대한간호학회지 (Journal of Korean Academy of Nursing)

한국간호과학회 (Korean Society of Nursing Science)
권호 표지
DOI QR코드

DOI QR Code

유방암과 간암환자의 자살생각, 사회적 지지 및 삶의 의미 간 관계

Relationship of Social Support and Meaning of Life to Suicidal Thoughts in Cancer Patients

  • 투고 : 2010.04.19
  • 심사 : 2010.08.13
  • 발행 : 2010.08.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: This study was done to explore the relationship of social support and meaning of life to suicidal thoughts among patients with cancer. Methods: Data were collected by questionnaires from 138 patients who had been in cancer treatment at medical clinics and 8 patients who were members of an internet cancer association. The data were collected between August and November 2009 and analyzed using SPSS 12.0. Results: Of the participants, 47.3% reported having had suicidal thoughts and 16.4% had attempted suicide since the diagnosis of cancer. The study participants received most support from family members, but 73.3% reported experiencing an existential vacuum. The suicide attempt group had significantly higher scores according to gender, age, level of education, diagnosis, treatment modality, level of activity, caregiver and social support compare to the suicide thought group. Suicidal thoughts were negatively related to social support and meaning of life was positively associated with social support. Support from family and friends and diagnosis explained 50.0% of variance for suicidal thoughts with 36.0% of variance being explained by family support. Conclusion: Nurses should be able to identify risk factors for suicide in cancer patients. Prevention and intervention efforts need to be directed toward improving social support, family support in particular, and assisting patients finding meaning in life after a diagnosis of cancer.

키워드

참고문헌

  1. Bottomley, A., & Jones, L. (1997). Social support and cancer patient- A need for clarity. European Journal of Cancer Care, 6, 72-77. https://doi.org/10.1111/j.1365-2354.1997.tb00271.x
  2. Cho, H., & Shin, H. C. (2009). The influence of stress on suicide ideation: Meaning in life as mediator or moderator. The Korean Journal of Biological and Psychological Psychology, 21, 1011-1026.
  3. Crumbaugh, J. C., & Maholick, L. T. (1964). An experimental study in existentialism: The psychometric approach to Frankl's concept of noogenic neurosis. Journal of Clinical Psychology, 20, 200-207. https://doi.org/10.1002/1097-4679(196404)20:2<200::AID-JCLP2270200203>3.0.CO;2-U
  4. Frankl, V. E. (1984). Man's search for meaning. Washington Square Press.
  5. Harlow, L. L., Newcomb, M. D., & Bentler, P. M. (1987). Purpose in life test assessment using latent variable methods. British Journal of Clinical Psychology, 26, 235-236. https://doi.org/10.1111/j.2044-8260.1987.tb01355.x
  6. Hur, J. W., Choi, K. Y., Lee, B. H., Shin, S. H., Yang, J. C., & Kim, Y. K. (2007). The psychosocial factors affecting suicide attempt. Journal of Neuropsychiatry Association, 46, 129-135.
  7. Jang, H. S. (2002). A comparative study on satisfaction level of the inpatients cared by family members and professional caregivers. Unpublished master's thesis, Mokwon University, Daejeon.
  8. Jung, B. L., & Lee, E. H. (2006). Symptom experience, mood disturbance and social support in breast cancer patients undergoing radiotherapy. Journal of Korean Oncology Nursing Society, 6, 172-180.
  9. Jo, N. O., Hong, Y. S., Han, S. S., & Eom, Y. L. (2006). Attributes perceived by cancer patients as a good nurse. Clinical Nursing Research, 11, 149-162.
  10. Kim, B. Y., & Lee, J. S. (2009). A meta-analysis of variables related to suicidal ideation in adolescents. Journal of Korean Academy of Nursing, 39, 651-661. https://doi.org/10.4040/jkan.2009.39.5.651
  11. Kim, E. A. (2007, November 26). Be concerned about 'Illness of the mind' in cancer patient. Doctor's News, p. 8.
  12. Kim, H. J. (2008). (The) Study of relationship between meaning of life and suicide ideation: The mediating effects of perceived social support and avoidance coping style. Unpublished master's thesis, Korea University, Seoul.
  13. Kim, H. S. (2002). A study on epistemology of Korean elder's suicidal thought. Journal of Korean Gerontological Society, 22, 159-172.
  14. Kim, Y. J. (2008). A study on cancer patients' and their family members' depression and suicidal ideation. Unpublished master's thesis, Hang Yang University, Seoul.
  15. Korea National Statistical Office. (2009). Death cause figures. Seoul: Author.
  16. Lefetz, C., & Reich, M. (2006). Suicidal crisis in oncology: Assessment and care. Bulletin du Cancer, 93, 709-713.
  17. Lee, J. G. (1995). (The) effect of nursing-logotherapy on self-esteem, purpose in life and finding meaning, and hope of the patients of mental illness. Unpublished doctoral dissertation. Kyung Pook University, Deagu.
  18. Lim, J. S. (2008). Study on investigating suicide causes and developing suicide prevention programs in Korea. Seoul: Ministry for Health.
  19. Ministry for health. (2005). Plans for suicidal prevention. Seoul: Author.
  20. Misono, S., Weiss, N. S., Fann, J. R., Redman, M., & Yueh, B. (2008). Incidence of suicide in persons with cancer. Journal of Clinical Oncology, 26, 4731-4738. https://doi.org/10.1200/JCO.2007.13.8941
  21. National Cancer Information Center. (2009). Cancer survival statistics. Seoul: Author.
  22. Ohaeri, B. M., Oladele, E. O., & Ohaeri, J. U. (2001). Social support needs and adjustment of cancer patients. East African Medical Journal, 78, 641-645.
  23. Schairer, C., Brown, L. M., Chen, B. E., Lynch, C. F., Strom, P. H. H., Pukala, E., et al. (2006). Suicide after breast cancer: An international population-based study of 723, 810 women. Journal of National Cancer Institute, 98, 1416-1419. https://doi.org/10.1093/jnci/djj377
  24. Schneider, K. L., & Shenassa, E. (2008). Correlates of suicide ideation in a population-based sample of cancer patients. Journal of Psychosocial Oncology, 26(2), 49-62. https://doi.org/10.1300/J077v26n02_04
  25. Shin, J. S., & Lee, Y. B. (1999). The effects of social supports on psychosocial well-being of the unemployed. Journal of Korean Journal of Social Welfare, 37, 241-269.
  26. Simonelli, L. E., Fowler, J., Maxwell, G. L., & Andersen, B. L. (2008). Physical sequelae and depressive symptoms in gynecologic cancer survivors: Meaning in life as a mediator. Annals of Behavioral Medicine, 35, 275-284. https://doi.org/10.1007/s12160-008-9029-8
  27. Stiefel, F. (1993). Suicide and euthanasia: Patient attitudes in the context of cancer. Support Care Cancer, 1, 169-170.
  28. Yoon, M. O. (2004). The effect of spiritual nursing intervention on the meaning of life and spiritual distress of the terminal cancer patients. The Journal of Hospice &Palliative Care, 8, 54-67.
  29. Zimet, G. D., Dahlem, N. W., Zimet, S. G., &. Farley, G. K. (1988). The multidimensional scale of perceived social support. Journal of Personality Assessment, 52, 30-41. https://doi.org/10.1207/s15327752jpa5201_2

피인용 문헌

  1. Suicide in women with gynecologic cancer vol.122, pp.2, 2010, https://doi.org/10.1016/j.ygyno.2011.04.015
  2. 암환자의 질병에 대한 불확실성이 극복력에 미치는 영향에 관한 연구 vol.12, pp.2, 2010, https://doi.org/10.5388/aon.2012.12.2.139
  3. 성인기의 생애주기별 사회적지지망 연구 vol.18, pp.3, 2012, https://doi.org/10.5977/jkasne.2012.18.3.436
  4. Depression and Suicide Ideas of Cancer Patients and Influencing Factors in South Korea vol.15, pp.7, 2010, https://doi.org/10.7314/apjcp.2014.15.7.2945
  5. 보건의료서비스 이용자의 사회경제적 특성이 보건의료서비스의 여건변화 지각에 미치는 영향 vol.16, pp.5, 2010, https://doi.org/10.5762/kais.2015.16.5.3276
  6. The Relationship between the Meaning of Life and Mental Health of Junior Middle School Students of Tujia and Hmong in Xiangxi, China vol.4, pp.4, 2010, https://doi.org/10.4236/jss.2016.44026
  7. Preoperative Uncertainty, Meaning of Life, and Anxiety in Cancer Patients vol.27, pp.3, 2010, https://doi.org/10.12934/jkpmhn.2018.27.3.208
  8. The mediating and moderating effects of meaning in life on the relationship between depression and quality of life in patients with dysphagia vol.28, pp.15, 2010, https://doi.org/10.1111/jocn.14907
  9. The Effect and Mechanism of Adverse Childhood Experience on Suicide Ideation in Young Cancer Patients During Coronavirus Disease 2019 (COVID-19) Pandemic vol.13, pp.None, 2010, https://doi.org/10.2147/rmhp.s266269
  10. Suicidal ideation in patients with cancer: A systematic review of prevalence, risk factors, intervention and assessment vol.18, pp.2, 2010, https://doi.org/10.1017/s1478951519000610
  11. 양측 슬관절 전치환술 여성노인의 건강관련 삶의 질 구조모형 vol.50, pp.4, 2010, https://doi.org/10.4040/jkan.19216
  12. The mechanism of family adaptability and cohesion in suicidal ideation among Chinese cancer patients vol.38, pp.5, 2010, https://doi.org/10.1080/07347332.2020.1757799
  13. The mechanism of family adaptability and cohesion in suicidal ideation among Chinese cancer patients vol.38, pp.5, 2010, https://doi.org/10.1080/07347332.2020.1757799
  14. Association between social support and suicidal ideation in patients with cancer: A systematic review and meta‐analysis vol.30, pp.2, 2010, https://doi.org/10.1111/ecc.13382