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유방암 환자의 회복탄력성과 외상후 스트레스가 삶의 질에 미치는 영향

Effects of Resilience, Post-traumatic Stress Disorder on the Quality of Life in Patients with Breast Cancer

최소영|정은정|하부영
한국여성건강간호학회 (Korean Society of Women Health Nursing)|2014.03|Women's Health Nursing|제20권 제1호|pp. 83-91

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참고문헌

키워드

삶의 질유방암외상후 스트레스회복탄력성Quality of lifeResilienceBreast cancerPost-Traumatic Stress Disorder (PTSD)
주제분류간호학

초록

Purpose: The purpose of this study was to identify relationships of resilience, Post-Traumatic Stress Disorder(PTSD),and quality of life of breast cancer patients. The findings from this study would provide baseline data needed for nursingintervention. Methods: A sample of 129 breast cancer patients was recruited from three hospitals in J and C citiesin Korea. The survey was conducted with participants by utilizing self-reported questionnaires. Results: Quality oflife showed statistically significant differences on religion (t=2.11, p=.033) and hobby (t=2.79, p=.006). Resilienceand PTSD had a negative correlation (r=-.22, p=.010). Resilience and quality of life of the participants had a positivecorrelation (r=.58, p<.001), whereas PTSD and quality of life had a negative correlation (r=-.45, p<.001). Significantpredictors of quality of life were resilience and PTSD. These variables explained 44.9% of the variance in qualityof life. Conclusion: Findings indicate that as resilience of breast cancer patients rose higher and PTSD got lower,their quality of life increased. Based on these results, nursing interventions directed towards improving resilienceand relieving PTSD is proposed.

Abstract

Purpose: The purpose of this study was to identify relationships of resilience, Post-Traumatic Stress Disorder(PTSD),and quality of life of breast cancer patients. The findings from this study would provide baseline data needed for nursingintervention. Methods: A sample of 129 breast cancer patients was recruited from three hospitals in J and C citiesin Korea. The survey was conducted with participants by utilizing self-reported questionnaires. Results: Quality oflife showed statistically significant differences on religion (t=2.11, p=.033) and hobby (t=2.79, p=.006). Resilienceand PTSD had a negative correlation (r=-.22, p=.010). Resilience and quality of life of the participants had a positivecorrelation (r=.58, p<.001), whereas PTSD and quality of life had a negative correlation (r=-.45, p<.001). Significantpredictors of quality of life were resilience and PTSD. These variables explained 44.9% of the variance in qualityof life. Conclusion: Findings indicate that as resilience of breast cancer patients rose higher and PTSD got lower,their quality of life increased. Based on these results, nursing interventions directed towards improving resilienceand relieving PTSD is proposed. Resilience, Breast cancer, Post-Traumatic Stress Disorder (PTSD), Quality of life

참고문헌 (30)

  1. "Breast cancer factors & figures in Korea" (2013)[URL]
  2. "Cancer information service" (2013)[URL]
  3. Phillips KA, "Psychosocial factors and survival of young women with breast cancer: A population-based prospective cohort study", Journal of Clinical Oncology, 26(28), pp.4666~4671 (2008)
  4. 이경남, "여성 유방암환자의 성생활 경험", Asian Oncology Nursing, 11(3), pp.210~220 (2011), 대한종양간호학회
  5. Fan G, "Symptom clusters in cancer patients:A review of the literature", Current Oncology, 14(5), pp.173~179 (2007)
  6. Dodd MJ, "The effect of symptom cluster on functional status and quality of life in women with breast cancer", European Journal of Oncology Nursing, 14(2), pp.101~110 (2010)
  7. Mehnert A, "Prevalence of acute and post-traumatic stress disorder comorbid mental disorders in breast cancer patients during primary cancer: A prospective study", Psycho-Oncology, 16(3), pp.181~188 (2007)
  8. Seligman ME, "Positive psychology: An introduction", The American Psychologist, 55(1), pp.5~14 (2000)
  9. Wagniid GM, "Development and psychometric evaluation of the resilience scale", Journal Nursing Measurement, 1(2), pp.165~178 (1993)
  10. Polk LV, "Toward a middle-range theory of resilience", Advances in Nursing Science, 19(3), pp.1~13 (1997)
  11. 오복자, "암환자의 대응양상과 불안과의 관계", Asian Oncology Nursing, 9(1), pp.23~30 (2009), 대한종양간호학회
  12. Hasse JE, "The adolescent resilience model as a guide to interventions", Journal of Pediatric Oncology Nursing, 21(5), pp.289~299 (2004)
  13. Irwin NS, "Resilience rather recovery. A contextual framework on adaption following bereavement" (2008), The Free Press
  14. 유영미, "유방암 여성의 삶의 질 관련 요인", Asian Oncology Nursing, 13(3), pp.121~127 (2013), 대한종양간호학회
  15. Song YS, "Determinants of resilience of the physically disabled at home", 석사, pp.2004
  16. Weiss D, "Assessing psychological trauma and PTSD", pp.399~411 (1997), Guilford Press
  17. 은헌정, "한국판 사건충격척도 수정판의 신뢰도 및 타당도 연구", 신경정신의학, 44(3), pp.303~310 (2005), 대한신경정신의학회
  18. Brady MJ, "Reliability and validity of the functional assessment of cancer therapy-breast quality-of-life instrument", Journal of Clinical Oncology, 15(3), pp.974~986 (1997)
  19. 이은경, "암환자의 극복력 영향요인", 한국간호교육학회지, 13(1), pp.52~58 (2007), 한국간호교육학회
  20. Kim JH, "Resilience" (2011), Seoul Wisdomhouse
  21. Yang SK, "The relationship between coping strategies, social support, and post-traumatic stress symptom in patients with breast cancer", 석사, pp.2012
  22. Andrykowski MA, "Factors associated with PTSD symptom following treatment for breast cancer: A test of the Andersen model", Journal of Traumatic Stress, 11(2), pp.189~203 (1998)
  23. Andrykowski MA, "Stability and change in posttraumatic stress disorder symptoms following breast cancer treatment: A 1-year follow-up", Psycho Oncology, 9(1), pp.69~78 (2000)
  24. Amstadter AB, "Psychosocial interventions for adults with crime-related PTSD", Professional Psychology : Research and Practice, 38(6), pp.640~651 (2007)
  25. 서연옥, "유방암 환자의 삶의 질 영향요인", Journal of Korean Academy of Nursing, 37(4), pp.459~466 (2007), 한국간호과학회
  26. 박진희, "유방암 생존자의 신체적 증상, 정서적 증상과 삶의 질", Journal of Korean Academy of Nursing, 39(5), pp.613~621 (2009), 한국간호과학회
  27. 권은진, "한국 유방암 생존자들의 디스트레스와 삶의 질", Asian Oncology Nursing, 12(4), pp.289~296 (2012), 대한종양간호학회[DOI]
  28. Epplein M, "Quality of life after breast cancer diagnosis and survival", Journal of Clinical Oncology, 29(4), pp.406~412 (2011)
  29. 최경숙, "대장암 환자의 증상경험과 극복력이 삶의 질에 미치는 효과", Asian Oncology Nursing, 12(1), pp.61~68 (2012), 대한종양간호학회
  30. Park EJ, "Influencing factors of stress and resilience quality of life among women with thyroid cancer", 석사, pp.2013

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