자궁경부암 환자의 치료전 우울과 관련된 요인 조사

다국어 초록 (Multilingual Abstract)

The purpose of this study was to determine the predictors of depression scores
among newly diagnosed uterine cervix cancer patients before the hysterectomy or
radiotherpy was done. A total of 55 patients from one university hospital in Kwang-ju
city were interviewed from April 1996 to September 1996 with the aid of 6 structured
instruments; Beck's Depression Inventory, Mishel's Uncertainty in Illness scale,
Rosenberg's Self-esteem Scale, Tai's family support scale. Osgood's Sementic Differential
scale, and records on demographic and medical factors.
The data obtained were analyzed using percentage, t-test, AN OVA, Pearson
correlation coeficients, and Stepwise Mutipie Regession.
The results were summaized as follows:
1. The mean scores of psychosocial variables were as follows: uncertainty was
36.1, self-esteem was 35.5, body image was 39.9, familly support was 37.9.
2. The depression score was moderate degree in total subjects: the mean score
of depression was 19.2 ± 9.5.
3. The depression score was not significantly different by the level of
domographic and medical factors; age(p = .16), the education level(p = .25), the type
of religion(p = .19), cancer staging(p = .36), and the presence or absence of ovary at
operation(p = .62).
4. The higher the depression score they have, the lower they percived body image
and self-esteem(r = -.477, p = .0002; r = -10, p = .002). But the scores between
the depression and the uncertainty did not significantly correlate(r = .245, p = 0.072).
5. When self esteem was removed in the model because of multiple colliniarity,
the stepwise procedure resulted in the body image, explaining 22.7%(β = -.856, p =
.0005), of the variance in the depression scores.
6. When body image was removed in model because of multiple colliniarity, the
stepwise procedure resulted in the self-esteem, explaining 16.8%(β = -.675, p =
.0005), of the variance in the depression scores, cancer staging, explaining 8.9%(β =
3.363, p = .0155), respectively. The amount of the total variance was 25.7%.
Based upon the above findings, it was concluded that the predictors of the score
of depression was the body image, self esteem, and cancer staging.

목차 (Table of Contents)

• Ⅰ. 서 론 2
• 1. 연구의 필요성 2
• 2. 연구 목적 3
• 3. 용어 정의 3
• (1) 우울(depression) 3
• (2) 불확실성 (uncertainty) 4
• (3) 자존감 (self-esteem) 4
• (4) 신체상 (Body image) 4
• (5) 가족지지 (Familly support) 4
• Ⅱ. 문 헌 고 찰 4
• 1. 인구사회학적 변인과 우울 5
• 2. 의료병리적 변인과 우울 6
• 3. 사회심리적 변인과 우울 6
• Ⅲ. 연구 방법 8
• 1. 연구 설계 8
• 2. 연구대상 및 자료수집방법 8
• 3. 연구 도구 8
• (1) 연구 도구 8
• (2) 불확실성 측정도구 8
• (3) 자존감 측정도구 8
• (4) 신체상 측정도구 8
• (5) 가족지지 측정도구 9
• 5. 자료분석 방법 9
• Ⅳ. 연구 결과 9
• 1. 인구학적 특성 9
• 2. 의료병리적 특성 9
• 3. 대상자가 인지한 사회심리적 특성 9
• 4. 대상자의 우울점수의 분포 9
• 5. 인구학적, 의료병리적 특성에 따른 우울점수의 차이 11
• 6. 사회심리적 변인과 우울점수간의 상관관계 11
• 7. 제변인의 우울점수에 대한 설명력 11
• Ⅴ. 논 의 12
• Ⅵ. 결론 및 제언 15
• 1. 결 론 15
• 2. 제 언 16