유방암 환자의 자기초월감 증진을 위한 자조집단과정 개발 및 운영 효과
Effects of the Self-help Group Program for Promoting Self-Transcendence in Women with Breast Cancer
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초록
유방암 환자를 대상으로 자기초월감 증진을 위한 자조집단의 중재를 시행한 결과, 신체적 증상, 정서상태, 자기초월에 있어 유의한 차이를 보이지 않았다. 그러나 대조군에 있어 자기초월감이 시간이 지남에 따라 감소한 것으로 미루어 볼 때 별다른 중재가 없다면 자기초월감이 감소할 수 있으므로 자기초월감을 증진하기 위해 자조집단을 이용한 중재가 필요함을 알 수 있었다. 자기초월 증진을 위한 자조집단운영의 효과를 보다 확실히 검증하기 위해 다음과 같이 제언한다. 1) 보다 많은 표본수로 반복연구를 시행할 것을 제언한다. 2) 보다 효과적으로 자기초월감을 증진시킬 수 있는 자조집단 활동을 시행하고 효과를 검증할 것을 제언한다. 3) 자조집단 운영 후 3개월 뿐 아니라 6개월 등 보다 장기간에 걸쳐 시계열에 따른 변화를 검증할 것을 제언한다.
Abstract
Cancer survivor's self-help group may promote psychosocial adjustment in cancer patients. Self-transcendence has been shown to be related with crisis and adjustment in women with breast cancer. The purpose of this study is to determine the effectiveness of self- transcendence promoting program to facilitate self-transcendence, physical, and emotional well-being in women with breast cancer. Thirty patients who received mastectomy were recruited, but 9 subjects of experimental group and 14 subjects of control group participated in this study. Subjects of experimental group attended the self-help group for self-transcendence once a week for 6 weeks. Each session of program was proceeded for 2hours and the program contained activities for promoting self-transcendence, stress management, communication skill, exercise and relaxation, symptom management, and family support. Data were collected by self-reporting questionnaires within seven days after mastectomy and after the program was finished in experimental group, within 7 days after mastectomy and after 3 months in control group. Self-transcendence was assessed using the self-transcendence scale (STS) developed by Reed. Physical well being was assessed using Symptom distress scale (SDS) developed by McCorkle and Young and emotional well being was assessed using Profile of mood states (POMS). As a result, no significant differences were found between both groups in changes of self-transcendence, emotional well-being, and physical well-being. Self-transcendence score was significantly decreased in control group (p=0.16). But that of experimental group showed no decrease. In conclusions, when the self-transcendence promoting program is provided to the patients with breast cancer, it can be helpful for promoting self- transcendence. For the further study, repeated research with appropriate sample size and more intensive nursing intervention to promote self-transcendence is suggested. And reassessment after 6 months is recommended for testing long term effects of the program.