한국산학기술학회논문지 (Journal of the Korea Academia-Industrial cooperation Society)

  • 제19권9호
  • /
  • Pages.374-383
  • /
  • 2018
  • /
  • 1975-4701(pISSN)
  • /
  • 2288-4688(eISSN)
한국산학기술학회 (The Korea Academia-Industrial cooperation Society)
권호 표지
DOI QR코드

DOI QR Code

영구적 장루보유자와 일시적 장루보유자의 미충족 요구와 삶의 질 비교

Comparison of unmet need and quality of life between permanent ostomates and temporary ostomates

  • 투고 : 2018.06.07
  • 심사 : 2018.09.07
  • 발행 : 2018.09.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

본 논문은 영구적 장루보유자와 일시적 장루보유자의 미충족 요구와 삶의 질을 비교하고, 어떤 미충족 요구가 있는지 분석하여 향후 장루보유자의 특성에 맞는 자가 관리 프로그램 개발에 필요한 기초자료를 제공하고자 시도되었다. 연구대상은 직장 결장암이나 다른 진행성 암에 대한 치료적 혹은 고식적 목적으로 장루 형성술을 시행한 장루보유자 128명으로써, 일시적 장루보유자 64명, 영구적 장루보유자 64명으로 구성되었다. 자료수집 기간은 2018년 2월 1일부터 4월 5일까지였으며, 수집된 자료는 IBM SPSS 21.0 program을 이용하여 카이제곱과 독립 t-검정으로 분석하였다. 설문조사는 암환자 미충족 요구사정도구인 Comprehensive Needs Assessment Tool in Cancer(CNAT)를 수정 보완하였고, 장루보유자 삶의 질 측정도구는 The City of Hope Quality of Life(COH-QOL) ostomy Questionnaire를 이용하여 자가 보고 하도록 하였다. 연구결과 일시적 장루보유자의 미충족 요구가 영구적 장루보유자의 미충족 요구도보다 유의하게 더 높았다(t=-2.284, P=.024). 일시적 장루보유자의 미충족 요구가 더 많은 영역은 정보 및 교육 영역(t=-2.747, p=.007), 심리적 문제(t=-2.578, p=.011), 의료진 영역(t=-2.599, p=.010)이었다. 또한 일시적 장루보유자의 삶의 질은 영구적 장루보유자의 삶의 질보다 더 낮은 편이었으나, 통계적으로 유의한 차이는 없었다(t=-1.364, P=.0175). 본 연구결과를 바탕으로 일시적 장루보유자들에게 적절한 정보와 심리적 지지를 제공하고 일시적 장루보유자를 위한 퇴원 후 자가 관리 프로그램을 개발할 필요가 있겠다.

This study was conducted to compare the unmet needs and quality of life of permanent and temporary ostomates. The research subjects were 128 ostomates with colorectal cancer or other advanced cancers. Data were collected by self-reported completion of the Comprehensive Needs Assessment Tool in Cancer (CNAT) and the City of Hope Quality of Life (COH-QOL) Ostomy Questionnaire from February 1 to April 5, 2018. Collected data were analyzed by chi-squared and independent t-tests using IBM SPSS 21.0. The results showed that the unmet need for temporary ostomates was significantly higher than that of permanent ostomates (t=-2.284, P=0.024). Moreover, temporary ostomates showed a higher unmet need for information and education (t=-2.747, p=0.007), psychological problems (t=-2.578, p=0.011), and physicians (t=-2.599, p=0.010). Although quality of life of temporary ostomates seems lower than that of permanent ostomates, there was no significant difference between groups (t=-1.364, P=0.0175). Therefore, it is necessary to develop a self-management program to provide appropriate information and psychological support for temporary ostomates.

키워드

참고문헌

  1. I. S. Zang, S. M, Park, "Ostomate ostomy management and welfare needs", Journal of the research institute for basic sciences, Hoseo Univ, Vol.22, pp.77-85, 2014.
  2. National Cancer Information Center, Annual report of cancer statistics on Korea in 2015. http://ncc.re.kr/cancerStatsList.ncc?searchKey=total&searchValue=&pageNum=1 (accessed. April, 24, 2018.)
  3. Statistics Korea. Status of persons with disabilities, Statistical table: Number of persons with disabilities registered. Available from: http://www.index.go.kr/potal/main/EachDtlPageDetail.do?idx-cd=2768, 2017.
  4. J. W. Yeom, S. Shin, "Factors related to Nutritional Status among Older Adults with an Ostomy", Journal of Korean Gerontological Nursing, Vol.19, No.1, pp.39-47, 2017. DOI: https://dx.doi.org/10.17079/jkgn.2017.19.1.39
  5. S. M. Park, K. S. Kim, "Model construction of sexual satisfaction on patents with a colostomy", Journal of Korean academy nurs., Vol.39, No.4 pp.539-548, 2009. https://doi.org/10.4040/jkan.2009.39.4.539
  6. E. G. Oh, J. H. Sung, Y. S. Park, H. J. Lee, Y. K. Kim, "Physiological Functional Status and the Levels of Unmet Care Needs after Discharge in Patients with Chronic Pulmonary Disease, Colorectal Cancer, and Strokes", Journal of Korean clinical nursing research, Vol.22, No.2, pp.194-204, August 2016. https://doi.org/10.22650/JKCNR.2016.22.2.194
  7. E. J. Lee, The effects of development of an ostomy self-care education program and it's effect in patients on ostomy, Master thesis, Korea University, 2007.
  8. S. M. Von-Klaassen, H. M. de Vocht, E. M. den Ouden, E. H. Eddes, M. J. Schuurmans, "Ostomy-related problems and their impact on quality of life of colorectal cancer ostomates: a systematic review", Quality of Life Research, Vol.25, No.1, pp.125-133, 2016. DOI: https://dx.doi.org/10.1007/s11136-015-1050-3
  9. E. H. Mo, Unmet needs of couples with colorectal cancer, symptom experience and activation of patients. Master thesis, Chung-An University school, 2017.
  10. H. J. Kim, Relationship between unmet needs and quality of life of family caregivers of cancer patients in Korea. Master thesis, Seoul national university, 2014.
  11. G. Hubbard, C. Taylor, B. Beeken, A. Campbell, J. Gracey, C. Grimmett, A. Fisher, G. Ozakinci, S. Slater, T. Gorely, "Research priorities about stoma-related quality of life from the perspective of people with a stoma: A pilot survey", Health Expectations, Vol.20, No.6, pp.1421-1427, 2017. DOI: https://dx.doi.org/10.1111/hex.12585
  12. Severance Ostomy-Urostomy Professional management team. Principle and practice of stoma. Fornurse, 2016.
  13. H. K. Kim, H. Kim, "Influences of Symptom Experience and Depression on Quality of Life in Colorectal Cancer Patients with Stoma Reversa", Journal of Korean Biological Nursing Science, Vol.17, No.4 pp.306-314, 2015. DOI: https://dx.doi.org/10.7586/jkbns.2015.17.4.306
  14. K. S. Hong, Psychological attitude to self-appraisal: Permanent versus Temporary stoma patients. Master thesis, Ewha womans university, 2012.
  15. E. H. Oh, S. J. Hong, M. H. Mo, M. Y. Woo, S. J. Kim, B. Y. Chung, "Distress of the patients with ostomy", Journal of Korean Oncology Nursing, Vol.11, No.1, pp.9-19, 2011. DOI: https://dx.doi.org/10.5388/jkon.2011.11.1.9
  16. M. S. Yoo, Being reborn as me with a gold pouch: The psychological adjustment of cancer patients with ostomy. Seoul national university, 2016.
  17. J. H. Hwang, Depression and resilience in ostomates of inflammatory bowel disease. Master thesis, Yonsei University, 2013.
  18. S. Y. Nam, H. Lee, S. Kim, R. A. Lee, "Factors Affecting Body Image and Sexual Life for the Colorectal Cancer Patients with Stoma", Asian Oncology Nursing, Vol.18, No.1, pp.1-10, 2018. DOI: https://dx.doi.org/10.5388/aon.2018.18.1.1
  19. S. M. Park, C. H. kim, H. K. Hur, G. Y. Kim, "A Descriptive Study on Development of an ALARM Sexual Counseling Program for Patients with Ostomy", Journal of Korea Academy of Public Health Nursing, Vol.21, No.1, pp.46-56, 2007.
  20. J. S. Park. The relationship among family support depression and quality of lire of the elderly having colostomy. Hanyang University, 2012.
  21. P. S. Lee, A study on self-esteem, social support and quality of life in ostomates. Research institute of Nursing Science, Ewaha Woman University. Vol.20, No.2 pp.37-49, 2008.
  22. J. Y. Koo, Uncertainty and quality of life in ostomates with colorectal cancer patients. Master thesis, Yonsei University, 2008.
  23. H. M. Park, N. S. Ha, "Influencing Predictors of Quality of Life in Colorectal Cancer Patient with Colostomy", Journal of Korean Clinical Nursing Research, Vol.12, No.2, pp.123-131, 2006.
  24. Y. J. Lee, Coping and quality of life in ostomates with rectal cancer. Master thesis, Yonsei University, 2006.
  25. J. D. Harrison, J. M. Young, M. A. Price, P. N. Butow, M. J. Solomon, "What are the unmet supportive care needs of people with cancer? A systematic review", Supportive Care in Cancer, Vol.17, No.8, pp.1117-1128, 2009. DOI: https://dx.doi.org/10.1007/s00520-009-0615-5
  26. D. W. Shin, J. H. Park, E. J. Shim, J. H. Park, J. Y. Choi, S. G. Kim, E. C. Park, "The development of a comprehensive needs assessment tool for cancer-caregivers in patient-caregiver dyads", Psycho-Oncology, Vol.20, No.12, pp.1342-1352, 2011. DOI: https://dx.doi.org/10.1002/pon.1857
  27. M. Grant, B. Ferrell, G. Dean, G. Uman, D. Chu, R. Krouse, "Revision and psychometric testing of the City of Hope Quality of life-Ostomy Questionnaire", Quality of Life Research, Vol.13, No.8, pp.1445-1457, 2004. DOI: https://dx.doi.org/10.1023/B:QURE.0000040784.65830.9f
  28. A. R. Jung, Anxiety, Depression, Physical symptom, and supportive care needs in patients with hematologic malignancy. master thesis, Seoul National University, 2010.
  29. Y. H. Ham, Supportive care needs of patients with advanced lung cancer. Master thesis, Sengkyunkwan University, 2009.
  30. J. H. Lee, Quality of life for the gastric cancer patients after gastrectomy; reliability an validity study of the Korean version for the EORTC QLQ C-30 and gastric cancer module. Master thesis, Yonsei university, 2003.
  31. J. M. Park, A study on lower tract symptoms, discomfort of life and quality of life in male patients with genitourinary cancer. Master thesis, Chung-Ang University, 2006.
  32. P. Gervaz, P. Bucher, B. Konrad, P. Morel, S. Beyeler, L. Lataillade, A. Allal, "A prospective longitudinal evaluation of quality of life after abdominoperineal resection", Journal of Surgical Oncology, Vol.97, No.1, pp.14-19, 2008. DOI: https://dx.doi.org/10.1002/jso.20910
  33. A. Tsunoda, Y Tsunoda, K. Narita, M. Watanabe, K. Nakao, M. Kusano, "Quality of life after lower anterior resection and temporary loop ileostomy", Diseases of the Colon & Rectum, Vol.51, No.2, pp.218-222, 2008. DOI: https://dx.doi.org/10.1007/s10350-007-9101-7