Delicious Rock - DELROCK

황숙연,김준영,이준석 한국창업학회 2014 한국창업학회 Conferences Vol.2014 No.1

여성 암 환자의 실존적 경험에 관한 탐색적 분석

황숙연 大韓神經精神醫學會 2006 신경정신의학 Vol.45 No.6

Objectives : Although there have been increasing researches into a variety of aspects associated with women's cancer, most of them are not based on cancer survivor's subjective perspectives but on pathologic and therapists' point of view. This qualitative study explores how women experience living with cancer and aims to construct the dimensions of their existential expehences from their perspectives. Methods : Focus groups and individual in-depth interviews were conducted to 17 patients who have been surgically treated with breast cancer or gynecologic cancer and attending the outpatient clinic in Yonsei University Severance Hospital in Seoul. The data were analyzed following constant comparison method by Strauss and Corbin. Results '. Four major categories were explored by analysis as follows: continuing a fight for life, alienation from the healthy world, women's distinctiveness, and existential transition. Related subjects and concepts by each category were described. Conclusion : This study shows that women with cancer experience the meaning of cancer not as a pathological process but as an adaptational process where the concept of health and dysfunction coexisted, It is suggested that oncologic medical team should approach women with cancer based on the bio-psycho-social model considering the whole dimension of patients' experiences.

Does Chemotherapy Really Affect the Quality of Life of Women with Breast Cancer?

황숙연,장선주,박병우 한국유방암학회 2013 Journal of breast cancer Vol.16 No.2

Purpose: The aims of this cross-sectional study were to explore and evaluate the impact of adjuvant chemotherapy on quality of life in breast cancer patients according to the survival time from surgery. Methods: Completed questionnaires were collected from 534 women with breast cancer. Clinical and sociodemographic characteristics were reviewed and Functional Assessment of Cancer Therapy-Breast cancer instrument, global quality of life, Beck Depression Inventory, and unmet sexuality needs were administered. Descriptive statistics, t-tests, chi-square tests and multiple analysis of covariance were performed while controlling for confounding variables. Results: Statistically significant differences were found between chemotherapy and no chemotherapy group on depression (p=0.026), unmet sexuality needs (p=0.010), breast cancer specific concerns (p=0.010), physical well-being (p=0.001), and emotional well-being (p=0.028). Chemotherapy effects also varied according to survival time since surgery such as for group 1 (<1 year since surgery), significant differences were found on Beck Depression Inventory (p=0.042), unmet sexuality needs (p=0.016), breast cancer subscale (p=0.004), and physical well-being (p=0.016) and for group 3 (>3 years since surgery) on depression (p=0.019) and physical well-being (p=0.028) respectively; however, there were no significant differences between chemotherapy and no chemotherapy group for group 2 (1-3 years since surgery). Conclusion: As expected, breast cancer patients who underwent adjuvant chemotherapy experienced significantly worse quality of life than those who did not receive chemotherapy. Furthermore, the adverse chemotherapy effects on the quality of life appear to vary according to the time since surgery. These results suggest that health care professionals may need to address long-term as well as short-term chemotherapy side-effects and intervene accordingly to enhance quality of life of breast cancer patients.

우울이 연소 고령 노인집단의 건강증진행동에 미치는 영향

황숙연,이수연,이귀옥 한국사회복지교육협의회 2022 한국사회복지교육 Vol.57 No.-

This study examined the effects of depression on the health-promoting behavior among young-old and old-old. In-person interviews using questionnaires were conducted to the elderly aged 65 and over at 5 community welfare centers, Seoul and Gyronggi Province. A total of 372 participants were included in the analysis. The results of hierarchical regression analysis were as follows. First, depression was a strong predictor of the health-promoting behavior both in young-old and old-old, but the effect was stronger in old-old. Second, the effects of other control variables were different depending on the age group. Sex, smartphone-use, income, the satisfaction in social relationship and health-related social support significantly predicted the increase of health-promoting behavior in young-old. On the other hand, subjective health status, smartphone use, the satisfaction in social relationship, medicaid status and health–related social support were strong predictors in old-old. Based on the study results, differentiated policy and practice implications were discussed including early screening and clinical intervention strategy of depression for young-old and economic support and health promoting service for old-old 본 연구는 우울이 노인의 건강증진행동에 미치는 영향이 연소노인과 고령노인 간에어떻게 다르게 나타나는지를 검증하고자 하였다. 서울 및 경기지역 5개 복지기관에서65세 이상 노인을 대상으로 한 면접 설문조사 결과 얻어진 2차 자료를 사용하였고, 총372명이 분석대상에 포함되었다. 위계적 회귀분석 결과 첫째, 우울은 연소노인집단과 고령노인집단의 건강증진행동에 통계적으로 유의미한 부정적 영향을 미쳤으나 우울의 상대적 영향력은 연소노인집단에서 더 크게 나타났다. 둘째, 다른 변수들에서도 연소노인과 고령노인 간 차이가 나타났다. 연소노인의 경우에는 성별, 스마트폰 사용 여부, 소득, 사회적 관계 만족도, 건강 관련 사회적 지지가 고령노인의 경우에는 주관적 건강상태, 스마트폰 사용 여부, 사회적 관계만족도, 건강 관련 사회적 지지가 건강증진행동에 통계적으로 유의미한 영향을 미치는 것으로 나타났다. 연구결과를 토대로 연소노인의 우울조기스크리닝과 우울에 대한 임상적 개입, 고령노인에 대한 차별화된 경제적 지원과 건강증진서비스 등의 정책적, 실천적 접근에 대한 함의가 논의되었다.

유방암 생존자의 삶의 질과 영향요인

황숙연 한국정신건강사회복지학회 2009 정신보건과 사회사업 Vol.33 No.-

유방암 생존자는 점차 증가하고 있음에도 불구하고 이들의 삶의 질에 대한 관심과 이해는 매우 미약하다. 본 연구는 국제적으로 표준화된 척도를 사용하여 유방암 생존자의 삶의 질의 수준을 파악하고 이들의 삶의 질에 영향을 미치는 요인들을 규명함으로써 이들의 삶의 질을 향상시키려는데 그 목적이 있다. 서울의 한 대학병원의 유방암 생존자 중 20세 이상 80세 이하, 유방암 병기가 3기 이하, 재발하지 않은 경우로 본 연구에 참여하기를 동의한 자 1180명을 대상으로 자료가 수집되었으며 최종 1089명이 분석에 포함되었다. 삶의 질은 FACT-B(Functional Assessment of Cancer Therapy-Breast Cancer)와 Ladder of Life 척도로 측정되었고 그 외 인구사회학적 배경, 의료적 배경 및 자조집단 참여여부와 일상활동 수준에 대한 정보가 수집되었다. 단변량 분석에서는 의료적 특성들보다는 인구사회학적 특성이 삶의 질에 더 많은 차이를 보이는 것으로 나타났고, 인구학적 요인 중 교육과 경제수준이 의료적 특성 중에서는 수술 후 기간이 모든 삶의 질 영역에 걸쳐 가장 유의미한 차이를 보이는 변수로 나타났다. 회귀분석에서는 인구학적 요인보다는 의료적 요인들이 유의한 영향요인이었으며 수술 후 기간은 여전히 모든 삶의 질 영역에 걸쳐 유의미한 영향요인으로 나타났다. 삶의 질의 각 하위영역에 따라서 다소 다른 요인들이 삶의 질과 관계가 있는 것으로 나타났다. 연구결과에 기초하여 손상된 삶의 질에 대한 고위험군과 이들의 특성에 따른 실천적, 정책적 함의가 논의되었다. Breast cancer has become one of the most frequent type of cancers among women and the incidence is still increasing in Korea. However, not much knowledge has been accumulated about quality of life of breast cancer survivors. The purpose of this study was to assess the level of quality of life and investigate factors affecting quality of life among breast cancer survivors. Of 1180 eligible women, 1089 women completed the surveys. Quality of life was assessed using FACT-B and the Ladder of Life Scale. Socio-demographic characteristics were included in the survey and medical factors were compiled by reviewing each survivor's medical chart. The level of quality of life among breast cancer survivors was low compared with other studies using Fact-B and Ladder of Life Scale. Different factors were related to each of quality of domain but education, economic status and time since surgery were the most significantly and consistently related to across all of the quality of life domain. In multivariate analysis, education, job, economic status, time since surgery, operation method, chemotherapy, and daily activities of living were significant predictors for FACT-B total and education, job, economic status, time since surgery, menopause and daily activities of living were significant for Ladder of Life. Based on this study results, those who could be high risk for impaired quality of life were identified. Appropriate intervention strategies were recommended in terms of both practice and policy that specifically target their needs.

The Perceived Care Needs of Breast Cancer Patients in Korea

황숙연,박병우 연세대학교의과대학 2006 Yonsei medical journal Vol.47 No.4

By analyzing the data of 459 patients who completed the Supportive Care Needs Survey (SCNS), the prevalence, medical and non-medical predictors of unmet needs were investigated. Breast cancer patients in Korea experienced high levels of unmet needs across the needs domains, particularly in the health system and information domain (56.9%). Various medical and non-medical variables were identified as significant predictors of unmet needs in each domain. By multivariate analyses, several predictors were identified across the domains including; less education (≤9 years) in the psychologic, chemotherapy, short post-surgical interval, and less education in the physical and daily living, younger age (<50 years) in the sexuality, larger tumor size (>2cm) and younger age in the health system and information, and more education (≥13 years) in the care and support domain. The results of this study suggest medical professional should consider the complexity and dynamics of meeting patients' needs in providing supportive care services.

유방암 환자에 대한 심리교육 집단개입의 효과

황숙연,이인수,박병우 한국사회복지학회 2002 한국사회복지학 Vol.51 No.-

유방암 환자의 욕구에 관한 연구

황숙연(Sook Yeon Hwang),김승일(Seung Il Kim),박병우(Byeong-Woo Park) 대한외과학회 2004 Annals of Surgical Treatment and Research(ASRT) Vol.67 No.4

40대 유방암 생존자의 우울 · 불안 위험요인

황숙연(Sook Yeon Hwang) 한국콘텐츠학회 2015 한국콘텐츠학회논문지 Vol.15 No.2

본 연구는 우리나라에서 가장 유방암 발생률이 높은 40대 유방암 생존자들의 우울과 불안의 정도를 파악하고 그 위험요인들을 검토하기 위해 수행되었다. 자료 수집은 유방암으로 진단 받은 40-49세 유방암 생존자 중 연구에 동의하고 설문지를 완성한 609명을 대상으로 이루어졌다. CES-D와 GAD-7을 사용하여 측정된 우울과 불안의 평균점수는 각각 16.35(SD=9.24), 4.25(SD=4.17)였으며, 절단점을 기준으로 우울군은 전체의 47.7%, 불안군은 10.3%로 나타났다. BPI-K로 측정된 통증강도 평균은 1.91(SD=1.60)이었으며, 전체의 82.8%가 통증을 호소하였고 10.9%가 중증도 이상의 통증을 보고하였다. 위계적 회귀분석결과 최종모델에서 통증 일상생활방해정도, 직업 없음, 동거가족유형과 과거 정신과 질환이 우울의 유의미한 위험요인으로 나타났고, 불안의 위험요인은 통증 일상생활방해정도, 직업 없음 및 과거 정신과질환으로 나타났다. 이러한 결과는 우리나라 40대 유방암 생존자의 우울과 불안 유병률이 높으며, 우울과 불안의 위험요인에 초점을 두어 위험군에 대한 적절한 심리사회적 개입이 제공되어야 함을 지적해주고 있다. This study was performed to examine the prevalence of and risk factors for depression and anxiety among breast cancer survivors in their 40s. Completed questionnaires were collected from 609 breast cancer survivors in their 40s who agreed to participate the study. The mean scores of CES-D and GAD-7 were 16.35(SD=9.24) and 4.25(SD=4.17), respectively. Nearly 47.7% of the participants had depression and 10.3% had anxiety. The mean score of pain severity was 1.91(SD=1.60) and 10.9% of the participants reported more than moderate pain. The final model in the hierarchical regression analysis showed that pain interference, unemployment, the type of live-in partner, and past psychiatric disease were the significant risk factors for depression, and pain interference, unemployment and past psychiatric disease for anxiety. These results show the prevalence of depression and anxiety among breast cancer survivors in their 40s is high and suggest appropriate psychosocial intervention should be provided for high risk groups based on those risk factors.

유방암 생존자의 사회경제적 지위가 삶의 질에 미치는 영향

황숙연(Sook Yeon Hwang) 한국콘텐츠학회 2016 한국콘텐츠학회논문지 Vol.16 No.2

본 연구의 목적은 유방암 생존자의 사회경제적 지위가 삶의 질에 미치는 영향을 검토하는 것으로, 자료수집은 우리나라에서 유방암 발생률이 가장 높은 40대 유방암 생존자들을 대상으로 이루어졌다. 총 607사례가 분석에 포함되었으며, FACT-B로 측정된 대상자의 삶의 질 총점평균은 93.75(SD=21.50)이었다. 다른 인구사회학적 변수와 의료적 변수를 통제하였을 때, 삶의 질은 소득 및 직업유형과 유의미한 관계가 있는 것으로 나타나 높은 수준의 사회경제적 지위와 높은 삶의 질 간의 관계를 확인해주었다. 구체적으로 자영업이나( β=0.10, p= .01) 전문/사무직에 종사할수록(β=0.17, p< .001), 또한 소득수준이 400만 원 이상일수록(β=0.11, p= .03 ) 유의미하게 삶의 질이 높은 것으로 나타났다. 공적·사적 자원을 포함하여 사회경제적 지위가 낮은 유방암 생존자에 대한 관심과 지원의 필요성과 실천상의 함의가 논의되었다. The purpose of this study was to examine the impact of socioeconomic status on quality of life(QOL) among breast cancer survivors. The data were from breast cancer survivors in their forties, among whom the prevalence in terms of age was the highest in Korea. A total of 607 cases were analyzed and the mean scores of QOL measured by FACT-B were 93.75(SD=21.50). After controlling for the other socio-demographic and medical variables, QOL was significantly correlated to income and job type, which confirms the association between high socioeconomic status and better QOL. Specifically, groups with higher income(≧4 million won/month, β=0.11, p= .03) and groups with self-employed(β=0.10, p= .01) or professional/managerial(β=0.17, p<.001) job type showed significantly better QOL. The need for more attention and support, including formal and informal resources, for breast cancer survivors with low socio-economic status and the implication for practice were discussed.