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항암화학요법을 받는 재발성 부인암 환자의 증상 불편감과 우울: 극복력의 매개효과

 Symptom Distress and Depression in Patients with Recurrent Gynecologic Cancer Undergoing Chemotherapy: Mediating Effect of Resilience

성인간호학회지 2019년 31권 1호 p.28 ~ 37
KMID : 0367020190310010028
양은정 ( Yang Eun-Jung ) - 경희대학교 일반대학원 간호학과

유호신 ( Ryu Ho-Shin ) - 고려대학교 간호대학

Abstract

Purpose: The purpose of this study was to investigate resilience and its mediating effect on the association between symptom distress and depression among recurrent gynecologic cancer patients undergoing chemotherapy.

Methods: A purposive sample of 113 patients diagnosed with recurrent gynecologic cancer was recruited. A cross-sectional survey design was used. The data were collected through a structured questionnaire from September to November 2014.

Results: There was a positive correlation between symptom distress and depression. Negative correlational relationships were found between symptom distress and resilience and between resilience and depression. Resilience showed a partial mediating effect between symptom distress and depression (Z=2.34, p=.019).

Conclusion: The results suggest that the negative effects of symptom distress on depression can be reduced by improving the resilience. Further, it is necessary to explore the multidimensional constructs of resilience and develop intervention programs that can improve the resilience among recurrent gynecologic cancer patients.
KeyWords
부인암 환자, 항암화학요법, 극복력, 우울
Female genital neoplasms, Drug therapy, Resilience, Depression
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학술진흥재단(KCI) KoreaMed