폐암 환자의 불확실성과 디스트레스가 삶의 질에 미치는 영향: 극복력의 조절효과
Relationships among Uncertainty, Distress, and Quality of Life in Lung Cancer Patients: Mediating effect of Resilience
1
조회
0
다운로드
6
인용
0
참고문헌
키워드
초록
Purpose: The purposes of this study were to examine health-related quality of life and to identify the mediating effect of resilience on the relationship among uncertainty, distress, and health-related quality of life in lung cancer patients. Methods: A total of 149 lung cancer patients visiting the D hospital in B city completed a questionnaire, including demographic and disease-specific characteristics, uncertainty, distress, resilience, and health-related quality of life. Data were analyzed with descriptive analysis, t-tests, ANOVA, and multiple regression analyses via SPSS 24. Results: Healthrelated quality of life was 81.00±21.39 (range 0~136) in lung cancer patients. In the results of hierarchical regression analyses, the health-related quality of life was associated with education, uncertainty, distress, and resilience. However,there was no mediating effect of resilience on the relationship among uncertainty, distress, and health-related quality of life. Conclusion: Lung cancer patients with high uncertainty and distress and low resilience could experience low healthrelated quality of life. In order to reduce uncertainty and distress, it is necessary to provide more detailed, systematic information and support, while reinforcing positive thinking.
Abstract
Purpose: The purposes of this study were to examine health-related quality of life and to identify the mediating effect of resilience on the relationship among uncertainty, distress, and health-related quality of life in lung cancer patients. Methods: A total of 149 lung cancer patients visiting the D hospital in B city completed a questionnaire, including demographic and disease-specific characteristics, uncertainty, distress, resilience, and health-related quality of life. Data were analyzed with descriptive analysis, t-tests, ANOVA, and multiple regression analyses via SPSS 24. Results: Healthrelated quality of life was 81.00±21.39 (range 0~136) in lung cancer patients. In the results of hierarchical regression analyses, the health-related quality of life was associated with education, uncertainty, distress, and resilience. However,there was no mediating effect of resilience on the relationship among uncertainty, distress, and health-related quality of life. Conclusion: Lung cancer patients with high uncertainty and distress and low resilience could experience low healthrelated quality of life. In order to reduce uncertainty and distress, it is necessary to provide more detailed, systematic information and support, while reinforcing positive thinking.
참고문헌 (29)
- Michèle Aubin, "Family physician involvement in cancer care and lung cancer patient emotional distress and quality of life", Supportive Care in Cancer, 19(11), pp.1719~1727 (2011), Springer Nature[DOI]
- 방미선, "노인 위암 환자의 회복탄력성 영향요인", Asian Oncology Nursing, 17(3), pp.170~179 (2017), 대한종양간호학회
- Baron, R. M, "The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations", Journal of Personality and Social Psychology, 51, pp.1173~1182 (1986)[DOI]
- 변혜선, "폐암환자의 스티그마와 디스트레스가 삶의 질에 미치는 영향", Crisisonomy, 11(8), pp.227~244 (2015), (사)위기관리이론과실천
- David F. Cella, "Reliability and validity of the functional assessment of cancer therapy—lung (FACT-L) quality of life instrument", Lung Cancer, 12(3), pp.199~220 (1995), Elsevier BV[DOI]
- 차경숙, "암환자의 질병에 대한 불확실성이 극복력에 미치는 영향에 관한 연구", Asian Oncology Nursing, 12(2), pp.139~146 (2012), 대한종양간호학회[DOI]
- 채윤정, "폐암 환자의 생존단계별 증상, 우울 및 삶의 질 비교", Asian Oncology Nursing, 17(2), pp.79~86 (2017), 대한종양간호학회[DOI]
- Kathryn M. Connor, "Development of a new resilience scale: The Connor-Davidson Resilience Scale (CD-RISC)", Depression and Anxiety, 18(2), pp.76~82 (2003), Wiley[DOI]
- Joan E. Haase, "The Adolescent Resilience Model as a Guide to Interventions", Journal of Pediatric Oncology Nursing, 21(5), pp.289~299 (2016), SAGE Publications[DOI]
- Mark Hamer, "Psychological distress and cancer mortality", Journal of Psychosomatic Research, 66(3), pp.255~258 (2009), Elsevier BV[DOI]
- Jimmie C. Holland, "Distress Management", Journal of the National Comprehensive Cancer Network, 11(2), pp.190~209 (2013), Harborside Press, LLC[DOI]
- 장형숙, "혈액투석 환자의 불확실성과 불확실성 평가가 자기관리에 미치는 영향", Journal of Korean Academy of Nursing, 45(2), pp.271~279 (2015), 한국간호과학회
- 김도형, "폐암 환자에 대한 부가적인 침치료 효과 - 단일군, 전후, 예비임상 연구 -", 동의생리병리학회지, 28(1), pp.82~88 (2014), 한의병리학회
- Kim, J, "Development of recommendation for distress management toward improvement of quality of life in cancer patients" (2009), Ministry of Health & Welfare
- 김경옥, "노인 암 환자의 불확실성과 사회적 지지가 삶의 질에 미치는 영향", Asian Oncology Nursing, 17(3), pp.180~187 (2017), 대한종양간호학회
- Lee, J, "Quality of life in non-small cell lung cancer patients: A structural equation model approach", doctoral, pp.2013
- 이정림, "폐암환자의 스티그마, 디스트레스와 삶의 질의 관계", Asian Oncology Nursing, 11(3), pp.237~246 (2011), 대한종양간호학회
- Merle H. Mishel, "Uncertainty in Illness", Image: the Journal of Nursing Scholarship, 20(4), pp.225~232 (1988), Wiley[DOI]
- Mishel, M. H, "Theories of uncertainty in illness", Middle Range Theory for Nursing, 2, pp.55~84 (2008)
- 모문희, "항암화학요법을 받는 폐암환자의 불확실성 영향요인", 한국산학기술학회논문지, 18(4), pp.248~259 (2017), 한국산학기술학회[DOI]
- Nam, K, "The structural equation modeling on prostate cancer patients after radical prostatectomy", doctoral, pp.2018
- "Lung cancer" (2017)[URL]
- Martin M. Oken, "Toxicity and response criteria of the Eastern Cooperative Oncology Group", AMERICAN JOURNAL OF CLINICAL ONCOLOGY, 5(6), pp.649~656 (1982), Ovid Technologies (Wolters Kluwer Health)[DOI]
- R. SANSON-FISHER, "Quality of life research: is there a difference in output between the major cancer types?", European Journal of Cancer Care, 19(6), pp.714~720 (2010), Wiley[DOI]
- 서지영, "항암화학요법을 받는 암 환자의 디스트레스와 삶의 질", Asian Oncology Nursing, 15(1), pp.18~27 (2015), 대한종양간호학회
- Wagnild, G. M, "Development and psychometric evaluation of the resilience scale", Journal of Nursing Measurement, 1(2), pp.165~178 (1993)
- Meredith Wallace, "Uncertainty and Quality of Life of Older Men Who Undergo Watchful Waiting for Prostate Cancer", Oncology Nursing Forum, 30(2), pp.303~330 (2003), Oncology Nursing Society (ONS)[DOI]
- Wei-Wen Wu, "The Mediating Role of Resilience on Quality of Life and Cancer Symptom Distress in Adolescent Patients With Cancer", Journal of Pediatric Oncology Nursing, 32(5), pp.304~313 (2015), SAGE Publications[DOI]
- Young Ho Yun, "Prognostic value of quality of life score in disease-free survivors of surgically-treated lung cancer", BMC Cancer, 16(1), pp.505~ (2016), Springer Nature[DOI]