암 환자와 주 돌봄자의 스트레스와 스트레스 대처가 삶의 질에 미치는영향: 커플관계 자료분석방법을 활용하여
The Effects of Stress and Stress Coping on Life Quality in Cancer Patients and Caregivers: A Dyadic Analysis Using an Actor-Partner Interdependence Model
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Purpose: This study is to determine actor and partner effects of stress coping on quality of life (QoL) of cancer patients and their primary caregivers using an actor-partner independence model (APIM). Methods: The subjects of this study were adults aged 19 years and over who visited a hospital. They were diagnosed with cancer and were treated with chemotherapy, radiotherapy, and hematopoietic stem cell transplantation. 137 patients with cancer and 137 caregivers were included in the study. Results: Cancer patient stress had a direct effect on their stress coping (β=.42, p=.004). Primary caregiver stress also had a direct effect on their stress coping (β=.41, p<.001). Factors significantly affecting cancer patients’ QoL were patient stress (β=-.14, p=.002), stress coping (β=.24, p<.001), and primary caregiver stress coping (β=.11, p=.021). Factors significantly affecting primary caregiver QoL were primary caregiver stress (β=-.22, p<.001) and their stress coping (β=.14, p=.009). Conclusion: In order to improve the quality of life of cancer patients and caregivers, it is necessary to consider cancer patients and caregivers as a unit when constructing intervention programs for stress management.
Abstract
Purpose: This study is to determine actor and partner effects of stress coping on quality of life (QoL) of cancer patients and their primary caregivers using an actor-partner independence model (APIM). Methods: The subjects of this study were adults aged 19 years and over who visited a hospital. They were diagnosed with cancer and were treated with chemotherapy, radiotherapy, and hematopoietic stem cell transplantation. 137 patients with cancer and 137 caregivers were included in the study. Results: Cancer patient stress had a direct effect on their stress coping (β=.42, p=.004). Primary caregiver stress also had a direct effect on their stress coping (β=.41, p<.001). Factors significantly affecting cancer patients’ QoL were patient stress (β=-.14, p=.002), stress coping (β=.24, p<.001), and primary caregiver stress coping (β=.11, p=.021). Factors significantly affecting primary caregiver QoL were primary caregiver stress (β=-.22, p<.001) and their stress coping (β=.14, p=.009). Conclusion: In order to improve the quality of life of cancer patients and caregivers, it is necessary to consider cancer patients and caregivers as a unit when constructing intervention programs for stress management.
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