유방암 환자의 치료단계별 가족지지, 우울, 삶의 질에 관한 연구 = (The) change of quality of life, depression and family support according to the process of treatment in breast cancer patients

다국어 초록 (Multilingual Abstract)

The present study is descriptive research to measure the change of quality of life, family support and depression according to the process of treatment in breast cancer patients. The objects were patients admitted 35 breast cancer patients to surgery in a university hospital in Dae-jeon from March to September, 2004. Data were collected 3 times from each patient at the point of pre-operation period, post-operation period and adjuvant therapy period. Quality of life was measured by Ferrell's measurement and family support, depression was also measured at the same time.
The results are as follows.
1. The scores of quality of life according to the process of treatment were decreased significantly in order of post-operation period, pre-operation period and adjuvant therapy period. The physical and social domains were decreased significantly in order of pre-operation period, post-operation period and adjuvant therapy period. The psychological and spiritual domains were decreased significantly in order of post-operation period, adjuvant therapy period and pre-operation period. The lowest domain at all process of treatment was psychological domain.
2. In the domains of quality of life, depression, family support due to the general characteristics and disease characteristics, It was showed that the breast cancer patients who belong to little school career group and employed group had lower quality of life, higher depression and lower family support. It was appeared that the breast cancer patients who belong to the group to stop drinking and the hormone therapy group had higher quality of life, lower depression and higher family support. Also, it was observed that the breast cancer patients who recognize their cancer process as stage 2 had lower quality of life, higher depression and lower family support.
3. As concerns correlation among the related factors, the depression showed significant negative correlation with quality of life at all process of treatment, the family support showed significant positive correlation with quality of life at post-operation period and adjuvant therapy period and the family support showed significant negative correlation with depression at adjuvant therapy period.
4. The factors affected to quality of life were cancer process stage, number of children and income at pre-operation period, depression, cancer process stage, occupation, the number of family at post-operation period, depression, operation type, number of family at adjuvant therapy period. The factors affected to depression were recognition of treatment, number of family and religion at pre-operation period, religion, number of tumor and educational level at post-operation period, religion, type of adjuvant therapy and drinking status at adjuvant therapy period. The factors affected to family support were occupation at pre-operation period, occupational level at adjuvant therapy period.
In terms of the result of this study, depression showed significant increase due to the progress of treatment. Quality of life decreased significantly at the adjuvant therapy period nevertheless family support was medium level. Therefore it is important to strengthen family support and to decrease depression at the adjuvant therapy period. And then, the practical approach may be necessary by constructing support and operating program for reduction of depression in order to promote quality of life of the breast cancer patients.

목차 (Table of Contents)

• 목차
• Ⅰ. 서론 = 1
• Ⅱ. 조사대상 및 방법 = 4
• 1. 조사대상 = 4
• 2. 조사방법 = 4
• 3. 자료처리 및 분석 = 5
• Ⅲ. 결과 = 6
• 1. 조사대상자의 일반적 특성 = 6
• 2. 조사대상자의 질병관련 특성 = 8
• 3. 유방암 환자의 치료단계별 삶의 질 = 10
• 4. 일반적 특성에 따른 치료단계별 삶의 질 = 12
• 5. 질병관련 특성에 따른 치료단계별 삶의 질 = 14
• 6. 치료단계별 우울정도와 일반적 특성에 따른 우울정도 = 16
• 7. 질병관련 특성에 따른 치료단계별 우울정도 = 18
• 8. 치료단계별 가족지지정도와 일반적 특성에 따른 가족지지정도 = 20
• 9. 질병관련 특성에 따른 치료단계별 가족지지정도 = 22
• 10. 유방암 환자의 치료단계별 지지인 = 24
• 11. 치료단계에 따른 가족지지, 우울감, 삶의 질과의 관계 = 25
• 12. 치료단계에 따른 삶의 질, 우울, 가족지지에 영향을 미치는 요소 = 26
• Ⅳ. 고찰 = 28
• Ⅴ. 결론 = 32
• 참고문헌 = 34
• ABSTRACT = 38