희망중재가 재가 암환자의 희망과 우울에 미치는 효과

Other Titles
The Effects of Hope Intervention on hope and depression of Cancer Patient Staying at Home
Authors
신아미
Issue Date
2007-06
Awarded Date
2007
Abstract
The purpose of this study was to identify the effects of hope intervention on hope and depression of cancer patient staying at home. The study design was a randomized control group design. The subjects of the study consisted of randomly selected forty cancer diagnosed patients who were the low-income and registered S-Gu Public Health Center. Four people were excluded from this study(3 were dead, 1 refused). Final randomly assigned experimental group were 17 and control group were 19 patients. Hope intervention which involved in enhancing hope increasing methods and support method(foot relaxing massage and aroma therapy) was provided from November 20, 2006 to January 26, 2007. The Tool used for this study were Hope Scale developed by Miller(1988) and translated into Korean by Lee(1992), Hope Index Scale from Nursing Outcomes Classification(Marion & Meridean, 1997/1999), and modified Depression Scale by Song(1997), which was developed by Zung(1965). Data were analyzed by descriptive statistics and t-test. The results of this study are as follows: The 1-1st hypothesis, "The experimental group which received hope intervention will have a higher level of hope than the control group", was supported(t=-3.253, p=.003). The 1-2nd hypothesis, "The experimental group which received hope intervention will have a higher level of hope index than the control group", was supported (t=-4.001, p=.000). Therefore the 1st hypothesis was supported. The 2nd hypothesis, "The experimental group which received hope intervention will have a lower level of depression than the control group", was not supported (t=1.872, p=.070). From the above results, it can be concluded that hope intervention is one of the effective nursing interventions to enhance hope for people with cancer. This intervention couldn't decrease depression level but if hope intervention in long-term or special intervention to decrease were applied it might be helpful to decrease depression level. Hope intervention is necessary to home visiting nursing program for low income cancer patient.
본 연구의 목적은 희망중재가 재가 암환자의 희망과 우울에 미치는 효과를 검증하는 것이다.연구설계는 무작위 대조군 전후 설계이다. 대상자는 S구 보건소에 등록되어 있는 저소득층 재가 암환자 중 40명을 무작위 추출하였으며,실험군 20명,대조군 20명으로 무작위 할당하였다. 실험에 참여한 대상자중 3명이 죽고 1명이 실험참여를 거부하여 4명이 탈락하여 최종 실험군 대상자는 17명,대조군 대상자는 19명이었다. 희망중재는 희망 증진 방법과 보조요법(발마사지와 아로마요법)을 포함하여 개발하였으며,2006년 11월 20일에서 2007년 1월 26까지 실시하였다. 연구도구는 Miller(1988)가 개발한 희망측정도구를 이(1992)가 번역한 희망측정도구,간호 결과 분류(Marion & Meridean,1997/1999)에 제시된 희망지표,Zung(1965)에 개발되어 송(1997)에 의해 수정된 우울측정도구를 사용하였다. 자료 분석은 일반적 특성은 실수와 백분율로 나타내고 가설검증은 t-test로 하였다.결과는 아래와 같다. 제 1-1가설 “희망중재를 받은 실험군은 희망중재를 받지 않은 대조군보다 희망 점수가 높을 것이다”는 지지되었다(t=-3.253,p=.003). 제 1-2가설 “희망중재를 받은 실험군은 희망중재를 받지 않은 대조군보다 희망 지표 점수가 높을 것이다”는 지지되었다(t=-4.001,p=.000). 따라서 제 1가설 “희망중재를 받은 실험군은 희망중재를 받지 않은 대조군보다 희망 정도가 높을 것이다”는 지지되었다. 제 2가설 “희망중재를 받은 실험군은 희망중재를 받지 않은 대조군보다 우울 점수가 낮을 것이다”는 기각되었다(t=1.872,p=.070). 이상의 연구결과를 통하여 희망중재는 재가 암환자의 희망을 증진시키는데 도움이 된다는 결론을 내릴 수 있다.비록 우울을 감소시키지는 못했지만 우울을 감소시키는 중재가 추가로 더 들어가거나 희망중재를 제공하는 기간이 길어진다면 우울을 감소시키는데 도움이 될 수 있으리라 사료된다.
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/11099
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3. 학위논문 > 2. College of Nursing (간호대학) > 석사
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