• 종양간호연구
• /
• 제11권2호
• /
• pp.136-146
• /
• 2011

Purpose: The purpose of this study was to examine the effects of self-efficacy promotion programs on self-efficacy, self-care behavior, and quality of life in breast cancer patients receiving radiation therapy. Methods: This study was conducted from November 1, 2009 to December 10, 2010. A total of 39 breast cancer patients, who received radiotherapy in a University hospital located in city B, participated in the study and were divided into two groups (experimental group 17 and control group 22). The data were analyzed with the ${\chi}^2$-test and ANCOVA using the SPSS/Win 17.0 program. Results: Self-efficacy promotion programs aimed at self-management were effective in enhancing concrete self-efficacy but not effective in promoting general self-efficacy, self-care behavior, and quality of life among breast cancer patients who have received radiotherapy. Conclusion: Organizing a support group for the breast cancer patients seems to be highly necessary to help themselves obtain higher level of specific self-efficacy, self-care behavior, and quality of life in general. It will also be beneficial for the breast cancer patients to understand their unique situations and improve their health problems for themselves.

• 종양간호연구
• /
• 제10권2호
• /
• pp.163-170
• /
• 2010

Purpose: This study was conducted to examine understanding of chemotherapy of cancer patients after they received individual education on it and their execution of self-care for symptoms. Methods: Thirty-two participants who received individual education on chemotherapy from nurses specializing in education for cancer patients when they started to take chemotherapy were asked to complete the questionnaire on their understanding in education and execution of self-care. Results: Understanding on chemotherapy education of the participants recorded 4.30 on a scale of one to five with five the highest. Regarding self-care for symptoms, all participants carried out one or more methods of self-care except for one person each for vomiting, diarrhea, and constipation. Conclusion: This study showed that cancer patients who received individual education on chemotherapy performed self-care for their symptoms.

• 종양간호연구
• /
• 제7권2호
• /
• pp.162-168
• /
• 2007

Purpose: This study was aimed to compare two different kinds of pre-operational education methods on nursing care satisfaction and anxiety among family members of cancer patients. Methods: This research used a quasi-experimental design. A total of 80 patients participated in the study. Forty subjects who were in the experimental group were assigned to be received mobile text-information via cellular phone, whereas control group was given the direct messages from nurses during peri-operative time. Peri-operative family needs and anxiety were measured and analyzed by X2-test and t-test. Result: There was no statistically significant difference in the levels of peri-operative family needs satisfaction and the levels of state anxiety between the two groups (p= .05). Conclusion: Based upon these findings, the nursing intervention with cellular phone short message could be as effective as direct peri-operative information in reducing the level of state anxiety and in increasing of the level of nursing care satisfaction among the family members of cancer patients.

• 종양간호연구
• /
• 제9권2호
• /
• pp.145-154
• /
• 2009

Purpose: The purpose of this study was to obtain information about the experiences of sensations after breast cancer surgery characterized by prevalence, frequency, and severity, distresses, and disturbances in ADL using the BSAS (Breast Sensation Assessment Scale) and to develop the standardized Korean BSAS. Methods: Thirty two women from 3 to 100 days after breast cancer surgery (BCS) completed Roberta's BSAS. The 18 sensations of BSAS were translated using the references of Lee's Korean Pain Rating Scale and English-English, English-Korean dictionaries and the consultation from two native Americans, one bilingual permanent resident of the States, and one nursing professor. The Korean-translated BSAS has high reliability in test-retest. Likert type 4-point scale and 100 mm VAS were used for assessment. Results: Certain sensations remained prevalent (tender, pull, pain), frequent (numb, nag, throb), severe (throb, shoot, numb), causing distress (throb, penetrate, shoot), and influencing on ADL (throb, penetrate, nag). The most frequently experienced sensation other than BSAS was itching. There was little difference in the prevalence of symptom experiences between sentinel lymph node biopsy and axillary lymph node dissection. Conclusion: The women after BCS are suffering from neuropathic sensations. The Korean- translated BSAS could be used in effectively assessing breast sensations after BCS in Korean women.

• 종양간호연구
• /
• 제10권2호
• /
• pp.240-246
• /
• 2010

Purpose: Advancing genetic knowledge for oncology nurses is especially important in Korea because physicians have launched to incorporate genetic risk assessment and genetic testing into their practice. The purpose of this paper was to identify the effect of the first academic cancer genetic risk assessment and counseling course for Korean nurses. Methods: Thirty-five nurses were recruited and educated from June 8 to 14, 2006 in Seoul, Korea. Two measurement tools were used: 'knowledge about the hereditary breast and ovarian cancer (HBOC)' and 'knowledge about the cancer genetics'. Results: Students' score of knowledge about HBOC at pre-education was $12.22{\pm}2.23$ and after education, it increased to $13.62{\pm}1.76$. This change was statistically significant (t=-3.253, p=.003). The score of knowledge about cancer genetics at pre-education was $11.31{\pm}3.44$, and after education it has increased to $16.17{\pm}1.94$. It also was statistically significant (t=-6.92, p=.000). Conclusion: This program was effective to be a starting point for establishing genetic educational planning for the oncology nurses in Korea. This academically-based course is recognized as valuable by oncology nurses. With this new knowledge, nurses can begin to expand their role in delivering comprehensive cancer care services in Korea.

• 종양간호연구
• /
• 제7권1호
• /
• pp.14-25
• /
• 2007

Purpose: The purpose of this study was to identify the relationship of fatigue and depression in patients with hemato-malignancy receiving chemotherapy. Methods: The data were collected from December 2005 to November 2006. Study objects were recruited from 4 university hospital in B and U city. Fatigue and depression were measured using the Cancer Fatigue Scale and the Revised Zung's Self-rating Depression Scale, respectively. Results: 1) The mean score of fatigue was $64.64{\pm}21.58$. The mean score of depression was $41.28{\pm}7.62$. 2) The fatigue score was significantly different with age, employment status, and present pain. 3) The depression score was signigicant different by the payment, diet, and present pain. 4) There was a moderate positive correlation between depression and fatigue. Conclusions: Patients with hemato-malignancy receiving chemotherapy experience in fatigue. Decrease in fatigue are associated with decreases in depression. Therefore, nurses must provide planned nursing intervention to reduce fatigue and depression in patients with hemato-malignancy.

• 종양간호연구
• /
• 제6권2호
• /
• pp.172-180
• /
• 2006

목적: 본 연구는 방사선치료를 받는 유방암 환자의 증상경험, 정서적 상태와 사회적지지 및 관련 변수간의 관계를 파악하기 위한 서술적 상관관계 연구이다. 방법: 연구대상자는 T시에 위치한 2개 대학병원에서 방사선 치료를 받는 유방암 환자 126명으로, 연구도구는 일반적 특성과 증상경험, 정서적 상태 및 사회적지지를 측정하기 위한 도구로 구성된 질문지이다. 결과: 연구 대상자의 증상경험은 21.96(SD = 14.14), 정서적 상태는 110.95(SD = 100.92), 사회적지지는 3.70(SD = 0.98)로 나타났다. 증상경험과 정서상태는 유의한 정 상관관계(r = .396, p = .001)를 나타내었고, 증상 경험과 사회적지지는 유의한 부적 상관관계(r = -.304, p = .003)를 나타내었다. 증상경험에 영향을 미치는 요인은 정서적 상태로 설명력이 16.5%이었다. 제언: 이상의 연구결과 방사선치료를 유방암 환자의 증상경험과 환자의 정서적 상태가 관련이 됨을 알 수 있으나, 그 설명력은 약하므로 앞으로 더 연구하여야 할 영역이라 생각한다.

• 종양간호연구
• /
• 제7권1호
• /
• pp.79-89
• /
• 2007

연구 목적: 1980년대 이후 미국 여성들의 유방암 조기 진단을 위한 방사선 검진율은 급속히 증가하였음에도 불구하고 유색 인종의 여성들은 여전히 조기 검진의 혜택을 받지 못하고 있다. 유색인종 여성들의 낮은 검진율을 설명하기 위해 여러 건강행위이론을 이용한 관련 요인들이 연구되어 왔다. 이 논문은 미국 보건 의료관련 연구에서 가장 많이 쓰이는 다섯 건강행위 이론을 유색 인종 여성, 특히 한국 이민 여성들의 유방암 조기검진 이행에 적용하기 위해 사회문화적 적합성을 평가하기 위해 고안되었다. 연구 방법: 네 종류의 데이터 베이스(CINAHL, MEDLINE, PsycINFO, Sociological Abstracts)를 이용한 심층적 문헌 고찰을 통해 각각의 이론으로 유방암 조기 검진을 설명한 연구들을 모두 분석하였다. 연구 결과: 각 이론들의 배경, 주요 요인, 그리고 유색인종의 유방암 조기 검진에서의 적용 연구 등을 분석하였다. 결론: 서양 문화권 속에서 개발된 각 이론들이 한국적 정서와 행동을 설명하는데 명확한 한계가 있으며 이러한 한계를 극복하기 위해서는 기존의 이론들을 면밀하게 재분석하여 한국적 특성을 담아낼 수 있는 새로운 이론의 도출이 요구된다.

• 종양간호연구
• /
• 제6권2호
• /
• pp.143-151
• /
• 2006

Purpose: This study was to explore the degree of quality of life (QOL) in hospice volunteers and identify related factors Methods: A total of 243 subjects was recruited from eight hospitals of the Catholic University in Korea. Research tool used to measure QOL was questionnaires developed by You-Ja, Ro in 1988. The data obtained was analyzed using the SAS program to compute a t-test, ANOVA, and Stepwise multiple regression. Results: The mean score of QOL was $3.65{\pm}0.39$. The QOL was significantly increased with perceived health status, satisfaction to the hospice volunteer activity, family response on volunteer activity, qualification as a hospice volunteer, and needs of education. Among six domains of QOL, self-esteem had the highest score. Conclusions: It would be necessary for hospice volunteers to provide an program considered health status, satisfaction to the hospice volunteer activity, family response on their activity, qualification as a hospice volunteer, and needs of education to increase their QOL.

• 종양간호연구
• /
• 제11권1호
• /
• pp.20-25
• /
• 2011

Purpose: The study was aimed to review and understand the meaning of cancer cachexia. Methods: Using the keywords "cachexia" and "cancer cachexia" 30 oncology research published from 1974 to 2009 were selected for the review. Results: The mechanism of cancer cachexia has not been fully understood, but various pathogenesis appears to be involved in the development cachexia including altered metabolism of carbohydrate, lipid, and protein associated with cytokines and hormone. As a result, muscle strength, food intake and resting energy expenditure (REE) are reduced. Most medications for the treatment of cachexia show debating results except some drugs such as megace. Supportive care including nutritional education, nursing care, and social support are found another effective treatment options. Conclusion: The results of this study would help oncology nurses to understand the mechanism of cancer cachexia and its management.