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Convergent Effects of Anxiety, Depression, Uncertainty, and Social support on Quality of Life in Women with Thyroid cancer

여성 갑상선암 환자의 불안, 우울, 불확실성, 사회적 지지가 삶의 질에 미치는 융복합적 영향

  • Received : 2017.06.20
  • Accepted : 2017.08.20
  • Published : 2017.08.28

Abstract

The purpose of this study was to examine the anxiety, depression, uncertainty, social support, and QoL and to identify the factors influencing QoL in women with thyroid cancer. A descriptive survey was performed from April to October in 2014 with self-reporting questionnaires for depression, uncertainty, social support, and QoL. Participants were 106 women with thyroid cancer who visited a outpatient department of endocrine surgery in a hospital. Data were analyzed using SPSS 22.0. As the results of this study, the mean scores of global QoL were moderate. Anxiety was significantly influenced physical functioning, emotional functioning, and social functioning. Uncertainty was significantly influenced physical functioning and cognitive functioning. Therefore, from the results of this study, nursing practice focused on anxiety and uncertainty relieving care for female thyroid cancer patients to improving QoL. And also, in order to understand the QoL of women with thyroid cancer, it is necessary to deeply understand the QoL through qualitative and quantitative research to determine the QoL by treatment period and treatment type.

본 연구는 여성 갑상선 암환자의 불안, 우울, 불확실성, 사회적 지지와 삶의 질의 정도를 파악하고, 불안, 우울, 불확실성, 사회적 지지가 삶의 질에 미치는 영향을 파악하고자 수행되었다. 본 연구는 서술적 조사연구로 2014년 4월부터 10월까지 불안, 우울, 불확실성, 사회적지지, 삶의 질 측정도구를 이용하여 설문조사를 시행하였다. 연구대상자는 갑상선암을 진단 또는 치료받고 일 병원 내분비외과 외래를 방문중인 갑상선암 환자를 편의 표출하였으며, 자료수집이 완료된 106명의 자료를 SPSS 22.0을 이용하여 분석하였다. 연구결과 대상자의 삶의 질은 중간정도로 나타났으며, 불안은 신체기능과 정서기능, 사회기능에 유의하게 영향을 미치는 것으로 나타났고, 불확실성은 신체기능과 인지기능에 유의하게 영향을 미치는 것으로 나타났다. 본 연구결과를 통해 드러난 여성 갑상선암 환자들의 삶의 질 향상을 위해 불안과 불확실성을 감소시키기 위한 중재방안의 모색이 필요하다. 또한 후속 연구들에서는 보다 다양한 환경과 다양한 치료시기의 대상자를 표집하여 삶의 질에 대한 영향요인을 융복합적인 측면에서 파악할 필요가 있다.

Keywords

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