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Stigma and quality of life in patients with lung cancer: The mediating effect of resilience

폐암 환자의 스티그마와 삶의 질 : 극복력의 매개 효과

  • 김인하 (차의과학대학교 분당차병원) ;
  • 김숙영 (차의과학대학교 간호대학)
  • Received : 2017.09.08
  • Accepted : 2017.11.03
  • Published : 2017.11.30

Abstract

The purpose of this study was to identify the mediating effect of resilience in the relationship between stigma and quality of life (QOL) in lung cancer patients. Participants were 119 lung cancer patients who visited the outpatient department of a hospital. The subjects completed a questionnaire of stigma, resilience and QOL. Data were analyzed using t-test, ANOVA, Scheffe test, Pearson correlation, three-step regressions to test mediating effect and Sobel test. Stigma was negatively correlated with resilience and QOL. Resilience was positively correlated with QOL. Stigma explained 15.0% of the variance of resilience. Stigma and resilience explained 41.0% of the variance of QOL. Resilience had a partial mediating effect in the relationship between stigma and QOL. The results suggest that a nursing intervention to decrease stigma and enhance resilience is recommended to improve QOL in lung cancer patients.

본 연구는 폐암환자의 스티그마와 삶의 질의 관계에서 극복력의 매개효과를 확인하기 위한 서술적 조사연구이다. 연구 대상자는 K도 소재의 종합병원에서 폐암으로 진단받고 외래를 방문한 환자 중 연구참여에 동의한 환자 119명을 대상으로 설문지를 이용하여 측정하였다. 수집된 자료는 t-test, ANOVA, Scheffe test, Pearson correlation, 3만계 매개회귀분석 및 Sobel test로 분석하였다. 연구결과 폐암환자의 스티그마는 극복력 및 삶의 질과는 음의 상관관계를 보였고 극복력은 삶의 질과 양의 상관관계를 나타냈다. 폐암환자의 스티그마는 극복력의 유의한 영향요인이며 설명력은 15.0%이었고 스티그마와 극복력은 삶의 질의 유의한 영향요인이며 설명력은 41.0%이었다. 극복력은 스티그마와 삶의 질의 관계에서 부분매개효과가 있는 것으로 나타났다. 따라서 폐암환자의 삶의 질 향상을 위해 스티그마를 감소시키고 극복력을 강화시킬 수 있는 간호중재 개발이 요구된다.

Keywords

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