통합적 교육프로그램이 진단 직후 유방암 환자의 지식, 자기효능감 및 대응방식에 미치는 효과
The Effects of a Comprehensive Education Program on Knowledge, Self-Efficacy, and Coping Style among Newly Diagnosed Patients with Breast Cancer
1
조회
0
다운로드
16
인용
0
참고문헌
키워드
초록
Purpose: The purpose of the study was to identify the effect of a comprehensive education program on knowledge, self-efficacy for self-management, and coping style among newly diagnosed patients with breast cancer. Methods: This study used a one group pretest-posttest design. Data were collected from April to September, 2010 at a cancer-specific hospital in Goyang, Korea. One hundred forty three women received a comprehensive education program consisting of 3 sessions composed of 8 themes was conducted by several experts (nurses, doctors, dietitians and clinical psychologists) for 3.5 hours a day for 3 days (1 day before and 2 days after the operation). Results: This study showed that knowledge and self-efficacy for self-management significantly increased after education (p<.001). In terms of coping style, however, only the subscale, ‘anxious preoccupation’, significantly improved (p=.001) among 5 subscales of coping style after education. Conclusion: A comprehensive education program for newly diagnosed patients with breast cancer was effective for increasing the knowledge and self-efficacy for self-management of breast cancer, in addition to decreasing the coping style of ‘anxious preoccupation’. However, it did not improve other coping style. Therefore, other strategies for improving coping style are needed.
Abstract
Purpose: The purpose of the study was to identify the effect of a comprehensive education program on knowledge, self-efficacy for self-management, and coping style among newly diagnosed patients with breast cancer. Methods: This study used a one group pretest-posttest design. Data were collected from April to September, 2010 at a cancer-specific hospital in Goyang, Korea. One hundred forty three women received a comprehensive education program consisting of 3 sessions composed of 8 themes was conducted by several experts (nurses, doctors, dietitians and clinical psychologists) for 3.5 hours a day for 3 days (1 day before and 2 days after the operation). Results: This study showed that knowledge and self-efficacy for self-management significantly increased after education (p<.001). In terms of coping style, however, only the subscale, ‘anxious preoccupation’, significantly improved (p=.001) among 5 subscales of coping style after education. Conclusion: A comprehensive education program for newly diagnosed patients with breast cancer was effective for increasing the knowledge and self-efficacy for self-management of breast cancer, in addition to decreasing the coping style of ‘anxious preoccupation’. However, it did not improve other coping style. Therefore, other strategies for improving coping style are needed.
참고문헌 (30)
- "Cancer survival" (2011)[URL]
- Leong SP, "Is breast cancer the same disease in Asian and Western countries?", World J Surg, 34, pp.2308~2324 (2010)
- 황숙연, "유방암 환자에 대한 심리교육 집단개입의 효과", 한국사회복지학, 51, pp.93~118 (2002), 한국사회복지학회
- Schmid-Büchi S, "A review of psycho-social needs of breast-cancer patients and their relatives", J Clin Nurs, 17, pp.2895~2909 (2008)
- Osborn RL, "Psychosocial interventions for depression, anxiety, and quality of life in cancer survivors: Meta-analysis", Int J Psychiat Med, 36, pp.13~34 (2006)
- 소희영, "유방암 수술환자의 추후관리 프로그램이 신체, 심리, 사회적 기능에 미치는 효과", 성인간호학회지, 18(3), pp.416~425 (2006), 성인간호학회
- 김조자, "유방암 환자의 스트레스 대응능력 증진을 위한 심리사회적 중재 효과", Journal of Korean Academy of Nursing, 36(1), pp.169~178 (2006), 한국간호과학회
- 고해경, "방사선요법을 받는 유방암환자의 자가관리를 위한 자기효능증진 프로그램이 자기효능감, 자가간호수행 및 삶의 질에 미치는 효과", Asian Oncology Nursing, 11(2), pp.136~146 (2011), 대한종양간호학회
- 김종남, "유방암 환자를 위한 집단치료의 효과: 예비연구", 한국심리학회지 임상, 24(2), pp.1~18 (2005), 한국임상심리학회
- Burgess C, "Depression and anxiety in women with early breast cancer: five year observational cohort study", BMJ, 330, pp.702~705 (2005)
- Fawzy NW, "A psychoeducational nursing intervention to enhance coping and affective state in newly diagnosed malignant melanoma patients", Cancer Nurs, 18, pp.427~438 (1995)
- Rawl SM, "Intervention to improve psychological functioning for newly diagnosed patients with cancer", Oncol Nurs Forum, 29, pp.967~975 (2002)
- 이명선․이은옥, "치료시기에 따른 유방암 환자들의 교육 및 상담 요구에 관한 조사 연구*", Asian Oncology Nursing, 3(1), pp.5~14 (2003), 대한종양간호학회
- 이건숙(Lee, Keon-Suk), "환자교육을 위한 유방암 환자의 지식측정 도구개발", Asian Oncology Nursing, 10(1), pp.59~67 (2010), 대한종양간호학회
- Lee R, "Development and validation of Self-Efficacy Scale for Self-Management of Breast Cancer (SESSM-B)" (2012), J Korean Acad Nurs
- Watson M, "The Mini-MAC: further development of the mental adjustment to cancer scale", J Psychosoc Oncol, 12, pp.33~46 (1994)
- Kang JI, "Standardization of the Korean version of Mini-Mental Adjustment to Cancer (K-Mini-MAC) scale: factor structure, reliability and validity", Psycho-oncol, 17, pp.592~597 (2008)
- National Cancer Center, "100 Questions and 100 Answers" (2008), National Cancer Center
- 조영수, "화학요법에 관한 개별적 환자교육이 암환자의 지식과 자가간호 수행에 미치는 효과*", Asian Oncology Nursing, 2(1), pp.27~35 (2002), 대한종양간호학회
- Bae YR, "The effects of educational program for anti-cancer chemotherapy on the patients needs and satisfactions about nursing activities.", J Korean Clin Nurs Res, 7, pp.61~75 (2001)
- 민혜숙(Min, Hye Sook), "영양교육프로그램이 항암화학요법을 받는 소화기암환자의 오심구토, 식욕부진, 식이섭취 및 영양상태에 미치는 효과", Asian Oncology Nursing, 10(1), pp.38~47 (2010), 대한종양간호학회
- 이지은, "암환자용 통증관리 지침서 교육이 환자 및 가족의 암성 통증관리에 대한 지식과 태도에 미치는 효과", 임상간호연구, 15(1), pp.123~132 (2009), 병원간호사회
- Park KH, "The effect of the structured patient education on self care in ostomate", J Korean Clin Nurs Res, 5, pp.31~48 (2000)
- Karademas EC, "Stress-related predictors of optimism in breast cancer survivors", Stress Health, 23, pp.161~168 (2007)
- 주경옥, "심혈관질환자의영양교육이자기효능감, 식행동양상및심혈관위험요인에미치는효과", Journal of Korean Academy of Nursing, 38(1), pp.64~73 (2008), 한국간호과학회
- 추진아, "심근경색증 환자의 심장재활을 위한 TES 프로그램이 운동능력, 자기효능, 이행에 미치는 효과", Journal of Korean Academy of Nursing, 33(8), pp.905~916 (2003), 한국간호과학회
- Bandura A, "Self-efficacy mechanism in physiological activation and health promoting behavior, In Adaptation, learning, and affect" (1986), Raven Publishers
- Antoni MH, "Cognitive behavioral stress management effects on psychosocial and physiological adaptation in women undergoing treatment for breast cancer", Brain Behav Immun, 23, pp.580~591 (2009)
- Tacon AM, "Mindfulness: existential, loss, and grief factors in women with breast cancer", J Psychosoc Oncol, 29, pp.643~656 (2011)
- Boesen EH, "Psychosocial group intervention for patients with primary breast cancer: a randomised trial", Eur J Cancer, 47, pp.1363~1372 (2011)