입원 폐암 환자 가족의 부양부담 영향요인

Other Titles
The Factors Influencing Burden of Care on Families of Patients hospitalized with Lung Cancer
Authors
서예지
Abstract
This study is a descriptive research study to investigate the factors that affect caregiving burden on families of patients hospitalized with lung cancer. The study was conducted on 107 families of lung cancer patients staying in the pulmonology ward of K university hospital in D metropolitan city, South Korea. Data was collected between 28th of July and 28th of September, 2017. Depression of the families of hospitalized lung cancer patients was measured using the Korean version of CES-D and social support was measured by the tool invented by Hong, Ju-Woo (1999), whereas the burden of care was measured using ZBI-K. FEV1/FVC was used to measure the lung function of the patients and symptoms of lung cancer were measured using the Korean version of MDASI-LC by MD Anderson Cancer Center. Data analysis was conducted using the SPSS 20.0 program, which included descriptive statistics, t-test, ANOVA, Pearson correlation coefficient and stepwise regression. The results of the study showed the burden placed on caregivers of hospitalized lung cancer patients to be 44.13 out of 88. The burden of caregiving that was placed on families differed with statistical significance, depending on whether there were other caregivers available (t=-2.05, p=.043) and the duration of hospitalization (t=-2.05, p=.043). The results of the regression analysis showed the regression model to be significant for caregiving burden on families of hospitalized lung cancer patients (F=29.91, p=<.001) with an explanation power of 35% (Adj. R²=.35). Factors which affected caregiving burden were depression of the family (β=.55) and symptoms of the patient (β=.20). In conclusion, the burden that was placed on the families of hospitalized lung cancer patients increased with the degree of depression of the family caregivers and the symptoms of the patient. Therefore, for the well-being of the families who are the main supporters of the patient, these factors need to be taken in consideration in developing nursing interventions and policies to reduce the burden of caregiving.
본 연구는 입원 폐암 환자 가족의 부양부담에 미치는 영향요인을 파악하 기 위한 서술적 조사연구로, 연구대상자는 D광역시에 소재한 K대학병원 호 흡기내과 병동에 입원 치료중인 폐암 환자 가족 107명으로, 2017년 7월 28일부터 2017년 9월 28일까지 자료수집이 진행되었다. 입원 폐암 환자 가족의 우울은 한국판 CES-D로 측정하였고, 사회적 지 지는 홍주우(1999)의 사회적 지지 도구로 측정하였으며, 부양부담은 ZBI-K로 측정하였다. 환자의 폐기능은 FEV1/FVC를 이용하여 측정하였고, 폐암 증상은 MD Anderson Cancer Center의 MDASI-LC의 한국판 도구 로 측정하였다. 자료분석은 SPSS 20.0 program을 이용하여 기술통계, t-test, ANOVA, Pearson 상관계수, 단계적 회귀분석(Stepwise regression)으로 분석하였다. 본 연구의 결과, 입원 폐암환자 가족의 부양부담은 88점 만점에 44.13 점이었다. 입원 폐암환자 가족의 부양부담은 가족의 조력자유무(t=-2.05, p=.043), 환자의 입원기간(t=-2.05, p=.043)에 따라 통계적으로 유의한 차 이가 있었다. 회귀분석 결과 입원 폐암환자 가족의 부양부담에 대한 회귀모 형은 유의하였고(F=29.91, p=<.001), 설명력은 35%(Adj. R²=.35)이었으 며, 부양부담의 영향요인은 가족의 우울(β=.55), 환자의 폐암증상(β=.20) 순으로 나타났다. 본 연구결과, 입원 폐암 환자 가족의 우울과 환자의 폐암증상이 높을수록 가족의 부양부담이 높아지는 것으로 나타났으며, 환자의 간호에 있어 환자 의 주된 지지체계인 가족의 안녕을 위해 부양부담을 줄일 수 있는 제도와 간호중재의 개발에 있어 이러한 요인을 고려할 필요가 있다.
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/30036
Appears in Collections:
3. Thesis (학위논문) > 2. College of Nursing (간호대학) > 석사
Full Text
http://dcollection.kmu.ac.kr/jsp/common/DcLoOrgPer.jsp?sItemId=000000116881
File in this Item
There are no files associated with this item.
Export
RIS (EndNote)
XLS (Excel)
XML


qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

BROWSE