암 생존자의 외상 후 성장에 영향을 미치는 요인
Factors Influencing Posttraumatic Growth in Cancer Survivors
1
조회
0
다운로드
18
인용
0
참고문헌
키워드
초록
Purpose: The purpose of this study was to identify the level of post-traumatic growth (PTG) and the factors affecting the PTG of cancer survivors. Methods: Data were collected from 147 cancer patients who were admitted to hospital to two hospitals, P and B city during July and September, 2017 using the PTG Inventory, Multidimensional Scale Perceived Social Support, Event-Related Rumination Inventory, Korean Cancer Coping Questionnaire, Resilience Scale, and Self-Esteem Scale. Data were analyzed using t-tests, ANOVA, Pearson-correlation coefficient, and multiple regression. Results: The mean score for PTG in cancer survivors was 3.20 points. PTG had significant correlation with social support, deliberate rumination, coping, and resilience. Factors that had an influence on PTG in multiple regression were social support (β=0.25, p<001), personal coping (β=0.22, p=.008), resilience (β=0.21, p=.006), recognizing the need for religion (β=0.17, p=.015), religion (β=0.17 p=.011), and deliberate rumination (β=.15, p=.022). These factors explained 60.0% of the variance in the PTG of cancer patients. Conclusion: In order to effectively promote PTG of cancer survivors, it is necessary to develop and apply programs that can improve social support, coping (personal), resilience, religion, and deliberate rumination.
Abstract
Purpose: The purpose of this study was to identify the level of post-traumatic growth (PTG) and the factors affecting the PTG of cancer survivors. Methods: Data were collected from 147 cancer patients who were admitted to hospital to two hospitals, P and B city during July and September, 2017 using the PTG Inventory, Multidimensional Scale Perceived Social Support, Event-Related Rumination Inventory, Korean Cancer Coping Questionnaire, Resilience Scale, and Self-Esteem Scale. Data were analyzed using t-tests, ANOVA, Pearson-correlation coefficient, and multiple regression. Results: The mean score for PTG in cancer survivors was 3.20 points. PTG had significant correlation with social support, deliberate rumination, coping, and resilience. Factors that had an influence on PTG in multiple regression were social support (β=0.25, p<001), personal coping (β=0.22, p=.008), resilience (β=0.21, p=.006), recognizing the need for religion (β=0.17, p=.015), religion (β=0.17 p=.011), and deliberate rumination (β=.15, p=.022). These factors explained 60.0% of the variance in the PTG of cancer patients. Conclusion: In order to effectively promote PTG of cancer survivors, it is necessary to develop and apply programs that can improve social support, coping (personal), resilience, religion, and deliberate rumination.
참고문헌 (30)
- "Statistics of cancer"[URL]
- "Declining of cancer outbreak for 4 consecutive years, and rising of cancer survial rating"[URL]
- 이인정, "스트레스가 암환자의 삶의 질에 미치는 영향: 외상후성장의 조절효과를 중심으로", 보건사회연구, 32(3), pp.522~557 (2012), 한국보건사회연구원[DOI]
- Galway K, "Psychosocial interventions to improve quality of life and emotional wellbeing for recently diagnosed cancer patients", Cochrane Database Syst Rev, 11 (2012)
- Chan CM, "Course and predictors of post traumatic stress disorder in a cohort of psychologically distressed patients with cancer: a 4 year follow up study", Cancer, 124, pp.406~416 (2018)[DOI]
- 장선희, "암 환자의 외상 후 성장과 생의 의미가 건강증진행위에 미치는 영향", Asian Oncology Nursing, 14(2), pp.100~108 (2014), 대한종양간호학회
- Tedeschi RG, "Posttraumatic growth: conceptual foundations and empirical evidence", Psychol Inq, 15, pp.1~18 (2004)[DOI]
- Tedeschi RG, "The posttraumatic growth inventory: measuring the positive legacy of trauma", J Trauma Stress, 9, pp.455~471 (1996)[DOI]
- Pascoe L, "Benefit finding in cancer: a review of influencing factors and health outcomes", Eur J Oncol Nurs, 17, pp.760~766 (2013)[DOI]
- Heidarzadeh M, "The relationship of posttraumatic growth with quality of life in cancer patients", Bull Environ Pharmacol Life Sci, 3, pp.98~102 (2014)
- 한인영, "암환자의 외상후성장에 영향을 미치는 요인에 관한 연구", 사회복지연구, 42(2), pp.419~441 (2011), 한국사회복지연구회[DOI]
- 박진희, "유방암생존자의 외상 후 성장에 영향을 미치는 요인", Journal of Korean Academy of Nursing, 46(3), pp.454~462 (2016), 한국간호과학회
- Schroevers MJ, "Type of social support matters for prediction of posttraumatic growth among cancer survivors", Psychooncology, 19, pp.46~53 (2010)[DOI]
- Soo H, "Rumination, psychological distress and post-traumatic growth in women diagnosed with breast cancer", Psychooncology, 24, pp.70~79 (2015)[DOI]
- Morris BA, "Rumination, post-traumatic growth, and distress: Structural equation modelling with cancer survivors", Psychooncology, 20, pp.1176~1183 (2011)[DOI]
- 이현주, "대장암 환자의 외상 후 성장 관련 요인", 성인간호학회지, 28(3), pp.247~255 (2016), 한국성인간호학회[DOI]
- 송승훈, "한국판 외상후 성장 척도의 타당도 및 신뢰도 연구", 한국심리학회지: 건강, 14(1), pp.193~214 (2009), 한국건강심리학회[DOI]
- Zimet GD, "The multidimensional scale of perceived social support", J Pers Assess, 52, pp.30~41 (1988)[DOI]
- Shin JS, "The effects of social supports on psychosocial well-being of the unemployed", Korean J Soc Welf, 37, pp.241~269 (1999)
- Cann A, "Assessing posttraumatic cognitive process: the event related rumination inventory", Anxiety Stress Coping, 24, pp.137~156 (2011)[DOI]
- 안현의, "한국판 사건관련 반추 척도(K-ERRI)의 타당화", 인지행동치료, 13(1), pp.149~172 (2013), 한국인지행동치료학회
- Moorey S, "The cancer coping questionnaire: a self-rating scale for measuring the impact of adjuvant psychological therapy on coping behavior", Psychooncology, 12, pp.331~344 (2003)[DOI]
- 김종남, "한국판 암 대처 질문지의 타당화", 한국심리학회지: 건강, 9(2), pp.395~414 (2004), 한국건강심리학회
- Wagnild GM, "Development and psychometric evaluation of the resilience scale", J Nurs Meas, 1, pp.165~178 (1993)
- Wagnild GM, "The resilience scale user's guide: for the U.S. English version of the Resilience Scale TM and the 14-Item Resilience Scale TM (RS-14 TM)", The Resilience Center, ~ (2009)
- Imm SJ, "The factors influencing the resilience in stroke patients at home", pp.2013
- Rosenberg M, "Society and the adolescent self-image" (1965), Princeton University Press
- Jon BJ, "Self-esteem: a test of its measurability", Yonsei Nonchong, 11, pp.107~130 (1974)
- Choi JH, "Posttraumatic growth in cancer patients", pp.2011
- 최정윤, "종교성향이 외상 후 성장에 미치는 영향: 반추, 적극적 대처, 삶의 의미의 매개효과-기독교를 중심으로-", 종교교육학연구, 47, pp.137~159 (2015), 한국종교교육학회
