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폐암 환자의 활동상태, 불안, 우울, 사회적 지지, 증상경험과 기능적 상태의 관계: 불쾌감이론 기반으로
Relationships among Activity Status, Anxiety, Depression, Social Support, Symptom Experience, and Functional Status in Lung Cancer Patients based on the Theory of Unpleasant Symptoms

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Authors
김금순; 이명선; 방경숙; 조용애; 이정림; 이은
Issue Date
2013-10
Publisher
서울대학교 간호과학연구소
Citation
Perspectives in Nursing Science, Vol.10 No.2, pp. 87-96
Keywords
AnxietyDepressionSocial supportSymptom experienceFunctional status불안우울사회적 지지증상경험기능적 상태
Abstract
Purpose: The purpose of this study was to investigate the relationships of activity status, anxiety, depression, social support, symptom experience, and functional status in patients with lung cancer based on the theory of unpleasant symptoms. Methods: The participants for this study were 101 lung cancer patients who visited the outpatient department for treatment or follow-up at one hospital in Seoul. Data were collected from January 1 to February 8, 2013 using self-reported questionnaires and clinical records. To measure variables, the functional scale and symptom scale of the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Core 30, EORTC QLQ-Lung Cancer 13, Eastern Cooperative Oncology Group Performance Status, Hospital Anxiety and Depression Scale, and Multidimensional Scale of Perceived Social Support were used in this study. The data were analyzed using SPSS 19.0 software for Windows. Results: The symptom experience showed more severity in patients with lower activity status, higher anxiety and depression. With lower activity status and social support, functional status was lower. When anxiety, depression, and symptom experience were higher, functional status was also lower. The significant factors predicting symptom experience were depression, anxiety, activity status, and social support, which explained 57.8% of the variance. Conclusion: These results suggest that psychological factors such as anxiety and depression had a negative influence on the symptom experience of lung cancer patients. Therefore, providing emotional support based on the patients' needs prior to providing symptom management could be a useful strategy for improving symptom experience and functional status.
ISSN
2288-2898
Language
Korean
URI
http://hdl.handle.net/10371/86582
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College of Nursing (간호대학)The Research Institute of Nursing Science (간호과학연구소)Perspectives in Nursing Science (간호학의 지평)Perspectives In Nursing Science (간호학의 지평) Volume 10 Number 1/2(2013)
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