4) 제4가설 : "건강통제위 특성이 내적성향일수록 자아존중감은 높을 것이다."는 지지 되었다.(r=.1866, p<.05)
5) 제5가설 : "건강통제위 특성이 우연성향일수록 자아존중감은 낮을 것이다."는 지지 되었다.(r=.2273, p<.05)
2. 암환자의 불편감정도는 평균 90.89이었으며 최저 51점에서 최고 136점으로 85점의 범위를 나타내었다.
3. 화학요법을 받는 암환자가 느끼는 불편감요인은 '치료로 인한 문제' '역활상실' '질병자체' '예후에 대한 불안' '사회경제적인 문제' '환경적 요인' '의료팀과의 문제'의 순위로 7개 요인이었다.
4. 암환자의 불편감과 성격에 영향을 미친 제 특성
1) 불편감정도와 통계적으로 유의한 관계를 나타낸 제 변수는 성별(t=-2.05, P=.044), 결혼상태(F=4.048,P=.021), 진단명(F=3.726, P=.002), 약물요법기간(F=2.480, P=.023) 이었다. 병실은 외래보다 환기가 되지 않는 것으로 나타났다.(t=-2.54, P=.013)
2) 건강통제위 특성과 통계적으로 유의한 관계를 나타낸 제 변수는 내적성향과는 직업(F=2.149, P=.047)과 진단명(F=2.519, P=.021)이었고, 우연성향과는 성별(t=-2.07, P=.041)과 교육정도(F=3.784, P=.013) 이었다.
3) 자아존중감과 통계적으로 유의한 관계를 나타낸 제 변수는 교육정도(F=3.388, P=.022)와 직업(F=2.483, P=.023)이었다.
이상의 결과로서 암환자는 화학요법과 관련된 불편감요인에서 치료로 인한 문제를 가장 높이 인지하며, 성격중에서 건강통제위 트겅과 자아존중감은 암환자의 불편감 정도와 관계가 있다는 결론을 내릴 수잇다.
[영문]
This study was done to provide more effective care in cancer nursing practice.
Therefore the study was designed to inverstigate the factors of discomfort and to test the correlation between discomfort and personality in cancer patients receiving chemitherapy.
The subjucts consisted of 90 cancer patients who were receiving chemotherapy either as outpatients or inpatients at five hospitals affiliated to universities in Seoul and at two general hospitals in Kyung Gi Province.
The data used for this study were the Discomfort Scale developed by the researcher, Wallston & Wallston's Multidimensional Health Locus of Control Scale and Rosenberg's Self-Esteem Scale.
Analysis of data was done by means of the SPSS Program using t-test, ANOVA and Peearson Correlation Coefficient.
The results of this sudy can be summarized as follows.
1. Results of testing hypothesis for relationship between discomfort and personality cancer patients:
1) The first hypothesis, "In regard to the HLC the higher the score toward internal, the lower the level of discomfort", was accepted.(r = -.1847, p<.05)
2) The second hypothesis, "In regard th the HLC the higher the score toward chance, the higher the level of discomfort", was accepted.(r = .2930, p<.01)
3) The third hypothesis, "The hither the level of self-esteem, the lower the level of discomfort", was accepted. (r = -.2365, p<.05)
4) The fourth hypothesis, "In regard to the HLC the higher the score toward internal, the higher the level of self-seteem", was accepted.(r = .1866, p<.05)
5) The fifth hypothesis, "In regard to the HLC the hither the score toward chance, the lower the level of self-esteem", was accepted.(r = -.2273, p<.05)
2. The cancer patients' discomfort level ranged from the score of 51 to 136, showing a mean of 90.89.
3. The scale of factors by severity in shemotherapy cancer patients' discomfort was 'problems of treatment', "loss of rule', 'illness itself', 'uncertainty concerning the prognosis', "socioeconomic problems', 'unappropriate environment' and 'problems resulting from interaction with the medical team'.
4. Analysis of the demographic factors influencing discomfort and personality in cancer patients:
1) Analysis of factors influencing discomfort;
gender (t = -2.05, p = .044), marital status (F=4.048, P=.021), diagnosis (F = 3.726, P = .002), length of time of chemotherapy (F = 2.480, P = .023). Also wards were less ventilated then out-patient dapartments. (t = -2.54, P = .013)
2) Analysis of factors influencing health locus of control;
Internal; occupation (F = 2.149, P = .047), diagnosis (F = 2.519, P = .013)
Chance; genger (t = -2.07, P = .041), level of education (F = 3.784, P = .013)
3) Analysis of factors influencing self-esteem; level of education (F = 3.388,P = .022) occupation (F = 2.483, P = .023)
In conclusion, it was found that cancer patients perceived problems of treatment as the highest factor by severity related th chemotherapy.
It was also found that cancer patients' discomfort was correlated with health locus of control and self-esteem of personality