암환자 가족의 부양부담에 영향을 미치는 요인에 관한 연구

서지정보

· 발행기관 : 한국사회복지실천연구학회
· 수록지 정보 : 미래사회복지연구 / 1권 / 1호
· 저자명 : 이문경, 윤현숙, 최경원

목차

Ⅰ. 서 론
Ⅱ. 선행연구 및 고찰
Ⅲ. 연구방법
Ⅳ. 연구결과
Ⅵ. 결론 및 제언

초록

우리나라는 의료기술의 발달로 치료될 수 없다고 여기던 '암’이라는 질병이 만성질환에 포함되
게 되었다. 그렇기 때문에 암이라는 확진을 받는 순간부터 환자와 부양자는 상호부담감을 느끼
게 된다. 그러므로 암환자 부양자의 부담감에 미치는 요인을 개인체계, 가족체계, 환경체계로 나
누어 조사한 결과 개인체계요소인 자기효능감은 영향을 미치지 못하고 있었고 가족체계요소의
가족결속력과 환경체계의 의료사회복지사의 지지는 경제적 부담영역에 대해서 유의미한 영향력
이 나타났다. 이 결과를 바탕으로 “암”이라는 질병은 유전적 요인이 많은 것이므로 확진이 되는
순간 의료사회복지사를 연계하여 환자와 가족의 전반적인 개입이 필요하다. 이것을 위해서는 전
문의료진과 의료사회복지사, 관리운영자의 협력이 필요하며 환자와 가족의 일상생활에 적응을
위한 개입전략이 필요하다.

영어초록

The objective of the present study is to contribute to intervention methods to promote
medical social work services that reduce the caregiving burden for the families of cancer
patients. For this purpose, this study investigates the ecological system factors including
individual, family, and environmental systems factors which affect the caregiving
burden of cancer patients' families from an ecological point of view.
The subjects of this study were the families of cancer patients over 20 years of age
who assumed the primary responsibility to take care of cancer families in a university
hospital. A total of 100 questionnaires were used in the analysis. Collected data were
analyzed using SPSS 15.0. Frequency analysis, correlation, T-tests, one-way ANOVA
tests, and multiple regression analysis were used to analyze the results.
The dependent variable used in the analysis was the caregiving burden and was
composed of the four sub-factors of physical, social, emotional, and economic burdens.
Independent variables affecting the caregiving burden included individual system factors
such as self-efficacy, family system factors such as family cohesion and family
adaptability, and environmental system factors such as the social support networks of
medical social workers as well as those of the patients' families.
The results of the analyses are as follows: First, of all the sociological characteristics,
health condition, caregiving time per day, and medical treatment type were important
factors that influenced the caregiving burden of cancer patients' families. Also, family
cohesion was the only factor that influenced the caregiving burden among the family
system factors. In addition, the family's social support was the only factor that
influenced the caregiving burden among the environmental system factors.
Moreover, health condition, caregiving time per day, and family cohesion were
important factors that influenced the physical burden; caregiving time per day and
medical treatment type were important factors that influenced the social burden; family
cohesion was and important factor that influenced the emotional burden; and medical
social worker's social support was an important factor that influenced the economic
burden. Furthermore, family adaptability among family system factors, self-efficacy
among individual system factor and medical social worker's social support among
environmental system factors did not influence the caregiving burden.
The conclusion is that we need to consider both the families themselves and their
environmental circumstances to improve the caregiving burden of cancer patients'
families. In particular, an approach which emphasized the health condition, caregiving
time per day, medical treatment type, family cohesion, and the social support networks
of both the cancer patients' families and those of the medical social workers is
requested. To achieve this, practical suggestions for medical social work programs that
reduce the families' caregiving burden will have to be developed and prepared.

참고자료

· 없음