Kim K M
Kanho Hakhoe Chi. 1990 Dec;20(3):341-56. doi: 10.4040/jnas.1990.20.3.341.
Cancer is still a threat to human beings. The incidence and mortality rate of cancer have been gradually increasing as the life span has been lengthened. Radiotherapy is one of the most commonly used treatments for cancer. This study explored the influence of social support and stress on sick role behavior of patients receiving radiotherapy for cancer. The subjects for this study were 60 patients undergoing radiotherapy for cancer, selected from the radiotherapy treatment unit of the out patient departments of two major medical centers in Jeonju. Data were collected from February 1 to 28, 1990 by a Likert Scale Questionnaire and an interview schedule designed by the investigator. Data analysis included percentages, mean and standard deviation, t or F-test, Pearson Correlation Coefficient and stepwise multiple regression. Results included the following: 1. Support came primarily from sons and daughters (90.1%); the type of support was primarily emotional support from friends (60.0%); informational support came from health personnel (81.7%); and material support was sons and daughters (40.0%); satisfaction with support was highest for the spouse (4.02 +/- .52). 2. Among the patient's demographic status was occupation the was the only socioeconomic characteristic influencing sick role behavior (F = 2.91, p = .029). 3. Directly previewed support was positively correlated with sick role behavior (r = .2374, p = .034). 4. Stepwise multiple regression was used to determine the predictors of sick role behavior. Directly perceived support was the most significant predictor accounting for the highest contribution to sick role behavior (5.6%). Directly perceived support, socioeconomic status, perceived stress and indirectly perceived support variables together, accounted for only 6.8% of sick role behavior.
癌症仍然是对人类的一种威胁。随着寿命的延长,癌症的发病率和死亡率一直在逐渐上升。放射治疗是治疗癌症最常用的方法之一。本研究探讨了社会支持和压力对接受癌症放射治疗患者患病角色行为的影响。本研究的对象是60名接受癌症放射治疗的患者,他们选自全州两家主要医疗中心门诊部的放射治疗科。数据于1990年2月1日至28日通过由研究者设计的李克特量表问卷和访谈提纲收集。数据分析包括百分比、均值和标准差、t检验或F检验、皮尔逊相关系数和逐步多元回归。结果如下:1. 支持主要来自子女(90.1%);支持类型主要是朋友的情感支持(60.0%);信息支持来自医护人员(81.7%);物质支持来自子女(40.0%);对支持的满意度配偶最高(4.02±0.52)。2. 在患者的人口统计学状况中,职业是影响患病角色行为的唯一社会经济特征(F=2.91,p=0.029)。3. 直接感知到的支持与患病角色行为呈正相关(r=0.2374,p=0.034)。4. 采用逐步多元回归来确定患病角色行为的预测因素。直接感知到的支持是最显著的预测因素,对患病角色行为的贡献最大(5.6%)。直接感知到的支持、社会经济状况、感知到的压力和间接感知到的支持变量共同仅占患病角色行为的6.8%。