Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Influencing Factors on Uncertainty of Patients Undergoing Chemotherapy for Lung Neoplasms

항암화학요법을 받는 폐암환자의 불확실성 영향요인

  • Received : 2017.02.14
  • Accepted : 2017.04.07
  • Published : 2017.04.30
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Abstract

This descriptive correlational study was conducted to identify the factors influencing the uncertainty of patients undergoing chemotherapy for lung neoplasms. One hundred and eleven patients were recruited from the chemotherapy clinic of a university hospital. Data were collected from July 25 to December 31, 2014, and analyzed by descriptive statistics, the t-test, ANOVA, the Scheffe test, Pearson's product moment correlation coefficients and multiple regression analysis with SPSS for Windows Version 18.0. The mean score of the uncertainty of the patients undergoing chemotherapy for lung neoplasms was 2.61(${\pm}0.46$), which was higher than that of the patients with other diseases. The uncertainty was positively correlated with the seriousness of the illness (r=.74, p<.01) and consistency of the symptoms (r=.27, p<.01). Multiple regression analysis showed that the (main) factor influencing the uncertainty was the seriousness of the illness, which explained 54% of the uncertainty of the patients undergoing chemotherapy for lung neoplasms. As a result, nursing interventions are needed to reduce the uncertainty of lung neoplasm patients who are receiving chemotherapy. The seriousness of the illness should be considered when developing nursing interventions to reduce the uncertainty of lung neoplasm patients.

본 연구는 항암화학요법을 받는 폐암환자의 불확실성과 불확실성 영향요인을 파악하기 위한 서술적 상관관계 연구이다. 연구 대상자는 일 대학병원에서 항암화학요법을 받고 있는 폐암환자 111명을 대상으로 하였다. 자료는 2014년 7월 25일부터 12월 31일까지 수집하였다. 수집된 자료는 SPSS Window 18.0 Program을 이용하였고, 빈도와 백분율, 평균과 표준편차, t-test, ANOVA, Scheffe test, median, standard deviations, Pearson's product moment correlation coefficient와 multiple regression analysis로 분석하였다. 연구 결과 항암화학요법을 받는 폐암환자의 불확실성은 평균 평점 2.61(${\pm}0.46$)점으로 다른 질병을 가진 환자의 불확실성 정도보다 높았다. 항암화학요법을 받는 폐암환자의 불확실성과 질병의 심각성, 증상의 일관성, 사건의 친숙성, 의료인에 대한 신뢰, 일상 활동 능력, 자기 효능감, 사회적 지지와의 관계를 분석한 결과 불확실성과 질병의 심각성 간의 상관계수는 .74(<.01), 불확실성과 증상의 일관성 간의 상관관계는 .27(<.01)이었다. 질병에 대한 심각성이 불확실성에 가장 영향을 미치는 변수로 나타났으며, 전체 설명력은 54%이었다. 이상에서 항암화학요법을 받는 폐암환자의 불확실성을 감소시키기 위한 간호중재가 필요할 뿐만 아니라 폐암 환자의 간호중재에는 질병의 심각성을 고려한 간호중재가 이루어져야 할 것이다.

Keywords

References

  1. M. H. Mishel, "Uncertainty in illness", Journal of Nursing Scholarship, vol. 20, no. 4, pp. 225-232, 1988. DOI: https://doi.org/10.1111/j.1547-5069.1988.tb00082.x
  2. Y. J. Park, "Uncertainty, anxiety, and social support among preoperative patients of cancer : a correlational study [dissertation]", Seoul: Korea. Seoul National University, 2015.
  3. K. O. Kim, "Influences of uncertainty and social support on the quality of life among elderly cancer patients [dissertation]", Seoul: Korea. Hanyang University. 2014.
  4. H. J. Kim, M. S. Lee, "Anxiety, Depression and Uncertainty in Cancer Patients Participating in Clinical Trial of Anticancer Drugs", Korean Journal of Adult Nursing, vol. 25, no. 1, pp. 53-61, 2013. DOI: https://doi.org/10.7475/kjan.2013.25.1.53
  5. H. R. Kim, "Relationship between uncertainty, sick role behaviors, and quality of life of rehospitalized patients underwent percutaneous coronary intervention", Journal of Korean clinical nursing research, vol. 20, no. 3, pp. 279-289, 2014. https://doi.org/10.22650/JKCNR.2014.20.3.279
  6. H. S. Jang, C. S. Lee, Y. H. Yang, "Influence of uncertainty and uncertainty appraisal on self-management in hemodialysis patients", Journal of Korean Academy of Nursing, vol. 45, no. 2, pp. 271-279, 2015. DOI: https://doi.org/10.4040/jkan.2015.45.2.271
  7. S. H. Cho, K. S. Gyeong, "Uncertainty, Self-care Agency and Physiological Index in Acute Myocardial Infarction Patients who Underwent Primary Percutaneous Coronary Intervention", The Korean Journal of Health Service Management, vol. 9, no. 4, pp. 105-117, 2015. DOI: https://doi.org/10.12811/kshsm.2015.9.4.105
  8. S. H. Kim, H. J. Lee, "Effects of Supportive Nursing Care Program on Hip Function, Anxiety and Uncertainty for Patients with Total Hip Arthroplasty", Journal of Korean Clinical Nursing Research, vol. 19, no. 3, 2013.
  9. K. S. Cha, K. H. Kim, "Impact of uncertainty on Resilience in Cancer Patients", Journal of Korean Oncology Nursing, vol. 12, no. 2, pp. 139-146, 2012. DOI: https://doi.org/10.5388/aon.2012.12.2.139
  10. E. J. Shin, Y. S. Lee, "The effect of nursing information on anxiety and uncertainty in patients for endoscopic submucosal dissection before the procedure of the patients", Journal of the Korea Academia-Industrial cooperation Society, vol. 17, no. 2, pp. 66-74, 2016. DOI: http://dx.doi.org/10.5762/KAIS.2016.17.2.66
  11. A. L. Kim, "Depression, Uncertainty, Patient Provider Relationship and Compliance of Health Behavior of Myocardial Infarction Patient", Journal of the Korean data analysis society, vol. 17, no. 1, pp. 423-437, 2015.
  12. Y. M. Choo, "The influence of uncertainty, appraisal of uncertainty, and resilience on quality of life in women with gynecological disorders undergoing laparoscopic surgery[dissertation]", Busan: Korea. Busan National University. 2015.
  13. A. Y. Yoon, "The Factors that affect Death Anxiety of the Elderly with Heart Disease", Seoul: Korea. KyungHee University. 2014.
  14. M. H. Jun, J. Y. Jung, M. S. Kim, "Factors affecting post-operative uncertainty of the patients undergone lumbar spinal surgery", Journal of muscle and joint health, vol. 19, no. 3, pp. 294-307, 2012. https://doi.org/10.5953/JMJH.2012.19.3.294
  15. M. S. Lee, Y. H. Kang, "Correlation of Uncertainty, Coping, and Health-Promoting Behavior in Patients with Gastric Cancer following Gastrectomy", Journal of Korean Clinical Nursing Research, vol. 21, no. 2, pp. 223-233, 2015. https://doi.org/10.22650/JKCNR.2015.21.2.223
  16. B. Somjaivong, S. Thanasilp, S. Preechawong, R. Sloan, "Uncertainty and coping on health-related quality of life among cholangiocarcinoma patients in northeast Thailand", Cancer Nursing, vol. 34, no. 6, pp. 434-442, 2011. DOI: https://doi.org/10.1097/NCC.0b013e31820d0c3f
  17. S. H. Kim, "Comparison of factors affecting uncertainty between the patients with lung cancer in adult and the elderly[dissertation]", Seoul: Korea. Kyunghee University. 2011.
  18. S. Y. Kim, "Uncertainty and related factors in young women with breast cancer[dissertation]", Seoul: Korea. Seoul National University. 2015.
  19. A Study on Quality of Life in Lung Cancer Patients with Chemotherapy, The Kyungpook University medical journal, vol. 37, no. 3, pp. 387-398, 1996.
  20. J. M. Jacobs-Lawson, M. M. Schumacher, T. Hughes, S. Arnold, "The relationship between lung cancer patients' educational level and evaluation of their treatment information needs", Journal of Cancer Education, vol. 24, no. 4, 2009. DOI: http://doi.org/10.1080/08858190902876601
  21. C. W. Chung, M. J. Kim, M. H. Rhee, H. G. Do, "Functional Status and Psychosocial Adjustment in Gynecologic Cancer Patients Receiving Chemotherapy", Journal of Korean Women Health Nursing, vol. 11, no. 1, pp. 58-66, 2005.
  22. C. J. Braden, "A Test of The Self-Help Model : Learned Response to Chronic Illness Experience", Nursing Research, vol. 39, no. 1, pp. 42-47, 1990. DOI: https://doi.org/10.1097/00006199-199001000-00009
  23. K. H. Yoo, "A study on factors influencing the appraisal of uncertainty in patients having rheumatoid arthritis", Journal of Muscle and Joint Health, vol. 4, no. 2, pp. 277-296, 1997.
  24. E. M. Ham, S. O. Kim, Y. S. Park, "Related variables on uncertainty of hospitalized patients = A study on the effects of uncertainty", Journal of Korean Academy of Psychiatric and Mental Health Nursing, vol. 9, no. 2, pp. 121-133, 2000.
  25. W. J. Strawbridge, M. I. Wallhagen, R. D. Cohen, "Successful aging and well-being: self-rated compaired with Rowe and Khan", The Gerontologist, vol. 42, no. 6, pp. 727-733, 2002. DOI: https://doi.org/10.1093/geront/42.6.727
  26. A. Bandura, "The Self System In Reciprocal Determinism", American Psychologist, vol. 33, no. 4, pp. 344-358, 1978. DOI: https://doi.org/10.1037/0003-066X.33.4.344
  27. K. O. Lee, "A Structural analysis of successful aging factors of rural elders[dissertation]", Seoul: Korea. Seoul National University. 2007.
  28. K. S. Oh, "Family functioning and social support of Korean families with mentally retarded children", Texas woman's university, 1984.
  29. O. S. Kim, "A study on the correlation between perceived social support and the quality of life of hemodialysis patient[dissertation]". Seoul: Korea. Seoul National University. 1993.
  30. K. H. Kim, "A study on influencing factors the quality of life of the hemodialysis patients[dissertation]", Seoul: Korea. Kyunghee University. 1996.
  31. P. S. Yu, S. H. Ko, "A Study on the Relation among Uncertainty in Illness, Hope and Spiritual Well-being of Cancer Patients", Journal of Korean Academy of Adult Nursing, vol. 18, no. 3, pp. 479-487, 2006.
  32. Y. J. Lee, E. M. Ham, K. S. Kim, "A Correlational Study on Uncertainty Coping and Depression of Cancer Patients", Journal of Korean Academy of Nursing, vol. 31, no. 2, pp. 244-256, 2001. https://doi.org/10.4040/jkan.2001.31.2.244
  33. J. I. Lee, S. Y. Kim, K. S. Seo, "Effects of Self Efficacy, Health Related Hardiness on a Health Promoting Lifestyle of Middle-aged People", The Journal of Korean Academic Society of Nursing Education, vol. 13, no. 2, 2007.
  34. H. K. Lee, S. H. Cho, J. H. Kim, Y. K. Kim, H. I. Choo, "Influence of Self Efficacy, Social Support and Sense of Community on Health-related Quality of Life for Middle-aged and Elderly Residents Living in a Rural Community", Journal of Korean Academy of Nursing, vol. 44, no. 6, pp. 608-616, 2014. DOI: https://doi.org/10.4040/jkan.2014.44.6.608
  35. Y. S. Koo, "The study of affecting factors for uncertainty in hemodialysis with chronic kidney disease patients", Unpublished master's thesis, Seoul : Korea. Kyunghee university. 2012.
  36. H. J. Ahn, Y. S. Tae, Y. I. Han, "The relationship between spiritual health and uncertainty in cancer patients having chemotherapy", Journal of Korean Oncology Nursing, vol. 7, pp. 107-118, 2007.
  37. M. J. Lee, "Uncertainty, appraisal of uncertainty and health related quality of life in recovering clients discharged from hospital after CABG", Nursing Science, vol. 21, no. 1, pp. 49-63, 2009.
  38. I. O. Oh, E. G. Oh, S. A. Kim, "Level and correalation factors of uncertainty in members of families of a patient with mental illness", Journal of Korean Academy of Psychiatric and Mental Health Nursing, vol. 21, no. 2, pp. 158-166, 2012. DOI: https://doi.org/10.12934/jkpmhn.2012.21.2.158
  39. S. S. Dickerson, E. Abbu Sabbah, S. Gothard, M. S. Sandra, P. Zeigler, H. Chen, L. M. Steinbrenner, G. E. Dean, "Experiences of Patients With Advanced Lung Cancer", Cancer nursing, vol. 38, no. 5, pp. 358-365, 2015. DOI: https://doi.org/10.1097/NCC.0000000000000206