본 연구는 진행성폐암 환자를 대상으로 신체활동, 증상 경험 및 극복력을 측정하고 각 변수 간에 관계를 파악하여 극복력에 영향을 미치는 요인을 확인하기 위한 서술적 조사 연구이다. 본 연구의 대상은 경기도 소재 3차 의료기관인 S대학병원에서 진행성폐암으로 진단 후 호흡기내과에서 치료 중인 입원 환자 90명을 대상으로 자료를 분석하였다. 연구도구로는 극복력은 Connor-Davidson Resilience scale 2 (CD-RISC2), 증상경험은 M. D. Anderson symptom Inventory-Lung ...
본 연구는 진행성폐암 환자를 대상으로 신체활동, 증상 경험 및 극복력을 측정하고 각 변수 간에 관계를 파악하여 극복력에 영향을 미치는 요인을 확인하기 위한 서술적 조사 연구이다. 본 연구의 대상은 경기도 소재 3차 의료기관인 S대학병원에서 진행성폐암으로 진단 후 호흡기내과에서 치료 중인 입원 환자 90명을 대상으로 자료를 분석하였다. 연구도구로는 극복력은 Connor-Davidson Resilience scale 2 (CD-RISC2), 증상경험은 M. D. Anderson symptom Inventory-Lung Cancer Module(MDASI-LC Korea), 신체활동은 International Physical Activity Questionnaire(IPAQ)를 이용하였다. 수집된 자료는 SPSS/Win 20.0 프로그램을 이용하여 기술통계, t-test와 ANOVA, Scheff's test, Pearson 상관관계 분석, 위계적 회귀분석을 하였다. 신체활동은 평균 672.07(±727.97), 증상경험은 평균 3.58(±2.55)이었고, 하위 영역인 증상 정도는 평균 3.69(±2.59), 일상생활에 지장을 주는 정도는 3.47 (±2.72)로 나타났다. 마지막으로 극복력은 평균 4.93(±2.55)인 것으로 나타났다. 일반적 특성 및 질병관련 특성에 따른 신체활동에서 통계적으로 유의한 차이를 보인 변인은 연령(F=4.539, p=.014), 교육정도(F=5.357, p=.002), 종교(F=2.294, p= .025), 월소득(F=12.960, p<.001), 경제적 부담(F=3.619, p=.017), ECOG(F=7.259, p=.001)이었다. 일반적 특성 및 질병관련 특성에 따른 증상경험에서 통계적으로 유의한 차이를 보인 변인은 교육정도(F=7.112, p<.001), 직업(F=3.300, p=.015), 월소득(F=7.666, p<.001), 동발질환 유무(F=2.365, p=.020), ECOG(F=14.363, p<.001)이었다. 일반적 특성 및 질병관련 특성에 따른 극복력에서 통계적으로 유의한 차이를 보인 변인은 연령(F=4.397, p=.0.15), 교육정도(F=11.667, p<.001), 결혼상태(F= 2.526, p=.015), 월 소득(F=13.217, p<.001)이었다. 진행성 폐암 환자의 신체활동과 증상경험은 음의 관련성이 있는 것으로 나타났으며(r=-.417, p<.001), 극복력과는 양의 관련성이 있는 것으로 나타났다(r=.433, p<.001). 또한 증상경험과 극복력은 강한 음의 관련성이 있는 것으로 나타났다(r=-.826, p<.001). 진행성 폐암 환자의 극복력과 관련 요인의 관련성을 확인하기 위해 위계적 회귀분석을 시행한 결과 교육정도가 75.9%의 설명력을 가지고 있는 변수로 분석되었다.
본 연구는 진행성폐암 환자를 대상으로 신체활동, 증상 경험 및 극복력을 측정하고 각 변수 간에 관계를 파악하여 극복력에 영향을 미치는 요인을 확인하기 위한 서술적 조사 연구이다. 본 연구의 대상은 경기도 소재 3차 의료기관인 S대학병원에서 진행성폐암으로 진단 후 호흡기내과에서 치료 중인 입원 환자 90명을 대상으로 자료를 분석하였다. 연구도구로는 극복력은 Connor-Davidson Resilience scale 2 (CD-RISC2), 증상경험은 M. D. Anderson symptom Inventory-Lung Cancer Module(MDASI-LC Korea), 신체활동은 International Physical Activity Questionnaire(IPAQ)를 이용하였다. 수집된 자료는 SPSS/Win 20.0 프로그램을 이용하여 기술통계, t-test와 ANOVA, Scheff's test, Pearson 상관관계 분석, 위계적 회귀분석을 하였다. 신체활동은 평균 672.07(±727.97), 증상경험은 평균 3.58(±2.55)이었고, 하위 영역인 증상 정도는 평균 3.69(±2.59), 일상생활에 지장을 주는 정도는 3.47 (±2.72)로 나타났다. 마지막으로 극복력은 평균 4.93(±2.55)인 것으로 나타났다. 일반적 특성 및 질병관련 특성에 따른 신체활동에서 통계적으로 유의한 차이를 보인 변인은 연령(F=4.539, p=.014), 교육정도(F=5.357, p=.002), 종교(F=2.294, p= .025), 월소득(F=12.960, p<.001), 경제적 부담(F=3.619, p=.017), ECOG(F=7.259, p=.001)이었다. 일반적 특성 및 질병관련 특성에 따른 증상경험에서 통계적으로 유의한 차이를 보인 변인은 교육정도(F=7.112, p<.001), 직업(F=3.300, p=.015), 월소득(F=7.666, p<.001), 동발질환 유무(F=2.365, p=.020), ECOG(F=14.363, p<.001)이었다. 일반적 특성 및 질병관련 특성에 따른 극복력에서 통계적으로 유의한 차이를 보인 변인은 연령(F=4.397, p=.0.15), 교육정도(F=11.667, p<.001), 결혼상태(F= 2.526, p=.015), 월 소득(F=13.217, p<.001)이었다. 진행성 폐암 환자의 신체활동과 증상경험은 음의 관련성이 있는 것으로 나타났으며(r=-.417, p<.001), 극복력과는 양의 관련성이 있는 것으로 나타났다(r=.433, p<.001). 또한 증상경험과 극복력은 강한 음의 관련성이 있는 것으로 나타났다(r=-.826, p<.001). 진행성 폐암 환자의 극복력과 관련 요인의 관련성을 확인하기 위해 위계적 회귀분석을 시행한 결과 교육정도가 75.9%의 설명력을 가지고 있는 변수로 분석되었다.
Lung cancer (LC) is the most common cancer and the leading cause of cancer death in Korea. Although the relative 5-year survival rate is quite low, approximately 40 and 27 percent of lung cancer survivors will be alive 12 and 24 months post-diagnosis, respectively (American Cancer Society, 2007). Tr...
Lung cancer (LC) is the most common cancer and the leading cause of cancer death in Korea. Although the relative 5-year survival rate is quite low, approximately 40 and 27 percent of lung cancer survivors will be alive 12 and 24 months post-diagnosis, respectively (American Cancer Society, 2007). Treatment advances may further extend survival times. Advanced LC survivors, however, typically report a greater number of disease-related symptoms than do other cancer survivors and report that their somatic symptoms are quite distressing. Some studies examining the experiences of other types of cancer survivors have used experience sampling methods. These studies have generally demonstrated that individuals’ somatic symptoms, mood, and coping approaches fluctuate over time, and that many survivors of cancer demonstrate a good deal of resilience. The purpose of this study is identify symptom experience and physical activity as predictors of resilience in patients with advanced lung cancer. A total of 90 inpatients who were consecutively hospitalized for their scheduled treatments at S university hospital were recruited to participate in this study. Subjects were eligible for study participation if they were 18 years over, were aware of their diagnosis of advanced lung cancer, had sufficiently intact cognitive ability to complete self-rating questionnaires, and had no current psychotic disorders. The study was approved by the Institutional Review Board of S university Hospital. Participants completed three self-reported measures including the Connor–Davidson Resilience Scale 2 (CD-RISC2), the M. D. Anderson symptom Inventory-Lung Cancer Module (MDASI-LC Korea), and the International Physical Activity Questionnaire (IPAQ) to measure resilience, symptom experience, and physical activity. The collected data was investigated using descriptive statistics, t-test and one-way ANOVA, post-hoc test, Pearson correlation analysis, and hierarchical regression analysis with the SPSS / Win 20.0 program. A value of α < 0.05 was considered significant for two-tailed tests. Physical activity was 672.07 (± 727.97) on average; symptoms experience 3.58 (± 2.55) on average; severity of symptoms as a sub-region 3.69 (± 2.59) on average, and degree to interfere with the daily life 3.47 (± 2.72) on average. Variables that have showed a statistically significant in physical activity in accordance with the general characteristics and disease-related characteristics were age (F = 4.539, p = .014), educational level (F = 5.357, p = .002), religion (F = 2.294, p = .025), monthly income (F = 12.960, p <.001), economic burden (F = 3.619, p = .017), and ECOG (F = 7.259, p = .001). Variables that have showed a statistically significant in symptom experience in accordance with the general characteristics and disease-related characteristics were education background (F = 7.112, p <.001), job (F = 3.300, p = .015), monthly income (F = 7.666, p <.001), comorbidities or not (F = 2.365, p = .020), and ECOG (F = 14.363, p <.001). Variables that have showed a statistically significant in resilience symptom experience in accordance with the general characteristics and disease-related characteristics were age (F = 4.397, p = .0.15), educational level (F = 11.667, p <.001), marital status (F = 2.526, p = .015), and monthly income (F = 13.217, p <.001). Physical activity and experience symptoms in patients with advanced lung cancer showed a negative association (r = -. 417, p <.001) and resilience in them a positive association (r = .433, p <.001). In addition, symptom experience and resilience symptoms was found to have a strong negative association (r = -. 826, p <.001). The hierarchical regression analysis in order to confirm the relevance of resilience and its related factors in patients with advanced lung cancer revealed education background as a variable with explanatory power of 75.9%. In conclusion, these findings support the clinical importance of education status and symptom experience in predicting psychological resilience among advanced lung cancer patients. Our findings also lend further evidence for the clinical implication of efforts to enhance psychological resilience in reducing emotional distress among cancer patients.
Lung cancer (LC) is the most common cancer and the leading cause of cancer death in Korea. Although the relative 5-year survival rate is quite low, approximately 40 and 27 percent of lung cancer survivors will be alive 12 and 24 months post-diagnosis, respectively (American Cancer Society, 2007). Treatment advances may further extend survival times. Advanced LC survivors, however, typically report a greater number of disease-related symptoms than do other cancer survivors and report that their somatic symptoms are quite distressing. Some studies examining the experiences of other types of cancer survivors have used experience sampling methods. These studies have generally demonstrated that individuals’ somatic symptoms, mood, and coping approaches fluctuate over time, and that many survivors of cancer demonstrate a good deal of resilience. The purpose of this study is identify symptom experience and physical activity as predictors of resilience in patients with advanced lung cancer. A total of 90 inpatients who were consecutively hospitalized for their scheduled treatments at S university hospital were recruited to participate in this study. Subjects were eligible for study participation if they were 18 years over, were aware of their diagnosis of advanced lung cancer, had sufficiently intact cognitive ability to complete self-rating questionnaires, and had no current psychotic disorders. The study was approved by the Institutional Review Board of S university Hospital. Participants completed three self-reported measures including the Connor–Davidson Resilience Scale 2 (CD-RISC2), the M. D. Anderson symptom Inventory-Lung Cancer Module (MDASI-LC Korea), and the International Physical Activity Questionnaire (IPAQ) to measure resilience, symptom experience, and physical activity. The collected data was investigated using descriptive statistics, t-test and one-way ANOVA, post-hoc test, Pearson correlation analysis, and hierarchical regression analysis with the SPSS / Win 20.0 program. A value of α < 0.05 was considered significant for two-tailed tests. Physical activity was 672.07 (± 727.97) on average; symptoms experience 3.58 (± 2.55) on average; severity of symptoms as a sub-region 3.69 (± 2.59) on average, and degree to interfere with the daily life 3.47 (± 2.72) on average. Variables that have showed a statistically significant in physical activity in accordance with the general characteristics and disease-related characteristics were age (F = 4.539, p = .014), educational level (F = 5.357, p = .002), religion (F = 2.294, p = .025), monthly income (F = 12.960, p <.001), economic burden (F = 3.619, p = .017), and ECOG (F = 7.259, p = .001). Variables that have showed a statistically significant in symptom experience in accordance with the general characteristics and disease-related characteristics were education background (F = 7.112, p <.001), job (F = 3.300, p = .015), monthly income (F = 7.666, p <.001), comorbidities or not (F = 2.365, p = .020), and ECOG (F = 14.363, p <.001). Variables that have showed a statistically significant in resilience symptom experience in accordance with the general characteristics and disease-related characteristics were age (F = 4.397, p = .0.15), educational level (F = 11.667, p <.001), marital status (F = 2.526, p = .015), and monthly income (F = 13.217, p <.001). Physical activity and experience symptoms in patients with advanced lung cancer showed a negative association (r = -. 417, p <.001) and resilience in them a positive association (r = .433, p <.001). In addition, symptom experience and resilience symptoms was found to have a strong negative association (r = -. 826, p <.001). The hierarchical regression analysis in order to confirm the relevance of resilience and its related factors in patients with advanced lung cancer revealed education background as a variable with explanatory power of 75.9%. In conclusion, these findings support the clinical importance of education status and symptom experience in predicting psychological resilience among advanced lung cancer patients. Our findings also lend further evidence for the clinical implication of efforts to enhance psychological resilience in reducing emotional distress among cancer patients.
※ AI-Helper는 부적절한 답변을 할 수 있습니다.