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유방암 및 부인과 암 생존자의 사회적 지지 : 암 병기 및 생존단계별 비교분석

Social Support in Korean Breast and Gynecological Cancer Survivors: Comparison by the cancer stage at diagnosis and the stage of cancer survivorship

임정원|백옥미
한국아동가족복지학회 (Korea Child & Family Welfare Association)|2011.06|한국가족복지학 (Korean Journal of Family Welfare)|제32호|pp. 5-35|DOI 10.16975/kjfsw.2011..32.001

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참고문헌

키워드

사회적 지지유방암breast cancerSocial support병기생존단계부인과 암gynecological cancercancer stage at diagnosisstage of cancer survivorship
주제분류사회복지학

초록

본 연구는 유방암 및 부인과 암 생존자들의 병기별, 생존단계별 사회적 지지의 차이를 고찰, 생존자들의특수성에 따른 사회적 지지 욕구를 이해함으로써 개별화된 사회사업적 개입방안을 제시하는데 목적이 있다. 이를 위해 본 연구는 사회적 지지의 다양한 측면을 확인하기 위해 사회적 지지의 구조적, 기능적측면을 포괄하는 다양한 사회적 지지척도를 사용했다. 연구대상은 유방암 및 부인과 암으로 진단받은110명의 성인 여성으로, 서울에 위치한 5개의 종합 병원에서 설문조사를 통해 수집되었다. 분석 결과,가장 진행된 형태인 3기 진단자들이 사회적 지지를 가장 낮게 인지하고 있었으며 특히 2기 진단자들에비해 유의미하게 차이가 났다. 또한 3기 진단의 응답자들이 암 치료 및 적응과 관련한 제반 서비스의이용 횟수도 낮았으며, 향후 서비스 이용 욕구도 낮은 것으로 나타났다. 생존기간별 분석에서는 진단받은지 2년 이하의 급성 생존단계 응답자들이 진단 후 2-5년 경과된 확장 생존단계의 사람들이나 진단후 5년 초과된 영속 생존단계 응답자들에 비해 유의미하게 높은 서비스 이용욕구를 보였다. 이와함께서비스 이용 욕구 면에서도 생존단계별로 필요로 하는 서비스의 우선순위가 다르게 나타났다. 본 연구는장기 유방암 및 부인과 암 생존자들이 지속적으로 증가하고 있는 현실을 감안할 때 병기별, 생존단계별로 차별화된 사회사업적 개입의 필요성을 시사한다는 점에서 의의가 있다.

Abstract

This study aims to understand the social support among Korean breast and gynecological cancer survivors by examining the differences according to cancer stage at diagnosis and the stage of cancer survivorship. Thus, this study tried to suggest the strategies for social work intervention based on the survivors’ specific needs. The research subjects were 110 breast and gynecological cancer survivors in Korea. The participants were divided into four groups by the cancer stage at diagnosis from 0 to 3 stage and three groups such as acute, extended and long-term survival stages. Analyses of covariance revealed that the participants at stage 3 at diagnosis showed the statistically significant lower level of perceived social support compared to the participants at earlier stages. The participants at stage 3 also showed lower use of supportive care services and needs for services. The participants at acute survival stage showed significantly higher needs for supportive care services compared to the participants at the later survivorship stages. Overall, this study evidenced that the breast and gynecological cancer survivors have distinct recognition and needs related to social support according to their cancer stage and their stage of cancer survivorship. Therefore, this study suggests the specific intervention strategies based on the cancer stage and the stage of survivorship.

참고문헌 (56)

  1. 2006-2007년 암발생률 1993-2007년 발생자의 암생존율, 2007년 암유병률 통계공포, "국립암센터", 보건복지가족부 중앙암등록본부, ~ (2009)
  3. 안세현, "유방암 수술 1000예의 경험분석", 대한암학회지, 32(1), pp.68~75 (2000)
  4. 임정원, "유방암 및 부인과 암 생존자의 삶의 질에 대한 생존단계별 비교 연구", 한국사회복지학, 60(1), pp.5~27 (2008), 한국사회복지학회
  5. 전미선, "자궁경부암환자의 삶의 질에 영향을 미치는 치료관련 및 심리사회적 요인", Radiation oncology journal, 23(4), pp.201~210 (2005), 대한방사선종양학회
  6. 천상순, "유방암 환자의 질병단계에 따른 가족 지지, 스트레스 및 삶의 질의 관계", 여성건강간호학회지, 16(1), pp.10~19 (2010), 여성건강간호학회
  7. 황숙연, "유방암 환자를 위한 심리교육 프로그램에 관한 기초연구", 사회복지연구, 15, pp.291~310 (2000)
  8. Aalto, A-M, "Social support and quality of life in Finnish general population, In Health psychology and quality of life research", Murcia, Alicante, 2, pp.620~626 (1995)
  9. Adamsen, L, "Sociological perspectives on self-help groups: Reflections on conceptualisation and social processes", Journal of Advanced Nursing, 35(6), pp.909~917 (2001)
  10. Alfano, C, "Recovery issues in cancer survivorship: A new challenge for supportive care", Cancer Journal, 12, pp.432~443 (2006)
  11. Avis, N, "Quality of life among younger women with breast cancer", Journal of Clinical Oncology, 23(15), pp.3322~3330 (2005)
  12. Ashing-Giwa, K. T, "Breast cancer survivorship in a multiethnic sample: Challenges in recruitment and measurement", Cancer, 101, pp.450~465 (2004)
  13. Ashing-Giwa, K. T, "The contextual model of HRQoL: A paradigm for expanding the HRQoL framework", Quality of Life Reserch, 14, pp.297~307 (2005)
  14. Berkman, L, "From social integration to health: Durkheim in the new millennium", Social Sciences Medicine, 51, pp.843~857 (2000)
  15. Blake-Mortimer, J, "Improving the quality and quantity of life among patients with cancer: A review of the effectiveness of group psychotherapy", European Journal of Cancer, 35, pp.1581~1586 (1999)
  16. Blanchard, C, "The role of social support in adaptation to cancer and to survival", Journal of Psychosocial Oncology, 13, pp.75~95 (1995)
  17. Blanchard, C, "Do adults change their lifestyle behaviors after a cancer diagnosis?", American Journal of Health Behaviors, 27, pp.246~256 (2003)
  18. Bloom, J. R, "The risk and timing of counseling support interventions for younger women with breast cancer", Journal of National Cancer Instituton, 16, pp.99~106 (1994)
  19. Butow, P, "Psychosocial predictors of survival in metastatic melanoma", Journal of Clinical Oncology, 17, pp.2256~2263 (1999)
  20. Butow, P, "Psychosocial predictors of survival: Metastatic breast cancer", Annual Oncology, 11, pp.469~474 (2000)
  21. Caffo, O, "Assessment of quality of life after radical radiotherapy for prostate cancer", Britich Journal Urology, 78, pp.557~563 (1996)
  22. Cappiello, M, "Breast cancer survivors information and support after treatment", Clinical Nursing Research, 16(4), pp.278~293 (2007)
  23. Coups, E, "A population-based estimate of the prevalence of behavioral risk factors among adult cancer survivors and noncancer controls", Preventive Medicine, 40, pp.702~711 (2005)
  24. Cohen, S, "Social ties and susceptibility to the common cold", JAMA, 277, pp.1940~1944 (1997)
  25. A brief review of the psychosocial literature and our research plans, "progress with adolescent", young adult survivors of childhood cancer, Center for Research on Social Organization: University of Michigan, pp.1996, ~[DOI]
  26. Dakof, G. A, "Victims’ perceptions of social support: What is helpful from whom?", Personal Social Psychology, 58, pp.80~89 (1990)
  27. Dow, K. H, "A review of late effects of cancer in women", Seminars in Oncology Nursing, 통권 : 11, pp.128~136 (1995)
  28. An evaluation of the quality of life among long-term survivors of breast cancer, "Dow, K. H", Breast Cancer Reserch and Treatment, 261~273 (1996)
  29. Dorval, M, "Type of Mastectomy and quality of life for long-term breast carcinoma survivors", Cancer, 83(10), pp.2130~2138 (1998)
  30. Dunkel-Schetter, C, "Correlates of social support receipt", Journal of Personality and Social Psychology, 53, pp.71~80 (1987)
  31. Eriksen, W, "The role of social support in the pathogenesis of coronary heart disease", A literauture review, Family Practice, 11, pp.201~209 (1994)
  32. Gambosi, J. R, "A nursing intervention program recognizing survivorship", Oncology Nursing Forum, 17, pp.215~219 (1990)
  33. Garcia, C, "Informational and emotional needs of long-term survivors of breast cancer", Journal of Advanced Nursing, 51(5), pp.520~528 (2005)
  34. Gates, M. F, "Comparison of needs of hospice and clinical patients with cancer", Cancer Practice, 3, pp.225~232 (1995)
  35. Guidry, J. J, "Transportation as a barrier to cancer treatment", Cancer Practice, 5(6), pp.461~466 (1997)
  36. Janz, N, "Symptom experience and quality of life of women following breast cancer treatment", Journal of Women’s Health, 16(9), pp.1348~1361 (2007)
  37. Janevic, T, "Korean american community health survey: Alameda and sata clara counties" (1997), University of California, Berkeley School of Public Health, Korean Community Advisory Board, and Asian Health Services
  38. Hwang,J.G, "Family support perceived by cancer patients, family caregivers’ burden and physical & psychological health", 박사, pp.2002
  39. Kim, S. H, "A study on the coping patterns of cancer patients and burden of family for caring of cancer patients according to the phases of illness", 박사, pp.2003
  40. Mullen, F, "Seasons of survival: Reflections of a physician with cancer", The New England Journal of Medicine, 313, pp.270~273 (1995)
  41. "Cancer incidence" (2008)[URL]
  42. Nausheen, B, "Familial social support and depression in breast cancer: An exploratory study on a Pakistani sample", Psycho-Oncology, 16, pp.859~862 (2009)
  43. O’Reilly, P, "Methodological issues in social support and social network research", Social Science and Medicine, 26, pp.863~873 (1988)
  44. Pedro, L. W, "Quality of life for long-term survivors of cancer", Cancer Nursing, 24, pp.1~11 (2001)
  45. Tedeschi, R. G., "Posttraumatic growth: Conceptual foundations and empirical evidence", Psychol Inquiry, 15(1), pp.1~18 (2004)
  46. Updegraff, J. A, "From vulnerability to growth: Positive and negative effects of stressful life events. In Loss and Trauma: General and Close Relationships Perspectives", pp.3~28 (2000), Philadelphia
  47. Seedhouse, D, "Fortress, N. H. S.: A Philosophical Review of the National Health Service" (1994), John Wiley and Sons
  48. Spiegel, D, "Mind matters: Coping and cancer progression", J Psychosom Res, 50, pp.287~290 (2001)
  49. Sherbourne, C. D, "The MOS social support survey", Social Science & Medicine, 32(6), pp.705~714 (1991)
  50. Stewart, D, "Long-term breast cancer survivors: Confidentiality, disclosure, effects on work and insurance", Psycho-oncology, 10(3), pp.259~263 (2001)
  51. Waxler-Morrison, N, "Effects of social relationships on survival for women with breast cancer: A prospective study", Social Science and Medicine, 33, pp.177~183 (1991)
  52. Wilson, S, "Meeting the needs of rural breast cancer survivors: What still needs to be done?", Journal of Women’s Health and Gender-Based Medicine, 9(6), pp.667~677 (2000)
  53. Zabora, J. R, "The Psychosocial Consequences of Breast Cancer, In The Breast: Comprehensive Management of Benign and Malignant Diseases 2nd ed", pp.1539~1552 (1998), W. B. Saunders Company
  54. Zebrack, B. J, "Managed care: The new context for social work in health care-implications for survivors of childhood cancer and their families", Behavioral Social Work in Health Care Settings, 31(2), pp.89~103 (2000)
  55. Leigh, S., "What does it mean to nurse?", Innovation in Breast Cancer Care, 4, pp.37~38 (1999)
  56. Miller, B. E, "Quality of life after treatment for gynecologic malignancies: A pilot study in an outpatient clinic", Gynecologic Oncology, 87, pp.178~184 (2002)

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