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유방암 생존자의 디스트레스, 가족지지 및 건강증진행위

Relationships among Distress, Family Support, and Health Promotion Behavior in Breast Cancer Survivors

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초록

Purpose: This study was to investigate relationships among distress, family support, and health promotion behavior in breast cancersurvivors. The research design was a descriptive study. Methods: Data were collected through three structured questionnaires: the‘Distress’ by Distress management version 1 (National Comprehensive Cancer Network, NCCN), ‘Family support’ developed byCobb, and Health promotion behavior developed by Walker, Sechrist and Pender. The subjects were 213 breast cancer survivors fromtwo general hospitals in B metropolitan city from July. 15 to August 15 2013. The data were analyzed using SPSS 18.0, specifically descriptivestatistics, t-test, ANOVA, Scheffé test, and Pearson’s correlation coefficients were used. Results: The mean score of distresswas 3.91± 2.59. 50.2% of the subjects reported a distress score of 4 or more. Among these, the most common problems were emotions. Moderate family support and health promotion behavior. Distress showed negative correlations with Family support (r = - .34,p<.001), and health promotion behavior (r= - .23, p=.002). Family support showed positive correlations with health promotion behavior(r=.43, p<.001). Conclusion: The health promotion behavior of breast cancer survivors can be improved if family support isimproved and distress is decreased. Therefore, a nursing intervention program that leads to improving family support and decreasingthe distress of breast cancer survivors is needed to improve health promotion behavior.

Abstract

Purpose: This study was to investigate relationships among distress, family support, and health promotion behavior in breast cancersurvivors. The research design was a descriptive study. Methods: Data were collected through three structured questionnaires: the‘Distress’ by Distress management version 1 (National Comprehensive Cancer Network, NCCN), ‘Family support’ developed byCobb, and Health promotion behavior developed by Walker, Sechrist and Pender. The subjects were 213 breast cancer survivors fromtwo general hospitals in B metropolitan city from July. 15 to August 15 2013. The data were analyzed using SPSS 18.0, specifically descriptivestatistics, t-test, ANOVA, Scheffé test, and Pearson’s correlation coefficients were used. Results: The mean score of distresswas 3.91± 2.59. 50.2% of the subjects reported a distress score of 4 or more. Among these, the most common problems were emotions. Moderate family support and health promotion behavior. Distress showed negative correlations with Family support (r = - .34,p<.001), and health promotion behavior (r= - .23, p=.002). Family support showed positive correlations with health promotion behavior(r=.43, p<.001). Conclusion: The health promotion behavior of breast cancer survivors can be improved if family support isimproved and distress is decreased. Therefore, a nursing intervention program that leads to improving family support and decreasingthe distress of breast cancer survivors is needed to improve health promotion behavior.

참고문헌 (30)

  1. "National cancer statistics" (2011)[URL]
  2. "breast facts and figures updated" (2013)[URL]
  3. Ward SE, "Patient’s reactions to completion of adjuvant breast cancer therapy", Nurs Res, 41(6), pp.362~366 (1992)
  4. 이윤수, "유방완전절제술을 받은 여성의 심리사회적 경험:자조집단 참여자 중심으로", 한국사회복지학, 59(3), pp.99~124 (2007), 한국사회복지학회
  5. Alfano CM, "Recovery issues in cancer survivorship; a new challenge for supportive care", Cancer, 12, pp.432~443 (2006)
  6. Suh SR, "The resourcefulness and the health-promoting behaviors of cancer patients", Korean J Adult Nurs, 12(1), pp.112~121 (2000)
  7. Pender, NJ, "Health promotion in nursing practice" (1996), Appleton & Lange
  8. Kim HJ, "A study on health promoting behavior in post-mastectomy patients", Korean J Adult Nurs, 13(1), pp.82~95 (2001)
  9. Harding M, "Health promotion behaviors and psychological distress in cancer survivors", Oncol Nurs Forum, 39(2), pp.E132~E140 (2012)
  10. Development of recommendation for distress management toward improvement of quality of life in cancer patients, "Kim JH", Ministry of Health & Welfare, ~ (2009)
  11. 권은진, "한국 유방암 생존자들의 디스트레스와 삶의 질", Asian Oncology Nursing, 12(4), pp.289~296 (2012), 대한종양간호학회
  12. Cottle EM, "Role of the family support person during resuscitation", Nursing Standard, 29(3), pp.43~47 (2008)
  13. 박은영, "페미니스트 현상학을 이용한 한국 유방암 환자의 질병체험", 성인간호학회지, 21(5), pp.504~518 (2009), 성인간호학회
  14. Kang HJ, "Relationships between perceived family support, self-esteem and depression in breast cancer survivors", 박사, pp.2013
  15. 민효숙, "유방암생존자의재발방지행위와삶의질", Journal of Korean Academy of Nursing, 38(2), pp.187~194 (2008), 한국간호과학회
  16. 위은숙, "위암 환자의 고통, 불안, 우울 및 영적 요구", Asian Oncology Nursing, 12(4), pp.314~322 (2012), 대한종양간호학회
  17. 박정숙, "부인암 환자의 생존단계에 따른 디스트레스와 신체상 비교", Asian Oncology Nursing, 14(1), pp.15~22 (2014), 대한종양간호학회
  18. 정경숙, "유방절제술 환자의 신체상, 자아존중감과 건강증진행위의 관계*", Asian Oncology Nursing, 7(1), pp.36~46 (2007), 대한종양간호학회
  19. Shim EJ, "Distress and its correlates in Korean cancer patient: Pilot use of the distress thermometer and the problem list", Psychooncology, 17, pp.548~555 (2008)
  20. Cobb S, "Social support as a moderator or life stress", Psychosomatic Medicine, 38(5), pp.300~314 (1979)
  21. Kang HS, "Experimental study of the effects of reinforcement education for rehabilitation on hemiplegia patients’ self-care activities", 박사, pp.1984
  22. Warker SN, "The health promotion lifestyle profile II (HPLP II)", Collage of Nursing University of Nebraska Medical center, ~ (2002)
  23. 박은하, "유방 자가 검진 참여 교육 프로그램이 유방 자가 검진 이행과 건강 증진 행위에 미치는 영향*", Asian Oncology Nursing, 3(2), pp.133~144 (2003), 대한종양간호학회
  24. Fallowfield L, "Psychiatric morbidity and its recognition by doctors in patients with cancer", Br J Cancer, 84, pp.1011~1015 (2001)
  25. 임정원, "한국 여성 유방암 생존자의 건강신념과 건강행위에 대한 질적 연구", 한국사회복지학, 63(4), pp.155~181 (2011), 한국사회복지학회
  26. Lee EJ, "Family support, self-esteem and health promotion behavior in uterine cancer patients", 박사, pp.2012
  27. Yun MR, "A qualitative study on breast cancer survivors’ experiences", Perspectives in Nursing Science, 10(1), pp.41~51 (2013)
  28. Jeong SY, "A study on health promoting behavior in patients with breast cancer between self-help and non self-help groups", 박사, pp.2009
  29. Lee MS, "Depression 119" (2005), Galimchulpansa
  30. Tedeschi RG, "The posttraumatic growth inventory: measuring the positive legacy of trauma", J Trauma Stress, 9(3), pp.455~471 (1996)

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