대한간호학회지 (Journal of Korean Academy of Nursing)

한국간호과학회 (Korean Society of Nursing Science)
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간세포암 환자의 증상군 분류와 타당도 검증

Identification and Validation of Symptom Clusters in Patients with Hepatocellular Carcinoma

  • 조명숙 (성균관대학교 의과대학 삼성서울병원 임상간호학교실) ;
  • 권인각 (성균관대학교 의과대학 삼성서울병원 임상간호학교실) ;
  • 김희선 (삼성서울병원 간호파트) ;
  • 김경희 (중앙대학교 간호학과) ;
  • 류은정 (건국대학교 간호학과)
  • Cho, Myung-Sook (Department of Clinical Nursing Science, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Kwon, In-Gak (Department of Clinical Nursing Science, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Kim, Hee-Sun (Department of Nursing, Samsung Medical Center) ;
  • Kim, Kyung-Hee (Department of Nursing, Chung-Ang University) ;
  • Ryu, Eun-Jung (Department of Nursing, Konkuk University)
  • 발행 : 2009.10.30
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초록

Purpose: The purpose of this study was to identify cancer-related symptom clusters and to validate the conceptual meanings of the revealed symptom clusters in patients with hepatocellular carcinoma. Methods: This study was a cross-sectional survey and methodological study. Patients with hepatocellular carcinoma (N=194) were recruited from a medical center in Seoul. The 20-item Symptom Checklist was used to assess patients' symptom severity. Selected symptoms were factored using principal-axis factoring with varimax rotation. To validate the revealed symptom clusters, the statistical differences were analyzed by status of patients' performance status, Child-Pugh classification, and mood state among symptom clusters. Results: Fatigue was the most prevalent symptom (97.4%), followed by lack of energy and stomach discomfort. Patients' symptom severity ratings fit a four-factor solution that explained 61.04% of the variance. These four factors were named pain-appetite cluster, fatigue cluster, itching-constipation cluster, and gastrointestinal cluster. The revealed symptom clusters were significantly different for patient performance status (ECOG-PSR), Child-Pugh class, anxiety, and depression. Conclusion: Knowing these symptom clusters may help nurses to understand reasonable mechanisms for the aggregation of symptoms. Efficient symptom management of disease-related and treatment-related symptoms is critical in promoting physical and emotional status in patients with hepatocellular carcinoma.

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참고문헌

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피인용 문헌

  1. Symptom Clusters and Quality of Life in Korean Patients With Hepatocellular Carcinoma vol.33, pp.1, 2009, https://doi.org/10.1097/ncc.0b013e3181b4367e
  2. 종양내과병동 간호단위 핵심간호실무 학습프로그램 개발 및 평가 -성과기반 암 환자 통증관리 학습프로그램- vol.13, pp.4, 2009, https://doi.org/10.5388/aon.2013.13.4.231
  3. 대장암 환자 증상군의 중증도에 따른 삶의 질 vol.14, pp.2, 2009, https://doi.org/10.5388/aon.2014.14.2.74
  4. Effects of Acupressure on Fatigue and Depression in Hepatocellular Carcinoma Patients Treated with Transcatheter Arterial Chemoembolization: A Quasi-Experimental Study vol.2015, pp.None, 2009, https://doi.org/10.1155/2015/496485