• Journal of Convergence for Information Technology
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• v.9 no.2
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• pp.65-74
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• 2019

This study is an experimental study on the single group pre-post test design for the convegenced of an integration support program for home-based cancer patients and the verification of its effects. Targeting total 33 home-based cancer patients in J city, total 30 sessions of the convegenced integration support program composed of cancer-related knowledge education, stress management, cognitive behavioral approach, and exercise for revitalization were provided three times a week for ten weeks. In the results of this study, the convegenced integration support program reduced stresses of the subjects and also improved their hopes and self-esteem. Thus, this program is considered as a onvegenced integration support program suitable for home-based cancer patients. In the future, it would be necessary to seek for the nursing interventional strategies for the expansion for this program to regional health centers or community institutes performing the convegenced integration support program for cancer survivors, so that they could continuously participated in the program.

• Journal of Hospice and Palliative Care
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• v.14 no.2
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• pp.61-70
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• 2011

Recent advances in techniques and strategies use to detect cancer in its early stages and to treat it effectively has the survival rate of cancer patients and the number of long-term cancer survivors continually increasing. Unfortunately, many cancer survivors are at risk for various late and long-term effects of cancer treatments including the radiotherapy. Long-term cancer survivors can be also seen for a hospice and palliative care because of cancer recurrence and they are at risk of delayed reactions to radiotherapy. So, the understanding and knowledge of radiation reactions is required for the proper medical diagnosis, management, and coordination of the potential reactions that may occur in these care setting. In effort to increase the survival rate in cancer patients and to decrease the adverse effects of cancer treatment, many clinical studies have been and continue to be conducted. The efforts of these studies have thus resulted in the advancement of cancer treatments. Regrettably, the overall interest in how to manage adverse effects of cancer treatment such as radiotherapy appears seemingly low in clinical practice and its advanced studies as a whole are delayed and deficient. It is imperative that the medical community show an enthusiastic interest in the aftercare of cancer patients and cancer survivors in order to create a complementary integrative approach that will eliminate radiotherapy related pain/discomfort or illness in hospice and palliative care settings.

• Journal of Convergence Society for SMB
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• v.6 no.3
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• pp.71-77
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• 2016

In this paper, we analyze the quality of life of children and adolescents with cancer. Separated children and adolescents to treat more than 293 patients myeongreul quit two years to analyze the quality of life. In most previous studies it was to compare the quality of life of the patient to feel the parent to evaluate the quality of life in children and adolescents with cancer. Or It was common practice to evaluate Pediatrics as a group. However, to evaluate a wide range of ages of children and adolescents cancer patients as a basis, there is a problem. Therefore, in the paper according to the degree language understanding and 10 to 12 years old and 13-20 years old classified as two groups. In addition, we use KMMQL-AF questionnaires written in korean. Accurate across the 10 local hospital the experts have described the extraction accompanied by an in-depth interview research surveys for data collection (15.07.2011 - 01.31.2012).

• Journal of Life Science
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• v.18 no.7
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• pp.968-973
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• 2008

The study was to provide basic data and to examine the effect of combined exercise for 12 months on functional fitness and bone mineral density (BMD) in breast cancer survivors. The subjects of this study were 40 to 60-year-old married women (N=24) who finished their treatments chemotherapy and radiation therapy. They were divided into two groups that exercise group and exercise with alendronate group. Eighteen (T-score=$-2.2{\pm}0.8$) of the 24 women who were diagnosed osteopenia (N=15) and osteoporosis (N=3), participated in combined exercise (EG). The other six (T-score=$-4.6{\pm}0.9$) women who were diagnosed as osteoporosis (EDG), participated in the combined exercise program with osteoporosis drug (Alendronate 70 mg/w). The result of the analysis was as follows: Twelve months after, the participants (N=24) had a significant increase of the items such as sit and reach ups, grip strength (R and L) and sit ups test of functional fitness in the periods. In body composition, FM (fat mass) had significant decrease in periods. In the comparison of BMD, EG (N=18) had no change, while EDG (N=6) had significant improvement in L1, T12 and T-score after 12months. Consequently, complex exercise program (Hatha yoga, elastic band, gym ball) had positive effect on functional fitness and bone mineral density. We suggest that complex exercise program can be applied as recovery program after breast cancer surgery. Further research needs various and repetitive studies from more different targets or methods in the exercise program for its improvement.

• Child Health Nursing Research
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• v.19 no.3
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• pp.238-245
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• 2013

Purpose: The purposes of this study were to assess social adjustment of childhood cancer survivors and to identify factors affecting social adjustment. Methods: Data were collected from 79 childhood cancer survivors and his/her parents. The survey consisted of questions related to characteristics, physical functioning, depression, self-esteem and coping strategies. The Social Competence Inventory was used to measure social adjustment in the children. Results: The level of social adjustment of childhood cancer survivors was 83.5 out of a possible 155. Physical functioning, depression, self-esteem, and aggressive or proactive coping strategies were associated with social adjustment. Only physical functioning independently affected social adjustment. Conclusion: The results of this study indicate that there are several factors influencing social adjustment of childhood cancer survivors, and therefore there is a need for programs that deal with all aspects of children's physical as well as emotional health in order to enhance their social adjustment.

• Research in Community and Public Health Nursing
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• v.33 no.2
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• pp.237-246
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• 2022

Purpose: The aim of this study was to investigate the relationship between the 5-year survival rate, socioeconomic status, and SEER (Surveillance Epidemiology and End Results) stage of stomach, colorectal, breast and cervical cancer patients. Methods: A total of 11,770 cases of four target cancers, which were diagnosed during 2005-2007, were extracted from the database of Gwangju-Jeonnam Regional Cancer Registry. The subjects of the study were 11,770 including stomach (n=5,479), colorectal (n=3,565), breast (n=1,516) and cervical cancers (n=710). Cox's proportional hazards model was used to obtain the hazards ratio (HR) according to the SEER stage and socioeconomic status. Results: Stomach cancer had a significantly higher HR in the medical aid recipients (HR=1.39), and the group below 20% (HR=1.20) compared to the group with the highest income level. Colorectal cancer had a significantly higher HR in the medical aid recipients (HR=1.26) than in the group with the highest income level. In addition, stomach, colorectal, breast and cervical cancers had a significantly higher HR according to the SEER stage in regional direct (stomach=4.10, colorectal=1.76, breast=12.90, cervical=3.10), regional lymph only(stomach=2.58, colorectal=2.33, breast=4.32, cervical=4.43), regional both (stomach=6.74 colorectal=3.04, breast=15.57 cervical=6.50), and regional NOS (Not Otherwise Specified)/distant (stomach=17.53, colorectal=11.53, breast=25.34, cervical=26.51) than in situ and localized only. Conclusion: In order to increase the cancer survival rate, a support system for early detection and early treatment of cancer should be established for groups with low individual income levels, and regular health checkups and management measures should be actively implemented through the National Cancer Screening Program.

• Women's Health Nursing
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• v.26 no.1
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• pp.28-36
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• 2020

Purpose: This study investigated lifestyle, depression, marital intimacy, and quality of life (QoL) in breast cancer survivors, with the goal of identifying the impacts of these factors on QoL. Methods: A sample of 146 breast cancer survivors was surveyed in this cross-sectional study. Data were collected from March 20 to May 30, 2019, using self-report structured questionnaires at a hospital located in Jeonju, Korea. Data were analyzed using the independent t-test, analysis of variance, Pearson correlation coefficients, and hierarchical regression analysis. Participants agreed to complete a face-to-face interview, including administration of the Health Promoting Lifestyle Profile II, Depression Anxiety Stress Scale 21-Depression Scale, Marital Intimacy Scale, and Functional Assessment Cancer Therapy-Breast Cancer tool. Results: QoL was positively correlated with lifestyle (r=.49, p<.001) and marital intimacy (r=.45, p<.001) and negatively correlated with depression (r=-.72, p<.001). Hierarchical multiple regression analysis showed that depression (β=-0.63, p<.001), marital intimacy (β=0.19, p=.001), and lifestyle (β=0.13, p=.031) had significant effects on the QoL of breast cancer survivors, accounting for 63.3% of variance in related QoL. Conclusion: This study provides insights into how breast cancer survivors' QoL was influenced by depression, marital intimacy, and lifestyle. To improve the QoL of breast cancer survivors, healthcare providers should consider developing strategies to decrease depression, to increase marital intimacy, and to improve lifestyle.

• Asian Oncology Nursing
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• v.1 no.2
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• pp.180-190
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• 2001

The purpose of this study is to compare the sexual behaviors of breast cancer survivors (BCS) with women without breast cancer (WWBC) and provide basic data to develop education program for patients before surgery. The study sample included 215 subjects: 140 women without breast cancer and 75 women diagnosed at least six months previously with breast cancer. Data were collected using the Wilmoth's Sexual behaviors Questionnaire-F that consisted of 50 items measuring sexually: communication, sexual techniques, sexual responses, body scare, self-touch, relationship quality, and masturbation. All items were scored on a 6-Likert scale with high scores reflecting high levels of the specific sexual behaviors. The reliability of this instrument was .91(Cronbach‘s alpha). Data were collected during the period from September 1 to September 30, 2001. The collected data were analyzed using t-test, Chi-square, ANCOVA with SPSSwin program. The scores of a sample of WWBC were compared to those of BCS and the scores of BCS were compared by type of surgery and period since surgery. The results were as follows: 1. No differences in sexual behaviors were found between BCS and WWBC, but, differences were found in communication, sexual technique, and relationship quality depending on the period since surgery. 2. Mean Score of BCS' communication in sexual behaviors was significantly lower than that of the WWBC. 3. Sexual behaviors scores of BCS with Menopause, lumpectomy, long duration since surgery showed significantly higher than that of the others. In conclusions, BCS returned to the normal sexual behaviors according to period since surgery. The program of the sexual counseling for patients before surgery should consider this result in the future.

• Child Health Nursing Research
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• v.24 no.1
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• pp.78-90
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• 2018

Purpose: The purpose of this study was to evaluate measurement properties of self-report questionnaires measuring the social adjustment for youth after treatment of childhood cancer. Methods: Social adjustment measurement tools were identified through a two-stage systematic review. First, we searched for articles using self-report questionnaires to measure the social adjustment of youth after the treatment of childhood cancer. The appropriate tools were listed and categorized. Second, using methodological filters, we searched 5 electronic databases for articles examining the measurement properties of the tools when used with youth after the treatment of childhood cancer. The quality of these papers was then evaluated using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) checklist. Results: Eight tools were frequently used to measure social adjustment. Eight studies investigated the measurement properties of 4 of these tools. The PedsQL 4.0 and MMQL-AF had moderate to strong evidence in some domains, but the rest of the domains had a lack of evidence. The SF-36 and KIDSCREEN-27 were validated for only a few areas. Conclusion: We found a lack of evidence regarding the measurement properties of these tools. More research is required on the measurement properties of tools for use in this population.

• Asian Oncology Nursing
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• v.8 no.2
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• pp.77-85
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• 2008

Purpose: This study was to compare quality of life, sexual function, and depression between a group with sexually active women and the other with sexually inactive women who undertaken mastectomy. Methods: Participants were 106 breast cancer patients who had spouse and participated in self-help group in Gwangju, Korea. The questionnaires were consisted of Quality of Life Index-Cancer Version (Q.L.I.-C), self-rating depression scale, and Female Sexual Function Index (FSFI). Data were analyzed using the SPSS Win 14.0 K+ for descriptive statistics, t-test, ANCOVA, and MANOVA. Results: There were no homogeneity at age, job, educational years between sexually active vs. inactive groups. In sexually active group, mean age was 46.1, having job 34.5%, bachelor's degree 38.2%, and pre-menopause 79.2%; for the inactive group 49.6, 10.4%, 12.5%, and 52.7% seperately. There were significant differences in quality of life, sexual function, and depression between two groups when four covariates were controlled. The quality of life and sexual function in sexually active group were significantly higher than inactive group(p<0.001). The depression in sexually active group was significantly lower than inactive group(p<0.001). Conclusion: This study indicates that nurses are needed to counsel and intervene psychosexual approach especially sexually inactive women with breast cancer during the recovery period.