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KMID : 0439019960050010126
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Korean Journal of Nursing Query
1996 Volume.5 No. 1 p.126 ~ p.156
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A Study on the Contributing Factors of Depression in Uterine Cervix Cancer Patients who Receiving Hysterectomy or Curative Radiotherapy
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소향숙/So, Hyang-Sook
송혜향/Song, Hae-Hiang
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Abstract
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In this descriptive correlational study, 45 newly diagnosed uterine cervical cancer patients were interviewed to determine the predictors of depression scores at the post-operative 3 month. The theoretical framework was derived basically from the Lazarus & Folkman´s process model of stress-coping-adaptation and cognitive model of depression.
A total of 45 subjects from one general hospital in Kwang-ju city were observed and interviewed during 7 months with the aid of 7 structured instruments: Mishel´s Uncertainty in Illness scale, Folkman & Lazarus´s W.C.C.L., Beck´s Depression Inventory, Pollock´s health- related hardiness scale, Tai´s family support scale, Rosenberg´s self-esteem scale, and records on the demographic and medical factors.
The data obtained were analyzed using percentage, paired t-test, Stepwise Multiple Regression and Cronbach´s Alpha Coefficients.
The results were as follows:
1. A majority of patients was between 30 and 50 years of age and 80% of women had stage I cancer.
2. The mean score of the perceived uncertainty was 1.64 + 0.69. Those of problem-focused coping and emotion-focused coping were 1.44 + 0.59 and 1.23 + 0.49, respectively and the former was more used significantly (t= 2.54, p= .0147).
3. The score of depression on the post-operative 1 month was 19.96 + 10.43 and 15.47 + 9.58 on the post-operative 3 months. So the depression scores were significantly decreased from 1 month to 3 months post-operative(t= -3.77, p= .0005).
4. When uncertainty score was entered into the equation as the dependent variable, the stepwise procedure resulted in the inclusion of cancer staging, explaining 29.7%(B= 2.10, p= .034) of the variation in the uncertianty score.
5. When problem-focused coping score was entered into the equation as the dependent variable, the stepwise procedure resulted in the inclusion of the presence or absence of an ovary, explaining 11.9%(B= -.527, p= .035) of the variation in problem-focused coping score, self-esteem, explaining 9.4%(B= .300, p= .033), uncertianty, explaining 3.2%(B= .287, p= .070).
6. When emotion-focused coping score was entered into the equation as the dependent variable, the stepwise procedure resulted in the inclusion of the education level, explaining 6.5%(B= .363, p= .001) of the variation in emotion-focused coping score, perceived family support, explaining 8.8%(B= .332, p= .008), uncertianty, explaining 8.4%(B= .340, p= .018), "age, explaining 3.7%(B= .026, p= .049), the induced anti-cancer chemotherapy, explaining 7.5%(B= .306, p= .086).
7. When the depression score at the post-operative 3 month was entered into the equation as the dependent variable, the stepwise procedure resulted in the inclusion of uncertainty, explaining 45.2%(B= .255, p= .031) of the variation in the depression scores, self-esteem, explaining 5.3%(B= -.229, p= .034), cancer staging, explaining 3.7%(B= .138, p= .036), and hardiness, explaining 3.3%(B= .427, p= .038), respectively. However, when depression at the post-operative 1 month was entered as another independent variable, this depression variable itself explained 58.8%(B= .515, p= .0002) of the variation, and neither uncertainly, self-esteem, nor cancer staging were significant predictors.
In view of the results of the present study that cognitive variables explained depression scores better than coping scores, a longitudinal study design is much more powerful compared to the one-time-measurement study design for studying Lazarus & Folkman´s process model of stress-coping-adaptation and cognitive model.
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KEYWORD
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