위장관암 진단을 받은 보훈대상 환자의 암 디스트레스, 외상 후 성장, 사회적 지지, 암 극복력의 관련성 조사 연구

Abstract

Purpose: The purpose of this study was to identify relationships among cancer distress, posttraumatic growth, social support, and cancer resilience in veteran patients diagnosed with gastrointestinal cancer. Methods: From April 1st, 2021 to February 10th, 2022, a cross-sectional survey study using self-report questionnaires examined cancer distress, posttraumatic growth, social support, and cancer resilience in 131 veteran patients diagnosed with gastrointestinal cancer and received treatment at a hospital. Collected data were analyzed by Independent t-test, ANOVA, Scheffe test, Pearson’s correlation and multiple linear regression using SPSS-WIN 21.0 program. Results: The results showed that veteran patients diagnosed with gastrointestinal cancer were negatively correlated with age(r=-.115, p<.05), monthly income(r=-.203, p<.05), cancer distress thermometer(r=-.308, p<.001), cancer distress problem list(r=-.386, p<.001), practical problems(r=-.352, p<.001), family problems(r=-.229, p<.01), emotional problems(r=-.248, p<.01), physical problems(r=-.491, p<.001) and positively correlated with education(r=.227, p<.01), posttraumatic growth(r=.560, p<.001), social support(r=.601, p<.001), medical staff support(r=.476, p<.001), family support(r=.435, p<.001), friend support(r=.367, p<.001). Regression analysis revealed that cancer resilience was explained by physical problems(β=-.508, p<.001), social support(β=.394, p<.001), posttraumatic growth(β=.339, p<.001), friend support(β=.298, p<.001), medical staff support(β=.273, p=.002), family support(β=.273, p=.002), cancer distress problem list(β=-.188, p=.019), education(β=.138, p=.034). These variables explained 49% of the variance of cancer resilience. Conclusion: Based on the results of this study, the active assessment of medical personnel and appropriate interventions should be made to alleviate the cancer stress of patients receiving a diagnosis of gastrointestinal cancer and to improve posttraumatic growth, social support, and cancer resilience.