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    암환자 배우자의 돌봄부담이 부부적응에 미치는 영향 -사회적 지지의 조절효과를 중심으로- = The moderating effects of social support on the relationship between care burden and marital adjustment in cancer patients` spouse-

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    https://www.riss.kr/link?id=A60250275

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    다국어 초록 (Multilingual Abstract) kakao i 다국어 번역

    Stable marriage has significant effects on cancer patient`s psycho-social adjustment, progress of the medical treatment, survival rate and the quality of life as well. Therefore, it is importance that social welfare related intervention and care are needed in order to further stabilize their marriage. However, there is a severe lack of empirical study about married cancer patient couples in Korea. Studies about how the spouse experiencing extreme distress while taking care of the cancer patient is almost non-existent. Purpose of this study is to lay the foundation for implementing social welfare practice for the cancer patient couples by focusing on the importance of stable marriage, on the effects that care burden has on the spouse of the cancer patient and the effects it has on their marital adjustment through evaluating these by moderated effect of social support, The survey was conducted with 203 spouses of cancer patients, Through this survey, it was revealed that the effect of the care burden and the social support on marital adjustment of the spouse of the cancer patient are found to be significant, About the care burden`s effect on marital adjustment, the social support had found to be have moderating effect. Based on these results, the conclusion that in order to lessen the stress related to care burden, system that provides vacation time for nursing the patient, providing the education for the care giver in the primary stage of the illness, counseling that provides psychological and emotional support and others are necessary. Moreover, in order to promote marital adjustment of cancer patient, the importance of strengthening the social support and not just the intervention of the social welfare for lessening the care burden had been provided by this research.
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    Stable marriage has significant effects on cancer patient`s psycho-social adjustment, progress of the medical treatment, survival rate and the quality of life as well. Therefore, it is importance that social welfare related intervention and care are n...

    Stable marriage has significant effects on cancer patient`s psycho-social adjustment, progress of the medical treatment, survival rate and the quality of life as well. Therefore, it is importance that social welfare related intervention and care are needed in order to further stabilize their marriage. However, there is a severe lack of empirical study about married cancer patient couples in Korea. Studies about how the spouse experiencing extreme distress while taking care of the cancer patient is almost non-existent. Purpose of this study is to lay the foundation for implementing social welfare practice for the cancer patient couples by focusing on the importance of stable marriage, on the effects that care burden has on the spouse of the cancer patient and the effects it has on their marital adjustment through evaluating these by moderated effect of social support, The survey was conducted with 203 spouses of cancer patients, Through this survey, it was revealed that the effect of the care burden and the social support on marital adjustment of the spouse of the cancer patient are found to be significant, About the care burden`s effect on marital adjustment, the social support had found to be have moderating effect. Based on these results, the conclusion that in order to lessen the stress related to care burden, system that provides vacation time for nursing the patient, providing the education for the care giver in the primary stage of the illness, counseling that provides psychological and emotional support and others are necessary. Moreover, in order to promote marital adjustment of cancer patient, the importance of strengthening the social support and not just the intervention of the social welfare for lessening the care burden had been provided by this research.

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    참고문헌 (Reference)

    1 이영선, "한국형 돌봄 경험 평가도구(CRA-K)의 타당도 검증 : 암 환자 가족을 대상으로" 대한임상건강증진학회 9 (9): 189-198, 2009

    2 서상연, "한국어판 DUKE-UNC 사회적 지지도 설문지개발" 18 (18): 250-260, 2007

    3 국립암센터, "통계로 본 암 현황" 보건복지가족부 2011

    4 박현선, "청소년기 비행친구의 영향에 대한 보호요인의 조절효과 - 자아존중감, 부모애착 및 지도감독을 중심으로 -" 한국사회복지연구회 (37) : 399-427, 2008

    5 전춘애, "자녀양육 스트레스와 사회적 지지가 결혼만족도에 미치는 영향" 34 (34): 115-129, 1996

    6 주명진, "입원 말기암 환자가 지각한 가족지지와 삶의 질의 관계" 대한종양간호학회 8 (8): 32-39, 2008

    7 유양숙, "유방절제술 환자의 배우자 지지, 성생활 만족도 및 부부친밀도" 10 (10): 148-156, 2001

    8 정재원, "유방암 여성이 인식한 배우자와의 친밀감과 삶의 질" 대한종양간호학회 9 (9): 122-128, 2009

    9 서해정, "여성결혼이민자의 결혼의 질과 결혼안정성에 관한 연구" 한국사회복지정책학회 36 (36): 359-389, 2009

    10 허혜경, "암환자의 치료 부작용, 가족지지, 삶의 질과의 관계 연구" 한국간호과학회 33 (33): 71-78, 2003

    1 이영선, "한국형 돌봄 경험 평가도구(CRA-K)의 타당도 검증 : 암 환자 가족을 대상으로" 대한임상건강증진학회 9 (9): 189-198, 2009

    2 서상연, "한국어판 DUKE-UNC 사회적 지지도 설문지개발" 18 (18): 250-260, 2007

    3 국립암센터, "통계로 본 암 현황" 보건복지가족부 2011

    4 박현선, "청소년기 비행친구의 영향에 대한 보호요인의 조절효과 - 자아존중감, 부모애착 및 지도감독을 중심으로 -" 한국사회복지연구회 (37) : 399-427, 2008

    5 전춘애, "자녀양육 스트레스와 사회적 지지가 결혼만족도에 미치는 영향" 34 (34): 115-129, 1996

    6 주명진, "입원 말기암 환자가 지각한 가족지지와 삶의 질의 관계" 대한종양간호학회 8 (8): 32-39, 2008

    7 유양숙, "유방절제술 환자의 배우자 지지, 성생활 만족도 및 부부친밀도" 10 (10): 148-156, 2001

    8 정재원, "유방암 여성이 인식한 배우자와의 친밀감과 삶의 질" 대한종양간호학회 9 (9): 122-128, 2009

    9 서해정, "여성결혼이민자의 결혼의 질과 결혼안정성에 관한 연구" 한국사회복지정책학회 36 (36): 359-389, 2009

    10 허혜경, "암환자의 치료 부작용, 가족지지, 삶의 질과의 관계 연구" 한국간호과학회 33 (33): 71-78, 2003

    11 이인정, "암환자와 배우자의 부부적응에 대한 부부의사소통의 영향 - 자기효과와 상대방효과를 중심으로 -" 한국사회복지학회 63 (63): 179-205, 2011

    12 이인정, "암환자와 배우자의 부부적응 : 자기효과와 상대방효과를 중심으로" 이화여자대학교 사회복지전문대학원 2011

    13 황종귀, "암환자가 지각한 가족지지와 환자를 돌보는 가족의 부담감 및 신체적·심리적 건강" 한국가족관계학회 10 (10): 173-198, 2005

    14 이인정, "암환자 배우자의 돌봄 부담에 영향을 미치는 요인에 관한 연구" 한국가족사회복지학회 (30) : 197-224, 2010

    15 김경혜, "암 환자가 지각한 가족지지와 삶의 질" 대한종양간호학회 9 (9): 52-59, 2009

    16 장춘미, "스트레스와 결혼만족간의 관계에 대한 부부의 지지행동 및 갈등해결행동의 매개효과" 한국여성심리학회 14 (14): 153-171, 2009

    17 김미령, "사회적 지지의 개념과 효과에 관한 이론 및 방법론적 고찰" 2 (2): 99-121, 2005

    18 배지연, "사회적 지지에 관한 사회복지 논문분석-주효과, 완충효과 모델의 효과분석을 중심으로" 5 : 248-249, 2003

    19 김시연, "부적응 도식과 일상적 스트레스가 결혼만족에 미치는 영향: 지각된 부부 지지의 매개효과" 한국상담심리학회 20 (20): 1243-1265, 2008

    20 이인숙, "부인암 치료를 받는 기혼여성들의 우울, 불안, 배우자 지지" 17 (17): 58-68, 2003

    21 강유진, "부부관계에 관한 비합리적 신념이 결혼의 질에 미치는 영향" 한국가정관리학회 23 (23): 155-165, 2005

    22 이인정, "부부관계 맥락에서 유방암의 심리사회적 영향 - 국내외 논문분석 -" 한국사회복지연구회 40 (40): 37-61, 2009

    23 최은숙, "말기 암환자 가족의 돌봄 경험" 서울대학교 대학원 2006

    24 김희진, "결혼초기 부부관계향상 프로그램 개발에 관한 연구*- 긍정주의 심리치료 접근 중심으로 -" 한국상담심리학회 17 (17): 877-906, 2005

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    27 김재엽, "가정내 자녀학대경험이 청소년의 자살생각에 미치는 영향 및 사회적 지지관계의 조절효과" 사회복지연구소 21 : 119-144, 2009

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    45 Fergus, K. D., "Relationship vulnerabilities during breast cancer: patient and partner perspectives" 18 (18): 1311-1322, 2009

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