폐암 생존자의 웰다잉 인식 영향요인
Factors Affecting the Well-dying Awareness of Lung Cancer Survivors
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose:The purpose of this study was to identify the factors that affect lung cancer survivors’ awareness of well-dying. Methods:Data were collected from November 8, 2022 to December 23, 2022. Participants were 105 lung cancer survivors university hospital located in Chungcheongnam-do. Data was analyzed using independent t-test, one-way ANOVA, Scheffétest, Pearson correlation coefficient and stepwise multiple regression with the SPSS/WIN 25.0 program. Symptom experience, resilience, awareness of well-dying, general cancer-related variables were measured. Results: Multiple regression analysis, the factors influencing awareness of well-dying were identified as symptomexperience (intensity), presence or absence of a spouse, andgender. The explanatory power of well-dying awareness through the three variables was 30.9%. The factor that has the greatest influence on the awareness of well-dying was symptom experience (intensity) (β=-.44), followed by spouse (β=.29) and gender (β=-22) in order. Conclusion: Lung cancer survivors’ symptom experienceis a key factor influencing awareness of well-dying. Therefore, in order to increase awareness of well-dying among lung cancer survivors, symptom management should be actively provided to male patients and those who have received radiation therapy.
Abstract
Purpose:The purpose of this study was to identify the factors that affect lung cancer survivors’ awareness of well-dying. Methods:Data were collected from November 8, 2022 to December 23, 2022. Participants were 105 lung cancer survivors university hospital located in Chungcheongnam-do. Data was analyzed using independent t-test, one-way ANOVA, Scheffétest, Pearson correlation coefficient and stepwise multiple regression with the SPSS/WIN 25.0 program. Symptom experience, resilience, awareness of well-dying, general cancer-related variables were measured. Results: Multiple regression analysis, the factors influencing awareness of well-dying were identified as symptomexperience (intensity), presence or absence of a spouse, andgender. The explanatory power of well-dying awareness through the three variables was 30.9%. The factor that has the greatest influence on the awareness of well-dying was symptom experience (intensity) (β=-.44), followed by spouse (β=.29) and gender (β=-22) in order. Conclusion: Lung cancer survivors’ symptom experienceis a key factor influencing awareness of well-dying. Therefore, in order to increase awareness of well-dying among lung cancer survivors, symptom management should be actively provided to male patients and those who have received radiation therapy.
참고문헌 (30)
- "2023 Lung cancer statistics"[URL]
- Davidoff AJ, "End-of-life care trajectories among older adults with lung cancer", J Geriatr Oncol, 14, pp.101381~ (2023)
- 신성호, "웰다잉의 통합적 사례 연구", 한국교수불자연합학회지, 23(1), pp.1~31 (2017), 사단법인한국교수불자연합회
- 송현동, "대학생들의 죽음 교육 전과 후의웰다잉 인식과 결정에 관한 연구", 한국산학기술학회논문지, 19(1), pp.300~310 (2018), 한국산학기술학회[DOI]
- 유지영, "노인의 좋은 죽음 인식, 죽음 불안 및 삶의 질에 관한 연구", 인문사회 21, 13(4), pp.2107~2120 (2022), 인문사회 21
- 김가혜, "한국사회의 웰다잉 개념분석", 근관절건강학회지, 27(3), pp.229~237 (2020), 대한근관절건강학회[DOI]
- Kim SR, "Impact of death awareness on well-dying and spiritual wellbeing in cancer patients-the regulation effects of hospice care-", Korean J Welf Pract, 8, pp.63~106 (2017)
- 신미헌, "베이비부머의 자기효능감과 좋은 죽음 인식이 사전연명의료의향서에 대한 태도에 미치는 영향: 가족 지지 매개 효과로", 생애학회지, 11(2), pp.85~99 (2021), 한국생애학회[DOI]
- Reinke LF, "Assessment and management of symptoms for outpatients newly diagnosed with lung cancer", Am J Hosp Palliat Care, 33, pp.178~183 (2016)
- Yu JY, "Symptom experience and physical activity as predictors of resilience among patients with advanced lung cancer", master, pp.2016
- Cheng KK, "Effects of pain, fatigue, insomnia, and mood disturbance on functional status and quality of life of elderly patients with cancer", Crit Rev Oncol Hematol, 78, pp.127~137 (2011)
- Liao YC, "Symptoms, psychological distress, and supportive care needs in lung cancer patients", Support Care Cancer, 19, pp.1743~1751 (2011)
- 임효남, "웰다잉의 구성요소와 삶의 질 간의 상관관계", 한국산학기술학회논문지, 20(5), pp.137~144 (2019), 한국산학기술학회[DOI]
- Connor KM, "Development of a new resilience scale : the Connor-Davidson Resilience Scale(CD-RISC)", Depress Anxiety, 18, pp.76~82 (2003)
- Seiler A, "Resilience in cancer patients", Front Psychiatry, 10, pp.208~ (2019)
- 공정현, "건강행위, 회복탄력성, 웰다잉 인식이 노인 만성질환자의 우울에 미치는 영향", 한국산학기술학회논문지, 16(10), pp.7146~7156 (2015), 한국산학기술학회[DOI]
- 변도화, "죽음준비교육이 간호학생들의 생의 의미, 죽음과 웰다잉, 호스피스에 대한 인식에 미치는 효과", 한국산학기술학회논문지, 18(5), pp.169~176 (2017), 한국산학기술학회[DOI]
- 김유진, "항암화학요법을 받는 폐암환자의 디스트레스와 극복력", 한국웰니스학회지, 11(4), pp.289~302 (2016), 한국웰니스학회[DOI]
- Jung YJ, "Development of well-dying awareness scale: for the middle-aged", doctor, pp.2022
- Choi S, "Effects of symptom clusters and depression on the quality of life in patients with advanced lung cancer", Eur J Cancer Care(Engl), 27, pp.e12508~ (2018)
- Sarna L, "Quality of life of long-term survivors of non-small-cell lung cancer", J Clin Oncol, 20, pp.2920~2929 (2002)
- Maguire R, "A systematic review of supportive care needs of people living with lung cancer", Eur J Oncol Nurs, 17, pp.449~464 (2013)
- 김지인, "대장암 환자의 회복탄력성에 영향을 미치는 요인", Asian Oncology Nursing, 13(4), pp.256~264 (2013), 대한종양간호학회
- 곽소영, "혈액암 환자의 회복탄력성에 영향을 미치는 요인", 성인간호학회지, 25(1), pp.95~104 (2013), 한국성인간호학회
- Hong JW, "Effect of successful aging and self-transcendence in the elderly in-home on well-dying awareness", master, pp.2023
- 임헌숙, "노인 암 생존자의 죽음불안에 영향을 미치는 요인 : 자아통합감, 우울, 좋은 죽음에 대한 인식을 중심으로", 한국산학기술학회논문지, 21(1), pp.197~207 (2020), 한국산학기술학회[DOI]
- 오영주, "노인의 사회적 지지, 가족 지지 및 노인시설 관련 거부감이 웰다잉 정도에 미치는 영향", 성인간호학회지, 32(3), pp.235~247 (2020), 한국성인간호학회[DOI]
- von Dincklage JJ, "A review of clinical practice guidelines for lung cancer", J Thorac Dis, 5(5), pp.S607~S622 (2013)
- 방미선, "노인 위암 환자의 회복탄력성 영향요인", Asian Oncology Nursing, 17(3), pp.170~179 (2017), 대한종양간호학회
- 최옥분, "베이비부머 세대의 성격특성이 웰다잉 준비인식에 미치는 영향", 한국산학기술학회논문지, 22(10), pp.286~296 (2021), 한국산학기술학회[DOI]