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The Effects of Integrated Intervention Program for Community Dwelling Cancer Patients' Quality of Life, Depression and Self Care Agency

통합중재프로그램이 지역사회 재가 암환자들의 삶의 질, 우울, 자가간호역량에 미치는 효과

  • Kang, Young Sil (College of Nursing & Institute of Health Science, Gyeongsang National University) ;
  • Kwon, In Soo (College of Nursing & Institute of Health Science, Gyeongsang National University) ;
  • Hong, Eunyoung (Department of Nursing, Gyeongnam National University of Science and Technology)
  • 강영실 (경상대학교 간호대학 & 건강과학연구원) ;
  • 권인수 (경상대학교 간호대학 & 건강과학연구원) ;
  • 홍은영 (경남과학기술대학교 간호학과)
  • Received : 2016.08.16
  • Accepted : 2016.12.25
  • Published : 2016.12.31

Abstract

Purpose: This study was performed to identify the effects of an integrated nursing intervention program on the quality of life, depression and self care agency of community dwelling cancer patients. Methods: The design of this study was a quasi-experimental, one group pre-post test. A total of 25 community dwelling cancer patients in J city were included in this study. An integration intervention was 30 times, 10 weeks program. The data were collected between May and November of 2014. The collected data were analyzed using SPSS 18.0 through paired t-test. Results: There were significant differences in the quality of life (p=.007) and self-care agency (p=.042) after 10 week's intervention. Conclusion: The results indicate that an integrated intervention program including educational, cognitive, emotional and physical intervention is effective for community dwelling cancer patients. Further attention should be paid to the intensity and period of an integrated intervention program.

Keywords

References

  1. An, H., Nho, J. H., Yoo, S., Kim, H., Nho, M., & Yoo, H. (2015). Effects of lifestyle intervention on fatigue, nutritional status and quality of life in patients with gynecologic cancer. Journal of Korean Academy of Nursing, 45(6), 812-822. http://dx.doi.org/10.4040/jkan.2015.45.6.812
  2. Anderson, J. L. (1989). The nurse's role in cancer rehabilitation. Cancer Nursing, 12(2), 85-94.
  3. Boo, S. J. (2015). Self-care agency and quality of life in brain tumor patients after surgery. Asian Oncology Nursing Society, 15(4), 211-218. http://dx.doi.org/10.5388/aon.2015.15.4.211
  4. Cho, E. A. & Oh, H. E. (2011). Effects of laughter therapy on depression, quality of life, resilience and immune responses in breast cancer survivors. Journal of Korean Academy of Nursing, 41(3), 285-293. http://dx.doi.org/10.4040/jkan.2011.41.3.285
  5. Cho, S. J. (2007). Psychiatric and psychosocial intervention for cancer patients and their families. Journal of Korean Neuropsychiatric Association, 46(5), 430-446.
  6. Choi, J. Y. (2008). Complementary therapy for improvement of quality of life in cancer patients. Journal of the Korean Medical Association, 51(5), 435-448. https://doi.org/10.5124/jkma.2008.51.5.435
  7. Choi, J. Y. & Yang, J. J. (2008). Effect of a multidisciplinary and individualized educational program on the need for caring among patients with cancer under radiotherapy. Journal of Korean Oncology Nursing, 8(1), 17-23.
  8. Choi, Y. A. (2007). Change in immune system and hormone of adult males after Kouksundo training. Unpublished master's thesis, Sookmyung Women's University, Seoul.
  9. Choi, Y. H. & Ha, Y. S. (2014). The effectiveness of a forest-experience-integration intervention for community dwelling cancer patients' depression and resilience. Journal of Korean Academy of Community Health Nursing, 25(2), 109-118. http://dx.doi.org/10.12799/jkachn.2014.25.2.109
  10. Chon, S. J. (1989). Reminiscence: content analysis and its nursing implication. Unpublished doctoral dissertation, Yonsei University, Seoul.
  11. Geden, E. & Taylor, S. (1988). Self-as-carer: a preliminery evaluation. In proceeding of the seventh annual nursing research conference, Columbia, Missouri; University of Missouri-Columbia School of Nursing.
  12. Han, S. S., Shin, I. S., & Kim, Y. J. (2009). Factors that influence quality of life in cancer patients. Korean Journal of Health Promotion and Disease Prevention, 9(1), 33-40.
  13. Hong, M. S., Yom, Y. H., & Kim, G. M. (2012). The analysis of rends and contents of nursing intervention research for cancer patients in Korea. Asian Oncology Nursing, 12(4), 247-256. http://dx.doi.org/10.5388/aon.2012.12.4.247
  14. Jang, E. H., Choi, K. S., & Kwon, S. J. (2013). A meta-analysis of intervention on depression in cancer patients. Asian Oncology Nursing, 13(1), 1-10. http://dx.doi.org/10.5388/aon.2013.13.1.1
  15. Jung, Y. (1993). The relationship between self-care agency and quality of life of cancer patients. Journal of Korean Academy of Adult Nursing, 5(2), 188-201.
  16. Kim, C., Shin, A. M., Park, K. M., Park, M. H., & Kim, Y. (2008). The effects of hope intervention on the hope and quality of life of cancer patients staying at home and cared in public health center. Journal of Korean Academy of Community Health Nursing, 19(2), 177-187.
  17. Kim, I. (2014). Literature review of exercise therapy effects in patients with breast cancer. Journal of The Korean Society of Integrative Medicine, 2(2), 49-58. https://doi.org/10.15268/KSIM.2014.2.2.049
  18. Korea Central Cancer Registry. (2015, December). Annual report of cancer statistics in Korea in 2013. Retrieved July 12, 2016, from http://www.cancer.go.kr/mbs/cancer/subview.jsp?id=cancer_040402000000
  19. Kwon, Y. E. (1990). A study of the relationship between perceived social support and quality of life on cancer patients. Unpublished master's thesis, Yonsei University, Seoul.
  20. Lee, E. O., Eom, A. Y., Song, R. Y., Chae, Y. R., & Paul, L. (2008). Factors influencing quality of life in patients with gastrointestinal neoplasms. Journal of Korean Academy of Nursing, 38(5), 649-655. https://doi.org/10.4040/jkan.2008.38.5.649
  21. Lee, J. R. (2001). A study on the relationship between self-care ability and self-care behaviors of cancer patients undergoing chemotherapy. Journal of Korean Clinical Nursing Research, 7(1), 227-245.
  22. Oh, K. O., Gang, M. H., & Jung, K. S. (2012). Effects of horticultural therapy program on state-anxiety, fatigue and quality of life among women cancer survivors. Asian Oncology Nursing, 12(2), 125-131. http://dx.doi.org/10.5388/aon.2012.12.2.125
  23. Oh, P. J. & Choi, H. J. (2012). The effect of patient education interventions on distress, self-care knowledge and self-care behavior of oncology patients: a meta-analysis. Asian Oncology Nursing, 12(4), 257-266. http://dx.doi.org/10.5388/aon.2012.12.4.257
  24. Ohnishi, H. (2011). Mental distress in cancer patients. The Japanese Journal of Anesthesiology, 60(9), 1024-1031.
  25. Orem, D. E. (1985). Nursing: concepts of practice (3rd ed). New York : MaGraw-Hill, 18-159.
  26. Park, H. J. (2013). Changes in quality of life for the elderly through Kouksundo practice. Unpublished master's thesis, Hanseo University, Seosan.
  27. Park, J. S. & Oh, Y. J. (2010). The effects of psychological intervention on depression, hope, quality of life of home-based cancer patients. Journal of Korean Academy of Adult Nursing, 22(6), 594-605.
  28. Park, J. S. & Oh, Y. J. (2012). Factors influencing on quality of life in gynecological cancer patients. Korean Journal of Adult Nursing, 24(1), 52-63. https://doi.org/10.7475/kjan.2012.24.1.52
  29. Rawl, S. M., Given, B. A., Given, C. W., Champion, V. L., Kozachik, S. L., Barton, D., Emsley, C. L., & Williams, S. D. (2002). Intervention to improve psychological functioning for newly diagnosed patients with cancer. Oncology Nursing Forum, 29(6), 967-975. https://doi.org/10.1188/02.ONF.967-975
  30. Schag, C. A. & Heinrich, R. L. (1989). Anxiety in medical situations: adult cancer patients. Journal of Clinical Psychology, 45(1), 20-27. https://doi.org/10.1002/1097-4679(198901)45:1<20::AID-JCLP2270450103>3.0.CO;2-Z
  31. Smyth, E. N., Shen, W., Bowman, L., Peterson, Patrick., John, W., Melemed, A., & Liepa, A. M. (2016). Patient-reported pain and other quality of life domains as prognostic factors for survival in a phase III clinical trial of patients with advanced breast cancer. Health and Quality of Life Outcomes, 14(52), 1-10. http://dx.doi.org/10.1186/s12955-016-0449-z.
  32. So, H. (1992). Testing construct validity of self-as-carer inventory and its predictors. Journal of Korean Academy of Adult Nursing, 4(2), 147-161.P
  33. Yang, Y. H. (2002). The trajectory of fatigue and quality of life in stomach cancer patients receiving chemotherapy. Journal of Korean Academy of Nursing, 32(4), 482-491. https://doi.org/10.4040/jkan.2002.32.4.482
  34. Zung, W. K. (1965). A self-rating depression scale. Archives of General Psychiatry, 12, 63-70. https://doi.org/10.1001/archpsyc.1965.01720310065008