유방암 환자의 사회 심리적 적응 영향 요인을 수술, 방사선, 항암치료 후의 삶의 질 변화를 체계적 메타 분석한 결과 방사선 치료시 삶의 질은 치료직후에 가장 낮았고 종료 후에는 점점 상승하고 있지만 종료 6 개월 후에도 치료 전의 삶의 질 만큼 회복 되지 않았다. 우울증과 부작용은 치료 직 후 가장 높았으며 치료 종료 후에는 다소 감소하였다. 수술요법의 경우 학력이 높을수록 심리 사회적 적응이 높았으며 검진과 보험가입이 있을 경우 심리 사회적 적응이 좋았다. 항암 화학요법의 경우 인지기능에 영향을 받아 기억력, 학습, 사고 등의 단계에서 장해를 받고 있으며 주관적 인지장애와 우울은 연관성이 있어서, 항암요법환자의 우울증의 추적관찰이 필요하다. 본 체계적 메타연구 결과 유방암환자의 3가지 치료법(수술요법, 방사선요법, 항암요법)을 시행 할 때 간호분야와 방사선 치료분야는 이러한 환자의 사회심리적 적응, 우울, 불안, 삶의 질의 경향을 인지하여 전인적 접근을 할 수 있도록 중재프로그램을 도입해야 할 것으로 생각된다.

In term of the factors affecting psychosocial adjustment of breast cancer patients, their quality of life after surgical operation, radiation, and chemotherapy were systematically meta-analyzed. As a result, their qualities of life of the patients that had radiation therapy was the lowest right after the therapy, and gradually increased after the end of the therapy. However, after six months, their quality of life failed to reach the same level before the therapy. They had depression and side effects the most right after the therapy, and somewhat reduced them after the end of the therapy. In case of surgical operation, the more they were educated, the more they had psychosocial adjustment, and the more they had a medical examination and took out an insurance policy, the more they had psychosocial adjustment. In case of chemotherapy, their cognitive function is influenced so that they have impairments in memory, learning, and thinking stages. Since subjective cognitive impairment has a relationship with depression, it is necessary to monitor depression of chemotherapy patients. Given the results of this systematic meta-analysis, when three types of therapies (surgical operation, radiation therapy, and chemotherapy) are applied to patients with breast cancer, it is necessary to recognize their psychosocial adjustment, depression, anxiety, and quality of life in the nursing and radiation therapy fields and thereby to introduce an intervention program for a holistic approach.

ABSTRACT
Ⅰ. INTRODUCTION
Ⅱ. MATERIAL AND METHODS
    1. Study process
    2. Study method
    3. Study analysis and statistics
    4 Analysis on the treatment posture of breast cancerpatients
Ⅲ. RESULT
    1. General psychology of breast cancer patients
    2. Research on the influence of radiationtherapy on patients’ quality of life
    3. The influence of surgical operation on thequality of life of breast cancer patients
    4. The influence of chemotherapy on thequality of life of breast cancer patients
Ⅳ. DISCUSSION
V. CONCLUSION
Reference

• Eun-Ju Yang(Department of Clinical Laboratory Science, Daegu Haany University) | 양은주
• Young-Jae Kim(Department of Radiologic Technology, Daegu Health College) | 김영재 Corresponding Author