항암화학요법을 받은 폐암 환자의 회복탄력성, 가족 지지, 영적 안녕이 외상 후 성장에 미치는 영향
Effects of Resilience, Family Support, and Spiritual Well-Being on Posttraumatic Growth in Patients with Lung Cancer Undergoing Chemotherapy
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
목적: 본 연구의 목적은 항암 치료를 받은 폐암 환자를 대상으로 회복탄력성, 가족 지지, 영적 안녕이 외상 후 성장에 미치는 영향을 확인하는 것이다. 방법: 본 연구는 서울 소재 C 대학병원에 입원하여 항암화학요법을 받은 124명의 폐암 환자를 대상으로 하였다. 환자들에게 일반적 특성, 질병적 특성, 회복탄력성, 가족 지지, 영적 안녕 및 외상 후 성장으로 구성된 설문지를 작성하도록 제공하였다. 수집된 자료는 t-test, ANOVA, Pearson’s correlation 및 다중 회귀 분석을 사용하여 분석하였다. 결과: 폐암 환자의 외상 후 성장 평균 점수는 55.17점, 회복탄력성은 72.46점, 가족 지지는 49.00점, 영적 안녕은 53.50점이었다. 외상 후 성장과 회복탄력성(r=.62, p<.001), 가족 지지(r=.40, p<.001), 영적 안녕(r=.47, p<.001)은 모두 유의한 양의 상관관계가 있었다. 폐암 환자의 외상 후 성장에 영향을 미치는 요인을 회복탄력성(β=.50 p<.001), 영적 안녕(β=.20, p=.008), 성별(β=.14, p=.043) 이었다. 결론: 본 연구의 목적은 폐암 환자의 외상 후 성장에 영향을 미치는 요인을 파악하여 외상 후 성장 중재 프로그램의 기초자료를 제공하는 것이다. 회복탄력성과 영적 안녕을 증진시키기 위한 전략을 기반으로 폐암 환자의 외상 후 성장을 향상시키기 위한 새로운 간호 중재 프로그램을 개발할 필요가 있다.
Abstract
Purpose: The purpose of this study is to confirm the effect of resilience, family support, and spiritual well-being on posttraumatic growth(PTG) in lung cancer patients undergoing chemotherapy. Methods: The study collected data from January 20 to July 6, 2023 on 124 lung cancer patients who were admitted to hospital of C university in Seoul and received chemotherapy treatment. Patients were asked to complete a questionnaire consisting of general characteristics, disease characteristics, resilience, family support, spiritual well-being and PTG. Data were analyzed using t-tests, One-way ANOVA, Pearson's correlation and multiple regression analysis. Results: The mean score for PTG in lung cancer patients was 55.17, resilience was 72.46, family support was 49.00, and spiritual well-being was 53.50. Significant positive correlations were found for PTG with resilience (r=.62, p<.001), family support (r=.40, p<.001) and spiritual well-being (r=.47, p<.001). Factors contributing to PTG of lung cancer patients were resilience (β=.50, p<.001), spiritual well-being (β=.20, p=.008), and gender (β=.14, p=.043). Conclusion: This study aims to provide basic data for the PTG intervention program by identifying factors affecting the PTG of lung cancer patients. It is necessary to develop new nursing intervention programs to improve PTG for patients with lung cancer based on strategies to enhance resilience and spiritual well-being.
참고문헌 (27)
- "Cancer registration statistics, 2016-2022" (2022)[URL]
- Kim YS, "Factors influencing posttraumatic growth in patients with lung cancer", Journal of Korean Clinical Nursing Research, 27(1), pp.98~108 (2021)[DOI]
- Kim GD, "Impact of symptom clusters on the quality of life in lung cancer patients undergoing chemotherapy", Asian Oncology Nursing, 21(4), pp.241~250 (2021)[DOI]
- Lee JA, "Relationships among uncertainty, distress, and quality of life in lung cancer patients : Mediating effect of resilience", Journal of Muscle and Joint Health, 25(2), pp.148~156 (2018)[DOI]
- Piao SJ, "Posttraumatic growth and health promotion behavior in patients with cancer : The mediating effect of spiritual well-being", Asian Oncology Nursing, 21(1), pp.33~41 (2021)[DOI]
- Dougall AL, "Posttraumatic symptoms, quality of life, and survival among lung cancer patients", Journal of Applied Biobehavioral Research, 22(3), pp.e12065~ (2017)[DOI]
- Jung YM, "Development and validation of the cancer-specific posttraumatic growth inventory", Journal of Korean Academy of Nursing, 47(3), pp.319~331 (2017)[DOI]
- Yun SJ, "Factors influencing posttraumatic growth of gynecologic oncology patients undergoing chemotherapy", Korean Journal of Women Health Nursing, 25(4), pp.409~422 (2019)[DOI]
- Kwak SY, "Factors influencing resilience of patients with hematologic malignancy", Korean Journal of Adult Nursing, 25(1), pp.95~104 (2013)[DOI]
- An HN, "Cancer coping, family support, and posttraumatic growth in female genital cancer patients", Asian Oncology Nursing, 23(1), pp.38~45 (2023)[DOI]
- Park JH, "Factors influencing posttraumatic growth in survivors of breast cancer", Journal of Korean Academy of Nursing, 46(3), pp.454~462 (2016)[DOI]
- Park JS, "Factors influencing posttraumatic growth in cancer survivors", Asian Oncology Nursing, 18(1), pp.30~39 (2018)[DOI]
- Liu Z, "The relationship between posttraumatic growth and health-related quality of life in adult cancer survivors : A systematic review", Journal of Affective Disorders, 276, pp.159~168 (2020)[DOI]
- Knauer K, "Personality traits and coping strategies relevant to posttraumatic growth in patients with cancer and survivors : A systematic literature review", Current Oncology, 29(12), pp.9593~9612 (2022)[DOI]
- Connor KM, "Development of a new resilience scale : The Connor-Davidson resilience scale(CD-RISC)", Depression and Anxiety, 18(2), pp.76~82 (2003)[DOI]
- Baek HS, "Reliability and validity of the Korean version of the Connor-Davidson resilience scale", Psychiatry Investigation, 7(2), pp.109~115 (2010)[DOI]
- Cobb S, "Social support as a moderator of life stress", Psychosomatic Medicine, 38(5), pp.300~314 (1976)[DOI]
- Lee MH, "A study on perceived family support and anxiety in hemiplegic patients", Journal of Korean Academy of Nursing, 21(1), pp.50~62 (1991)[DOI]
- Paloutzian RF, "Loneliness: A sourcebook of current theory, research and therapy", pp.224~236 (1982), John Wiley & Sons
- Cheung SD, "A study on reliability and validity of the Korean version of spiritual well being scale", Journal of Korean Neuropsychiatric Association, 40(2), pp.230~241 (2001)
- Yun MN, "Relationship between self-efficacy and resilience among patients with colorectal cancer with stoma : Mediating effects of family support and medical staff support", Korean Journal of Adult Nursing, 32(6), pp.599~609 (2020)[DOI]
- Seo EY, "The influence of spiritual well-being, self-esteem, and perceived social support on post-traumatic growth among breast cancer survivors", Asian Oncology Nursing, 18(4), pp.232~240 (2018)[DOI]
- Joo YS, "Effects of spiritual nursing intervention on spiritual well-being and anxiety in elders with cancer", Journal of Korean Gerontological Nursing, 22(2), pp.95~104 (2020)[DOI]
- Yang SG, "Factors influencing post-traumatic growth in patients with gastrointestinal cancer", Journal of Korean Clinical Nursing Research, 29(1), pp.85~94 (2023)[DOI]
- Park HY, "Factors associated with post-traumatic growth in patients with breast cancer based on a model of post-traumatic growth", Asian Oncology Nursing, 22(2), pp.65~73 (2022)[DOI]
- Lee HJ, "Factors related to posttraumatic growth in patients with colorectal cancer", Korean Journal of Adult Nursing, 28(3), pp.247~255 (2016)[DOI]
- Dong X, "The mediating role of resilience in the relationship between social support and posttraumatic growth among colorectal cancer survivors with permanent intestinal ostomies : A structural equation model analysis", European Journal of Oncology Nursing, 29, pp.47~52 (2017)[DOI]