The Journal of the Convergence on Culture Technology (문화기술의 융합)

The International Promotion Agency of Culture Technology (국제문화기술진흥원)
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The Influence of Cancer Fatigue, Quality of Sleep, and Environmental Sleep Disturbance on Comfort in Hospitalized Cancer Patients

입원한 암환자의 암피로, 수면의 질 및 환경적 수면장애가 안위에 미치는 영향

  • Received : 2020.08.02
  • Accepted : 2020.08.25
  • Published : 2020.11.30
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Abstract

This study is a descriptive research study to identify the relationship between cancer fatigue, quality of sleep, environmental sleep disturbance, and comfort perceived by hospitalized cancer patients. Data were collected with structured questionnaires from 113 cancer patients from a university hospital in J city, Gyengnam, from September 17 to November 5, 2019, and analyzed using SPSS 21.0, using independent t-test, one-way ANOVA, Scheffé test, Pearson's correlation coefficient, and stepwise multiple regression. The subjects' Comfort is significantly different depending on education level, Cancerous type, Radiation treatment status, Usual exercise status. The result showed that comfort was negatively correlated with cancer fatigue(r=-.609, p<.001), quality of sleep(r=-.478, p<.001), and environmental sleep disturbance(r=-.297, p=.001). The variables that had a significant effect on comfort were cancer fatigue(β=-.42, p<.001), subjective quality of sleep(β=-.30, p=.001), and cancer type(β=-.18, p<.015), and the explanatory power was 46.1%(F=27.24, p<.001). Based on these results, it is necessary to develop a program to improve the quality of sleep and to reduce the cancer fatigue by cooperating with medical and nursing staff in multidisciplinary ways to enhance the comfort of hospitalized cancer patients.

본 연구는 입원한 암환자가 인식하는 암피로, 수면의 질, 환경적 수면장애 및 안위 간의 관계를 파악하기 위한 서술적 상관관계 연구이다. 대상자는 J시에 위치한 대학병원 암센터에 입원한 성인 암환자 113명을 대상으로 설문조사를 실시하였다. 연구기간은 2019년 9월 17일부터 2019년 11월 5일까지 진행하였으며, 자료 분석은 SPSS/WIN 21.0 프로그램을 이용하여 통계 처리하였으며, independent t-test, one-way ANOVA, Scheffé test, Pearson's correlation coefficient, and stepwise multiple regression으로 분석하였다. 본 연구결과 대상자의 안위는 대상자의 교육수준, 암유형, 방사선 치료유무, 평소운동 유무에 따라 유의한 차이가 있는 것으로 나타났다. 또한 안위는 암피로(r=-.609, p<.001), 수면의 질(r=-.478, p<.001), 환경적 수면장애(r=-.297, p=.001)와 부적 상관관계가 있었으며, 입원한 암환자의 안위에 유의한 영향을 미치는 변인은 암피로(β=-.42, p<.001), 주관적 수면의 질(β=-.30, p=.001), 암유형(β=-.18, p<.015)으로 설명력은 46.1%였다(F=27.24, p<.001). 이러한 결과를 바탕으로 입원한 암환자의 안위 향상을 위해 의료진들의 다학제적 협력을 통해 암피로를 감소시키고, 수면의 질 향상을 통한 안위 증진 프로그램을 개발하는 것이 필요하다.

Keywords

References

  1. National Statistical Office. 2017 year Statistical Yearbook of Cause of Death, Retrived September, 182018 from http://kostat.go.kr/portal/korea/kor_nw/3/index.board?bmode=read&aSeq=370711&pageNo=&rowNum=10&amSeq=&sTarget=&sTxt=,2018.
  2. S.K. Choi, "Current status of the management of cancer patients in Korea," Journal of Korean Medical Association, vol. 60, No. 3, pp. 228-232, 2017. https://doi.org/10.5124/jkma.2017.60.3.228
  3. A.Y. Jang, J.S Park, "Factors Influencing Quality of Life of Cancer Patients Hospitalized in Long-term Care Hospitals," Journal of Korean Gerontol Nursing, Vol. 20 No. 1, pp. 35-44, 2018. https://doi.org/10.17079/jkgn.2018.20.1.35
  4. D.W. Shin, S.W. Sung, and J.K. Lee, "Management of cancer survivors in Korea," Journal of the Korean Medical Association, Vol. 58, No. 3, pp.216-226, 2015. https://doi.org/10.5124/jkma.2015.58.3.216
  5. K.Y. Kolcaba, R.J. Kolcaba, "An analysis ofthe concept of comfort," Journal of Advanced Nursing. Vol. 16, pp.1301-1310, 1991. https://doi.org/10.1111/j.1365-2648.1991.tb01558.x
  6. S.Y. Kim, N.S. Hong, and S.G. Bae, "Supportive Care Requirement in Accordance with the Therapeutic Purposes of Hematologic Malignancies Undergoing Chemotherapy," Journal of Health Informatics and Statistics, Vol. 42, No. 2, pp.177-184, 2017. https://doi.org/10.21032/jhis.2017.42.2.177
  7. M.S. Yi, J.H. Kim, E.Y. Park, J.N. Kim, and E.S, Yu, "Focus Group Study on Psychosocial Distress of Cancer Patients," Journal of Korean Academy Adult Nursing, Vol. 22, No. 1, pp.19-30, 2010.
  8. I.S. Yoo, "The Study on the annual average direct cost incidence per cancer patient," Journal of the Convergence on Culture Technology, Vol. 5, No. 4, pp.137-145, 2019. http://dx.doi.org/10.17703/JCCT.2019.5.4.137
  9. N.M. Chun, S.H. Kim, "The Effects of Hand Massage on Comfort in Women with Gynecologic Cancer Undergoing Chemotherapy," Vol. 10, No. 1, pp.88-94, 2010.
  10. K. Oechsle, Z. Aslan, Y. Suesse, W. Jensen, C. Bokemeyer, and M.De. Wit, "Multimodal exercise training during myeloablative chemotherapy: a prospective randomized pilot trial," Supportive Care in Cancer, Vol. 22, No. 1, pp.63-69, 2014. https://doi,org/10.1007/s00520-013-1927-z
  11. J.E. Bower, "Cancer-related fatigue-mechanisms, risk factors, and treatments." Nature reviews Clinical oncology, Vol. 11, No. 10, pp.597, 2014. https://doi,org/10.1038/nrclinonc.2014.127
  12. J. Allahyari, N. Shirani, M. Sadegh, F.D. Sargholzaei, S. Kamalinezhad, and Z. Rahdar, "Sleep Quality and Related Factors in Cancer Patients: A Systematic," Prensa Medica Argentina, Vol. 201, No. 6, 2018. https://doi.org/10.4172/0032-745X.1000313
  13. M.R. Lee, M.H. Nam, "Factors Influencing Quality of Sleep of Disturbance Factors Sleep by Inpatients," Journal of Korean Clinical Health Science, Vol. 2, No. 3, pp.176-187, 2014. https://doi.org/10.15205/kschs.2014.2.3.176
  14. J.Y, Yun, K.E, Lee, "Effect of Nursing Information on ICU Patient's Environmental Stress, Anxiety and Comfort," Journal of Korean Biological Nursing Science, Vol. 13, No. 2, pp.109-116, 2011.
  15. H.J, Hwang, Y.H, Shin, and G.E, Kim, "Effects of the Comfort Promotion Program for Prevention of Delirium among Elderly Patients Hospitalized in Long-term Care Hospital," Journal of the Korea Academia-Industrial, Vol. 18, No 9, pp.203-215, 2017. https://doi.org/10.5762/KAIS.2017.18.9.203
  16. K.Y, Kolcaba, "Holistic comfort: Operationalizing the construct as a nurse-sensitive outcome," Advances in Nursing Science, Vol. 15, No. 1, pp.1-10, 1992. https://doi.org/10.1097/00012272-199209000-00003
  17. G.Y, Choi, "The Effects of Group Imago Psychotherapy on Comfort and Depression of Patients with Hemodialysis," Journal of Korean Academy of Nursing, Vol. 30, No.3, pp.791-798, 2000. https://doi.org/10.4040/jkan.2000.30.3.791
  18. Lee, M..H., The effect of aroma therapy on the comfort, anxiety and sleep of heart stent spiled patients hospitalized in intensive care units, Master's thesis, Donga University, 2006.
  19. A.M, Berger, K. Mooney, A. Alvarez-Perez, W.S. Breitbar, K.M. Carpenter, D. Cella, C. Cleeland,, E. Dotan, M.A. Eisenberger, C.P. Escalante, P.B. Jacobsen, C. Jankowski, T. LeBlanc, J.A. Ligibel, E.T. Loggers, B. Mandrell, B.A. Murphy, O. Palesh, W.F. Pirl, S.C. Plaxe, M.B. Riba, H.S. Rugo, C. Salvador, MD, L.I. Wagner, N.D. Wagner-Johnston, F.J. Zachariah, M.A Bergman, and C. Smith, "Cancer-related fatigue, version 2.2015," Journal of the National Comprehensive Cancer Network, Vol. 13, No. 8, pp.1012-1039, 2015. https://doi.org/10.6004/jnccn.2015.0122
  20. S.B. Yellen, D.F. Cella, K. Webster, C. Blendowski, and E. Kaplan, "Measuring fatigue and other anemia-related symptoms with the Functional Assessment of Cancer Therapy (FACT) measurement system," Journal of pain and symptom management, Vol. 13, No. 2, pp.63-74, 1997. https://doi.org/10.1016/s0885-3924(96)00274-6
  21. J.J. Pilcher, D.R Ginter, and B. Sadowsky, "Sleep quality versus sleep quantity: Relationships between sleep and measures of health, well-being and sleepiness in college students," Journal of Psychosomatic Reseach, Vol. 42, No. 6,,583-596, 1997. https://doi.org/10.1016/s0022-3999(97)00004-4
  22. D.J. Buysse, C.F. Reynolds III, T.H. Monk, S.R. Berman, and D.J. Kupfer, "The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research," Psychiatry research, Vol. 28, No. 2, pp.193-213, 1989. https://doi.org/10.1016/0165-1781(89)90047-4
  23. S.I. Sohn, D.H Kim, M.Y. Lee, and Y.W. Cho, "The reliability and validity of the Korean version of the Pittsburgh Sleep Quality Index," Sleep and Breathing, Vol. 16, No. 3, pp.803-812, 2012. https://doi.org/10.1007/s11325-011-0579-9
  24. J.Y. Jeong, H.S. So, J.E. Hong, M.J. Chae, and G.H. Han, "Related Factors to Quality of Life among Hospitalized Cancer Patients Undergoing Chemotherapy," Asian Oncology Nursing, Vo. 12, No. 1, pp.84-91, 2012. https://doi.org/10.5388/aon.2012.12.1.84
  25. Y.A. Paik, M.S. Song, "Sleep disturbing Factors and the relative Significance in Sleep of Hospitalized Elderly Patients," Journal of Korean Gerontological Nursing, Vol. 2, No. 1. pp.35-47, 2000.
  26. K.S. Kim, S.H. Kwon, "Comfort and quality of life of cancer patients," Asian nursing research, Vo. 1, No. 2, pp.125-135, 2007. https://doi.org/10.1016/S1976-1317(08)60015-8
  27. S. Pinto, L. Fumincelli, A. Mazzo, S. Caldeira, and J.C Martins, "Comfort, well-being and quality of life: Discussion of the differences and similarities among the concepts," Porto Biomedical Journal, Vol. 2, No. 1, pp.6-12, 2017. https://doi.org/10.1016/j.pbj.2016.11.003
  28. H.S. Byun, K.D. Kim, B.Y. Chung, and K.H. Kim, "Fatigue and Quality of Life of Korean Cancer Inpatients," The Korean Journal of Hospice and Palliative Care, Vol. 13, No.2, pp.98-108, 2010. https://doi.org/10.14475/kjhpc.2010.13.2.98
  29. R.Y. Kim, H.J. Park, "Fatigue, Sleep Disturbance, and Quality of Life among Breast Cancer Patients Receiving Radiotherapy," Korean Journal of Adult Nursing, Vol. 27, No. 2, pp.188-197, 2015. http://dx.doi.org/10.7475/kjan.2015.27.2.188
  30. D. Walsh, L. Rybicki, "Symptom clustering in advanced cance,". Supportive care in cancer, Vol. 14, No. 8, pp831-836, 2006. https://doi.org/10.1007/s00520-005-0899-z
  31. T.Y. Lee, "Correlations between Quality of Life and Sensory Processing Abilities in Older Adults," International Journal of Contents, Vol. 12, No. 5, pp.272-279, 2012. https://doi.org/10.5392/JKCA.2012.12.05.272
  32. J.L. Otte, J.S. Carpenter, S. Manchanda,, K.L. Rand, T.C. Skaar, and M. Weaver, "Systematic review of sleep disorders in cancer patients: can the prevalence of sleep disorders be ascertained," Cancer Medicine, Vol. 4, No. 2, pp.183-200, 2015. http://doi: 10.1002/cam4.356
  33. J. Kim, J. Kim, "The effect of spiritual well-being on stress coping," International Journal of Advanced Culture Technology, Vol. 7, No. 3, pp.1-9, 2019. https://doi.org/10.17703/IJACT.2019.7.3.1