본 연구는 유방암 생존자의 스트레스, 말초신경병증, 자기효능감이 삶의 질에 미치는 영향을 파 악하기 위한 서술적 횡단면 조사연구이다. 연구 대상자는 대전·세종·충청권 4개 한방병원을 내원한 유방암 생존자 176명이었으며, 구조화된 설문지를 통해 수집된 자료를 SPSS 28.0을 이용하여 기술통계, Pearson 상관분석, 다중회귀분석으로 분석하였다. 연구 결과, 삶의 질은 스트레스(r=–.77, p<.001)와 말초신경병증 (r=–.58, p<.001)과 유의한 음의 상관관계를 보였고, 자기효능감(r=.60, p<.001)과는 유의한 양의 상관관계 를 나타냈다. 삶의 질에 유의한 영향을 미치는 요인은 스트레스(β=–.55, p<.001), 말초신경병증(β=–.24, p<.001), 경제적 만족도(보통: β=.21, p<.001; 만족: β=.18, p=.003), 자기효능감(β=.20, p<.001)이었으 며, 회귀모형은 73.2%의 설명력을 보였다(F=56.31, p<.001). 본 연구는 유방암 생존자의 삶의 질 향상을 위해 정서적 스트레스와 말초신경병증의 관리, 자기효능감 증진, 경제적 지원 등 다차원적 요소를 통합적 으로 고려한 간호중재 개발의 근거를 제공한다.

The purposes of this study were to determine the effect of different degrees of severity of diabetic neuropathy on balance function, and to evaluate dynamic balance and functional performance in diabetes patients. Twenty-four subjects with diabetes mellitus were divided into three groups according to results of sensory nerve conduction study. All subjects were evaluated for dynamic balance which was measured using computerized dynamic posturography, and functional performance which was measured using the Berg balance scale. One-way analysis of variance was used to determine whether there were any statistically differences of dynamic balance function and functional performance among the three groups. The Spearrnan's rank correlation was used to determine statistical significance between dynamic balance and age. The results were as follows: 1. Dynamic balance measured using computerized dynamic posturography was significantly lower in the no response group than in the normal amplitude group (p<0.05). 2. Functional performance tested by the Berg balance scale was not statistically different among the three groups (p>0.05). 3. an inverse relationship was found between dynamic balance measured using computerized dynamic posturography and age (r=-0.68, p<0.05). These results suggest that patients with severe diabetic neuropathy have loss of dynamic balance function. Therefore, patients with severe diabetic neuropathy need to have their balance evaluated and receive appropriate education.