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Influence factors on Care Burden among Spouses of Young Women with Breast Cancer

젊은 유방암 환자 배우자의 돌봄 부담감 영향요인

  • Bae, Joo-Hee (Department of Nursing, Kyungnam College of Information & Technology) ;
  • Choi, Yooun-Sook (Department of Nursing, Kyungnam College of Information & Technology) ;
  • Kim, Nam-Hee (Kosin University Research Institute of Holistic Nursing Science, College of Nursing Kosin University)
  • 배주희 (경남정보대학교 간호학과) ;
  • 최윤숙 (경남정보대학교 간호학과) ;
  • 김남희 (고신대학교 간호대학 전인간호과학연구소)
  • Received : 2019.12.05
  • Accepted : 2020.02.07
  • Published : 2020.02.29

Abstract

This study was undertaken to identify factors influencing care burden among spouses of young women afflicted with breast cancer. Totally, 130 spouses of young women with breast cancer, who were hospitalized or visited one of the three general hospitals in B city, were enrolled for the study. Data was collected between January 3 to March 31, 2016. The mean, t-test, ANOVA, Pearson's correlation coefficients and stepwise multiple regression were analyzed by applying the SPSS/WIN 18.0 program. Social support had the greatest impact on care burden (β=-0.41, p<0.001), followed by marital intimacy (β=-0.26, p=0.001), age (β=­0.18, p=0.009) and perceived economic status (β=-0.14, p=0.039). The explanatory power was determined to be 42% (F=24.41, p<0.001). Our findings indicate the necessity to develop social support programs that help reduce the care burden of spouses of young women afflicted with breast cancer. Moreover, there is a need to develop differentiated programs by considering marital intimacy, age and perceived economic status.

본 연구의 목적은 젊은 유방암 환자 배우자의 돌봄 부담감과 영향요인을 확인하기 위한 서술적 조사연구이다. 연구에서는 젊은 유방암 환자 배우자의 부부 친밀감, 희망 및 사회적 지지가 돌봄 부담감에 미치는 영향 정도를 파악하였다. 연구대상자는 B시에 소재한 3개 종합병원에서 입원 중이거나 외래를 방문한 젊은 유방암 환자 배우자 130명이며, 자료수집 기간은 2016년 1월 3일부터 3월 31일까지이다. 수집된 자료는 SPSS win 18.0을 이용하여 mean, t-test, ANOVA, Pearson's correlation coefficients, stepwise multiple regression으로 분석하였다. 분석결과 젊은 유방암 환자 배우자의 돌봄 부담감에 가장 큰 영향을 미치는 요인은 사회적 지지(β=-.41, p<.001)였고, 다음으로 부부 친밀감(β=-.26, p=.001), 나이(β=-.18, p=.009), 지각한 경제적 상태(β=-.14, p=.039)를 포함하여, 총 42%의 설명력을 나타냈다(F=24.41, p<.001). 이에 본 연구의 결과를 바탕으로 젊은 유방암 환자 배우자의 돌봄 부담감을 감소 시킬 수 있는 사회적 지지 프로그램의 개발이 필요하며, 부부 친밀감, 나이, 지각한 경제상태를 고려한 차별적인 프로그램으로 개발할 필요가 있을 것이다.

Keywords

References

  1. National Cancer Center, cancer viewed by statistics, Available from: https://www.cancer.go.kr/lay1/S1T639C642/contents. do (accessed Nov. 29, 2019)
  2. Korean Breast Cancer Society, Breast Cancer Facts & Figures2018, p.22, Korean Breast Cancer Society, 2018, pp.8-9.
  3. Cho, Ok-Hee, Yoo, Yang-Sook, Suh, Young-Jin, "Parenting Stress, Parental Behaviors and Need for Parental Education Relative to Children Characteristics of Young Women with Breast Cancer", The Journal of Korean Academic Society of Adult Nursing, Vol.213, No.6, pp.543-553, Dec. 2011.
  4. Kwon, Eun-jin, Yi, Myung-sun, "Husbands' Caring Experiences for Women with Breast Cancer in Korea", Asian Oncology Nursing, Vol.13, No.1, pp. 18-27, Mar. 2013. DOI:http://dx.doi.org/10.5388/aon.2013.13.1.18
  5. Kang, Ji-young, Seo, Eun-young, "The Influence of Stress, Spousal Support, and Resilience on the ways of Coping among Women with Breast Cancer", Asian Oncology Nursing, Vol.15, No.1, pp.1-8. Mar. 2015. DOI: http://dx.doi.org/10.5388/aon.2015.15.1.1
  6. Duggleby W, Bally J, Cooper D, Doell H, Thomas R, "Engaging hope: The experiences of male spouses of women with breast cancer", Oncology Nursing Forum, Vol. 39, No. 4, pp. 400-406. Jul. 2012. DOI: http://dx.doi.org/10.1188/12.ONF.400-406
  7. Oh, Yeong-Kyong, Impact of depression and marital intimacy on the quality of life of young breast cancer patients and their spouses based on APIMeM, Ph.D dissertation, Hanyang Universit, Seoul, Korea, pp.3, 2018.
  8. Lee, In-Sook, Ham, Eun-Ock, "The Stress, Coping, Mood, and Burden of Spouses of Breast cancer Patients Across the Treatment Phases", Journal of militrynursing research. Vol.29, No.-, pp.81-93, Mar. 2011.
  9. Cha, Kyeong-Sook, Yoo, Yang-Sook, Cho, Ok-Hee, "Stress and Coping Strategies of Breast Cancer Patients and their Spouses", Asian Oncology Nursing, Vol.12, No. 1, pp.20-26, Dec. 2012. DOI:http://dx.doi.org/10.5388/aon.2012.12.1.20
  10. Yoo, Yang-Sook, Hwang, Kyung-Hye, Cho, Ok-Hee "Conflict Resolution Styles, Marital Intimacy and Family Functions of Breast Cancer Patients and Their Spouses", The Journal of Korean Academic Society of Adult Nursing, Vol.25, No.1, pp.33-40, Feb. 2013. DOI:http://dx.doi.org/10.7475/kjan.2013.25.1.33
  11. Kim, In-Gyu, A study on the Korean's Family Role Developmental Tasks Perceived by General people, Journal of Sciences, Vol.24, No.2, pp.47-74, 2009.
  12. Waring, E. M., Reddon, J. R., "The meaeurement of intimacy in marriage: the Waring intimacy Questionnaire", Journal of Clinical, Vol.39, No.1, pp.53-57, Jan, 1983.
  13. Manne S, Badr H., "Intimacy and relationship processes in couples' psychosocial adaptation to cancer", Cancer, Vol.112, No.-, pp.2541-2555, Jun, 2008. https://doi.org/10.1002/cncr.23450
  14. Tae, Young-Sook, Kim, Mi-Yea, "Influencing Factors on Hope Among Patients with Breast Cancer", Asian Oncology Nursing. Vol.9, No.2, pp.86-94, Jul, 2009.
  15. Wendy Duggleby, Lorraine Holtslander, Jari Kylma, Vicky Duncan, Chad Hammond, Allison Williams, "Metasynthesis of the Hope Experience of Family Caregivers of Persons With Chronic Illness", Qualitative Health Research, Vol.20, No.2, pp.148-158, Jan. 2010. DOI:http://doi.org/10.1177/1049732309358329
  16. Chioi, Bo-Ra, The Relationship betwen Hope and Post-traumatic Growth in Family Caregivers of Patients with Cancer :Focusing on the Mediated Effect of Family Function, Master's thesis, Sangmyung University, Seoul, Korea, pp.6, 2018.
  17. Inger Utne, Christine Miaskowski, Steven M. Paul, Tone Rustoen T., "Association between hope and burden reported by family caregivers of patients with advanced cancer", Support Care Cancer, Vol.21, No. 9, pp. 2527-2535. Apr. 2013. DOI:http://dx.doi.org/10.1007/s00520-013-1824-5
  18. Lee, In-Jeong, Kim, Mi-Young, "The moderating effects of social support on the relationship between care burden and marital adjustment in cancer patients' spouse", Korean journal of social welfare studies, Vol.43, No.3, pp.125-150. Sep. 2012. DOI:https://doi.org/10.16999/kasws.2012.43.3.125
  19. Choi, Yooun-sook, Bae, Joo-Hee, Kim, Nam-Hee, Tae, Young-sook, "Factors Influencing Burden among Family Caregivers of Elderly Cancer Patients", Asian Oncology Nursing, Vol.16, No.1, pp.20-29, Mar, 2016. DOI:http://dx.doi.org/10.5388/aon.2016.16.1.20
  20. Kim, Nam-Hee, Tae, Young-Sook, Choi, Yooun-Sook, Bae, Joo-Hee, "Influencing Factors on Stress in Caregivers of Stroke Patients Being Admitted in Rehabilitation Centers", Journal of the Korea Academia-Industrial, Vol.17, No.2, pp.188-201, Feb. 2016. DOI: http://dx.doi.org/10.5762/KAIS.2016.17.2.188
  21. Kim, Young-Lan, Yoo, Mee-Sook, "A Study on the Relationship between the Burden and the Social Support of Family Caregivers of Breast Cancer Patients", The Korean Association of Family Welfare, Vol.13, No.2, pp.5-24. May. 2008.
  22. In, Sook-Lee, (The)factors influencing the quality of life of spouses of women with breast cancer. Ph.D dissertation, Yonsei University, Seoul, Korea, 2008.
  23. Mark T. Schaefer, David H., Olson, "Assessing Intimacy: The Pair Inventory", Jounal of Marital and Family Therapy, Vol.7, No.1, pp.47-60, Jan. 1981. DOI: https://doi.org/10.1111/j.1752-0606.1981.tb01351.x
  24. Hetherington, S. E., Soeken, K. L., "Measuring changes in intimacy and sexuality: A self-administered scale", Journal of sex education and therapy. Vol. 16, No.3, pp.155-163. Jan. 1990. DOI: https://doi.org/10.1080/01614576.1990.11074987
  25. Staley, S. M., Markman, H. J., "Assessing Commitment in Personal Relationships", Journal of Marriag and Family, Vol.54, No.3, pp.595-608, Aug. 1992. DOI:https://doi.org/10.2307/353245
  26. Stevens, F. E., L'Abate, L., "Validity and reliability of a theory-derived measure of intimacy", The American Journal of Family Therapy, Vol.17, No.4, pp.359-368. Jun. 2007. DOI:http://dx.doi.org/10.1080/01926188908250782
  27. Lee, Kyung-hee, Marriage types classified by wives' perception of marital conflict and intimacy. Ph.D dissertation, Seoul National University, Seoul, Korea, 1998
  28. Herth, K., "Development and refinement of an in strument to measure hope", Scholarly Inquiry for Nursing Practice. Vol.5, No.1, pp.39-51. Spring 1991.
  29. Tae, Young-Sook, Youn, Su-Jung, "Effects of a For giveness Nursing Intervention Program on Hope and Quality of life in Woman Cancer Patients", Asian Oncology Nursing, Vol.6, No.2, pp.111-120, Aug. 2006.
  30. Zimert, G.D., Dahelm, N.W., Farley, G. K., "The multidimensional scale of perceived social support", Journal of Personality Assessment, Vol.52, No.1, pp.30-41, Jun. 1988. DOI:https://doi.org/10.1207/s15327752jpa5201_2
  31. Sin Jun-Sub, Lee, Young-Bun, "The Effects of Social Supports on Psychosocial Well-being of the Unemployed", Korean journal of social welfare, Vol.37, No.-, pp.241-269. Apr. 1999.
  32. Given, C. W., Given, B., Stommel, M., Collins, C., King, S., & Franklin, S., "The caregiver reaction assessment (CRA) for caregivers to persons with chronic physical and mental impairments", Research in Nursing & Health, Vol.15, No.4, pp.271-283, Aug. 1992. DOI:https://doi.org/10.1002/nur.4770150406
  33. Rhee, Young-Sun, A Study of Effect on Quality of life of Cancer patient's Caregiver : Focusing on theMediating effect of Feeling of burden and Growth, Ph.D dissertation, Ewha Womans University, Seoul, Korea, 2009.
  34. Lee, In-Jeong, Han, In-Young, "Care burden among partners of cancer patients", Korean journal of family social work, Vol. 30, No. -, pp.197-223, Nov. 2010. DOI: http://dx.doi.org/10.16975/kjfsw.2010.30.007
  35. Kang, Hee-Sun, Yeom, Soo Young, Jun, Eun-Young, "Effect of Intervention Programs for Improving Maternal Adaptation in Korea: Systematic Review", Korean J Women Health Nurs., Vol.19, No.3, pp. 153-16, Sep. 2013. DOI:http://dx.doi.org/10.4069/kjwhn.2013.19.3.153