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Service improving the subjective happiness in Cancer Patient receiving Radiation Therapy

방사선 치료 중인 암환자의 주관적 행복감 향상을 위한 탐색적 연구

  • Song, Mi Soon (Chungnam National University College of Nursing) ;
  • Kim, Hyun Li (Chungnam National University College of Nursing)
  • 송미순 (충남대학교 간호대학) ;
  • 김현리 (충남대학교 간호대학 간호학과)
  • Received : 2015.11.20
  • Accepted : 2016.04.04
  • Published : 2016.04.30

Abstract

This study is to find a service that improves the subjective happiness of cancer patients that receive radiation therapy. One hundred and one cancer patients undergoing radiation therapy were enrolled in the survey to verify the self-consciousness and symptom distress that could affect the subjective happiness. Independent t-test, one-way analysis of variance, and Pearson correlation were conducted with the SPSS 20.0 program. Symptom distress of cancer patients undergoing radiation therapy showed highest in the order of fatigue, appearance changes, dizziness, loss of appetite, and sleep disorders. And lower symptom distress, higher private self-consciousness were significantly correlated with higher subjective happiness among patients receiving radiation therapy for cancer. Study findings reflect the necessity of an integrative approach combining physical, psychological and emotional interventions during a radiotherapy period. For this cause, it would be necessary to supplement previously existing service programs and organize a patient-friendly system that could affiliate regional cancer centers or Public health centers with the hospitals in which the patients are being treated.

본 연구는 방사선 치료 중인 암환자의 주관적 행복감을 향상시키기 위한 서비스를 탐색하기 위한 것이다. 백 한 명의 방사선 치료중인 암환자를 대상으로 설문조사하여 주관적 행복감에 영향을 줄 수 있는 자기의식과 증상 불편감을 파악하여, SPSS 20.0 프로그램을 이용하여 독립표본검정, 일원분산분석, 피어슨 상관분석을 시행하였다. 방사선 치료중인 암환자의 불편감은 피로감, 외모변화, 현기증, 식욕저하, 수면장애의 순으로 높게 나타났으며, 암환자의 주관적 행복감은 증상불편감이 낮을수록, 그리고 개인의 내면적인 의식이 높을수록 향상됨을 나타냈다. 따라서 방사선 치료기간 동안 주관적 행복감을 향상시키기 위해서는 증상불편감은 감소시키고, 개인의 의식수준을 향상시킬 수 있는 신체적 심리적 정서적 측면을 고려한 통합적 서비스가 필요하다. 이를 위해서는 기존의 서비스 프로그램의 보완과 환자의 편의를 고려한 치료병원과 지역암센터나 보건기관을 연계할 수 있는 시스템이 준비되어야 할 것이다.

Keywords

References

  1. Andrews, Frank M. and John P. Robinson (1991), Measures of Subjective Well-Being, in Measures of Personality and Social Psychological Attitudes, San Diego: Academic Press: 61-114.
  2. Andrews, Frank M. and Stephen B. Withey (1976), Social Indicators of Well-Being: Americans' Perceptions of Life Quality, New York: Plenum.
  3. Bae, S. H. and Park, J. S. (2007), Symptom Distress and Spiritual Well-Being in Patients with Cancer according to Illness and Treatment, Journal of Korean Academic Fundamental Nursing, 14(4), 457-465.
  4. Bristol, C. M. and Choi, Y. S. translation (2007), (The)magic of believing, Business books Publishing Inc.
  5. Campbell, A., Converse, P. E. and Rodgers, W. L. (1976), The quality of American life, New York : Russel Sage Foundation.
  6. Chang, J. Y., Ryu, K., Suh, E. K. and Choi, I. C. (2007), Quality of Life of Working Men, Women, and Housewives Measured by the Day Reconstruction Method(DRM), The Korean Journal of Social and Personality Psychology, 21(2), 123-139.
  7. Choi, S. I. (2012), Das transzendentale Ich im transzendentalen SelbstbewuBtsein in der Kritik der reinen Vernunft. Journal of Korean philosophical society, 123, 441-465.
  8. Diener, E. (1984), Subjective well-being, Psychological Bulletin, 95, 542-575. https://doi.org/10.1037/0033-2909.95.3.542
  9. Diener, E. and Fujita, F. (1995), Resources, personal strivings, and subjective well-being: a nomothetic and idiographic approach. Journal of Personality and Social Psychology, 68(5), 926-935. https://doi.org/10.1037/0022-3514.68.5.926
  10. Fenigstein, A., Scheier, M. F. and Buss, A. H. (1975), Public and private self-consciousness: assessment and theory. Journal of Personality and Social Psychology, 43(4), 522-527.
  11. Holland JC. (1990), Radiotherapy. In : Handbook of psycho-oncology. Ed by Holland JC and Rowland JH, New York, Oxford University Press, 134-145.
  12. Hong, K. I. (2008), The relationship with the trust about the coherence of Seligman's Happy Determining Factor and the Subjective Euphoria, Unpublished Master's Thesis, Keimyung University.
  13. Hong, M. S., Yom, Y. H. and Kim, G. M. (2012), The analysis of Trends and Contents of Nursing Intervention Research for Cancer Patients in Korea. Asian Oncology Nursing, 12(4), 247-256. https://doi.org/10.5388/aon.2012.12.4.247
  14. Hwang, J. G., Kim, Y. H. (2005), Family Support Perceived by Cancer Patients, Family Caregivers' Burden and Physical and Psychological Health, Journal of Family relations, 10(2), 173-198.
  15. Jang, H. S. (2009), The Relationship of Subjective Health Personality traits Happiness and Death attitude of the Korean Elderly, The Korean Journal of Developmental Psychology, 22(2), 23-40.
  16. Jang, Y. H. (2005), Relationship between Subjective well-being and sense of five kinds of personality traits of college students, Journal of student guidance, 31, 93-107.
  17. Jeon, K. S., Jung, T. Y. (2009), Happiness Determinants for Korean Adolescents, Korean Journal of Psychological and Social Issues, 15(1), 133-153.
  18. Jo, K. H., Song, B. S. (2012), Effect of Family Cohesion, Subjective Happiness and other Factors on Death Anxiety in Korean Elders, Journal of Korean Academy of Nursing, 42(5), 680-688. https://doi.org/10.4040/jkan.2012.42.5.680
  19. Ju, H. S. (2012), The Performance of Consciousness and the Experience of Liminal Space in A Feeling, Like Paradise, Korean Journal of Drama, 37, 167-192.
  20. Jung, M. S. (2007), A Study on Radiation-Treated Cancer Patients' Symptom Distresses and Fatigue Symptoms, Unpublished Master's Thesis, Hanyang University of Korea, Seoul
  21. Kim, D. R. (1992), A Study on the Sex Typed Response Styles and Related Variables in Androgynous Males and Females, Unpublished Doctor's Thesis, Sung Kyun Kwan University of Korea, Seoul.
  22. Kim, J. H. (2007), The Relationship between Life Satisfaction/Life Satisfaction Expectancy and Stress/Well-Being: An Application of Motivational States Theory, Korean journal of health psychology, 12(2), 325-345. https://doi.org/10.17315/kjhp.2007.12.2.003
  23. Kim, J. H. (2011), Jaspers Psychiatrie und seine Philosophie der Existenzerhellung, Philosophy, The Korean Philosophical Association, 106, 143-171.
  24. Kim, M. S. (2012), Characteristics of the Korean's Representation and Understanding on Happiness and Good Death, Humanities research, 86, 307-352.
  25. Kim, S. Y. and Baek, H. J. (2008), The Construction of Korean Youth Happiness Index, Korean Journal of Sociology, 42(6), 140-173.
  26. Kim, U. C., Hong, C. S., Lee J. G. and Park, Y. S. (2005), Factors influencing health and quality of Life among allergy and asthma patients: With specific focus on self-efficacy, social support and health management. Korean Journal of Psychological and Social Issues, 11(2), 143-181.
  27. Koh, K. B. and Kim, G. E. (1990), A Comparison of Psychopathology between Cancer Patients on Radiotherapy and Noncancer Patients, Journal of the Korean Neuropsychiatric Association, 29(3), 662-668.
  28. Koo, J. S. and Suh, E. K. (2011), Happiness in Korea: Who is Happy and When?, Korean Journal of Social and Personality Psychology, 25(2), 143-166.
  29. Lee, C. G. (2009), Palliative Radiotherapy. Korean Journal of Hospice and Palliative Care, 12(1), 1-4.
  30. Lee, H. K. (2007), Belief psychology, Hakjisa.
  31. Lee, S. S., Park, Y. J., Han, S. H. and Park, J. S. (2011), The Adverse Effects of Radiotherapy and Its Management in the Hospice and Palliative Care Patients, Korean journal of hospice and palliative care, 14(2), 61-70.
  32. Longman, A. J., Braden, C. J. and Mishel, M. H. (1999), Side-effects burden, psychological adjustment, and life quality in women with breast cancer: pattern of association over time. Oncology Nursing Forum, 26(5), 909-915
  33. Lyubomirsky, S. and H. S. Lepper (1999), 'A measure of subjective happiness: Preliminary reliability and construct validation', Social Indicators Research 46, 137-155. https://doi.org/10.1023/A:1006824100041
  34. Lyubomirsky, s. (2001), Why are some people Happier than Others?, American Psychological Association, 56(3), 239-249. https://doi.org/10.1037/0003-066X.56.3.239
  35. Mishel, M. and Braden, C. J. (1987), Uncertainty: A mediator between support and adjustment. West Journal Nursing Research, 9(1), 43-57. https://doi.org/10.1177/019394598700900106
  36. McCorkle R. and Young K. (1978), Development of symptoms distress scale. Cancer Nursing, 373-378.
  37. Nahm, I. S. (2007), A study of the pursuit of happiness. Social Theory, 3, 217-320.
  38. National Cancer Information Center:http://www.cancer.go.kr/cancer
  39. Nettle, Daniel and Woo, S. K. translation (2006), Happiness: the science behind your smile. Wiswbook.
  40. Oh, J. H. (2003), Study of mutual relations to the symptom distress of the cases under the chemotherapy after mastectomy, self-care deed and family support. Unpublished master's thesis, The Ewha Womans University of Korea, Seoul.
  41. Park, A. C. (1998), This concept of 'SELF' in a cultural point of comparison. Journal of the Institute for Cross-Cultural Studie, 31, 115-128.
  42. Park, J. E., Kang, E. H., Park, Y. M., Choi, S. W. and Chae, J. H. (2008), Happiness and Positive Psychology in Mental Health. The Korean Journal OF Stress Rresearch, 16(2), 107-114.
  43. Parker, R. G. and Withers, H. R. (2001). Principle of radiation oncology in C. M. Haskell. Cancer treatment(5th ed), WB Saunders Comp.:Philadelphia, London.
  44. Rhodes, V. A. and Watson, P. M. (1987), Symptom distress-The concept: Past and present. Seminars in Oncology Nursing, 3(4), 242-247. https://doi.org/10.1016/S0749-2081(87)80014-1
  45. Seong, B. H. and Yoon, S. A. (2010), Definition of Happiness and Its Determinants. Institute of Brain Education, 6, 103-134.
  46. D. C. Shin and D. M. Johnson (1978), Avowed Happiness as the Overall Assesment of the Quality of Life, Social Indicators Research, 5, 475- 492. https://doi.org/10.1007/BF00352944
  47. Strohl, R. A. (1990), Radiation therapy : recent advances and nursing intervention. Advances in Oncology Nursing, 25(2), 309-329.
  48. Suh, S. R., Park, Y. S. and Park, J. H. (1994), A Study on the Depression and Symptom Distress of Cancer patients, The Journal of Korean Academic Society of Adult Nursing, 6(2), 287-298.
  49. Uhm, D. C. (1986), exploratory study on factors related to depression and symptom distress of cancer patients. Unpublished Master's Thesis, Seoul National University of Korea, Seoul.
  50. Veenhoven, R. (1991), Is happiness relative?, Social Indicators Research, 24(1), 1-34. https://doi.org/10.1007/BF00292648
  51. Wilson, W. (1967), Correlates of avowed happiness, Psychological Bulletin, 67, 294-306. https://doi.org/10.1037/h0024431
  52. Woody, S, R. and B. F. Rodriguez. (2000). Self-focused attention and social anxiety in social phobics and normal controls. Cognitive Therapy and Research 24(4), 473-488. https://doi.org/10.1023/A:1005583820758
  53. Yang, Y. H. (2003), Trajectory of Fatigue, Quality of Life and Physical Symptoms in Cancer Patients Receiving Radiotherapy. Journal of Korean Academy of Nursing, 33(5), 562-569. https://doi.org/10.4040/jkan.2003.33.5.562

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