Verbal Learning and Memory Function and the Influencing Factors on Breast Cancer Survivors: A Cross-Sectional Study

Impairment of cognitive function is a common complaint by post-chemotherapy breast cancer survivors, specifically impairment of verbal learning and memory. The objective of this study was to identify the association between age, duration of education, chemotherapy type, hormone therapy usage, menopa...

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Main Authors: Hilman Syarif, Agung Waluyo, Yati Afiyanti, Muchtaruddin Mansyur
Format: Article
Language:English
Published: JMIR Publications 2019-06-01
Series:Asian/Pacific Island Nursing Journal
Subjects:
Online Access:https://kahualike.manoa.hawaii.edu/apin/vol4/iss2/3/
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author Hilman Syarif
Agung Waluyo
Yati Afiyanti
Muchtaruddin Mansyur
author_facet Hilman Syarif
Agung Waluyo
Yati Afiyanti
Muchtaruddin Mansyur
author_sort Hilman Syarif
collection DOAJ
description Impairment of cognitive function is a common complaint by post-chemotherapy breast cancer survivors, specifically impairment of verbal learning and memory. The objective of this study was to identify the association between age, duration of education, chemotherapy type, hormone therapy usage, menopausal status, sleep quality, fatigue, stress, and hemoglobin (Hb) levels to memory and verbal learning function. This cross-sectional study consisted of 82 post-chemotherapy breast cancer survivors, 81 non-chemotherapy survivors, and 80 non-cancer female patients in two hospitals. The data were collected using the Hopkins Verbal Learning Test in Indonesian, Pittsburgh Sleep Quality Index, 10-item Perceived Stress Scale, and the Piper Fatigue Scale-12. All instruments were already adopted into Indonesian. Characteristic data were obtained from hospital reports. The mean age of the respondents was 43.06 (8.18) years, 197 (81.1%) had been educated for ≤12 years, 82 (33.7%) were post-chemotherapy survivors, 46 (18.9%) were using hormonal therapy, and 125 (51.4%) had gone through menopause. Among the remaining respondents, 91 (37.4%) were anemic, 124 (51.0%) had poor sleep quality, and 115 (47.3%) experienced moderate fatigue. Twenty-one (25.6%) of post-chemotherapy survivors had a high possibility of having dementia. The significant variables associated with memory and verbal learning function included age, stress, survivor type, chemotherapy category, sleep quality, and fatigue. The insignificant variables included the length of education, hormone therapy usage, menopausal status, and hemoglobin levels. A logistic regression analysis showed that stress was the most influential variable with an odds ratio of 1.159. It is recommended that nurses consider the significant variables when providing services to post-chemotherapy breast cancer survivors.
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spelling doaj.art-9f02805047374914b070cc74d86e36562022-12-22T02:42:28ZengJMIR PublicationsAsian/Pacific Island Nursing Journal2373-66582019-06-0142778310.31372/20190402.1036Verbal Learning and Memory Function and the Influencing Factors on Breast Cancer Survivors: A Cross-Sectional StudyHilman Syarif0Agung Waluyo1Yati Afiyanti2Muchtaruddin Mansyur3Doctoral Student in the Faculty of Nursing, Universitas Indonesia; Department of Medical Surgical Nursing, Faculty of Nursing, Universitas Syiah Kuala, Indonesia Department of Medical Surgical Nursing, Faculty of Nursing, Universitas Indonesia, IndonesiaDepartment of Maternity Nursing, Faculty of Nursing, Universitas Indonesia, IndonesiaFaculty of Medicine, Universitas Indonesia, IndonesiaImpairment of cognitive function is a common complaint by post-chemotherapy breast cancer survivors, specifically impairment of verbal learning and memory. The objective of this study was to identify the association between age, duration of education, chemotherapy type, hormone therapy usage, menopausal status, sleep quality, fatigue, stress, and hemoglobin (Hb) levels to memory and verbal learning function. This cross-sectional study consisted of 82 post-chemotherapy breast cancer survivors, 81 non-chemotherapy survivors, and 80 non-cancer female patients in two hospitals. The data were collected using the Hopkins Verbal Learning Test in Indonesian, Pittsburgh Sleep Quality Index, 10-item Perceived Stress Scale, and the Piper Fatigue Scale-12. All instruments were already adopted into Indonesian. Characteristic data were obtained from hospital reports. The mean age of the respondents was 43.06 (8.18) years, 197 (81.1%) had been educated for ≤12 years, 82 (33.7%) were post-chemotherapy survivors, 46 (18.9%) were using hormonal therapy, and 125 (51.4%) had gone through menopause. Among the remaining respondents, 91 (37.4%) were anemic, 124 (51.0%) had poor sleep quality, and 115 (47.3%) experienced moderate fatigue. Twenty-one (25.6%) of post-chemotherapy survivors had a high possibility of having dementia. The significant variables associated with memory and verbal learning function included age, stress, survivor type, chemotherapy category, sleep quality, and fatigue. The insignificant variables included the length of education, hormone therapy usage, menopausal status, and hemoglobin levels. A logistic regression analysis showed that stress was the most influential variable with an odds ratio of 1.159. It is recommended that nurses consider the significant variables when providing services to post-chemotherapy breast cancer survivors.https://kahualike.manoa.hawaii.edu/apin/vol4/iss2/3/chemotherapymemory functionsurvivorsverbal learning function
spellingShingle Hilman Syarif
Agung Waluyo
Yati Afiyanti
Muchtaruddin Mansyur
Verbal Learning and Memory Function and the Influencing Factors on Breast Cancer Survivors: A Cross-Sectional Study
Asian/Pacific Island Nursing Journal
chemotherapy
memory function
survivors
verbal learning function
title Verbal Learning and Memory Function and the Influencing Factors on Breast Cancer Survivors: A Cross-Sectional Study
title_full Verbal Learning and Memory Function and the Influencing Factors on Breast Cancer Survivors: A Cross-Sectional Study
title_fullStr Verbal Learning and Memory Function and the Influencing Factors on Breast Cancer Survivors: A Cross-Sectional Study
title_full_unstemmed Verbal Learning and Memory Function and the Influencing Factors on Breast Cancer Survivors: A Cross-Sectional Study
title_short Verbal Learning and Memory Function and the Influencing Factors on Breast Cancer Survivors: A Cross-Sectional Study
title_sort verbal learning and memory function and the influencing factors on breast cancer survivors a cross sectional study
topic chemotherapy
memory function
survivors
verbal learning function
url https://kahualike.manoa.hawaii.edu/apin/vol4/iss2/3/
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