대장암 환자의 증상경험과 극복력이 삶의 질에 미치는 효과 = The Effect of Symptom Experience and Resilience on Quality of Life in Patients with Colorectal Cancers

다국어 초록 (Multilingual Abstract)

Purpose: This study aimed to investigate the influence of resilience and symptom experience on quality of life. Methods: Seventy five patients in an active treatment stage were recruited from 2 hospitals between October and December 2010. A survey including perceived health status, physical functional status, the symptom experience index, resilience, and the functional assessment of cancer therapy-colorectal (FACT-C) was completed. Results: The level of FACT-C was 86.61 (±18.91), which was higher than for patients with colostomy, but lower than for patients in a rehabilitation stage. Participants without physical functional limitations showed higher level of both resilience and quality of life. Participants with bad health status showed a lower level of both resilience and quality of life and higher level of symptom experience. The quality of life was related to the level of resilience (β=.373), symptom experience (β=-.292), and perceived health status (β=-3.961). Conclusion: Proactive nursing approaches to manage symptoms and to improve perceived health status would enhance the quality of life of colorectal cancer patients. Furthermore, various strategies to strengthen the level of resilience should be developed.

목차 (Table of Contents)

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

참고문헌 (Reference)

1 이인숙, "한국가족의 기능 회복력 측정도구 개발 연구: 만성질환아 가족을 대상으로" 한국간호과학회 32 (32): 560-569, 2002

2 김유진, "직장암 환자들의 수술 전 삶의 질 양상: 남녀 집단별 비교분석" 한국임상심리학회 22 (22): 2003

3 권인각, "재가 말기암 환자의 삶의 질 관련 요인" 병원간호사회 14 (14): 103-114, 2008

4 박효미, "장루 보유한 대장직장암 환자의 삶의 질 영향요인" 병원간호사회 12 (12): 123-131, 2006

5 이은경, "암환자의 극복력 영향요인" 한국간호교육학회 13 (13): 52-58, 2007

6 신혜원, "암환아와 어머니의 회복력에 관한 상관관계 연구" 대한종양간호학회 8 (8): 24-31, 2008

7 신수진, "심혈관질환자의 회복력에 대한 개념분석" 한국간호과학회 39 (39): 788-795, 2009

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

9 문주령, "선천성심질환 청소년의 우울과 극복력의 관계분석" 대한소아과학회 49 (49): 523-528, 2006

10 신영희, "만성질환아의 극복력(resilience)과 건강관련 삶의 질" 아동간호학회 12 (12): 295-303, 2006

11 Strauss B, "The influence of resilience on fatigue in cancer patients undergoing radiation therapy (RT)" 133 : 511-518, 2007

12 Kim HS, "The concept development of the resilience" Chung-Ang Univ 1996

13 Hasse J, "The adolescents resilience model as a guide to interventions" 21 : 289-299, 2004

14 Hwang DY, "The Secret of 1.5meters" The Early Morning Publisher 2003

15 Kadner KD, "Resilience: responding to adversity" 27 : 20-59, 1989

16 Han MR, "Resilience, social support, spiritualty in wives of alcoholics [dissertation]" Yonsei Univ 2004

17 Jun YI, "Resilience on the therapeutic process of cancer patients who receive chemotherapy [dissertation]" Korea Univ 2008

18 Ward W, "Reliability and validity of the functional assessment of cancer therapy-colorectal (FACT-C) quality of life instrument" 8 : 181-195, 1999

19 Ferrell B, "Quality of life as outcome variable in the management of cancer pain" 63 : 2321-2327, 1989

20 National Cancer Information Center., "National cancer statistics"

21 Fu M, "Measuring symptom occurrence and symptom distress: development of the symptom experience index" 59 : 623-634, 2007

22 Contrim H, "Impact of colorectal cancer on patient and family: Implication for care" 12 : 217-226, 2008

23 김환, "Functional Assessment Cancer Therapy-General(FACT-G)의 한국판 개발 및 타당화" 한국임상심리학회 22 (22): 2003

24 Wagnid G, "Development and psychometric evaluation of the resilience scale" 1 : 165-178, 1993

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

26 Garmezy N, "Children in poverty: resilience despite risk" 56 : 127-136, 1993

27 Ministry for Health, Welfare and Family Affairs, "Annual report of national cancer registration project (The cancer statistics in 2009)"

28 Courneya K, "A randomized trial of exercise and quality of life on colorectal cancer survivors" 12 : 347-357, 2003

29 Yoon C, "A Study of the quality of life following after curative surgery for gastric cancer" 60 : 405-412, 2001