유방암 환자와 배우자의 스트레스와 대처방식
Stress and Coping Strategies of Breast Cancer Patients and their Spouses
2
조회
0
다운로드
5
인용
0
참고문헌
키워드
초록
Purpose: The purpose of this study was to identify the stress and the coping strategies in breast cancer patients and their spouses. Methods: The stress level was measured by the Stress Questionnaire of Andersson & Albertsson (2000). The coping strategies were measured by the modified Lazarus & Folkman’s Ways of Coping Questionnaire. The data were collected by a survey sampling 49 couples from one hospital in Seoul. The data were analyzed by t-test, ANOVA and paired t-test. Results: There was no significant differences between the stress level of breast cancer patients and their spouses. The problem-focused coping of breast cancer patients was significant higher than their spouses. The cancer patients and their spouses used problem-focused coping mode more than emotion-focused coping mode. In the problem-focused coping mode, breast cancer patients used two coping strategies - ‘seeking information’ and ‘cognitive reconstruction’ - significantly more than their spouses. In emotion-focused coping mode, the breast cancer patients used one coping strategy, ‘emotional expression’, significantly more than the their spouses. Conclusion: Further study needs to attempt to develop nursing interventions that could improve positive coping strategies.
Abstract
Purpose: The purpose of this study was to identify the stress and the coping strategies in breast cancer patients and their spouses. Methods: The stress level was measured by the Stress Questionnaire of Andersson & Albertsson (2000). The coping strategies were measured by the modified Lazarus & Folkman’s Ways of Coping Questionnaire. The data were collected by a survey sampling 49 couples from one hospital in Seoul. The data were analyzed by t-test, ANOVA and paired t-test. Results: There was no significant differences between the stress level of breast cancer patients and their spouses. The problem-focused coping of breast cancer patients was significant higher than their spouses. The cancer patients and their spouses used problem-focused coping mode more than emotion-focused coping mode. In the problem-focused coping mode, breast cancer patients used two coping strategies - ‘seeking information’ and ‘cognitive reconstruction’ - significantly more than their spouses. In emotion-focused coping mode, the breast cancer patients used one coping strategy, ‘emotional expression’, significantly more than the their spouses. Conclusion: Further study needs to attempt to develop nursing interventions that could improve positive coping strategies.
참고문헌 (28)
- Annual report of cancer statistics in Korea in 2009, "Ministry of Health & Welfare", Ministry of Health & Welfare, ~ (2011)
- 이광자, "유방암 환자의 삶의 질 향상을 위한 심리사회적 측면의 자기효능증진프로그램 개발", 정신간호학회지, 16(4), pp.456~468 (2007), 정신간호학회
- Ben-Zur H, "Coping with breast cancer: patient, spouse, and dyad models", Psychosom Med, 63, pp.32~39 (2001)
- Petrie W, "Research review of the supportive care needs of spouses of women with breast cancer", Oncol Nurs Forum, 28, pp.1601~1607 (2001)
- Northhouse LL, "Couples’ adjustment to breast cancer and benign breast disease: a longitudinal analysis", Psychooncology, 7, pp.37~48 (1998)
- Kilpatrick MG, "Information needs of husbands of women with breast cancer", Oncol Nurs Forum, 25, pp.1595~1601 (1998)
- Felton BJ, "Stress and coping in the explanation of psychological adjustment among chronically ill adults", Soc Sci Med, 18, pp.889~898 (1984)
- Lazarus RS, "Stress, appraisal and coping" (1984), Springer
- "박사", Chonnam National Univ, 2007
- Kim HS, "Correlation between stress, coping patterns and physical symptom of cancer patient’s caregiver", J Korean Acad Adult Nurs, 13, pp.317~326 (2001)
- 신주영, "암환자의 일차간호제공가족의 스트레스 인지평가 영향 요인 분석", 성인간호학회지, 14(1), pp.125~134 (2002), 성인간호학회
- Yang YH, "The relationship of caregiving stress, coping methods, social support and health of the caregivers of patients with cancer according to the phases of cancer illness", J Korean Acad Adult Nurs, 10, pp.435~445 (1998)
- 김희승, "암환자와 가족원의 스트레스와 대처방법 차이", Journal of Korean Academy of Nursing, 33(5), pp.538~543 (2003), 한국간호과학회
- Andersson SI, "Stress and situationally related coping in cancer out-patients and their spouses", Stress Health, 16, pp.209~217 (2000)
- 박주영, "제 2형 당뇨병 환자의 자가관리, 당화혈색소 및 주관적 건강상태", 기초간호자연과학회지, 12(2), pp.106~113 (2010), 기초간호학회
- 한경혜, "한국 중년기 남녀의 건강상태 및 건강관리 행동: 성별, 연령집단별 차이를 중심으로", Family and Environment Research, 41(1), pp.213~229 (2003), 대한가정학회
- 박정희, "노인의 지각된 건강상태 및 영향 요인 분석 - 노인복지관 등록자를 대상으로 -", 기본간호학회지, 16(3), pp.264~271 (2009), 기본간호학회
- "박사", Chungang Univ, 2007
- 강윤희, "재가노인의주관적건강, 일상생활수행능력, 영양상태간의관계", Journal of Korean Academy of Nursing, 38(1), pp.122~130 (2008), 한국간호과학회
- Mouridson HT, "Principles and indications of endocrine treatment of advanced breast cancer", Recent Results Cancer Res, 71, pp.112~117 (1980)
- "박사", Korea Univ, 2007
- Ruddy KJ, "Menopausal symptoms and fertility concerns in premenopausal breast cancer survivors: a comparison to age- and gravidity-matched controls", Menopause, 18, pp.105~108 (2011)
- Strickler R, "Raloxifene and estrogen effects on quality of life in healthy postmenopausal women: a placebo-controlled randomized trial", Obstet Gynecol, 96, pp.359~365 (2000)
- Folkman S, "Dynamic of a stressful encounter: Cognitive appraisal, coping, and encounter outcomes", J Pers Soc Psychol, 50, pp.992~1003 (1986)
- Fawzy NW, "A psychoeducational nursing intervention to enhance coping and affective state in newly diagnosed malignant melanoma patients", Cancer Nurs, 18, pp.427~436 (1995)
- Krause K, "Coping with cancer", West J Nurs Res, 15, pp.31~43 (1993)
- Lavery JF, "Causal attributions, coping strategies, and adjustment to breast cancer", Cancer Nurs, 19, pp.20~28 (1996)
- Mallinger JB, "Family communication and mental health after breast cancer", Eur J Cancer Care, 15, pp.355~361 (2006)