암 진단을 받은 생존불자의 삶의 질과 사회적 지지에 대한 연구 : 불교사회복지적 관점에서 본 삶의 질 향상방안을 중심으로
Quality of life and social support of the buddhist patients with cancer
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초록
본 연구는 불성을 가진 암 생존자의 삶의 질과 사회적 지지를 조사함으로써, 불교 사상과 철학에 근거해서 그들의 삶의 질을 향상시키기 위한 방안을 제시하는데 그 목적이 있다. 이를 위해 서울 및 경기 지역에 근거하는 33명의 유방암 및 부인과 암 생존자를 대상으로 두개의 표준화된 삶의 질 척도와 종교성 및 불성을 조사하는 영적 복지 척도를 사용하였다. 또한, 사회적 지지를 조사하기 위해 사회적 지지 척도 및 서비스 이용 및 욕구에 대한 척도를 사용하였다. 본 연구 결과는 불교를 믿고 있는 암 생존자들의 종교성과 불성(buddhahood)에 대한 문항 중, 암 진단 이후 삶에 대한 사명감 또는 살아야 되는 이유 등이 생겼다는 문항이 가장 높은 점수를 보여 주었다. 전반적으로 참석자들의 사회적 지지는 삶의 질과 긍정적인 관계가 있는 것으로 조사됐다. 본 연구 결과는 불교의 세 가지 사상인 자비, 보시, 보은 사상과 상당한 연관성을 보이며, 향후 암 환자의 삶의 질을 향상시키기 위해서는 체계적이고 조직적인 불교사회복지사업이 필요할 것으로 보인다.
Abstract
This study intends to 1) explore the quality of life and social support for breast and gynecologic cancer survivors who believe in the buddhism; 2) examine how Buddhism influences cancer survivors' life based on the principles of Buddhism; and 3) suggest how Buddhism can improve their quality of life under the buddhist thoughts. Two standardized quality of life scales and one spiritual well-being scale about spirituality and religiosity were administered to 33 breast and gynecologic cancer survivors living in Seoul and Gyunggi do. Social support survey as well as the use and needs of supportive care services was also used to investigate social support components. Study findings demonstrated that participants showed the highest score in "a sense of a purpose/mission for their life or a reason for being alive" of religiosity and spirituality items, indicating their spirituality seems to be higher than religiosity. Participants' quality of life score was moderate; however it was lower than the mean score of other studies. Specifically, the mental health summary scores were lower than the physical health summary scores. Overall, social support was positively related to quality of life. Evidences suggest that three of the buddhist thoughts, that is, benevolence, giving, and offering gratitude and repaying, are significantly related to quality of life and social support concepts. Buddhist social work needs to be systemic and organized effectively to approach cancer survivors in the future.
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