항암 화학요법을 받는 암 환자의 적응 구조모형 = Structual Equation Modeling on Adjustment of Cancer Patients Receiving Chemotherapy

다국어 초록 (Multilingual Abstract)

Purpose: This study was to understand and explain the adjustment of cancer patients receiving chemotherapy. Variables in this model were social support, uncertainty, resilience and coping. Methods: The data were collected for approximately five months from May through to September 2006 with cancer patients receiving chemotherapy or cancer patients finished chemotherapy using self-administered questionnaires. Descriptive statistics program, Amos 5.0, was employed to verify the goodness of the hypothetic model and the hypotheses formulated in the study. Results: The fitness of the finalized model turned out to be improved (X²=332.644, df=70, GFI=.809, AGFI=.714, RMSEA=.138, AIC=402.644). Those variables made a 60.8% prediction of the patients adjustment. Conclusion: The hypothetic model presented in the study could serve to explain the adjustment of cancer patients receiving chemotherapy. Moreover, the use of the conceptual framework of the theory of planned nursing intervention would be very worthwhile as a strategy to boost the adjustment of cancer patients when receiving chemotherapy.

목차 (Table of Contents)

• 서론
• 연구 방법
• 연구 결과
• 논의
• 결론 및 제언
• 참고문헌

참고문헌 (Reference)

1 김종남, "한국판 암 대처 질문지의 타당화" 한국건강심리학회 9 (9): 395-414, 2004

2 김은성, "중환자실 입원환자 가족의 스트레스, 사회적 지지 및 대처에 관한 연구" 병원간호사회 13 (13): 123-134, 2007

3 탁영란, "소아암 환아 가족이 인지한 사회적 지지가 적응에 미치는 영향" 아동간호학회 9 (9): 9-17, 2003

4 심미경, "소아암 환아 가족의 적응에 영향을 미치는 회복력요인" 아동간호학회 10 (10): 383-394, 2004

5 Lee IS, "Uncertainty, appraisal and quality of life in patients with breast cancer across treatment phases" Yonsei Univ. 2005

6 Mishel MH, "Uncertainty in illness" 20 : 225-232, 1988

7 Mishel MH, "Uncertainty in gynecological cancer: a test of the mediating functions of mastery and coping" 40 : 167-171, 1991

8 Wierenga ME, "The interrelationship between multidementional health locos of control, Knowledge of diabetes, perceives social support, self reported compliance and therapeutic oucomes six weeks after the adult patients has been diagnosed with diabetes mellitus" Esat Lansing:Michigan state Univ. 1979

9 Moorey S, "The cancer coping questionnaire: a self-rating scale for measuring the impact of adjuvant psychological therapy on coping behaviour" 12 : 331-334, 2003

10 Mishel MH, "The Measurement of uncertainty in illness" 30 : 258-263, 1981

11 Tae YS, "Study on the correlation between perceived social support and depression of the cancer patients" Ehwa Womans Univ. 1986

12 Kim HY, "Structural Model for Psychosocial Adjustment in Early Breast Cancer Patients" Chonnam National Univ. 2009

13 Kinsel B, "Resilience as adaptation in older women" 17 : 23-39, 2005

14 Lee MS, "Relationship between breast cancer and coping style or emotional adaptation" Seoul National Univ. 1997

15 Lazarus RS, "Pattern of adjustment" McGraw-Hill 1976

16 Ministry of Health and Welfare, "National cancer registry annual report" Central cancer registry division 2008

17 Vargens MD, "Living with breast cancer: its effect on the life situation and the close relationship of women in Brazil" 30 : 471-478, 2007

18 Kang BC, "Influencing factors on adaptation of people living with HIV/AIDS" Seoul National Univ. 2003

19 Sin IS, "Factors Influencing quality of life in patients" Kyunghee Univ. 2005

20 Wagnild GM, "Development and psychometric evaluation of the resilience scale" 1 : 165-178, 1993

21 Watson M, "Development a quetionnaire measure of adjustment to cancer: the MAC scale" 18 : 203-209, 1988

22 Song YS, "Determinants of resilience of the physically disabled at home" Kosin Univ. 2004

23 Jeon NY, "Adjustment of teenagers with cancer: a path analysis of related variables" Yonsei Univ. 2001

24 Park EY, "Adaptation aspects by causal attribution of cancer patients" Korea Univ. 2006

25 Yoo KH, "A study on the relationship between mastery and activity of daily life in rheumatoid arthritis patients" 7 : 207-212, 2004