Journal of Hospice and Palliative Care

  • 제18권4호
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  • Pages.314-321
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  • 2015
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  • 2765-3072(pISSN)
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  • 2765-3080(eISSN)
한국호스피스완화의료학회 (Korean Society for Hospice and Palliative Care)
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호스피스 환자의 증상조절에 따른 가족간병인의 삶의 질과 우울, 불안

Family Caregivers' Quality of Life, Depression and Anxiety according to Symptom Control in Hospice Patients

  • 김윤희 (부산대학교병원 가정의학과) ;
  • 이승훈 (부산대학교병원 가정의학과) ;
  • 임호섭 (고신대학교복음병원 가정의학과) ;
  • 최영진 (부산대학교병원 내과) ;
  • 김윤진 (부산대학교병원 가정의학과) ;
  • 이상엽 (부산대학교 의학전문대학원 가정의학교실) ;
  • 이정규 (부산대학교병원 가정의학과) ;
  • 정동욱 (양산부산대학교병원 가정의학과 및 의생명융합연구소) ;
  • 유경화 (부산대학교병원 가정의학과)
  • Kim, Yun Hee (Department of Family Medicine, Pusan National University Hospital) ;
  • Lee, Seung Hun (Department of Family Medicine, Pusan National University Hospital) ;
  • Lim, Ho Seop (Department of Family Medicine, Kosin University Gospel Hospital) ;
  • Choi, Young Jin (Department of Internal Medicine, Pusan National University Hospital) ;
  • Kim, Yun Jin (Department of Family Medicine, Pusan National University Hospital) ;
  • Lee, Sang Yeoup (Department of Family Medicine, Pusan National University School of Medicine) ;
  • Lee, Jeong Gyu (Department of Family Medicine, Pusan National University Hospital) ;
  • Jeong, Dong Wook (Department of Family Medicine and Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital) ;
  • Yu, Kyoung Hwa (Department of Family Medicine, Pusan National University Hospital)
  • 투고 : 2015.09.14
  • 심사 : 2015.11.26
  • 발행 : 2015.12.01
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초록

목적: 말기암환자는 다양한 증상을 경험하기 때문에 말기 암이라는 상태는 환자뿐만 아니라, 그들의 가족 구성원들에게도 영향을 준다. 이 연구에서는 가족간병인의 삶의 질, 우울, 불안지수에 영향을 주는 환자의 증상조절과 같은 교정 가능한 요소들을 알아보고자 한다. 방법: 2015년 1월부터 2015년 5월말까지, 5개월 동안 부산광역시 내의 2개 대학병원 호스피스병동, 1개의 시립병원 호스피스병동에 입원한 61명의 가족간병인을 대상으로 설문조사를 시행하였다. 설문지는 가족간병인의 특성과 환자의 특성, 가족간병인의 CQOLC-K, BDI-II, BAI와 가족간병인이 수치화한 환자의 증상조절 점수로 구성되어 있다. 결과: 가족간병인의 우울지수는 종교와 연관성이 있으며, 삶의 질과 우울지수는 한달 가정소득에 영향을 받았다. 환자의 나이는 가족간병인의 삶의 질과 역의 상관관계를 가지고 있다. 가족간병인의 CQOLC-K는 환자의 불안조절 점수에 영향을 받았으며, 가족간병인의 BDI-II는 환자의 변비, 불안, 주간 졸음조절 점수에 영향을 받았다. 가족간병인의 BAI는 환자의 수면장애, 우울, 불안조절 점수에 영향을 받았다. 결론: 가족 간병인의 삶의 질, 우울, 불안지수는 환자의 증상이 잘 조절될 때 삶의 질이 높고, 우울, 불안지수가 낮은 경향을 보여주었다.

Purpose: It is well known that a terminal cancer condition affects not only patient themselves but their family members because the patients experience a variety of symptoms. This study was aimed to investigate modifiable factors that influence family caregivers' quality of life, depression, and anxiety. Methods: From January 2015 through May 2015, a survey was conducted with 61 family caregivers of hospice patients who were hospitalized in two university hospitals and one municipal hospital in Busan. The questionnaire was consisted of characteristics of family caregivers and patients, the Korean version of the Caregiver Quality of Life Index-Cancer (CQOLC-K), Beck's Depression Inventory II (BDI-II), Beck's Anxiety Inventory (BAI), and patient's symptom controlling scores rated by family caregivers. Results: Family caregivers' depression was associated with religion. Quality of life and depression of family caregivers were also influenced by monthly household income. Patient age was inversely related to family caregiver's quality of life ($r_s=-0.259$, P=0.043). Family caregivers' quality of life was associated with patient's anxiety (r=0.443, P=0.001). Family caregivers' depression was affected by patient's constipation (r=0.276, P=0.046), anxiety (r=0.508, P<0.001), and daytime drowsiness (r=0.377, P=0.005). And family caregivers' anxiety was influenced by patients' sleep disturbance (r=0.276, P=0.046), depression (r=0.297, P=0.031), and anxiety (r=0.357, P=0.009). Conclusion: According to our findings, family caregivers had higher quality of life and less depression and anxiety when symptoms in hospice patients were well controlled.

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  2. 암환자 가족원의 우울에 대한 영향요인 vol.13, pp.3, 2015, https://doi.org/10.12811/kshsm.2019.13.3.163