• Title/Summary/Keyword: 종양간호연구

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The Development of an Oral Care Protocol for Cancer Patients Receiving Chemotherapy and its Effects (항암화학요법을 받는 환자의 구강관리 프로토콜개발 및 적용효과)

  • Son, You Jin;Shin, Yoon Jung;Cho, Mee Young;Kim, Soon Ho;Park, Ok Sun;Han, Soo Young;Kang, Young Lynn;Kim, Yeon Woo;Song, Su Kyung;Lee, Sun Hwa;Hwang, In Hee;Son, Byung Hee;Joo, Un Hye;Kim, Sue;Choi, Hye Jin
    • Journal of Korean Clinical Nursing Research
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    • v.17 no.1
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    • pp.113-122
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    • 2011
  • Purpose: This study was conducted to develop and evaluate an oral care protocol for cancer patients receiving chemotherapy. Methods: The participants in this study were cancer patients in Severance hospital in Seoul. A total of 31 patients were assigned to the experimental group, and 29 patients to the control group. Data were collected from August 1 to October 5, 2010. The protocol included definition and symptom of oral mucositis, self-check method of oral status, prophylactic method of oral mucositis (oral care, eating habits, and gargling) and management of oral mucositis. Oral Assessment Guide (OAG) was used as the measurement tool of oral mucositis in this study, Oral Care Performance Scale was used as the measurement tool of oral care performance status. Data were analyzed with a $x^2-test$ and t-test, and repeated measures ANOVA, using SPSS/WIN 18.0 program. Results: Patients in the experimental group receiving the oral care protocol had a significant difference (t=-2.938, p=.005) in the oral care performance compared to the control group. However, there was no significant difference (F=1.255, p=.274) in the oral mucositis status between two groups. Conclusion: This study showed that the oral care protocol could improve oral care performance status for the patients under chemotherapy.

Intracellular Monokine Levels in Different Types of Cancer (암의 유형에 따른 모노카인(monokine) 비교)

  • Shin, Gi-Soo
    • Journal of Korean Biological Nursing Science
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    • v.8 no.2
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    • pp.5-12
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    • 2006
  • 목적 : 본 연구는 암환자 및 암의 유형에 따라 중요한 종양억제 조절인자로 알려져 있는 모노카인을 flowcytometry를 이용하여 분석, 비교하고자 하였다. 방법 : 연구대상은 고형종양(solid tumor)으로 진단받은 33세에서 76세 사이의 암환자 30명(유방암, 난소암, 폐암, 위암)을 대상으로 말초혈액 단구의 intracellular monokine 중 $TNF{\alpha}$, MIG, MIP를 분석한 유사실험설계 연구이다. 연구결과 : 암환자 군에서의 $TNF{\alpha}$, MIG, MIP 수치는 대조 군인 정상 군에 비해서 유의하게 증가되었으며 특히, 유방암과 난소암 환자 군에서의 $TNF{\alpha}$ 수치는 폐암과 위암의 대상자에 비해 의미 있는 차이를 보여주었다. 논의 : 본 연구에서 제시된 암환자 군에서의 모노카인 수치는 선행연구의 결과와 통일하게 종양 대상자의 면역에 중요한 역할을 하는 것으로 규명 되었으나, $TNF{\alpha}$는 고형종양 중에서도 여성생식기계 암환자 군에서 더 증가하였다. 이에 따라 종양 유형에 따른 모노카인의 역할과 호르몬과의 상호작용기전 규명에 대한 추후 연구가 필요하다.

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Impact of Uncertainty on Resilience in Cancer Patients (암환자의 질병에 대한 불확실성이 극복력에 미치는 영향에 관한 연구)

  • Cha, Kyung-Suk;Kim, Kyung-Hee
    • Asian Oncology Nursing
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    • v.12 no.2
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    • pp.139-146
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    • 2012
  • Purpose: This study was designed to identify the impact of uncertainty degree and uncertainty appraisal on cancer patients resilience. Methods: A sample of 181 patients with cancer was recruited from a hospital in Incheon. Data were collected from May 20 to August 25, 2011. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient and multiple regression with the SPSS/WIN 12.0 program. Results: The resilience for cancer patients showed a significant relationship with uncertainty degree and uncertainty appraisal. The significant factors influencing resilience were uncertainty degree and uncertainty appraisal, they explained 26.5% of the variance. Conclusion: Patients with cancer were adversely affected by uncertaint which led to a negative effect on resilience. The result suggests that intervention programs to reduce the level of uncertainty among patients could improve the resilience of cancer patients.

A Study on the Family Functioning in the Family with the Cancer Patient (암환자가족의 가족기능에 대한 조사연구)

  • Han, Suk-Jung
    • Asian Oncology Nursing
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    • v.3 no.2
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    • pp.155-163
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    • 2003
  • This study was designed to assess the level of family function between cancer patient's families and normal families, and to seek better quality family-Mcentered nursing care. The subjects for this study were 95 ca patient's families who were selected from th university hospitals and 95 normal families who selected from 1 university hospital. The instrument used for this study was McMaster Family Assessment Device (FAD) developed by Epstein, Baldwin and Bishop (1983). The scale consisted of 53 items covering 7 areas: 'problem solving', 'communication', 'roles', 'affective responsiveness', 'affective involvement', 'behavior control', and 'general functioning'. As for data analyses, descriptive statistics, ${\chi}^2-test$, t-test, ANOVA were adopted using SAS program. The result of this study was as follows: There there was no significant difference between cancer patient's family function and normal family function. Also there was no significant difference on cancer patient's family function with regard to family characteristics, disease's characteristics, and clinical stage of cancer.

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Cancer Survivors' Life Experience (암 생존자의 생활경험)

  • Park, Mi-Sung;Kim, Keum-Soon
    • Asian Oncology Nursing
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    • v.8 no.2
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    • pp.93-104
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    • 2008
  • Purpose: The purpose of this study was to describe and understand the meaning of cancer survivors' life experience after being discharged from the primary cancer treatment. Methods: Data were collected through a tape-recorded in-depth interview from six participants living in Gyeonggi province from September 2007 to January 2008. The analysis of the data was made through the phenomenological analytic method suggested by Colaizzi. Results: Thirteen themes regarding the survivors' life experience were found. From these thirteen themes, six major theme were emerged. The six major theme included 'keeping his/her mind comfortable', 'going ahead with new hope', 'accepting for his/her existing burden', 'maintaining a good health for a new life', 'improving the strength and relationship among the family member', and 'being faithful to his/her religion'. Conclusions: The results of this study would help oncology nurses to understand the cancer survivors' life and to develop a quality of life improvement program for physical, psychosocial, and spiritual aspects of nursing.

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Relationship Between Spiritual Health and Depression of Patients with Hematologic Malignancy (혈액 암 환자의 영적건강과 우울의 관계연구)

  • Chong, Sang-Ok;Chang, Soon-Bok;Lee, Won-Hee;Kim, Ju-Hyung
    • Asian Oncology Nursing
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    • v.7 no.1
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    • pp.56-67
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    • 2007
  • Purpose: This study was designed to identify the relationship between spiritual health and depression with the hematological malignancies patients in an isolated room. Method: The obtained data were analyzed using SPSS Win 12.0. For the statistical anayses, Pearson correlation coefficients, multiple linear regression analysis, t-test and ANOVA were calculated. Results: The mean scores of the status of spiritual health, depression were 111.62 and 29.78, respectively. The score of spiritual health was significant differences by the faith (F=19.65, p=0.000). Depression score was significant differences by age (F=4.561, p=0.002) and spiritual state (F=4.843, p=0.004). Spiritual health and depression was moderately correlated (r=-.681, p=.000). Conclusion: From the above results, oncology nurse should consider spiritual health and depression when caring patients with hematological malignancies.

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Effects of a Forgiveness Nursing Intervention Program on Hope and Quality of life in Woman Cancer Patients (용서간호중재 프로그램이 여성 암환자의 희망과 삶의 질에 미치는 영향)

  • Tae, Young-Sook;Youn, Su-Jung
    • Asian Oncology Nursing
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    • v.6 no.2
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    • pp.111-120
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    • 2006
  • Purpose: The purpose of this study was to analysis the effects of a forgiveness nursing intervention program on hope and quality of life in woman with cancer. Methods: The used design was a nonequivalent control group design with pretest and post-test. Thirty patients diagnosed with uterine cervical cancer, breast cancer, ovarian cancer were recruited from a University Hospital in Busan, Korea. An experimental group (n=15) was given the forgiveness nursing intervention program, and a control group (n=15) was done a common nursing intervention. The period of data collection was from June 10 to September 10, 2004. The obtained data were analyzed using ${\chi}^2-test$, Fisher's exact test, t-test, and ANCOVA. Results: The first hypothesis, "The experimental group would have higher hope state than control group" was supported(F =16.967, p = .000). The second hypothesis, "The experimental group would have higher quality of life state than control group" was supported (F =4.850, p =.036). Conclusions: The findings showed that the forgiveness nursing intervention program was effective to increase hope and quality of life in women with cancer. Therefore, this program may be used for a nursing practice for cancer patients who are suffering from emotional distress.

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Spiritual Well-Being, Self Esteem, and Attitude to Death among Nursing Students (간호대학생의 영적안녕, 자아존중감 및 죽음에 대한 태도)

  • Kim, Kyung-Hae;Kim, Kyung-Duck;Byun, Hye-Sun;Chung, Bok-Yae
    • Asian Oncology Nursing
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    • v.10 no.1
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    • pp.1-9
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    • 2010
  • Purpose: The purpose of this study was to investigate the relationships between variables of spiritual well-being, self esteem and attitude to death among nursing students. Method: The subjects of this study were 259 college students. The data was collected through interviews using a structured questionnaire from September 25 to October 2, 2008. The data were analysed in frequency, percentage, means, and the pearson correlation coefficients utilizing the SPSS computer program. Results: The mean scores of the spiritual well-being, self esteem, and attitude to death were 52.62 (SD=9.24), 29.61 (SD=4.75), and 52.42 (SD=8.88) respectively. There were significant positive correlations between the spiritual well-being and self esteem (r=.543, p=.000). Conclusion: The study results show that spiritual well-being and self esteem were a bit positively correlated.

Nursing Students' Attitude toward Death and Perception on Hospice Care (일부 간호학생의 죽음 관련 태도와 호스피스인식에 대한 실태조사)

  • Han, Ji-Young;Lee, Nae-Young
    • Asian Oncology Nursing
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    • v.9 no.2
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    • pp.95-103
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    • 2009
  • Purpose: The purpose of this study was to examine nursing students' attitude toward death and perception on hospice care. Methods: The survey was performed with 277 nursing students in three universities in Daegu and Busan. The data was collected by questionnaires and were analyzed using descriptive statistics. Results: Regarding the attitude on death, 93.9% of the subjects had ever thought about death. They worried about separation and sadness with family (39.7%). About half (48.7%) of the subjects considered death as a final process of the life. With regard to the perception of hospice, 93% of the subjects heard about hospice through books or nursing courses (83.8%). The best hospice management institution was considered the one run by religious groups or non-profit organizations with government support (33.9%). Ideal model of hospice setting in Korea was hospital or institution specialized with hospice care (47.7%). The barriers the subjects thought to effective hospice care in Korea was the lack of the public consensus on the need for hospice program (37.9%). The average perceptions about the purpose of hospice care was 4.38, whereas, the average of the need of hospice care was 4.06. Conclusion: The findings of the study provides the basis for expanding nursing practice and education related to hospice care.

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The Experience of Hospice Nurses on Spiritual Care: The Process of Untying a Knot of Mind (호스피스병동 간호사의 영적간호경험: 마음의 매듭 풀어주기 과정)

  • Kang, Sung-Ye;Koh, Moon-Hee;Choi, Jeong-Sook
    • Asian Oncology Nursing
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    • v.8 no.2
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    • pp.111-119
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    • 2008
  • Purpose: The purpose of this study was to describe the experience of hospice nurses on spiritual care. Methods: Data was collected from 9 hospice nurses by using in-depth interview. The main questions include what they understand as spiritual care, when they feel the needs of spiritual care, how they perform spiritual care, and what is the outcome of spiritual care. The data was analyzed by grounded theory methodology developed by Strauss and Corbin. Results: The core category of experience of hospice nurses on spiritual care was identified as "Untie a knot of mind". In the process of spiritual care in hospice nurses was consisted of soothing, dwelling with, releasing, giving meaning, plunging, and going beyond a life. Conclusion: The result of this study was expected to give useful information to nurses and nursing managers about the real situation of performance of spiritual care. The findings of this study contributes to developing programs and supportive policies for encouraging spiritual care.

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