대한간호학회지 (Journal of Korean Academy of Nursing)

한국간호과학회 (Korean Society of Nursing Science)
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유방암 환자의 자조집단 참여 예측요인

Predictors of Participation in Support Groups among Women with Breast Cancer

  • 오진아 (인제대학교 의과대학 간호학과)
  • Oh, Jin-A (Department of Nursing, Inje University)
  • 발행 : 2007.08.31
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초록

Purpose: This study examined what characteristics and variables predict participation in support groups for women with breast cancer. Method: 282 women with breast cancer from 4 hospitals located in Busan were included in the study. Data was measured on each participant from September 2006 to February 2007. Data was collected using structured researcher-administered sheets and analyzed by descriptive statistics, t-test, chi-square test and logistic regression analysis. Results: The clients reported medium levels of illness perception, anxiety and depression, stress with coping, social support and self-efficacy. 48.9% of women with breast cancer participated in support groups. Significant influencing factors on the participation in support groups were 'operation time(+)', 'illness perception(+)', 'social support(-)', and 'self-efficacy(+)' Those variables explained 73.4%. Conclusion: It is necessary to develop a strategy or promoting program for promotion of illness perception and self-efficacy of women with breast cancer. Thus, it is essential to provide participation to a support group to a women with breast cancer.

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참고문헌

  1. Bryla, C. M. (1996). The relationship between stress and the development of breast cancer: a literature review. Oncol Nurs Forum, 23(3), 441-448
  2. Cameron, L. D., Booth, R. J., Schlatter, M., Ziginskas, D., Harman, J. E., & Benson, S. R. (2005). Cognitive and affective determinants of decisions to attend a group psychosocial support program for women with breast cancer. Psychosom Med, 67(4), 584-589 https://doi.org/10.1097/01.psy.0000170834.54970.f5
  3. Carver, C. S. (1997). You want to measure coping but your protocol's too long: consider the Brief COPE. Int J Behav Med, 4, 92-100 https://doi.org/10.1207/s15327558ijbm0401_6
  4. Cope, D. G. (1995). Functions of a breast cancer support group as perceived by the participants: An ethnographic study. Cancer Nurs, 18(6), 472-478 https://doi.org/10.1097/00002820-199512000-00008
  5. Dies, R. R. (1985). Leadership in Short-term Group Therapy: Manipulation or Facilitation? Int J Group Psychotherapy, 35(3), 435-355 https://doi.org/10.1080/00207284.1985.11491426
  6. Goodwin, P. J. (2005). Support groups in advanced breast cancer. Cancer, 1 (104, 11 Suppl), 2596-2601
  7. Gray, R., Fitch, M., Davis, C., & Phillips, C. (1997). A qualitative study of breast cancer self-help groups. Psychooncol, 6(4), 279-289 https://doi.org/10.1002/(SICI)1099-1611(199712)6:4<279::AID-PON280>3.0.CO;2-0
  8. Helgeson, V. S., Cohen, S., Schulz, R., & Yasko, J. (2000). Group support interventions for women with breast cancer: Who benefits from what? Health Psychol, 19(2), 107-114 https://doi.org/10.1037/0278-6133.19.2.107
  9. Katz, A. H., Hedrick, H. L., Isenberg, D. H., Thompson, L. M., & Goodrich, T. (1992). Self-group concepts and applications. Philadelphia: The Chales Press
  10. Kim, N. C., Kim, H. S., You, Y. S., Yong, J. S., & Song, M. S. (2003). Disease-related stress experienced by women with mastectomy: Q methodology. Korean J Women Health Nurs, 9(4), 379-389
  11. Kim, S. W., Kim H. J., Chung, K., Noh, D., Youn, Y., Oh, S. K., & Choe, K. J. (2003). The investigation of an age as a prognostic factor of breast cancer. J Korean Surg Soc, 64(1), 20-27
  12. Leadbeater, M. (2004). Evaluating use of a support group in secondary breast cancer care. Nurs Times, 100(50), 34-36
  13. Lee, J., Cho, J., Oh, J., Kim, S., & Kim, Y. (2006). Effects of an exercise program on physical functions and quality of life for mastectomy patients. Korean J Women Health Nurs, 12(1), 37-46
  14. Lehto, U. S., Ojanen, M, & Kellokumpu-Lehtinen, P. (2005). Predictors of quality of life in newly diagnosed melanoma and breast cancer patients. Ann Oncol, 16(5), 805-816 https://doi.org/10.1093/annonc/mdi146
  15. Merluzzi, T, V., & Martinez Sanchez, M. A. (1997). Assessment of self-efficacy and coping with cancer: development and validation of the cancer behavior inventory. Health Psychol, 16(2), 163-170 https://doi.org/10.1037/0278-6133.16.2.163
  16. Michalec, B. (2005). Exploring the multidimensional benefits of breast cancer support groups. J Psychosoc Oncol. 23(2-3), 159-179 https://doi.org/10.1300/J077v23n02_10
  17. Montazeri, A., Jarvandi, S., Haghighat, S., Vahdani, M., Sajadian, A., Ebrahimi, M., & Haji-Mahmoodi, M. (2001). Anxiety and depression in breast cancer patients before and after participation in a cancer support group. Patient Educ Couns, 45(3), 195-198 https://doi.org/10.1016/S0738-3991(01)00121-5
  18. Moss-Morris, R., Weinman, J., Petrie K. J., Horne, R., Cameron, L. D., & Buik, D. (2002). The revised illness perception questionnaire(IPQ-R). Psychol Helath, 17, 1-16 https://doi.org/10.1080/08870440290001494
  19. Pilisuk, M., Wentzel, P., Barry, O., & Tennant, J. (1997). Participant assessment of a nonmedical breast cancer support group. Altern Ther Health Med, 3(5), 72-80
  20. Rankin, N., Williams, P., Davis, C., & Girgis, A. (2004). The use and acceptability of a one-on-one peer support program for Australian women with early breast cancer. Patient Educ Couns, 53(2), 141-146 https://doi.org/10.1016/S0738-3991(03)00142-3
  21. Rutherford, D. E. (1988). Assessing psychosexual needs of women experiencing lumpectomy. Cancer Nurs, 11(4), 244-249
  22. Samarel, N., & Fawcett, J. (1992). Enhancing adaptation to breast cancer: The addition of coaching to support groups. Oncol Nurs Forum, 19(4), 591-596
  23. Stevens, M. J., & Duttlinger, J. E. (1998). Correlates of participation in a breast cancer support group. J Psychosom Res, 45(3), 263-275 https://doi.org/10.1016/S0022-3999(97)00296-1
  24. Stevenson, B. S., & Coles, P. M. (1993). A breast cancer support group: Activities and value to mastectomy patients. J Cancer Educ, 8(3), 239-242 https://doi.org/10.1080/08858199309528234
  25. Strecher, V. J., De Vellis, B. M., Becker, M. H., & Rosenstock, I. M. (1986). The role of self efficacy in achieving health behavior change. Health Educ Quart, 13(1), 73-91 https://doi.org/10.1177/109019818601300108
  26. Zeigler, L., Smith, P. A, & Fawcett, J. (2004) Breast cancer: Evaluation of the Common Journey Breast Cancer Support Group. J Clin Nurs. 13(4), 467-478 https://doi.org/10.1046/j.1365-2702.2003.00893.x
  27. Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatr Scand, 67, 361-370 https://doi.org/10.1111/j.1600-0447.1983.tb09716.x
  28. Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The multidimentional scale of perceived social support. J Pers Assess, 52, 30-41 https://doi.org/10.1207/s15327752jpa5201_2