본문 바로가기
KERD
논문KCI 등재

유방암 여성의 스트레스, 배우자 지지, 회복력과 대처

The Influence of Stress, Spousal Support, and Resilience on the Ways of Coping among Women with Breast Cancer

2

조회

0

다운로드

14

인용

0

참고문헌

키워드

주제분류간호학

초록

Purpose: The purpose of this study was to investigate the influence of stress, spousal support, and resilience on the types of copingamong women with breast cancer. Method: Using a cross-sectional survey design, a total of 120 participants, diagnosed with breastcancer, had a mass removal surgery, and were fluent in Korean, were recruited at a cancer center in Seoul, Korea. Self-reported questionnairesof stress, spousal support, resilience, and ways of coping were administered upon the permission from the original developers. Data were analyzed using SPSS 22.0 Win program. Result: Ways of coping was positively correlated with spousal support, resilience,and stress. Positive correlations were found between problem-focused coping, spousal support, and resilience. Positive correlationswere found between emotion-focused coping with stress and resilience. Hierarchical multiple regressions revealed that spousalsupport had significant moderating effect on the relationship between stress and emotion-focused coping. Conclusion: Women perceivedtheir diagnosis and surgery as more stressful, they more like to use emotion-focused coping. Women with more spousal supportand resilience were found to use problem-focused coping more. Based on the findings of this study, a tailored intervention forwomen with breast cancer for improving their coping is expected in future research.

Abstract

Purpose: The purpose of this study was to investigate the influence of stress, spousal support, and resilience on the types of copingamong women with breast cancer. Method: Using a cross-sectional survey design, a total of 120 participants, diagnosed with breastcancer, had a mass removal surgery, and were fluent in Korean, were recruited at a cancer center in Seoul, Korea. Self-reported questionnairesof stress, spousal support, resilience, and ways of coping were administered upon the permission from the original developers. Data were analyzed using SPSS 22.0 Win program. Result: Ways of coping was positively correlated with spousal support, resilience,and stress. Positive correlations were found between problem-focused coping, spousal support, and resilience. Positive correlationswere found between emotion-focused coping with stress and resilience. Hierarchical multiple regressions revealed that spousalsupport had significant moderating effect on the relationship between stress and emotion-focused coping. Conclusion: Women perceivedtheir diagnosis and surgery as more stressful, they more like to use emotion-focused coping. Women with more spousal supportand resilience were found to use problem-focused coping more. Based on the findings of this study, a tailored intervention forwomen with breast cancer for improving their coping is expected in future research.

참고문헌 (30)

  1. 정규원, "Cancer Statistics in Korea: Incidence, Mortality, Survival, and Prevalence in 2011", Cancer Research and Treatment, 46(2), pp.109~123 (2014), 대한암학회
  2. 서은영, "유방암 환자의 치료 전 경험", 기본간호학회지, 15(4), pp.495~503 (2008), 기본간호학회
  3. Antoni MH, "Cognitive-behavioral stress management intervention decreases the prevalence of depression and enhances benefit finding among women under treatment for early-stage breast cancer", Health Psychology, 20(1), pp.20~32 (2001)
  4. 권은진, "한국 유방암 생존자들의 디스트레스와 삶의 질", Asian Oncology Nursing, 12(4), pp.289~296 (2012), 대한종양간호학회[DOI]
  5. 서은영, "유방암 환자들의 심리적 대처 과정", 스트레스 硏究, 16(4), pp.305~315 (2008), 대한스트레스학회
  6. Lazarus RS, "Stress, appraisal, and coping" (1984), Springer
  7. Cuevas BT, "Motivation, exercise, and stress in breast cancer survivors", Supportive Care Cancer, 22(4), pp.911~917 (2014)
  8. 정재원, "유방암 여성이 인식한 배우자와의 친밀감과 삶의 질", Asian Oncology Nursing, 9(2), pp.122~128 (2009), 대한종양간호학회
  9. Duggleby W, "Engaging hope : the experiences of male spouses of women with breast cancer", Oncol Nurs Forum, 39(4), pp.400~406 (2012)
  10. Gremore TM, "Stress buffering effects of daily spousal support on women’s daily emotional and physical experiences in the context of breast cancer concerns", Health Psychology, 30(1), pp.20~ (2011)
  11. Hasson-Ohayon I, "Women with advanced breast cancer and their spouses : diversity of support and psychological distress", Psychooncology, 19(11), pp.1195~1204 (2010)
  12. Lewis FM, "Predictors of depressed mood in spouses of women with breast cancer", J Clin Oncol, 26(8), pp.1289~1295 (2008)
  13. Wagnild GM, "Assessing resilience", J Psychosoc Nurs Ment Health Serv, 47(12), pp.28~33 (2009)
  14. 강광순, "마음챙김명상 프로그램이 유방암 환자의 스트레스 지각, 대처방식 및 스트레스 반응에 미치는 효과", Journal of Korean Academy of Nursing, 42(2), pp.161~170 (2012), 한국간호과학회[DOI]
  15. 장선주, "명상 프로그램이 유방암 환자의 파워, 불안, 우울 및 삶의 질에 미치는 효과", 정신간호학회지, 22(3), pp.205~215 (2013), 정신간호학회
  16. Volicer BJ, "A hospital stress rating scale", Nurs Res, 24(5), pp.352~359 (1975)
  17. Nam KS, "A study on the correlation between spouse support and the body image of female patients who have done mastectomy and hysterectomy", pp.1988
  18. Wagnild GM, "Development and psychometric evaluation of the resilience scale", J Nurs Meas, 1(2), pp.165~178 (1993)
  19. Mishel MH, "Revision of the ways of coping checklist for a clinical population", West J Nurs Res, 15(1), pp.59~74 (1993)
  20. Kotrlik J, "Organizational research : determining appropriate sample size in survey research appropriate sample size in survey research", Inf Technol Learn Perform J, 19(1), pp.43~50 (2001)
  21. Do HK, "Stress and coping with cancer patients", master, pp.2008
  22. Kim EJ, "Hospitalization-related stress and coping strategies of colon cancer patients", master, pp.2007
  23. Song YS, "Determinants of resilience of the physically disabled at home", master, pp.2004
  24. So HS, "Changes on the uncertainty, ways of coping, and depression for patients with uterine cervical cancer during the early adaptation process:a longitudinal study", pp.1996
  25. 김혜영, "초기 유방암 환자의 심리사회적 적응 구조모형", Journal of Korean Academy of Nursing, 42(1), pp.105~115 (2012), 한국간호과학회
  26. Lindley P, "Theoretical and methodological differentiation of moderation and mediation", Nurs Res, 42(5), pp.276~279 (1993)
  27. Baron RM, "The moderator–mediator variable distinction in social psychological research : conceptual, strategic, and statistical considerations", J Pers Soc Psycho, 51(6), pp.1173~ (1986)
  28. Bennett JA, "Mediator and moderator variables in nursing research : conceptual and statistical differences", Res Nurs Health, 23(5), pp.415~420 (2000)
  29. 김영미, "유방절제술 환자가 지각한 배우자 지지와 건강증진 행위의 관계", Asian Oncology Nursing, 14(4), pp.203~211 (2014), 대한종양간호학회
  30. 이은경, "암환자의 극복력 영향요인", 한국간호교육학회지, 13(1), pp.52~58 (2007), 한국간호교육학회

관련 논문AI추천

이 간행물의 다른 논문 (6건)