방사선요법을 받는 유방암환자의 자가관리를 위한 자기효능증진 프로그램이 자기효능감, 자가간호수행 및 삶의 질에 미치는 효과
Effects of Self-Efficacy Promotion Program on Self-Efficacy, Self-Care Behavior, and Quality of Life in Breast Cancer Patients Receiving Radiotherapy
0
조회
0
다운로드
11
인용
0
참고문헌
키워드
초록
본 연구는 방사선요법을 받는 유방암환자의 자가관리를 위한 자기효능증진 프로그램을 실시 한 후 그 효과를 파악하여 가정에서의 자가관리를 위한 간호중재로서의 활용방안을 모색하는 데 근거를 제시하고자 시도되었다. 본 연구의 결과는 다음과 같았다. 첫째, 일반적 자기효능감 정도는 실험군과 대조군 간에 유의한 차이가 없었다(F=1.160, p=.163). 둘째, 구체적 자기효능감 정도는 실험군이 대조군보다 유의하게 높았다(F=2.830, p=.037). 셋째, 자가간호수행 정도는 “실험군과 대조군 간에 유의한 차이가 없었다(F=0.069, p=.467). 넷째, 삶의 질 정도는 “실험군과 대조군 간에 유의한 차이가 없었다(F=0.184, p=.417). 결론적으로 자기효능증진 프로그램은 방사선요법을 받는 유방암환자의 자기효능감 중 일반적 자기효능감 증진시켰으나 구체적 자기효능감을 증진시키지 못하였고, 자가간호 정도도 증가시키지 못하였으며 삶의 질에도 영향을 미치지 않았다. 따라서 유방암환자들의 자기효능감 증진 프로그램을 구성할 때에 대상자의 처치에 따른 신체의 부작용 관리를 위한 중재 뿐만 아니라 삶의 질과 자가간호행위의 유발에 영향을 미치는 것으로 보고되고 있는 변인들도 포함한 다각적인 중재프로그램을 구성하여 제공하는 것이 필요하다고 본다
Abstract
Purpose: The purpose of this study was to examine the effects of self-efficacy promotion programs on self-efficacy, self-care behavior, and quality of life in breast cancer patients receiving radiation therapy. Methods: This study was conducted from November 1, 2009 to December 10, 2010. A total of 39 breast cancer patients, who received radiotherapy in a University hospital located in city B, participated in the study and were divided into two groups (experimental group 17 and control group 22). The data were analyzed with the χ2-test and ANCOVA using the SPSS/Win 17.0 program. Results: Self-efficacy promotion programs aimed at self-management were effective in enhancing concrete self-efficacy but not effective in promoting general self-efficacy, self-care behavior, and quality of life among breast cancer patients who have received radiotherapy. Conclusion: Organizing a support group for the breast cancer patients seems to be highly necessary to help themselves obtain higher level of specific self-efficacy, self-care behavior, and quality of life in ge-neral. It will also be beneficial for the breast cancer patients to understand their unique situations and improve their health problems for themselves.
참고문헌 (27)
- Breast cancer facts & figures 2006-2008, "Korean Breast Cancer Society Policy Committee", Korean Breast Cancer Society, ~ (2008)
- Annual report of the Korea central cancer registry 2006-2007, "Korea Central Cancer Registry", ~ (2009)
- 양진향, "농촌 중년여성의 건강행위 경험", Journal of Korean Academy of Nursing, 32(5), pp.694~705 (2002), 한국간호과학회
- Kim SJ, "Nursing thories" (1987), Soomoonsa
- Bandura A, "Social foundation of thought and action: a social cognitive theory" (1986), Prentice-Hall
- Yu SJ, "The Effects of self-efficacy promotion and education program of self-efficacy, self -care behavior, and blood pressure for elderly hypertensives", J Korean Acad Adult Nurs, 13, pp.108~122 (2001)
- Kam SH, "The Development and effect of self-efficacy promotion program on self-care of hemodialysis Patients", 박사, pp.2003
- 양영희, "방사선 치료를 받는 암환자의 피로, 삶의 질 및 신체 증상의 변화 양상", Journal of Korean Academy of Nursing, 33(5), pp.562~569 (2003), 한국간호과학회
- Kim SJ, "Development and effects of the self-efficacy promotin gprogram for prevention and early detection of gastric cancer in industrial workers", 박사, pp.2002
- Kim MY, "Development and effects of a web-based self-efficacy promoting program on stomach cancer patients with gasterectomy", 박사, pp.2008
- 양영희, "자기효능증진 전략을 이용한 암극복 프로그램의 효과Ⅱ", 성인간호학회지, 18(3), pp.395~404 (2006), 성인간호학회
- Han SH, "The effect of exercise program with strategies promoting self-efficacy on health status and exercise capacity in patients after the stem cell transplantation", 박사, pp.2007
- Kang SS, "Radiation therapeutics" (2007), Chunggumunhwasa
- Sherer M, "The self-efficacy Scale: construction and validation", Psychol Rep, 52, pp.663~671 (1982)
- Oh BJ, "Effects of a program to promote self-efficacy and hope on the self-care behavior and the quality of life in patients with Leukemia", J Korean Acad Nurs, 27, pp.627~638 (1997)
- Orem DE, "Nursing concepts of practic. 4th ed" (1991), Mosby-Year Book Inc
- Dodd MJ, "Measuring informational interventions for chemotherapy knowledge & self-care behavior-research in nursing", Health, 7, pp.43~50 (1984)
- Suh SR, "An effect of self-care education and level of resourcefulness on active coping in patients with chemotherapy", 박사, pp.1996
- Kim JY, "Effect of structured patient education on sife-effects of chemotherapy patients and self-care", 박사, pp.1998
- Tae YS, "Development of quality of life measurement for cancer patinets", J Korean Acad Adult Nurs, 12, pp.741~757 (2000)
- Bandura A, "Tests of the generality of self-efficacy theory", Cogn Ther Res, 4, pp.39~66 (1980)
- Song MR, "The development and effect of self-efficacy promotion program in self-care of hemodialysis patients", 박사, pp.1999
- Kim JI, "An Effect of aquatic exercise program with self-help group activities and strategies for promoting self-efficacy on pain, physiological parameters and quality of life in patients having rheumatoid arthritis", 박사, pp.1994
- Lee HJ, "The effects of a self-efficacy enhancing exercise program on the physiological function, self-efficacy and life satisfaction of essential hypertensibe females", 박사, pp.2002
- Gu MO, "A Review of Research on Self Efficacy Theory Applied to Health Related Behavior", J Korean Acad Adult Nurs, 24, pp.278~302 (1994)
- Lee HS, "The effect of individualized education and telephone counseling on self-care knowledge, self-efficacy and performance in chemotherapy patients", 석사, pp.2009
- Choi JS, "Predictive factors of quality of life in mastectomy patients", 석사, pp.2008