DOI QR코드

DOI QR Code

A Study on the Development and Effectiveness Verification of a Program Designed to Strengthen Family Resilience of Inpatients with Cancer and Their Families

암환자와 그 가족의 가족레질리언스 강화 프로그램 개발과 효과성 검증

  • Yang, Moo-Hee (Department of Family Studies, Silla University) ;
  • Yoon, Gyung-Ja (Department of Childcare & Family Counseling, Dong-Eui University)
  • 양무희 (신라대학교 가족학과) ;
  • 윤경자 (동의대학교 보육.가정상담학과)
  • Received : 2011.11.11
  • Accepted : 2011.12.20
  • Published : 2012.01.30

Abstract

This study aims to develop a program for enhancing family resilience in cancer patients along with their family members and verify its effectiveness. The subjects were inpatients with cancer and their families, totaling 46 subjects at an university hospital in Busan. They were divided into two groups, the participating group who were in an experiment and the control group who were not taking part in the experiment. Then family resilience was measured before and after completing the program sessions. The program was conducted once a week, 4 times, for two hours. The participating group of family resilience strengthening program showed higher family resilience compared with that of the control group. The results suggest that family resilience can be enhanced through adversity. It also verifies that family resilience of family members with cancer patients can be strengthened by expressing emotion, conveying deep affection, and sufficiently supporting one another through the family resilience strengthening approach.

Keywords

References

  1. Antonovsky, A., & Sourani, T. (1988). Family sense of coherence and family adaptation. Journal of Marriage and the Family, 50, 79-92. https://doi.org/10.2307/352429
  2. Black, K., & Lobo M. (2008). A conceptual review of family resilience factors. Journal of Family Nursing, Fed, 14(1), 33-55. https://doi.org/10.1177/1074840707312237
  3. Beavers, W. R., & Hampson, R. B. (1993). Measuring family competence: The Beavers systems model. In F. Walsh (Ed.). Normal family processes (2nd ed.). (pp. 73-103). New York, NY: Guilford Press.
  4. Choi, J-L. (2009). The effects of an informational support program on social support, depression, and anxiety for family caregivers of patients with terminal cancer. Unpublished master's thesis, Catholic University of Daegu, Daegu, Korea.
  5. Conger, R. D., & Conger, K. J. (2002). Resilience in midwestern families: Selected findings from the first decade of a prospective longitudinal study. Journal of Marriage and the Family, 64, 361-372. https://doi.org/10.1111/j.1741-3737.2002.00361.x
  6. Courtens, A. M., Stevens, F. C., Crebolder, H. F., & Philipsen, H. H. (1996). Longitudinal study on quality of life and social support in cancer patients. Cancer Nursing, 19(3), 162-169. https://doi.org/10.1097/00002820-199606000-00002
  7. Deimling, G. T., & Bass, D. M. (1986). Symptoms of mental impairment among elderly adults and their effect on family caregivers. Journal of Gerontology, 41(6), 778-784. https://doi.org/10.1093/geronj/41.6.778
  8. Epstein, N. B., Bishop, D., Ryan, C., Miller, I., & Keitner, G. (1993). The McMaster model: View of healthy family functioning. In F. Walsh (Ed.), Normal family process (2nd ed). (pp.138-160). New York, NY: Guilford.
  9. Garmezy, N. (1991). Resiliency and vulnerability to adverse developmental outcomes associated with poverty. American Behavioral Scientist, 34, 416-430. https://doi.org/10.1177/0002764291034004003
  10. Gruendemann, B. J. (1981). Problems of physical self: Loss. In C. Roy (Ed.). Introduction to nursing:An adaptation model. (pp. 192-209). Prentice Hall.
  11. Han, M-S. (2005). The interrelation between the bereavement, depression and the quality of life of patients who went through hysterectomy due to uterus cancer. Unpublished master's thesis, Chonbuk National University, Chonju, Korea.
  12. Hawley, D. R., & DeHaan, L. (1996). Toward a definition of family resilience: Integrating life-span and family perspectives. Family Process, 35, 283-298. https://doi.org/10.1111/j.1545-5300.1996.00283.x
  13. Jang, S-M. (2001). The study on the development of intervention model for improving family resilience in the alcoholic family in the perspective of preventing intergenerational transmission of alcoholism. Mental Health & Social Work, 11, 53-77.
  14. Kosciulek, J. F., McCubbin, M. A., & McCubbin, H. I. (1993). A theoretical framework for family adaptation to head injury. Journal of Rehabilitation, July, 40-45.
  15. Kim, A-J. (2005). Influences of family resilience on the family stresses of single-parent families. Unpublished doctoral dissertation, Kyonggi University, Suwon, Korea.
  16. Kim, C-G., Noh, Y-J., An, S-H., & Han, S-S. (1997). Hospice & Death. Seoul: Hyunmunsa.
  17. Kim, H-S. (2005). Correlation between stress, coping patterns, and physical symptom of cancer patient's caregivers. Journal of Korean Academic Society of Adult Nursing, 13(2), 317-326.
  18. Kim, J-Y. (2010). A study on development and effect of a program designed to strengthen resilience of families with alcohol dependent. Unpublished doctoral dissertation, Sungshin Women's University, Seoul, Korea.
  19. Kim, K-S. (2002). A Study on the relationship between perceived family support and quality of life of cancer patients. Unpublished master's thesis, Daejeon University, Daejeon, Korea.
  20. Kim, M-O. (2000). A study on social competence of children and adaptation of family of children with disabilities: Focusing on the effects of family resilience. Unpublished doctoral dissertation, Ewha Women's University, Seoul, Korea.
  21. Kim, M-Y. (2002). The health state and stress level of the family caregiver living with patient under chemotherapy. Unpublished master's thesis, Chonnam National University, Kwangju, Korea.
  22. Kim, O-G., & Jeong, W-C. (2009). Factors affecting school resilience of the high school child of alcoholic family: Mediating effects of social relations. Korean Journal of Youth Studies, 16(9), 183-203.
  23. Kim, S-H. (2002). A study on the coping patterns of cancer patients and burden of family for caring of cancer patients according to the phases of illness. Unpublished master's thesis, Yonsei University, Seoul, Korea.
  24. Kim, S-J. (2001). A Study on the relationship between the burden and the social support of family caregivers of cancer patients. Unpublished master's thesis, Chosun University, Kwangju, Korea.
  25. Kristjanson, L. K., & Ashcroft, T. (1994). The family's cancer journey: A literature review. Cancer Nursing, 17(1), 1-17.
  26. Lee, E-H., & Son, J-M. (2008). The impact of family resilience on the adaption of family with chronic illness child. Journal of the Korean Society of Child Welfare, 27, 95-120.
  27. Lee, J-H. (2001). Stress and burden of family caregiver in caregiving of terminal patients. Unpublished master's thesis, Chonnam National University, Kwangju, Korea.
  28. Lee, J-S. (2006). The development and evaluation of the caregiving stress management program for families of terminal cancer patients. Unpublished doctoral dissertation, Korea University, Seoul, Korea.
  29. Luthar, S. S., & Zigler, E. (1991). Vulnerability and competence: A review of research on resilience in childhood adaptation. Madison, WI: University of Wisconsin Publishers.
  30. McCubbin, H. I., & McCubbin, M. A. (1988). Typologies of resilient families: Emerging roles of social class and ethnicity. Family Relations, 37, 247-254. https://doi.org/10.2307/584557
  31. McCubbin, H. I., & McCubbin, M. A. (1993). Families coping with illness: The resilience model of family stress, adjustment, and adaptation. In C. B. Danielson, B. P. Hamel-Bissell, and P. Winstead-Fry. Families, Health and Illness: Perspective on coping and intervention. St. Louise: Mosby Book, Inc.
  32. National Cancer Information Center. (2012). http://www.cancer.go.kr/ncic/cics_f/01/012/index.html
  33. Oh, K-M. (2004). A concept development about coping patterns of the cancer phases. Unpublished doctoral dissertation, Hanyang University, Seoul, Korea.
  34. Olson, D. H. (1993). Circumplex model of marital and family system. In F. Walsh (Ed.). Normal family processes (2nd ed.). New York, NY: Guilford Press.
  35. Olson, D. H., Portner, J., & Lavee, Y. (1985). FACES III. St. Paul, MN : Family Social Science. University of Minnesota.
  36. Park, H-S. (1998). The impact of risk factors and protective factors on the school resilience of korean adolescents in poverty. Korean Journal of Social Welfare Studies, 11, 23-51.
  37. Park, S-H. (2005). The influence of depression on care burden for cancer patient family. Unpublished master's thesis, Ewha Women's University, Seoul, Korea.
  38. Patterson, J, M. (1991). Family Resilience to the challenge of the child's disability. Pediatric Annals, 20(9), 491- 500. https://doi.org/10.3928/0090-4481-19910901-08
  39. Reiss, D. (1981). The family's construction of reality. London: Harvard university Press.
  40. Rutter, M. (1985). Resilience in the face of adversity: Protective factors and resistance to psychiatric disorder. British Journal of Psychiatry, 147, 598-611. https://doi.org/10.1192/bjp.147.6.598
  41. Singer, G. H. S., & Powers L. E. (1993). (Ed.). Families, disability, and empowerment. Paul H. Brookes Publishing Co..
  42. Stinnett, N., & DeFrain, J. (1985). Secrets of strong families. Boston: Little, Brown.
  43. Stinnett, N., Knor, B., DeFrain, J., & Rowe, G. (1981). How strong families cope with crises. Family Perspective, 15, 159-166.
  44. Suh, H-S. (1994). A study of perceived loss of amputee. Unpublished master's thesis, Ewha Women's University, Seoul, Korea.
  45. Yang, Y-H. (1995). The relationship with caregiving context and caregiving stress and social support for wives caregivers of chronic ill patients. Journal of Korean Academic Society of Adult Nursing, 7(1), 85-105.
  46. Yang, Y-H. (1998). The comparison of the coping patterns of cancer patients and their caregivers according to the phases of illness. Journal of Korean Academy of Nursing, 28(4), 970-979.
  47. Yang, O-G., Kim, M-O., & Choi,. M-M. (2002). Strengthening Family Resilience. Seoul: Nanam.
  48. Walsh, F. (1998). Strengthening Family Resilience. New York, NY: Guilford Press.
  49. Werner, E. E., & Smith, R. S. (1992). Overcoming the odds: High Risk children from birth to adulthood. Cornell University Press.
  50. Wolin, S., & Wolin, S. (1993). The resilient self: How survivors of troubled families rise above adversity. New York, NY: Villard.
  51. Wright, L., Watson, W. L., & Bell, J. M (1996). Beliefs: The heart of healing in families and illness. New York, NY: Basic Books.

Cited by

  1. Effects of Burden and Family Resilience on the Family Adaptation of Family Caregivers of Elderly with Dementia vol.25, pp.6, 2013, https://doi.org/10.7475/kjan.2012.24.6.725
  2. The Effectiveness of a Forest-experience-integration Intervention for Community Dwelling Cancer Patients' Depression and Resilience vol.25, pp.2, 2014, https://doi.org/10.12799/jkachn.2014.25.2.109
  3. Effect of the Family Resilience Reinforcement Program for Family Caregivers of the Elderly with Dementia vol.28, pp.1, 2016, https://doi.org/10.7475/kjan.2016.28.1.71
  4. Validity and Reliability of Adversity Quotient Profile for Measuring Overcoming of Adversity among Nurses in Korea vol.15, pp.4, 2014, https://doi.org/10.5762/KAIS.2014.15.4.2285
  5. 재가암환자를 위한 융합적 통합지지 프로그램의 적용 효과 vol.9, pp.2, 2012, https://doi.org/10.22156/cs4smb.2019.9.2.065
  6. 가족탄력성 프로그램 개발과 수행에 관한 체계적 문헌고찰 -국내 학술지 논문을 중심으로- vol.19, pp.2, 2012, https://doi.org/10.5392/jkca.2019.19.02.049