) while social support (interpersonal and external factors) was negatively correlated with food security in terms of food quality (rs = -.168, p = .018). Duration of illness (time and change factors) was also correlated with food security regarding food safety (rs = .242, p = .001). In addition, food security was significantly correlated with perceived health status (rs = .294, p < .001) as well as quality of life (rs = .258, p < .001)
Conclusion: The results suggest the community nurse practitioners and healthcare team should evaluate the assistance and monitor problems with food security of women with breast cancer, especially those with low income and those who are affected from serious health problems. They should also promote social support, particularly the support from the family.