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KMID : 0379720030170010058
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Journal of Korean Community Health Nursing Academic Society
2003 Volume.17 No. 1 p.58 ~ p.68
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Depression, Anxiety, and Spouse Support in Married Women Who had Received Gynecologic Cancer Treatment
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Abstract
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This study was conducted to explore the depression, anxiety. spouse support, and the difference of these variables according to the general characteristics and disease related characteristics in married women who had received gynecologic cancer treatment.
The subjects consisted of 62 patients with cervical cancer, 18 patients with ovarian cancer. and 7 patients with endometrial cancer who were admitted to the department of obstetrics and gynecology, 3 education hospital in Seoul from January, 1996 to August, 1999.
The data were collected from March 25 to July 25. 2000 by using a mailed questionnaire.
The results were as follows :
1. The mean score of depression was 35.1 with the range from 20 to 76.The mean score of the anxiety was 38.6 with the range from 24 to 58. The mean score of the spouse support was 33.8 with the range from 12 to 48.
2. The score of depression was significantly different by the general characteristics; woman´s education level (p=.040), econonmic level(p=.002), and the satisfactory level on married life (p=.009). The score of spouse support was significantly different by the general characteristics; woman´s education level(p=.009). spouse´s education level(p=.001), spouse´s religion(p=.004), economic level(p=.008), and the satisfactory level on married life(p=.000). The scores of depression, anxiety, and spouse support were not significantly different by the disease related characteristics.
3. The score of depression had a positive correlation with anxiety(r=.731). and a negative correlation with spouse support(r=-.425).
4. The main influencing factors on the depression were economic level (13.4%) and satisfactory level on married life (4.4%). The main influencing factors on the spouse support were satisfactory level on married life (23.6%) and spouse´s education level (9.2%).
Based upon the above findings, the depression, anxiety, and spouse support of women who had received gynecologic cancer treatment were higher than healthy married women. The score of depression and anxiety had a negative correlation with spouse support. The factors influencing spouse support were satisfactory level on married life and spouse´s education level. Therefore it is recommended that nursing intervention for women who had received gynecologic cancer treatment would be focused to improve spouse support for alleviating depression and anxiety level.
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