본 연구는 Pender(1996)의 건강증진모형을 중심으로 유방암 환자의 건강증진행위 예측요인을 파악하기 위해 시도한 서술적 조사연구이다. 2015년 9월 18일부터 10월 26일까지 구조화된 설문지를 이용하여 유방암 환자 121명을 대상으로 자료를 수집하였다. 수집된 자료는 SPSS 20.0 for Windows 프로그램을 이용하여 t-test, ANOVA와 Scheffe 사후검정, Pearson correlation coefficients 및 위계적 다중회귀분석 방법으로 분석하였다. 대상자의 건강증진행위 예측요인은 사회적지지, 행동계획 몰입, 이전건강 행위, 행위관련 감정, 지각된 자기효능감, 가족기능, 지각된 유익성, 상황적 영향 등 8가지 변수로 파악되었고, 총 설명력은 58%이었다. 이상으로 유방암 환자들이 재활기에 최적의 건강을 유지하고 질 높은 삶을 살 수 있도록 돕기 위해서는 대상자의 건강증진행위 수준을 상승시키도록 돕는 간호중재의 개발과 적용이 필요하다. 특히 본 연구결과 유방암 환자의 건강증진행위 예측요인으로 밝혀진 사회적 지지, 행동계획 몰입, 이전건강 행위, 행위관련 감정, 지각된 자기효능감, 가족기능, 지각된 유익성 및 상황적 영향 수준이 낮은 대상자들에게 특별히 관심을 가질 필요가 있겠다.
This study was conducted to examine the predictive factors for health promotion behaviors of breast cancer patients, focusing on Pender's health promotion model (1996). Data were collected from 121 patients using a structured questionnaire from September 18 to October 26 in 2015. The data were analyzed with a t-test, ANOVA, Pearson's correlation coefficients, and hierarchical multiple regression analysis using SPSS 20.0 for Windows. The predictive factors for the health promotion behavior of the participants were social support, commitment to a plan of action, prior behavior, activity related effects, perceived self-efficacy, family function, perceived benefits of action, and situational influences. The total explanatory power of these factors was 57.8%. Development and application of a nursing intervention plan that enhances patient compliance with health promotion behavior is needed to enable breast cancer patients undergoing rehabilitation to maintain their optimal health and live a high-quality life. Patients who showed a low degree of predictive factors identified in this study are in particular need of attention.
받으면서 통증, 피로, 어깨관절 기능저하, 림프부종등의 신체적 문제는 물론 스트레스, 불안, 우울과 같은 정서적 문제, 가정과 직장에서 역할 상실로 인한 사회적 문제 등 다양하면서도 다측면적인 문제를 경험하고 있었다
대상자들은 유방절제술 이후 여성의 상징인 유방을 상실함으로써 성자존감 저하, 성 정체감 상실과 같은 성(sexuality)문제를 경험하였다[2-3]. 또한, 보조 치료요법을 받으면서 통증, 피로, 어깨관절 기능저하, 림프부종등의 신체적 문제는 물론 스트레스, 불안, 우울과 같은 정서적 문제, 가정과 직장에서 역할 상실로 인한 사회적 문제 등 다양하면서도 다측면적인 문제를 경험하고 있었다
그 이유는 유방검진의 활성화로 조기 발견의 빈도가 증가하였고, 신약개발이 활발해지면서 수술 후 보조요법 사용이 늘어나 생존율이 상승하였기 때문이다
유방암은 높은 발생율에도 불구하고 다른암에 비해 비교적 예후가 좋은 것으로 알려져 있다. 그 이유는 유방검진의 활성화로 조기 발견의 빈도가 증가하였고, 신약개발이 활발해지면서 수술 후 보조요법 사용이 늘어나 생존율이 상승하였기 때문이다. 실제 2006-2010년 동안 5년 생존율과 10년 생존율은 각각 91%와 82.
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