암환자가 지각한 사회적지지,희망과 삶의 질과의 관계

태영숙(Tae,Young Sook),강은실(Kang,Eun Sil),이명화(Lee,Myung Hwa),박금자(Park,Geum Ja) 고신대학교 전인간호과학연구소 2002 전인간호과학학술지 Vol.1 No.-

The purpose of this study was to investigate the relationship among percieved social support, hope and quality of life of the cancer patients and to gain the baseline data for development of nursing intervention program for prom oting quality of life in cancer patients. The design of this study was a cross sectional correlational survey. The subjects were 220 out and in-cancer patients in 5 general hospitals in Pusan The data were collected from July 2 to August 1, 2001. The instruments were the Percieved social support scale(16 items, 5 point scale) had developed by Tae(1986), Hope scale(12 items, 4point scale) developed by Nowotny(1989) and Quality of life scale(31 items, 10 point scale) developed by Tae et. al(2000). The data was analyzed by the SPSS / PC+ program using frequency & percentage, item mean & standard deviation, t-test, ANOVA & Scheffe test, Pearson s correlation coefficient. The results of this study was as follows* 1) The item mean score of quality of life w as 6.05 ±1.16 (range 0-10) .The heighest score of subarea of the quality of life w as the spiritual wellbeing area (7.09±1.63) and the lowest score was social wellbeing area(5.53 士 1.65). The mean score of perceived social support w as 52.65±10.32 (최저 1,최고8ᄋ). The mean score of fam ily support was 32.71±6.66 (range 1- 40) and the mean score of medical team support was 19.93 ±5.95 (range 1- 40). The mean score of Hope was 37.02±5.64 (range 1- 48).2) There were statistically significant difference in the score of quality of life according to the life effect of religion (F=3.97, p=0.00), treatment method(F=2.94,p=0.01), area of diagnosis (F=3.48, p=0.01), stage of disease (F=13.74,p= 0.00). 3) There was significant correlation between perceived social support (r=0.44,p= 0.000 ; family support r=0.334, p=0.000, medical support; r=0.395, p=0.000), hope(r=0.563, p= 0.000) and quality of life. In conclusion, there was a significant relationship among perceived social support, hope and quality of life. Therefore perceived social support, hope intervention programs should be developed to improve the quality of life in cancer patients.

한국 유방암 환자의 가족지지, 지각한 건강상태, 자아존중감의 관계

태영숙(Tae Young Sook),김미예(Kim Mi Yea) 대한종양간호학회 2011 Asian Oncology Nursing Vol.11 No.1

Purpose: The study was to identify relationships between the family support, perceived health status and self esteem in Korean women with breast cancer. Methods: Data were collected by questionnaires from 214 women with breast cancer in inpatient and outpatient settings at three different university hospitals and one cancer hospital in B city, Korea. The instruments included Family Support Scale, Perceived Health Status Scale, and Self Esteem Scale. The collected data were analyzed using frequency, percentage, t-test, ANOVA, Scheffe’s test, and Pearson’s correlation coefficients by SPSS WIN 15.0 program. Results: There were significant differences in the family support by age, education, and cost burden. There were significant differences in the perceived health status by education, occupation, economic status, pain, fatigue, and cancer insurance. There were significant differences in the self esteem by age, occupation, economic status, type of religion, pain, fatigue, and cancer insurance. Self-esteem was significantly correlated with family support and perceived health status. Conclusion: These results suggested that promoting perceived health status and enhancing family support would increase self-esteem effectively among Korean women with breast cancer.

간호사의 유방자가검진(Breast Self-Examination) 실천 예측요인

태영숙(Tae Young-sook),김종선(Kim Jong-sun) 대한종양간호학회 2003 Asian Oncology Nursing Vol.3 No.2

Purpose: The purpose of this study was to identify predictive factors of Brest Self-Examination practice of clinical nurses. Method: The subject for this study were 277 nurses in 8 university hospitals in Busan. The data were collected from September 21 to<br/> October 20, 2001 by means of a structure questionnaire. The instruments used for this study were Choi's BSE knowledge scale, Kim's BSE attitude scale and Jung's BSE practice scale.<br/> The data were analyzed using frequency, percentage, mean, Peason Correlation, t-teat, ANOVA, scheffe's test, and multiple stepwise<br/> Regression using SPSS program.<br/> Result: 1. The mean score of BSE practice for the total sample was 7.25±4.62. 2. Statistically significant factors influencing the<br/> BSE Practice among social demographic characteristics were age(F=2.734, P=0.44), Married status(t=2.598, p=0.010). 3.<br/> Statistically significant factors influencing the BSE Practice among BSE relating characteristics were enlisting the help of<br/> significant peers(t=3.34, P=0.00), Intention of Practice for BSE(t=10.462, p=0.00), performance of BSE(t=7.800, P=0.00),<br/> frequency of performance in BSE(F=13.932, p=0.00), confidence in Knowledge of BSE technique(F=5.350, p=0.00), confidence in<br/> finding breast nodule(F=7.204, p=0.00), asking client's BSE (t=3.153, P=0.01). 4.The mild correlation between nurse's BSE<br/> knowledge and practice was found(r=0.366 ,p=0.000). 5. There were significant predictors of BSE Practice. Performance of BSE was the<br/> best significant predictive factor(R2=.383, p=.000) Another significant predictive factors were knowledge, intension of practice, married status, frequency of performance. Conclusion:<br/> Degree of nurses' performance of BSE was average. It is necessary to develope the nurses' educational program for BSE with its focus on above predictive factors of performance of BSE.

유방암 생존자의 우울예측요인

태영숙(Tae, Young Sook),권수혜(Kwon, Suhye),최정화(Choi, Jeong Hwa),이애란(Lee, Aeran) 대한종양간호학회 2013 Asian Oncology Nursing Vol.13 No.3

Purpose: This study was to identify the predictive factors for depression in breast cancer survivors. Methods: The participants were 180 female survivors who visited outpatient clinics after mastectomy or partial resection for breast cancer and had completed adjuvant treatment such as chemotherapy and/or radiation therapy at a university hospital and a general hospital. Data were collected utilizing the Zung depression scale, the Mishel uncertainty scale, the Fitts & Osgoods body image scale, and the Zimet social support scale. Results: The level of depression in the participants was moderate. There were significant correlations among depression, body image, uncertainty, and social support. There were significant differences in depression by education, economic state, perceived health status, fatigue, and pain. In regression analysis, the most powerful predictor of depression was body image (40%). Overall, body image, fatigue, social support, and uncertainty explained 62% of the variance of depression in the participants. Conclusion: Body image, fatigue, social support, and uncertainty were important predictors of depression. These results demonstrate the need for interventions to manage depression in breast cancer survivors.

치료단계에 따른 여성암 환자의 삶의 질

태영숙(Tae Young Sook),정윤경(Jung Youn Kung) 한국성인간호학회 2007 성인간호학회지 Vol.19 No.5

용서간호중재 프로그램이 여성 암환자의 희망과 삶의 질에 미치는 영향

태영숙(Tae Young Sook),윤수정(Youn Su-Jung) 대한종양간호학회 2006 Asian Oncology Nursing Vol.6 No.2

Purpose: The purpose of this study was to analysis the effects of a forgiveness nursing intervention program on hope and quality of life in woman with cancer. Methods: The used design was a nonequivalent control group design with pretest and post-test. Thirty patients diagnosed with uterine cervical cancer, breast cancer, ovarian cancer were recruited from a University Hospital in Busan, Korea. An experimental group (n=15) was given the forgiveness nursing intervention program, and a control group (n=15) was done a common nursing intervention. The period of data collection was from June 10 to September 10, 2004. The obtained data were analyzed using χ² -test, Fisher's exact test, t-test, and ANCOVA. Results: The first hypothesis, “The experimental group would have higher hope state than control group” was supported(F = 16.967, p = .000). The second hypothesis, “The experimental group would have higher quality of life state than control group” was supported (F =4.850, p =.036). Conclusions: The findings showed that the forgiveness nursing intervention program was effective to increase hope and quality of life in women with cancer. Therefore, this program may be used for a nursing practice for cancer patients who are suffering from emotional distress.

여대생의 체중조절 교육 프로그램 개발과 효과

태영숙(Tae Young-Sook),정윤경(Jung Yun-Kyoung) 고신대학교 전인간호과학연구소 2008 전인간호과학학술지 Vol.3 No.-

This study was performed to develop an educational program for weight control based on the behavior modification doctrine, and to examine its effect on female college students who had high interest in their weight control. The research design was the nonequivalent control group design with pre-test and post-test to develop the weight control educational program and measure its effect. The subjects of this study were 44 students in total, and divided into two groups, experimental and control groups consisting 22 subjects each group among J female college students. They were selected from volunteered female college students by the suitability. The exercise education, nutrition education, change of cognition, social support, education for stress mitigation, self-control, stimulation control, and compensation were used as the experimental tool s. The attitude of food, food habit, weight control act, lipid profiles, self-esteem and body image were used as the measurement tools. After the development of the educational program for weight control the thorough analysis of deep interviews with the subjects and the literature review, which was necessary and suitable to female college students, some changes were made in it through the validity study and the review of five experts The experimental group was subjected to the body weight control education program that was taught for sixty minutes once a week, and inspected for the changes of their behaviors through the interviews for eight weeks. The body weight control education program consisted of the understanding of this program and giving of motivation, change of life style, exercise education (I, II), nutrition education (I, II), change of life style and cognition, social support, education for stress management, education for eating-out, personal interview, interview about food environment, desirable behavior s habit, and conclusion in order. The data were collected from May 16 to July 4,2005 for eight weeks through the agreement of the subjects who participated in this program. The data were analyzed by the statistical program SPSS/Win 12.0 x2-test and t-test were used to inspect the equivalence about general characteristics the subordinate variables of participants between two groups, t-test was used to inspect the hypothesis. The results of this study were as follows; (1) The first hypothesis: The points of diet attitude of experimental group applied this program were significantly higher than those of control group was supported. (2) The second hypothesis: The points of diet habit of experimental group applied this program were significantly higher than those of control group. was supported. (3) The third hypothesis: The points of weight control behavior of experimental group applied this program were significantly higher than those of control group. was supported. (4) The fourth hypothesis: The weight of experimental group program applied this program was significantly higher than that of control group. was supported. (5) The fifth hypothesis: In the measurement of the lipid profile of experimental and control groups, by using total cholesterol, triglyceride, HDL and LDL, there were no meaningful differences in total cholesterol, HDL and LDL between two groups. The triglyceride of experimental group was statistically and meaningfully dropped more than that of control group. was partially supported. (6) The sixth hypothesis: The points of itemized self-esteem of the experiment group applied this program were significantly higher than those of control group. was supported. (7) The seventh hypothesis: The points of itemized body image of experiment group applied this program were significantly higher than those of control group. was supported. It was suggested that the weight management program had affirmative effects on the attitude of food, food habits, weight control act, weight, lipid profiles,self-esteem, and body image of female college stu

종양전문간호사의 직무경험

태영숙(Tae, Young Sook),권수혜(Kwon, Suhye),이영숙(Lee, Young Sook) 대한종양간호학회 2014 Asian Oncology Nursing Vol.14 No.4

Purpose: The purpose of the study was to explore and describe the job experiences of oncology nurse specialists. Methods: Nine oncology nurse specialists participated in the study. Data were collected through in-depth unstructured interviews with individual participants from February to June, 2014. Theoretical sampling was used to the point of theoretical saturation. Data were analyzed using Corbin and Strauss’s grounded theory method. Results: From open coding, 98 concepts, 24 sub-categories, and 11 categories were identified. Analysis revealed that the core category of the job experiences of oncology nurse specialists was ‘tightrope walking of professionalism without safeguards’, consisting of four phases: Enthusiastic beginning, conflict, exertion, and internalization. To manage the ‘tightrope walking of professionalism without safeguards’, participants utilized various action/interactional strategies such as ‘keeping the balance point’ and ‘taking a step forward.’ As a result, participants experienced falling into a habitual routine and professional self-actualization. Conclusion: In-depth understanding of the job experiences of oncology nurse specialists will guide hospital administrators to promote effective interventions and policies to better support Korean oncology nurse specialists.

여성암 환자의 영적건강 영향요인

태영숙(Tae Young Sook),김미예(Kim Mi Yea) 한국성인간호학회 2008 성인간호학회지 Vol.20 No.5

여성암 환자의 영적 건강과 우울의 관계

태영숙(Tae Young Sook),김미예(Kim Mi Yea) 대한종양간호학회 2007 Asian Oncology Nursing Vol.7 No.2

Purpose: This study was to identify the relationship between depression and spiritual health in patients suffering from female cancer. Methods: The study utilized a cross-sectional descriptive study design. Data was collected by questionnaires from 106 female patients who were diagnosed with cancer of female organs at three university hospitals and one general hospital. The instruments used in this study included, “the Depression Scale” developed by Zung(1965) and “Spirituality Health Inventory” developed by Highfield(1992) and amended by Kim. The collected data were analyzed using frequency, percentage, t-test, ANOVA, and Pearson's correlation coefficients. Results: There was significantly negative correlation between spiritual health and depression in female cancer patients (r= -.65, p< .0001). There were significant differences in spiritual health according to the monthly income (F=4.30, p=.016), the degree of pain (F=2.85, p= .041), the degree of fatigue (F=3.42, p= .020), the frequency of attendance at worship services (F=3.26, p= .014), the effect of religion on personal life (F=9.41, p= .000). There were significant differences in depression, according to the residence type (F= .75, p= .012), the cancer insurance (t=7.86, p= .006), the degree of pain (F=2.78, p= .045). Conclusions: There is a necessity to develop strategies to improve the spiritual health and to reduce depression in female cancer patients. The significant several characteristics related to depression and spiritual health should be considered in psychsocial nursing intervention of female cancer patients.