• Title, Summary, Keyword: Survivors

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Physical Activity Participation and Body Composition in Colorectal and Gastric Cancer Survivor (위암과 대장암 경험자의 신체구성 및 신체활동 참여 실태)

  • Lee, Mi Kyung;Min, Ji Hee;Jeon, Justin Y.
    • 한국체육학회지인문사회과학편
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    • v.55 no.3
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    • pp.465-472
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    • 2016
  • The purpose of this study was to analyze the amount of physical activity and body composition and to investigate physical activity according to cancer type, sex, and age among colorectal and gastric cancer survivors. A total of 354 participants who were colorectal (n=185) and gastric (n=169) cancer survivors had completed all treatment less than 4 years ago at Y university hospital between June 2014 and April 2015. The Global Physical Activity Questionnaire (GPAQ) was used to measure time and intensity of physical activity according to the different types of activity. The colorectal cancer survivors were significantly higher in body mass index, waist circumference, percent body fat, blood pressure, and the prevalence of diabetes compared to gastric cancer survivors. In addition, the results showed that only 26.5% of colorectal cancer survivors met American College of Sports Medicine (ACSM) guidelines (at least of 150 min of moderate intensity of higher physical activity per week) for physical activity, compared with 41.4% of gastric cancer survivors. Additionally, only 13.6% of colorectal and gastric cancer survivors met strength exercise guidelines. The male cancer survivors were significantly higher in moderate physical activity, participation in resistance exercise, and sedentary behaviors compared to female cancer survivors. In additions, less than 65 years cancer survivors were higher in strenuous intensity exercise and moderate physical activity compared to more than 65 years cancer survivors. The alternative for promoting physical activity participation rates of colorectal and gastric cancer survivors should be presented.

Dietary Intake Status among Korean Female Breast Cancer Survivors (한국 여성 유방암 경험자의 식사섭취실태)

  • Park, Myungsook;Hwang, Eunkyung;Moon, Hyeong-Gon;Noh, Dong-Young;Lee, Jung Eun
    • Korean Journal of Community Nutrition
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    • v.19 no.2
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    • pp.163-175
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    • 2014
  • Objectives: We aimed to evaluate dietary intake among female breast cancer survivors in a cross-sectional study. Methods: A total of 127 women who had breast cancer surgery at least 6 months before baseline were included. Dietary intake of female breast cancer survivors was assessed through self-reported 3 day-dietary records. To compare dietary intake between breast cancer survivors and general female population without cancer, we selected the 1:4 age matched women from the 2011 Korean National Health and Nutrition Examination Survey (KNHANES). In the KNHANES, participants were asked about their dietary intake using the 24-hour dietary recalls. We also examined whether dietary intake varied by age group, cancer stage, or time since surgery among breast cancer survivors. We used the generalized linear model to compare their dietary intakes. Results: Intakes of total energy, beta-carotene, folate, vitamin C, plant iron and fruits were lower among breast cancer survivors with longer time since surgery compared to those with shorter time (p<0.05). Breast cancer patients with higher stage at diagnosis tended to consume less legumes (p=0.01) than those with lower stage. When we compared dietary intake between breast cancer survivors and the general female population without cancer, breast cancer survivors were more likely to consume most of macro- and micro-nutrients in larger quantity (p<0.05) and adhere to healthier diet characterized by higher intakes of legumes, seed and nuts, vegetables and fishes and shells than the general female population who never had been diagnosed with cancer (p<0.05). Conclusions: Our study results suggested that the intakes of nutrients and foods varied by time since surgery and cancer stage among breast cancer survivors and dietary intakes among breast cancer survivors differed from that in the general population. Further prospective studies are warranted to explore the association between dietary intakes of specific food items and survival among Korean breast cancer survivors.

Social Support and its Predictors Among Iranian Cancer Survivors

  • Faghani, Safieh;Rahmani, Azad;Parizad, Naser;Mohajjel-Aghdam, Ali-Reza;Hassankhani, Hadi;Mohammadpoorasl, Asghar
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.22
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    • pp.9767-9771
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    • 2014
  • Background: Social support is an important factor in psycho-social well-being of cancer survivors. There is little information about level of social support and its predictors among cancer survivors in Iran or other Middle Eastern countries. The aims of present study were to determine the social support and its prediction factors among Iranian cancer survivors. Materials and Methods: In this descriptive-correlational study 187 cancer patients in one educational center and one private oncology office in northwest of Iran participated using a convenient sampling method. The data collection tool consisted of a researcher-prepared checklist and the Multidimensional Scale of Perceived Social Support Assessment (MSPSS). Data analysis was performed using SPSS statistical software with descriptive statistics and multiple linear regression analysis. Results: The total score of MSPSS was 68 from a possible score between 7 and 84. Participants believed that they received a high level of support from their family members and significant others. Multiple linear regression analysis showed that single and depressed cancer survivors and participants with lower levels of physical activity believed that they received lower levels of social support. Conclusions: Iranian cancer survivors receive high levels of social support and family members are the most important source of this support. In planning any supportive care program for Iranian cancer survivors this strength should be considered. Especially, single and depressed and patients with lower levels of physical activity need more attention.

Identification of Risky Subgroups with Sleep Problems Among Adult Cancer Survivors Using Decision-tree Analyses: Based on the Korean National Health and Nutrition Examination Survey from 2013 to 2016 (의사결정나무 분석을 이용한 성인 암경험자의 문제수면 위험군 예측: 2013-2016년도 국민건강영양조사 자료 분석)

  • Kim, Hee Sun;Jeong, Seok Hee;Park, Sook Kyoung
    • Journal of Korean Biological Nursing Science
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    • v.20 no.2
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    • pp.103-113
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    • 2018
  • Purpose: This study was performed to assess problems associated with sleep (short and long sleep duration) and to identify risky subgroups with sleep problems among adult cancer survivors. The study is based on the Korea National Health and Nutrition Examination Survey (KNHANES VI and VII) from 2013 to 2016. Methods: The sociodemographic and clinical data of 504 Korean cancer survivors aged 20-64 years was extracted from the KNHANES VI and VII database. Descriptive statistics for complex samples was used, and decision-tree analyses were performed using the SPSS WIN 24.0 program. Results: The mean age for survivors was approximately 51 years. The mean sleep duration was 6.97 hours; 36.2% of participants had short (< 7 hours) and 9.9% had long (> 8 hours) sleep duration. From the decision-trees analyses, the characteristics of the adult cancer survivors related to sleep problems were presented with six different pathways. Sleep problems were analyzed according to the survivors' sociodemographic information (age, education, living status, and occupation), clinical characteristics (body mass index, hypercholesterolemia, and anemia) and health-related quality of life (HRQoL). The HRQoL (${\leq}0.5$ or > 0.5 cutoff point) was a significant predictor of the participants' sleep problems because all six pathways were started from this predictor in the model. Conclusion: Health care professionals could use the decision-tree model for screening adult cancer survivors with sleep problems in clinical or community settings. Nursing interventions considering these specific individual characteristics and HRQoL level should be developed to have adequate sleep duration for Korean adult cancer survivors.

Gender Differences in Marital Disruption among Patients with Cancer: Results from the Korean National Health and Nutrition Examination Survey (KNHANES)

  • Song, Hai-Yan;Kwon, Jeoung-A;Choi, Jae-Woo;Kim, Sun-Jung;Park, Eun-Cheol
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.16
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    • pp.6547-6552
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    • 2014
  • Background: Cancer is a major life event that imposes huge economic and mental burdens on patients and families. In addition, the diagnosis of cancer also causes significant family discordance that can lead to marital problems such as divorce or separation. The aim of this study was to investigate the association and any related gender differences between cancer diagnosis and marital disruption among cancer survivors. Materials and Methods: We used the recent cross-sectional Korea National Health and Nutrition Examination Survey ($4^{th}$ and $5^{th}$; Years 2008-2012). The study participants were 623 married cancer survivors over the age of 19. A multivariate logistic regression analysis was conducted to estimate odds ratios. Results: After adjusting for socioeconomic status and health-related behaviors, the odds ratio of marital disruption among female cancer survivors compared with male cancer survivors was 3.94 (95%CI 1.30-11.94; p=0.02). The odds ratio of marital disruption for the below-average economic level compared with the above-average economic level was 5.64 (95%CI: 1.03-31.02; p=0.05). When compared with the non-smoking cancer survivors, the smoking cancer survivors had an OR of marital disruption equal to 2.94 (95%CI: 1.08-8.00; p=0.03). Conclusions: The findings of this study suggest that the odds of marital disruption among female cancer survivors are higher than those among their male couterparts. Medical practitioners should be sensitive to early signs of marital discord in couples affected by a cancer diagnosis. Early identification and psychosocial intervention might reduce the frequency of divorce and separation and thus improve quality of life and quality of care for cancer survivors.

Cancer Survivors' Life Experience (암 생존자의 생활경험)

  • Park, Mi-Sung;Kim, Keum-Soon
    • Asian Oncology Nursing
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    • v.8 no.2
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    • pp.93-104
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    • 2008
  • Purpose: The purpose of this study was to describe and understand the meaning of cancer survivors' life experience after being discharged from the primary cancer treatment. Methods: Data were collected through a tape-recorded in-depth interview from six participants living in Gyeonggi province from September 2007 to January 2008. The analysis of the data was made through the phenomenological analytic method suggested by Colaizzi. Results: Thirteen themes regarding the survivors' life experience were found. From these thirteen themes, six major theme were emerged. The six major theme included 'keeping his/her mind comfortable', 'going ahead with new hope', 'accepting for his/her existing burden', 'maintaining a good health for a new life', 'improving the strength and relationship among the family member', and 'being faithful to his/her religion'. Conclusions: The results of this study would help oncology nurses to understand the cancer survivors' life and to develop a quality of life improvement program for physical, psychosocial, and spiritual aspects of nursing.

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Effects of Horticultural Therapy Program on State-Anxiety, Fatigue and Quality of Life among Women Cancer Survivors (원예요법프로그램이 여성 암생존자의 상태불안과 피로 및 삶의 질에 미치는 효과)

  • Oh, Kyong-Ok;Gang, Moon-Hee;Jung, Kwon-Sook
    • Asian Oncology Nursing
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    • v.12 no.2
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    • pp.125-131
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    • 2012
  • Purpose: This study was designed to examine the effects of horticultural therapy program on state-anxiety, fatigue and quality of life (QoL) of among women cancer survivors. Methods: Quasi-experimental study was used with a nonequivalent control group pretest-posttest design. Data were collected from February to June, 2009. Participants consisted of 40 women cancer survivors in community. The experimental group participated in horticultural therapy program once a week for 18 weeks. Data were analyzed with SPSS/WIN 18.0 program using ${\chi}^2$-test and t-test. Results: There were significant differences between the two groups in state-anxiety and QoL. Conclusion: The results of this study support that horticultural therapy program was effective in decreasing state-anxiety and improving QoL among women cancer survivors.

Long-term follow-up study and long-term care of childhood cancer survivors

  • Park, Hyeon-Jin
    • Clinical and Experimental Pediatrics
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    • v.53 no.4
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    • pp.465-470
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    • 2010
  • The number of long-term survivors is increasing in the western countries due to remarkable improvements in the treatment of childhood cancer. The long-term complications of childhood cancer survivors in these countries were brought to light by the childhood cancer survivor studies. In Korea, the 5-year survival rate of childhood cancer patients is approaching 70%; therefore, it is extremely important to undertake similar long-term follow-up studies and comprehensive long-term care for our population. On the basis of the experiences of childhood cancer survivorship care of the western countries and the current Korean status of childhood cancer survivors, long-term follow-up study and long-term care systems need to be established in Korea in the near future. This system might contribute to the improvement of the quality of life of childhood cancer survivors through effective intervention strategies.

Psychosocial aspects of childhood cancer survivors

  • Seo, Jong-Jin
    • Clinical and Experimental Pediatrics
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    • v.53 no.4
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    • pp.471-476
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    • 2010
  • The majority of childhood cancer survivors and their families will be psychologically healthy, but may desire and benefit from preventive care. A significant portion of the survivor population will be psychosocially distressed in various aspects by their harsh experience of long cancer treatment, and may warrant professional intervention and treatment. Pediatricians should be aware of the late psychological effects that can occur a year or 2 after treatment, possibly in many aspects of a survivor's life. Not only the cancer diagnosis, but also treatments such as chemotherapy, irradiation, and surgical intervention may exert different long-term effects on the psychosocial outcomes of survivors. Pediatricians need to be more concerned with maintaining and improving the psychological health of this growing number of childhood cancer survivors through long-term follow-up clinics, community support, or self-help groups. Research on all of the psychosocial aspects of childhood cancer survivors is important to recognize the reality and problems they face in Korea.

Effects of Skin Rehabilitation Massage Therapy on Pruritus, Skin Status, and Depression in Burn Survivors

  • Roh, Young-Sook;Cho, Hee;Oh, Jung-Ok;Yoon, Cheon-Jae
    • Journal of Korean Academy of Nursing
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    • v.37 no.2
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    • pp.221-226
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    • 2007
  • Purpose. Hypertrophic scarring and depression are the principal problems of bum rehabilitation. This study was done to verify the effects of skin rehabilitation massage therapy (SRMT) on pruritus, skin status, and depression for Korean bum survivors. Methods. A pretest - posttest design using a nonequivalent control group was applied to examine the effects of SRMT for 3 months in a group of 18 bum survivors. The major dependent variables - including pruritus, objective and subjective scar status, and depression - were measured at the beginning and at the end of the therapy to examine the effects of SRMT. Results. Bum survivors receiving SRMT showed reduced pruritus, improved skin status, and depression. The remaining scar also showed improvement in skin pigmentation, pliability, vascularity, and height (compared to the surrounding skin) as measured on the Vancouver Scar Scale (VSS). Conclusions. The findings demonstrate that SRMT for bum survivors may improve their scars both objectively and subjectively, and also reduce pruritus and depression.