유방암 환자의 영적건강, 피로가 우울에 미치는 영향
Influence of Spiritual health and Fatigue on Depression in Breast Cancer Patients
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본 연구는 유방암 환자의 영적건강과 피로가 우울에 미치는 영향을 파악하기 위한 서술적 조사 연구이다. 본 연구를 통하여 영적건강, 피로, 암 보험 가입유무가 유방암 환자의 우울에 영향을 미치는 변수임을 확인하였고, 그 중 영적건강이 우울에 가장 큰 영향을 미친다는 것을 알 수 있었다. 따라서, 유방암 환자의 우울을 감소시키기 위해서는 영적건강 증진과 피로 감소와 경제적 지원을 모두 포함한 통합적인 우울관리 간호중재 개발이 필요하다고 생각한다. 추후 연구에서는 유방암 환자의 우울관리를 위해 영적건강 증진과 피로를 감소시킬 수 있는 간호 중재 프로그램을 개발하고 그 효과를 검증해 볼 필요가 있을 것이다. 또한, 유방암 환자의 피로와 우울 정도의 관계에서 영적건강의 조절 효과를 확인하는 연구를 시도해볼 것을 제언한다.
Abstract
Purpose: This study was to examine the impact of spiritual health and fatigue on the depression among breast cancer patients. The researchdesign was descriptive study. Methods: Data were collected through three structured questionnaires: the ‘Spiritual Health Scale’,developed by Highfield, ‘Fatigue Scale’ developed and revised by Piper, ‘Depression Scale’ developed by Zung. The participants of thisstudy were 161 breast cancer patients of both in-patient and out-patient units from two general hospitals in B metropolitan city. Thedata were analyzed using t-test, ANOVA, Scheffe’ s test, Pearson’ s correlation coefficients, and Stepwise multiple regression. Results:Participants with higher depression had lower scores for spiritual health (r= - .71, p< .001) and higher scores for fatigue (r=.57,p< .001). The factors seen as contributing to depression were spiritual health, fatigue and cancer insurance. These variables were explained57.4% of the variance in depression. spiritual health were explained 50.5%. Conclusion: The depression of breast cancer patientscan be reduced if spiritual health is impoved and fatigue is decreased. Therefore, we suggest developing nursing interventionprogram that leads to improve spiritual health and decrease fatigue of breast cancer patients for reducing depression.
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