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Journal of Korean Academy of Fundamentals of Nursing 2007;14(4): 457
암 환자의 질병.치료관련 요인에 따른 불편감과 영적안녕에 관한 연구
배수현1, 박정숙2
1가톨릭상지대학 간호과
2계명대학교 간호대학
Symptom Distress and Spiritual Well-Being in Patients with Cancer according to Illness and Treatment
Su-Hyun Bae1, Jeong-Sook Park2
1Department of Nursing, Catholic Sangji College
2College of Nursing Keimyung University
Abstract
Purpose: This study was done to analyze symptom distress and spiritual well-being in patients with cancer according cancer diagnosis, metastasis, treatment stage, number of hospitalizations and treatment modality.
Method: The participants, 285 patients being treated in one of ten general hospitals either as in- or out-patients, completed the McCorkle and Young(1978) Symptom Distress Scale translated and adapted by Uhm(1986) and the Spiritual Well-Being Scale by Paloutzian and Ellison(1982) translated by Choi(1990). Data collection was done from June 19 to September 30, 2006.
Results: For symptom distress, there were significant differences for cancer diagnosis(p=.018), metastasis(p=.000), treatment stage(p=.000), number of hospitalizations(p=.000), and treatment modality(p=.002). For spiritual well-being, the only significant difference was for cancer diagnosis(p=.002). Patients with ovarian/uterine cancer had the lowest spiritual well-being.
Conclusion: For patients with cancer, symptom distress was significantly different for illness and treatment factors, in particular, stage of illness, while for spiritual well-being, patients with uterine ovarian cancer had the lowest spiritual level. These results indicate a need to develop nursing interventions to decrease symptom distress in patients according to treatment stage and to promote spiritual well-being, particularly in women with ovarian/uterine cancer.
Key words: Neoplasms | Signs and Symptoms | Spirituality
주요어: 암 환자 | 불편감 | 영적안녕
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