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유방암 환자의 증상경험 영향요인: 불쾌증상이론을 중심으로

Factors Affecting Symptom Experiences of Breast Cancer Patients: Based on the Theory of Unpleasant Symptoms

김상희|오상은|이향규|김효진
대한종양간호학회 (Korean Oncology Nursing Society)|2014.03|Asian Oncology Nursing|제14권 제1호|pp. 7-14

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참고문헌

키워드

유방암Breast Cancer증상경험Symptoms간호이론Oncology NursingNursing Theory종양 간호
주제분류간호학

초록

본 연구는 불쾌증상이론을 기반으로 유방암 환자의 증상경험의정도와 증상경험에 영향을 미치는 생리적·정서적·상황적 요인의관련성을 파악함으로써 향후 유방암 환자를 위한 효율적인 증상관리를 위한 근거를 제공하고 효과적인 간호중재를 개발하기 위한기초자료를 제공하기 위해 실시되었다. 연구 결과, 증상경험, 생리적 요인, 정서적 요인, 상황적 요인은 유의미한 상관관계를 나타내었으며, 생리적 요인, 정서적 요인 및 상황적 요인이 증상경험을 44.8% 설명하는 것으로 나타났다. 증상경험에 가장 크게 영향을 미치는 요인은 정서적 요인이었고, 그 다음으로는 생리적 요인의 주관적 지표인 신체적 자각 증상이었다. 본 연구의 결과를 토대로 유방암 환자의 증상경험 개선을 하여생리적, 정서적, 상황적 요인을 고려한 맞춤화된 증상관리 중재프로그램이 개발되어 그 효과를 확인할 것을 제언한다.

Abstract

The purpose of this study was to identify the factors affecting symptom experiences of breast cancer patients. Methods: Across-sectional descriptive study was conducted with based on the Unpleasant symptom Theory. Sixty breast cancer patients were recruited. We measured their symptom experiences, physiologic factors (immune system function and specific perceived symptoms),psychological factors (depression and anxiety), and situational factors (family support). After obtaining permission from the IRB, datawere collected from self-report questionnaires and electronic medical records from a single cancer center. Descriptive statistics, t-test,one-way ANOVA, correlations and multiple regressions were used to analyze the data. Results: The most frequent and severe symptomswere fatigue (4.47±2.99), numbness or tingling (3.67±3.08) and sadness (3.45±3.64). Symptom experiences were significantlypositively correlated with psychological factors (r=.603, p<.01) and physical symptoms (r=.384, p<.01). Symptom experiences andsituational factors (r=.302, p<.05) were had a significantly negative correlation. The factor that had the most impact on symptom experienceswere psychological factors, followed by perceived physical symptoms. The regression model explained 44.8% of the variances. Conclusion: Based on the results of this study, the physiological, psychological and situational factors should be considered for caringbreast cancer patients.

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