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- 저자 : 송혜향(Hae Hyang Song) (검색결과 2 건)
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자궁경부암 환자의 우울과 관련된 요인조사 : 자궁적출술 및 근치적 방사선치료를 받은 환자를 중심으로
송혜향,소향숙 연세대학교 간호정책연구소 1996 간호학탐구 Vol.5 No.1
In this descriptive correlational study, 45 newly diagnosed uterine cervical cancer patients were interviewed to determine the predictors of depression scores at the post-operative 3 month. The theoretical framework was derived basically from the Lazarus & Folkman's process model of stress-coping-adaptation and cognitive model of depression. A total of 45 subjects from one general hospital in Kwang-ju city were observed and interviewed during 7 months with the aid of 7 structured instruments: Mishel's Uncertainty in Illness scale, Folkman & Lazarus's W.C.C.L., Beck's Depression Inventory, Pollock's health- related hardiness scale, Tai's family support scale, Rosenberg's self-esteem scale, and records on the demographic and medical factors. The data obtained were analyzed using percentage, paired t-test, Stepwise Multiple Regression and Cronbach's Alpha Coefficients. The results were as follows: 1. A majority of patients was between 30 and 50 years of age and 80 0 of women had stage I cancer. 2. The mean score of the perceived uncertainty was 1.64 + 0.69. Those of problem-focused coping and emotion-focused coping were 1.44 + 0.59 and 1.23 + 0.49, respectively and the former was more used significantly(t= 2.54, p= .0147). 3. The score of depression on the post-operative 1 month was 19.96 + 10.43 and 15.47 + 9.58 on the post-operative 3 months. So the depression scores were significantly decreased from 1 month to 3 months post-operative(t= =3.77, p= .0005). 4. When uncertainty score was entered into the equation as the dependent variable, the stepwise procedure resulted in the inclusion of cancer staging, explaining 29.7%(B= 2.10, p= .034) of the variation in the uncertainty score. 5. When problem-focused coping score was entered into the equation as the dependent variable, the stepwise procedure resulted in the inclusion of the presence or absence of an ovary, explaining 11.9%(B= -.527, p= ,035) of the variation in problem-focused coping score, self-esteem, explaining 9.4%(B= .300, p= .033), uncertainty, explaining 3.2%(B= .287, p= .070). 6. When emotion-focused coping score was entered into the equation as the dependent variable, the stepwise procedure resulted in the inclusion of the education level, explaining 6.5%(B= .363, p= .001) of the variation in emotion-focused coping score, perceived family support, explaining 8.8%(B= .332, p= .008), uncertainty, explaining 8.4%(B= .340, p= .018), age, explaining 3.7%(B= .026, p= .049), the induced anti-cancer chemotherapy, explaining 7.5%(B= .306, p= .086). 7. When the depression score at the post-operative 3 month was entered into the equation as the dependent variable, the stepwise procedure resulted in the inclusion of uncertainty, explaining 45.2%(B= .255, p= .031) of the variation in the depression scores, self-esteem, explaining 5.3%(B= -.229, p= .034), cancer staging, explaining 3.7(B= .138, p= .036), and hardiness, explaining 3.3%(B= .427, p= .038), respectively. However, when depression at the post-operative 1 month was entered as another independent variable, this depression variable itself explained 58.8%(B= .515, p= .0002) of the variation, and neither uncertainly, self-esteem, nor cancer staging were significant predictors. In view of the results of the present study that cognitive variables explained depression scores better than coping scores, a longitudinal study design is much more powerful compared to the one-time-measurement study design for studying Lazarus & Folkman's process model of stress-coping-adaptation and cognitive model.
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