유방암 여성의 삶의 질 관련 요인
The factors Influencing Quality of Life in Women with Breast Cancer
2
조회
0
다운로드
26
인용
0
참고문헌
키워드
초록
Purpose: The purpose of the study was to identify the influence of hope, resilience, and spousal support on quality of life in women with breast cancer. Methods: A predictive correlational design was used. The data were collected by questionnaires from a convenience sample of 163 women with breast cancer in 2012. The data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson’s Correlation Coefficients, and stepwise multiple regression. Results: Mean age of the participants was 51.5±6.39 and 46.0% reported to have stage II at diagnosis and 40.5% were more than 5 years since diagnosis. The quality of life was different by age and type of surgery. Hope, resilience, spousal support, and quality of life were significantly correlated each other (r=.35-.64, p<.01). Quality of life accounted for 23.4% of the variance by resilience, spousal support, and type of surgery. The most important factor was resilience, which explained 18.9% of the variation. Conclusion: The results of the study show the importance of resilience in explaining the quality of life in Korean women with breast cancer. Thus, oncology nurses should focus on resilience to develop and implement more effective interventions to improve patients’ quality of life.
Abstract
Purpose: The purpose of the study was to identify the influence of hope, resilience, and spousal support on quality of life in women with breast cancer. Methods: A predictive correlational design was used. The data were collected by questionnaires from a convenience sample of 163 women with breast cancer in 2012. The data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson’s Correlation Coefficients, and stepwise multiple regression. Results: Mean age of the participants was 51.5±6.39 and 46.0% reported to have stage II at diagnosis and 40.5% were more than 5 years since diagnosis. The quality of life was different by age and type of surgery. Hope, resilience, spousal support, and quality of life were significantly correlated each other (r=.35-.64, p<.01). Quality of life accounted for 23.4% of the variance by resilience, spousal support, and type of surgery. The most important factor was resilience, which explained 18.9% of the variation. Conclusion: The results of the study show the importance of resilience in explaining the quality of life in Korean women with breast cancer. Thus, oncology nurses should focus on resilience to develop and implement more effective interventions to improve patients’ quality of life.
참고문헌 (30)
- "Breast cancer facts and figures"[URL]
- 박은영, "페미니스트 현상학을 이용한 한국 유방암 환자의 질병체험", 성인간호학회지, 21(5), pp.504~518 (2009), 성인간호학회
- Sammarco A, "Quality of life of breast cancer survivors : a comparative study of age cohorts", Cancer Nurs, 32, pp.437~456 (2009)
- 변혜선, "유방암 환자의 피로, 통증, 불안, 우울이 삶의 질에 미치는 영향", Asian Oncology Nursing, 12(1), pp.27~34 (2012), 대한종양간호학회
- 서연옥, "유방암 환자의 삶의 질 영향요인", Journal of Korean Academy of Nursing, 37(4), pp.459~466 (2007), 한국간호과학회
- Lee IS, "Uncertainty, appraisal and quality of life in patients with breast cancer across treatment phases", pp.2005
- 조계화, "유방암 환자의 불확실성, 희망 및 삶의 질과의 관계", Journal of Korean Academy of Nursing, 34(7), pp.1184~1193 (2004), 한국간호과학회
- 권은진, "한국 유방암 생존자들의 디스트레스와 삶의 질", Asian Oncology Nursing, 12(4), pp.289~296 (2012), 대한종양간호학회
- Bonanno GA, "Loss, trauma, and human resilience: have we underestimated the human capacity to thrive after extremely aversive events?", Am Psychol, 59, pp.20~28 (2004)
- Seligman ME, "Positive psychology : an introduction", Am Psychol, 55, pp.5~14 (2000)
- Felder B, "Hope and coping in patients with cancer diagnoses", Cancer Nurs, 27, pp.320~324 (2004)
- Spiegel D, "Depression and cancer : mechanisms and disease progression", Biol Psychiatry, 54, pp.269~282 (2003)
- Haase EJ, "The adolescent resilience model as a guide to interventions", J Pediatr Oncol Nurs, 21, pp.289~299 (2004)
- 구본진, "중년 여성의 극복력, 희망, 부부친밀감 및 가족지지가 삶의 질에 미치는 영향", 정신간호학회지, 17(4), pp.421~430 (2008), 정신간호학회
- 최경숙, "대장암 환자의 증상경험과 극복력이 삶의 질에 미치는 효과", Asian Oncology Nursing, 12(1), pp.61~68 (2012), 대한종양간호학회
- Kang JY, "The influence of stress, spousal support, and resilience on the ways of coping among women with breast cancer", pp.2012
- Paek KW, "The relationship between spouse and quality of life in patients with mastectomy", pp.2004
- Faul F, "G*Power 3 : a flexible statistical power analysis program for the social, behavioral, and biomedical sciences", Behav Res Methods, 39, pp.175~191 (2007)
- Nowotny ML, "Assessment of hope in patient with cancer : development of an instrument", Oncol Nurs Forum, 16, pp.57~61 (1989)
- Choi SS., "A correlational study on spiritual wellness, hope and perceived health status of urban adults", pp.1990
- Wagnild G, "The Resilience Scale User’s guide for the US English version of the Resilience Scale and the 14-item Resilience Scale (RS-14)" (2009), Resilience center
- Nam KS., "A study on the correlation between spouse support and the body image of female patients who have done mastection and hysterectomy", pp.1988
- Ferrell BR, "Measurement of the quality of life in cancer survivors", Qual Life Res, 4, pp.523~531 (1995)
- 박은영, "고위험군 유방암 환자의 치료과정에 따른 삶의 질의 변화", Asian Oncology Nursing, 1(1), pp.32~43 (2001), 대한종양간호학회
- Stewart DE, "A systematic review of resilience in the physically ill", Psychosomatics, 52, pp.199~209 (2011)
- Winsett RP, "Adolescent self-efficacy and resilience in participants attending a diabetes camp", Pediatr Nurs, 36, pp.293~296 (2010)
- Gremore TM, "Stress buffering effects of daily spousal support on women's daily emotional and physical experiences in the context of breast cancer concerns", Health Psychol, 30, pp.20~30 (2011)
- Skrzypulec V, "Biopsychosocial functioning of women after mastectomy", J Clin Nurs, 18, pp.613~619 (2009)
- Min JA, "Psychological resilience contributes to low emotional distress in cancer patients", Support Care Cancer, 21, pp.2469~2476 (2013)
- Deshields T, "Differences in patterns of depression after treatment for breast cancer", Psychooncology, 15, pp.398~406 (2006)