소아암 환아 어머니의 희망, 자기효능감이 외상 후 성장에 미치는 영향
Effects of Hope and Self-Efficacy on Posttraumatic Growth in Mothers of Children with Cancers
0
조회
0
다운로드
8
인용
0
참고문헌
키워드
초록
목적: 본 연구의 목적은 소아암 환아 어머니의 희망과 자기효능감이 외상 후 성장에 미치는 영향을 확인하기 위한 것이다. 방법: 본 연구는 서술적 상관관계 연구로 연구대상자는 서울특별시에 소재한 일개 상급종합병원에서 소아암으로 치료 받고 주보호자인 어머니 102명이다. 연구도구는 희망, 자기효능감, 외상 후 성장을 측정하는 도구를 이용하여 자가 보고식의 설문지이다. 수집된 자료를 통하여 기술통계, t-test, ANOVA, Pearson's correlation coefficient와 다중회귀분석을 실시하였다. 결과: 외상 후 성장은 희망(r=.44, p<.001), 자기효능감(r=.33, p=.003)과 상관관계를 나타냈다. 외상 후 성장에 영향을 미치는 요인은 종교(β=0.27 p=.005), 환아가 독자이거나 첫째인 경우(β=-0.25, p=.029), 자녀의 수(β=0.22, p=.050) 그리고 희망(β=0.35, p=.004)이었다. 이 모형은 외상 후 성장에 약 28.2%의 설명력을 나타냈다(F=4.06, p<.001). 결론: 본 연구의 결과, 희망이 외상 후 성장에 영향을 미치는 요인으로 나타났으며, 소아암 환아 어머니의 희망을 증진시키기 위한 간호중재가 필요함을 시사한다.
Abstract
Purpose: The aim of this study was to identify the effects of hope and Self-efficacy on posttraumatic growth in mothers of children with cancers. Methods: A descriptive research design was used and 102 mothers participated in the study. They were primary care givers of children with cancers who were being treated at a tertiary care hospital in Seoul. A structured questionnaires which measured the degree of hope, self-efficacy, and posttraumatic growth was used for data collection. Data analysis was conducted using descriptive statistics, independent t-test, one-way analysis of variance, Pearson correlation coefficient, and multiple regression. Results: There were positive correlations between posttraumatic growth and hope (r=.44, p<.001) as well as self-efficacy (r=.33, p=.003). The major predictors of posttraumatic growth were religion (β=0.29, p=.001), only child or first child (β=-0.25, p=.015), the number of children in the family (β=0.25, p=.016), and hope (β=0.38, p=.001). This model explained about 30.4% of the total variables found in posttraumatic growth (F=9.84, p<.001). Conclusion: The findings from this study show that posttraumatic growth in mothers of children with cancers is largely predicted by hope indicating a need to develop nursing intervention programs to enhance hope in these mothers.
참고문헌 (29)
- "Cancer statistics inKorea" (2014)[URL]
- American Psychiatric Association, "Diagnostic and statistical manual of mental disorders", pp.1156~ (1994), American Psychiatric Association
- 심미경, "소아암 생존 청소년과 어머니의 외상 후 스트레스", 한국모자보건학회지, 14(2), pp.215~224 (2010), 한국모자보건학회
- Kristin Litzelman, "Quality of life among parents of children with cancer or brain tumors: the impact of child characteristics and parental psychosocial factors", Quality of Life Research, 20(8), pp.1261~1269 (2011), Springer Nature[DOI]
- Monica Schneider, "Differences on Psychosocial Outcomes Between Male and Female Caregivers of Children With Life-Limiting Illnesses", Journal of Pediatric Nursing, 26(3), pp.186~199 (2011), Elsevier BV[DOI]
- Felicity W. K. Harper, "Children's Positive Dispositional Attributes, Parents’ Empathic Responses, and Children's Responses to Painful Pediatric Oncology Treatment Procedures", Journal of Psychosocial Oncology, 30(5), pp.593~613 (2012), Informa UK Limited[DOI]
- Tedeschi RG, "The posttraumatic growth inventory : Measuring the positive legacy of trauma", Journal of Traumatic Stress, 9(3), pp.455~471 (1996)
- Beyhan Duran, "Posttraumatic Growth as Experienced by Childhood Cancer Survivors and Their Families", Journal of Pediatric Oncology Nursing, 30(4), pp.179~197 (2013), SAGE Publications[DOI]
- 김미영, "만성질환아 어머니의 희망, 핵심신념, 사회적 지지가 외상 후 성장에 미치는 영향", 기본간호학회지, 19(4), pp.493~502 (2012), 기본간호학회
- Sónia Martins Silva, "Examining the links between perceived impact of breast cancer and psychosocial adjustment: the buffering role of posttraumatic growth", Psycho-Oncology, 21(4), pp.409~418 (2012), Wiley-Blackwell[DOI]
- 이희경, "소아암 환아 어머니의 희망이 외상 후 성장에 미치는 영향: 삶의 의미를 매개로", 상담학연구, 11(4), pp.1501~1517 (2010), 한국상담학회[DOI]
- Luszczynska A, "Self-Efficacy and social support predict benefit finding 12 months after cancer surgery: The mediating role of coping strategies", Psychology. Health &Medicine, 10(4), pp.365~375 (2005)
- Kyriaki Mystakidou, "Self-Efficacy and Its Relationship to Posttraumatic Stress Symptoms and Posttraumatic Growth in Cancer Patients", Journal of Loss and Trauma, 20(2), pp.160~170 (2014), Informa UK Limited[DOI]
- Snyder CR, "The will and the ways : Development and validation of an individual-differences measures of hope", Journal of Personality and Social Psychology, 60(4), pp.570~585 (1991)
- 최유희, "Snyder의 희망척도 한국 번역판의 타당화 연구", 한국심리학회지: 사회및성격, 22(2), pp.1~16 (2008), 한국사회및성격심리학회
- Albert Bandura, "Self-efficacy: Toward a unifying theory of behavioral change", Psychological Review, 84(2), pp.191~215 (1977), American Psychological Association (APA)[DOI]
- Ralf Schwarzer, "Optimism, Vulnerability, and self-beliefs as health-related cognitions: A systematic overview", Psychology & Health, 9(3), pp.161~180 (1994), Informa UK Limited[DOI]
- Schwarzer R, "The assessment of optimistic self-beliefs : Comparison of the Chinese, Indonesian, Japanese andKorean versions of the General Self-Efficacy Scale", Psychologia : An International Journal of Psychology in the Orient, 40(1), pp.1~13 (1997)
- 송승훈, "한국판 외상후 성장 척도의 타당도 및 신뢰도 연구", 한국심리학회지: 건강, 14(1), pp.193~214 (2009), 한국건강심리학회
- Franz Faul, "Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses", Behavior Research Methods, 41(4), pp.1149~1160 (2009), Springer Nature[DOI]
- Stephanie E. Hullmann, "Posttraumatic Growth and Hope in Parents of Children with Cancer", Journal of Psychosocial Oncology, 32(6), pp.696~707 (2014), Informa UK Limited[DOI]
- T. J. Lloyd, "Hope as a psychological resilience factor in mothers and fathers of children with intellectual disabilities", Journal of Intellectual Disability Research, 53(12), pp.957~968 (2009), Wiley-Blackwell[DOI]
- K. MYSTAKIDOU, "Self-efficacy beliefs and levels of anxiety in advanced cancer patients", European Journal of Cancer Care, 19(2), pp.205~211 (2010), Wiley-Blackwell[DOI]
- K. Mystakidou, "Caregivers' anxiety and self-efficacy in palliative care", European Journal of Cancer Care, 22(2), pp.188~195 (2013), Wiley-Blackwell[DOI]
- Peter Barr, "Posttraumatic Growth in Parents of Infants Hospitalized in a Neonatal Intensive Care Unit", Journal of Loss and Trauma, 16(2), pp.117~134 (2011), Informa UK Limited[DOI]
- Andrade LC, "Socio-demographic factors relating to mothers' self-efficacy in preventing childhood diarrhea : A longitudinal study", Online Brazilian Journal ofNursing, 14(1), pp.62~70 (2015)
- I. Hungerbuehler, "Posttraumatic growth in mothers and fathers of children with severe illnesses", Journal of Health Psychology, 16(8), pp.1259~1267 (2011), SAGE Publications[DOI]
- Bo Yun Sim, "Post-traumatic growth in stomach cancer survivors: Prevalence, correlates and relationship with health-related quality of life", European Journal of Oncology Nursing, 19(3), pp.230~236 (2015), Elsevier BV[DOI]
- Suzanne C. Danhauer, "Predictors of posttraumatic growth in women with breast cancer", Psycho-Oncology, 22(12), pp.2676~2683 (2013), Wiley-Blackwell[DOI]