Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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The Effects of Psychosocial Interventions to Improve Stress and Coping in Patients with Breast Cancer

유방암 환자의 스트레스 대응능력 증진을 위한 심리사회적중재의 효과

  • Kim Cho Ja (College of Nursing, Yonsei University) ;
  • Hur Hea Kung (Department of Nursing, Wonju College of Medicine, Yonsei University) ;
  • Kang Duck Hee (School of Nursing, University of Alabama at Birmingham) ;
  • Kim Bo Hwan (Department of Microbiology, Wonju College of Medicine, Graduate School of Yonsei University)
  • 김조자 (연세대학교 간호대학) ;
  • 허혜경 (연세대학교 원주의과대학 간호학과) ;
  • 강덕희 (미국알리바마 대학교 간호학교) ;
  • 김보환 (연세대학교 대학원)
  • Published : 2006.02.01
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Abstract

Purpose: The purpose of this study was to examine stress, coping, and immune response effects of a psychosocial intervention program based on the PNI model and Stress-Appraisal-Coping for Korean patients with breast cancer. Methods: A nonequivalent control group pretest-posttest design was used. The participants who had survived breast cancer and lived in Wonju city and the surrounding area were assigned to an intervention group (N=21) or a control group(N=18).We conducted a 12-week intervention, 2 hours a day weekly, and measured the variables at baseline, six and twelve weeks later. Dependent variables are: stress, anxiety-depression and anger, and immune response. Results: Patients in the psychosocial intervention program reported significantly less stress perception (U=31.500, p=.023), more problem solving ability and less problem avoidance in coping (U=20.500, p= .013; U=29.500, p=.040), and less anxiety-depression (U=22.000, p=.023). No difference, however, was found in anger and. immune responses between the two groups. Intervention effects were evident at week 6 and 12 for anxiety-depression, and at week 6 for problem avoidance in coping, the same time that NK cell counts and the T8 decreased. Conclusions: These results suggested positive effects of a psychosocial intervention program. However, the results are inconclusive due to the small sample.

Keywords

References

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