Journal of Hospice and Palliative Care

Korean Society for Hospice and Palliative Care (한국호스피스완화의료학회)
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The Relationship between the Spiritual Health, Anxiety and Pain in Hospitalized Cancer Patients

입원 암환자의 영적건강, 불안, 통증과의 관계

  • Received : 2014.08.11
  • Accepted : 2015.01.31
  • Published : 2015.03.01
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Abstract

Purpose: This study is to find relationship between cancer patient's spiritual health and the level of their anxiety and pain. Methods: From April 27 through May 11, 2012, a survey was conducted with 167 cancer patients hospitalized at a university hospital in Busan. Spiritual health was measured by the Spiritual Health Inventory developed by Highfield (1992). The instrument for anxiety measurement was the State-Trait Anxiety Inventory by Spielberger (1975) and that for pain was the Visual Analogue Scale (2009). The association between patients' characteristics and spiritual health, anxiety or pain degree were analyzed using the ANOVA test. The interrelationship between spiritual health, anxiety and pain was analyzed using Pearson's correlation coefficients. Results: The patients exhibited a moderate degree of spiritual health and anxiety and a mild level of pain. Patients' spiritual health significantly differed by their religion, education, monthly income of the family, illness conditions, physical conditions, metastasis, daily living and support. Their anxiety level was significantly different according to age, religion, education, illness conditions, physical conditions, metastasis, daily living, family/friends' support and use of analgesics. Significant differences were also found in the level of pain according to illness conditions, physical conditions, metastasis, daily living, family/friends' support and use of analgesics. We found a moderately negative correlation between spiritual health and anxiety. Anxiety and pain showed a positive correlation, and spiritual health and pain exhibited a negative correlation. Conclusion: To help cancer patients to manage their spiritual health, anxiety and pain, a program should be developed considering the primary factors discussed in this study.

목적: 본 연구의 목적은 입원 암환자의 영적건강, 불안과 통증과의 관계를 규명하여 입원 암환자의 통증감소를 위해 영적건강을 증진시키고 불안을 감소시키는 간호중재 프로그램을 개발하기 위한 기초자료를 제공하는 것이다. 방법: 대상자는 B광역시 소재 대학병원에서 입원 치료중인 암환자 167명이고, 자료수집기간은 2012년 4월 27일부터 동년 5월 11일까지였다. 연구도구로 영적건강은 Highfield(1992)의 SHI (Spiritual Health Inventory)를 이원희 등(2001)이 번안한 것을, 불안은 Spielberger(1975)의 STAI (State-Trait Anxiety Inventory)를 김정택과 신동균(1978)이 번안한 것을, 통증은 국가암정보센터(2010)의 VAS (Visual Analogue Scale) 척도를 사용하였다. 자료분석은 SPSS 20 프로그램을 이용하여 분석하였다. 결과: 본 연구의 결과는 다음과 같다. 1. 입원 암환자의 영적건강과 불안은 중간 정도, 통증은 약한 정도로 나타났다. 2. 입원 암환자의 일반적 특성에 따른 영적건강은 종교, 교육, 평균월수입, 질병상태, 건강상태, 전이, 일상생활, 지지정도에 따라 차이가 있었다. 3. 입원 암환자의 일반적 특성에 따른 상태불안은 종교, 교육, 질병상태, 건강상태, 전이, 일상생활, 지지정도, 진통제에 따라 차이가 있었다. 4. 입원 암환자의 일반적 특성에 따른 통증은 질병상태, 건강상태, 전이, 일상생활, 지지정도, 진통제에 따라 차이가 있었다. 5. 입원 암환자의 영적건강과 상태불안의 관계는 중간 정도의 역상관관계(r=-0.627, P<0.001), 영적건강과 통증의 관계는 약한 역상관관계(r=-0.255, P=0.001), 상태불안과 통증의 관계는 약한 순상관관계(r=0.306, P<0.001)로 나타났다. 결론: 입원한 암환자의 영적건강, 불안 및 통증을 관리하기 위해 본 연구에서 규명한 관련 요인을 고려한 프로그램 개발 및 효과검증 연구가 필요할 것으로 생각된다.

Keywords

References

  1. Statistics Korea [Internet]. Daejeon: Statistics Korea; c1996 [cited 2012 Feb 9]. Available from: http://www.kostat.go.kr.
  2. Tae YS. Hope phenomen of Korean cancer patients [dissertation]. Seoul: Ewha Womans Univ.; 1995. Korean.
  3. The Korean Pain Society. Pain medicine. 2nd ed. Seuol:Koonja; 2000.
  4. National Cancer Information Center [Internet]. Goyang: National Cancer Information Center; c2010 [cited 2012 Feb 7]. Available from: http://www.cancer.go.kr.
  5. Kim MJ, Park JA, Shin SJ. Pain and pain management in hospitalized cancer patients. J Korean Acad Fundam Nurs 2008;15:161-70.
  6. Kim CN, Song MO, Kwon YH. Development and effects of horticulture therapy on quality of sleep and immune function in patients in hospice units. J Korean Clin Nurs Res 2010;16:39-50.
  7. Yong JS, Han SS, No YJ, Hong HJ. Factors for the prediction of pain in terminally ill cancer patients in hospice units. Korean J Hosp Palliat Care 2002;5:125-35.
  8. Seo HM. The relationship between the anxiety and the spiritual health of the patients with cancer [dissertation]. Busan: Kosin Univ.; 2004. Korean.
  9. Park OS. A study on relationship between cancer patients' spiritual health and their anxiety [master's thesis]. Seoul: Yonsei Univ.; 2008. Korean.
  10. Seo HM. The relationship between the anxiety and the spiritual health of the patients with cancer [dissertation]. Busan: Kosin Univ.; 2004. Korean.
  11. Kwak MJ. Study on the relationship of pain, anxiety, and sleep in the cancer patients [master's thesis]. Seoul: Ewha Womans Univ.; 2001. Korean.
  12. Kim HJ, Chaung SK, Kim KH, Kang Kyoung Ah. The relationship of pain, depression and anxiety which patients recognize on intravenous injection - Focus on pain relating factors. J Korean Acad Fundam Nurs 2007;14:306-14.
  13. Yang SH, Son YH, Paik HJ, Won JS, Yoo JH, Jeon MY. Fundamentals of nursing II. 4th ed. Seoul:Hyunmoonsa;2009.
  14. Highfield MF. Spiritual health of oncology patients. Nurse and patient perspectives. Cancer Nurs 1992;15:1-8.
  15. Ahn HJ, Tae YS, Han YI. The relationship between spiritual health and uncertainty in cancer patients having chemotherapy. J Korean Oncol Nurs 2007;7:107-18.
  16. Chong SO, Chang SB, Lee WH, Km JH. Relationship between spiritual health and depression of patients with hematologic malignancy. J Korean Oncol Nurs 2007;7:56-67.
  17. Acharya A. Impating spiritual practices enhances recovery from anxiety related disorder. Eur Psychiatr 2010;25 Suppl 1:903. https://doi.org/10.1016/S0924-9338(10)70894-4
  18. Georgesen J, Dungan JM. Managing spiritual distress in patients with advanced cancer pain. Cancer Nurs 1996;19:376-83. https://doi.org/10.1097/00002820-199610000-00007
  19. Yang JE. The relationships among pain, coping strategies and powerlessness of patients with cancer [master's thesis]. Seoul: Ewha Womans Univ.; 2007. Korean.
  20. Yang MJ, Jeon YW, Han SI, Han CW, Eom HS. Depression and pain in patients with cancer: a preliminary study. J Korean Neuropsychiatry Assoc 2000;39:1122-31.
  21. Lee WH, Kim MS, Kim SH. A study of validity and reliability of a spiritual health inventory (SHI) for Korean patients with cancer. J Korean Acad Adult Nurs 2001;13:233-46.
  22. Spielberger CD. Stress and anxiety. New York:Wiley;1975. p. 115-43. (The series in clinical psychology; vol. 1).
  23. Kim JT, Shin DK. A study based on the standardization of the STAI for Korea. New Med J 1978;21:69-75.
  24. Lee YJ. Kim CM, Linton JA. Lee DC. Suh SY. Seo AR, et al. Association between spiritual well-being and pain, anxiety and depression in terminal cancer patients: a pilot study. Korean J Hosp Palliat Care 2013;16:175-82. https://doi.org/10.14475/kjhpc.2013.16.3.175
  25. Yoon MO, Park JS. The effect of spiritual nursing intervention on anxiety and depression of the hospice patients. J Korean Acad Adult Nurs 2002;14:337-47.
  26. Jung JS. Effects of spiritual nursing care on spiritual well-being, depression, anxiety and pain in terminal patients with cancer [dissertation]. GwangJu: Chonnam National Univ.; 2005. Korean.
  27. Kim YJ. Actual condition of pain and pain control and satisfaction of pain control in hospitalized cancer patients [master's thesis]. Busan: Kosin Univ.; 2007. Korean.
  28. You ES. Choi YH. The effects of laughter therapy on pain and anxiety among patients with postmastectomy. J East-West Nurs Res 2012;18:47-52.
  29. Hong MS. Cho MJ. The effects of music therapy on pain, depression and anxiety in terminal cancer patients. J Korean Oncol Nurs 2010;10:112-8.

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