• 종양간호연구
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• 제10권1호
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• pp.48-58
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• 2010

Purpose: The purpose of this study was to analyze cancer symptoms, perceived health status, and nursing services for community dwelling cancer patients who are registered in a public health center. Methods: The subject of the study were 561 community dwelling, and home-based cancer patients who were registered in 8 different public health centers in Daegu, Korea. The data collection was performed from September 28 to October 10, 2009. Analysis of data was done by using descriptive statistics, t-test and ANOVA with SPSS program. Results: The mean score of cancer symptom index was 1.63. The level of fatigue was the highest in cancer symptom index. The mean score of perceived health status was 6.92. The exercise guidance was identified as the most frequently practiced nursing service. The scores of cancer symptom index were significantly different by economic status, marital status, living condition, the status of cancer, and metastasis. The scores of perceived health status was significantly different by education, economic status, type of social insurance, time of cancer diagnosis, status of cancer, and metastasis. Conclusion: The above findings indicate that it is necessary to develop a special nursing intervention differentiated according to the time points of cancer diagnosis, status of cancer. In addition, nurses should apply it in their practice to ameliorate fatigue for community dwelling cancer patients who are registered in public health center.

• 종양간호연구
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• 제2권1호
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• pp.27-35
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• 2002

The Cancer Patients are rapidly growing and it became one of the main cause of death. Lately with the effect of Chemotherapy, drastically improved patients quality of life and also Prolonged Life of Cancer Patients. But the Chemotherapy not only Kill the Cancer cells but also harm to normal cells witch Cancer lots of side effect. This study was designed to identify the effectiveness of patient education to reduce side effect and help promote self care. The date was collected from October, 2001 to February, 2002 by questionary Survey Method. The subjects were 24 patients Who were and Anti Chemotherapy C University Hospital. Educated booklet contained what is Chemotherapy, what are the side effects, and to promote Self care, Pre test was given after 3-4 weeks re admission period. Analysis data was done by SPSS Program Paired t-test was used to differentiate Knowledge and difference of performing self care. Relationship in between Knowledge and promoting Self care was used Pearson Correlation. As the result of education, knowledge of self care and performance was drastically increased but the relationship in between knowledge of self care performed was not significant. Therefore it is proposed as follows: 1) Further research with experienced subjects to differentiate experience group and control group. 2) Education program need to be develop and standardize for anti cancer Chemotherapy patient. 3) During 6 cycle of Chemotherapy what is ideal number of in order to get the best result.

• Journal of Hospice and Palliative Care
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• 제16권2호
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• pp.108-117
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• 2013

목적: 본 연구의 목적은 1) 죽음에 대한 태도와 대처정도, 생애 말기환자 간호인식 및 간호수행 정도를 파악하고, 2) 그들 간의 상관관계를 살펴보고, 3) 생애 말기환자 간호수행에 영향을 미치는 요인을 파악하고자 함이다. 방법: 3개 대학병원의 임종 다빈도 부서인 종양내과병동, 중환자실, 응급실에 근무하는 187명의 간호사를 대상으로 하였다. 연구 도구로는 '다차원 죽음에 대한 태도 척도', '죽음에 대한 대처정도 척도', '생애 말기환자 간호에 대한 인식 척도', '생애 말기환자 간호에 대한 수행 척도'를 사용하였다. 자료는 기술 통계, 상관관계, 다중 회귀분석을 수행하였다. 결과: 첫째, 생애 말기환자 간호수행은 결혼 유무, 종교, 근무 부서, 말기환자 간호에 대한 교육 참여 여부에 따라 의미 있는 차이를 보였다. 둘째, 생애 말기환자 간호수행은 죽음에 대한 태도(P=0.014), 죽음에 대한 대처(P=0.003), 생애 말기환자 간호인식(P<0.001)과 양의 상관관계를 보였다. 셋째, 생애 말기환자 간호수행이 근무부서(P<0.001), 생애 말기환자 간호인식(P<0.001)에 영향을 받는 것으로 나타났다. 결론: 생애 말기환자 간호수행이 근무 부서, 생애 말기환자 간호인식에 영향을 받으므로, 근무 부서에 따라 차별화된 생애 말기환자 간호인식을 향상시킬 수 있는 교육이 필요하다.

• 종양간호연구
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• 제6권2호
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• pp.162-171
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• 2006

Purpose: This study was undertaken to obtain the basic data on the spouses‘ stress and adaptation caring their wives affected by gynecological cancer. In addition, moderating variables for adaptation, family resource and situational definition, were also investigated. Method: This study was descriptive survey research work by questionnaire on the 71 spouses hospitalized in an university hospital located on Gwangju from Sep. 2001 to Oct. 2002. Results: The mean score of stress was 2.27, and the mean score of adaptation was 3.12. The correlation between stress and adaptation was significant (r = -.692, p = .000). The adaptation score of high stress group with high family resource was higher (p = .041) than the group with low family resource. The adaptation score of high stress group with high situational definition was higher (p = .033) than the group with low situational definition. Conclusion: This study showed that the spouses experienced a similar level of stress compared with the level of families with other type of cancer. This study also showed that the stress and adaptation levels were different depending upon the family resource and situational definition. This aspect should be considered for the development of nursing intervention program for the spouse of patients with gynecological cancer.

• 종양간호연구
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• 제6권2호
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• pp.152-161
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• 2006

Purpose: The purpose of this study was to investigate the effects of the information providing program of $I^{131}$ treatment on the pre-treatment anxiety and immune response of patients with thyroid cancer. Method: The used design was a nonequivalent control group design with pretest and post-test. Subjects of this study were 54 patients who had received a total thyroidectomy. They were given a information providing program with a brochure before 4 weeks of the hospitalization for $I^{131}treatment$, with problem solving phone counseling before 2 weeks of the hospitalization. Collected data were analyzed using the SPSS WIN program. Result: Hypothesis one, "The anxiety score of an experimental group would be lower than the score of a control group" was supported(t = -2.12, p = .03). Hypothesis two, "The level of cortisol of an experimental group would be lower than the level of a control group" was supported(t = -3.19, p = .00). However, hypothesis three "The level of T, B and N-K cells of an experimental group would be higher than the level of a control group" was not supported. Conclusion: The information providing program of $I^{131}$ treatment effectively decreased the anxiety of patients with thyroid cancer.

• 종양간호연구
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• 제6권2호
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• pp.133-142
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• 2006

Purpose: The purpose of this study was to identify factors influencing depression in breast cancer patients. Method: A descriptive correlational study design was used. A convenience sample of 155 subjects was recruited from the outpatient for breast cancer patients at one hospital in Gyeonggi, South Korea. Body image was measured with the category of "Body image" from the EORTC QLQ-BR23(European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Breast cancer version) and sexual function was measured with category of "sexual function" from it. Depression was measured with Korean version of Beck Depression Inventory(BDI). Results: The mean score of body image was relatively low(M = 54.44, SD = 30.92), of sexual function was low (M = 24.82, SD = 22.50), and of depression was relatively low(M =14.90, SD = 8.00). Depression had a significant relationship with body image(r = -.363, p = <.001), however, there was no significant relationship between depression and sexual function(r = -.137, p = .103). In the regression analysis, depression was found to be influenced significantly by monthly income and body image, these variables explained 28.8% of the variance in depression(F = 4.662. p = <.001). Conclusion: It suggests that nurses need to take into consideration body image and economic status in management depression in breast cancer survivors.

• 종양간호연구
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• 제6권2호
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• pp.104-110
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• 2006

Purpose: This study was to investigate the satisfaction for voluntary activity and the meaning of life in hospice volunteers. Method: Data were obtained by self-reported questionnaire from 102 volunteers and were analyzed using a t-test, ANOVA and Pearson's correlation. Result: The mean score of the satisfaction for hospice volunteer activity was $2.48{\pm}0.38$. Of the domains of the satisfaction, the experience domain had the highest mean score $(2.93{\pm}0.53)$, and the social exchange domain had the lowest mean score $(1.65{\pm}0.63)$. The mean score of the meaning of life was $3.20{\pm}0.33$. The score of satisfaction was significantly different by economic status, and volunteering time per week. The score of meaning of life was statically different by financial status. There was a positive correlation between satisfaction for voluntary activity and the meaning of life. Conclusion: Satisfaction for hospice volunteer activity was significantly related to their meaning of life. In order to increase the satisfaction of volunteers, it is important to consider their financial aspect and the volunteering time.

• 종양간호연구
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• 제11권1호
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• pp.1-8
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• 2011

Purpose: The purpose of this study was to identify the types of venous access devices (VAD) for cancer patients and investigate the factors related to the insertions of central venous catheter (CVC) in cancer patients. Methods: The subjects were 379 cancer patients. A retrospective review of all patients who were discharged from a cancer unit from November 1st to 21st in 2008 was done using a structured questionnaire. Results: A total of 82 CVC (21.6%) was inserted among 379 patients for administering anticancer therapy. There were statistically significant differences in age, length of stay (LOS), cumulative LOS, medical department, history of CVC insertion, cancer category, and albumin level between patients using peripheral intravenous (IV) catheters and CVC. In addition, factors influencing the use of CVC were LOS (odds ratio [OR]=0.286, confidence interval [CI]=1.043-1.124), history of CVC insertion (OR=3.920, CI=0.128-0.637), albumin level (OR=1.010, CI=1.879-8.179), cumulative LOS (OR=1.010, CI=1.001-1.018), and hematological diseases (OR=4.863, CI=2.162-10.925). Conclusion: We found that central venous catheterization for anticancer therapy was minimal even though CVC was safe and effective device for IV access. It is necessary to develop a strategy to use VADs efficiently and timely for cancer patients.

• 종양간호연구
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• 제11권1호
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• pp.26-32
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• 2011

Purpose: The purpose of this study was to analyze the trend of cognitive developmental interventions on patients with breast cancer who underwent chemotherapy. Methods: The researcher searched databases and selected 17 literatures using chemotherapy, breast cancer, cognitive function and intervention as searching key words. Searched databases included Ovid, Pubmed, Proquest and Medline and data collection period was from January 2000 to May 2010. Results: Interventions for patients with breast cancer have been continuously developed and frequent research topics included breast cancer, chemotherapy, quality of life, and cognitive function. In terms of study design, four research articles were pre-experimental study designs, one was case study, and the rest of studies were non-equivalent pretest-posttest control group design. Effects of intervention were examined in only 5 studies among 17. The interventions were not found to have direct effects in cognitive improvement. Conclusion: It is needed to figure out the mechanism of cognitive deterioration of the patients with breast cancer who underwent chemotherapy. And nursing interventions needs to be developed in order to hold up the cognitive downhill and help their cognitive rehabilitation.

• 종양간호연구
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• 제11권1호
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• pp.49-57
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• 2011

Purpose: The purpose of this study was to test the reliability and validity of an instrument to measure suffering of family of patients with terminal cancer. Methods: This research was a methodological study processed as follows: 1) The preliminary 32 items were developed based a conceptual framework of suffering for patients with cancer. 2) The content was validated by an expert panel (n=24) and the family of patients with terminal cancers (n=33). 3) The instrument was validated by survey (n=92). Finally, 29 items were selected in developing final version of the scale. Results: Seven factors were extracted through factor analysis: 'economical distress', 'loss of meaning in life', 'feeling of social isolation', 'emotional distress', 'burnout', 'guilty feeling', and 'physical discomfort'. These factors explained 66.94% of the total variance. Cronbach's alpha and Guttman Split-half coefficient of the 29 items were .93 and .92. respectively. Conclusion: This scale identified as a valid and reliable tool with a high degree of reliability and validity. It can be effectively utilized to assess the degree of suffering of family in palliative care settings.