혈액종양환자의 절망감 관련 요인

Related Factors of hopelessness among hemato-oncologic Patients

Purpose: The purpose of this study was to identify related factors of hopelessness among hemato-oncologic patients. Method: Data were collected by structured questionaire from July 1 to August 31, 2007, by self-reported questionaires from 268 hemato-oncologic patients. The data were analyzed using SPSS/ PC WIN 12.0 program And frequency, percentage, mean, minimum, maximum, t-test, ANOVA, Scheffe s test, Pearson s Correlation Coefficient and Multiple Stepwise Regression were used. Results: 1) Degree of health state was 9.46±2.98(range of scale: 3-15), degree of self-esteem, 36.14±5.87((range of scale: 10-50), Degree of family support, 34.13±6.73((range of scale: 8-40), Degree of uncertainty, 52.57±12.03((range of scale: 21-105), and Degree of family support, 42.84±14.35((range of scale: 20-100). 2. There was significant difference in degree of hopelessness by age, education lebel, economic status of family, admission number due to this disease. 3. Relationship between health status and hopelessness showed moderate negative correlation (r=-.44, p<.001). The relationship between self-esteem and hopelessness, strong negative correlation (r=-.662, p<.001). The relationship between family support and hopelessness, weak negative correlation (r=-.326, p=.001). The relationship between uncertainty and hopelessness, strong negative correlation (r=.617, p=.000). 4. The related factors of hopelessness among hemato-oncologic patients were self-esteem, uncertainty, health status and education level. In conclusion, Degree of the hopelessness among hemato-oncologic patients was low. The variables related to hopelessness included self-esteem, uncertainty, health status and education level. Therefore, in providing a nursing intervention to improve the hopelessness among hemato-oncologic patients it is necessary to consider these factors precisely. Above all, self-esteem was identified as the highest related factor, for that reason, healthcare providers should consider this factor to find appropriate nursing intervention to improve the self-esteem.