The Journal of Korean Academic Society of Nursing Education (한국간호교육학회지)

The Korean Academic Society of Nursing Education (한국간호교육학회)
권호 표지
DOI QR코드

DOI QR Code

The Effect of Behavioral Relaxation Training on Distress and Cancer Screening Intention of Patients with Upper Gastrointestinal Endoscopy

행동이완훈련이 비진정 상부위장관 내시경검사자의 불편감과 수검의도에 미치는 효과

  • Received : 2019.07.15
  • Accepted : 2019.09.26
  • Published : 2019.11.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study evaluates the effect of behavioral relaxation training on distress and cancer screening intention of patients with upper gastrointestinal endoscopy. Methods: The research was conducted in a non-equivalent control group posttest design. Data were collected from endoscopy subjects in B city from October to November of 2018. Fifteen minutes of behavioral relaxation training were provided to the experimental group (n=40) and traditional relaxation therapy methods were provided to the control group (n=40). Outcome measures were distress and cancer screening intention of patients with upper gastrointestinal endoscopy. Data were analyzed with a ${\chi}^2$-test, independent t-test, Fisher's exact test with SPSS/PC version 23.0. Results: The objective discomfort (t=8.81, p<.001) of the experimental group was lower than that of the control group; there were no significant differences in the subjective discomfort (t=1.73, p=.088). The cancer screening intention (t=-5.85, p<.001) of the experimental group was significantly higher than that of the control group. Conclusion: Behavioral relaxation training was effective in heightening cancer screening intention. Therefore it can be usefully applied to increase cancer screening intention.

Keywords

References

  1. Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior & Human Decision Processes, 50(2), 179-211. https://doi.org/10.1016/0749-5978(91)90020-T
  2. Choi, J. H., Jeong, H. S., Lee, D. W., Park, K. H., & Min, K. G. (2010). Factors related to pre-procedural anxiety for gastroscopy in health check examinee. Korean Journal of Family Medicine, 31(12), 923-929. https://doi.org/10.4082/kjfm.2010.31.12.923
  3. Coronado Interis, E., Anakwenze, C. P., Aung, M., & Jolly, P. E. (2015). Increasing cervical cancer awareness and screening in Jamaica: Effectiveness of a theory-based educational intervention. International Journal of Environmental Research and Public Health, 13(1), 1-11. https://doi.org/10.3390/ijerph13010053
  4. Hwang, R. I. (2005). A study on the influential factors in mammography screening practice among low-income women (Unpublished doctoral dissertation). The Korea University. Seoul.
  5. Joe, H. G., Kim, K. R., Wang, J. H., Kweon, H. J., Cho, D. Y., & Yoon, H. C. (2006). Factors associated with receiving re-screening in high risk group diagnosed by endoscopic screening of stomach cancer. Korean Journal of Family Medicine, 27(4), 270-277.
  6. Jo, Y. S., & Yeo, J. H. (2015). Effect of information and behavioural training on anxiety and discomfort in clients undergoing upper gastrointestinal endoscopy. Journal of the Korean Data Analysis Society, 17(4), 2223-2235.
  7. Johnson, J. E. (1972). Effects of structuring patients' expectations on their reactions to threatening events. Nursing Research, 21(6), 499-504. https://doi.org/10.1097/00006199-197211000-00006
  8. Kim, G. M., Lee, D. W., Park, K. H., Jeong, H. S., & Choi, J. H. (2010). The effect of relaxation music on anxiety in subjects performed unsedated esophagogastroduodenoscopy. Korean Journal of Family Medicine, 31(10), 786-792. https://doi.org/10.4082/kjfm.2010.31.10.786
  9. Kim, J. H. (1985). A study on the effects of supportive touch and patient educative on the patient's post-operative pain. Journal of Korean Academy of Nursing, 15(3), 5-20. https://doi.org/10.4040/jnas.1985.15.3.5
  10. Kim, K. S., & Kang, J. E. (1994). The effect of preparatory audiovisual information with videotape influencing on sleep and anxiety of abdominal surgical patients. The Korean Journal of Fundamentals of Nursing, 1(1), 19-35.
  11. Kim, Y. I., Kim, C. Y., Shin, Y. S., & Lee, K. S. (2001). Application of the theory of planned behavior and the theory of reasoned action to predicting cervix cancer screening behavior. Journal of Preventive Medicine and Public Health, 34(4), 379-388.
  12. Krok-Schoen, J. L., Young, G. S., Pennell, M. L., Reiter, P. L., Katz, M. L., Post, D. M., et al. (2015). Testing interventions to motivate and educate (TIME): A multi-level intervention to improve colorectal cancer screening. Preventive Medicine Reports, 2, 306-313. https://doi.org/10.1016/j.pmedr.2015.04.010
  13. Kwak, M. S., Park, E. C., Bang, J. Y., Sung, N. Y., Lee, J. Y., & Choi, K. S. (2005). Factors associated with cancer screening participation. Journal of Preventive Medicine and Public Health, 38(4), 473-481.
  14. Kwon, Y. E., & Kim, B. H. (2013). The effects of video-audio information provision on physical discomfort, anxiety, and nursing satisfaction of the clients for gastroscopy. The Journal of Korean Academic Society of Adult Nursing, 25(2), 231-239. https://doi.org/10.7475/kjan.2013.25.2.231
  15. Lee, E. O., & Choi, M. A. (1996). Pain theory and intervention. Seoul: Shinkwang Publishing House.
  16. Lee, S. Y., Son, H. J., Lee, J. M., Bae, M. H., Kim, J. J., Paik, S. W., et al. (2004). Identification of factors that influence conscious sedation in gastrointestinal endoscopy. Journal of Korean Medical Science, 19(4), 536-540. https://doi.org/10.3346/jkms.2004.19.4.536
  17. Maguire, D., Walsh, J. C., & Little, C. L. (2004). The effect of information and behavioral training on endoscopy patients' clinical outcomes. Patient Education and Counseling, 54(1), 61-65. https://doi.org/10.1016/s0738-3991(03)00195-2
  18. Manne, S., Kashy, D., Weinberg, D. S., Boscarino, J. A., & Bowen, D. J. (2012). Using the interdependence model to understand spousal influence on colorectal cancer screening intentions: A structural equation model. Annals of Behavioral Medicine, 43(3), 320-329. https://doi.org/10.1007/s12160-012-9344-y
  19. National Cancer Information Center. (2016, April 1). National cancer examination project. Retreived from http://kosis.kr/statisticsList/statisticsListIndex.do?menuId
  20. Oh, K. A., & An, C. J. (1997). The effects of nursing information and short-term relaxation technique on anxiety level and physiologic data in endoscopy patients. The Korean Academic Society of Adult Nursing, 9(3), 462-479.
  21. Oh, K. J., Kim, J. I., Jeong, D. Y., Jo, S. H., Park, S. H., Han, J. Y., et al. (2007). The factors associated with a willingness to repeat an endoscopic examination. The Korean Journal of Medicine, 73(5), 481-488.
  22. Park, H. J., Son, B. K., Koo, H. S., & Kim, B.-W. (2017). Preparation, evaluation, and recovery before and after conscious sedative endoscopy. The Korean Journal of Gastroenterology, 69(1), 59-63. https://doi.org/10.4166/kjg.2017.69.1.59
  23. Park, Y., & Hong, M. S. (2003). The effects of music therapy in the reduction of anxiety and discomfort on patients undergoing gastrofibroscopy. The Journal of Korean Academic Society of Adult Nursing, 15(1), 67-77.
  24. Seo, E. J., Lee, E. J., Kim, Y. M., & Lee, J. S. (2012). The effect of aroma inhalation therapy on nausea, vomiting, abdominal discomfort, compliance and colon cleansing in the preparation of patients undergoing colonoscopy. Journal of Korean Clinical Nursing Research, 18(3), 391-401. https://doi.org/10.22650/JKCNR.2012.18.3.391
  25. Shin, J. W. (2002). A study on gastroscopic and sleep gastroscopic patient's anxiety and physical distress (Unpublished master's thesis). Han Yang University, Seoul.
  26. Singer, R. N. (1988). Strategies and metastrategies in learning and performing self-paced athletic skills. The Sport Psychologist, 2(1), 49-68. https://doi.org/10.1123/tsp.2.1.49
  27. Son, C. N. (2011). Behavioral relaxation training and behavioral relaxation assessment. Korean Journal of Psychology, 30(4), 973-993.
  28. Son, J. T. (2003). Awareness of information, anxiety, distress, and perceived value of information in patients undergoing endoscopic examination. The Korean Journal of Fundamentals of Nursing, 10(2), 198-205.
  29. Statistics Korea. (2016). Cancer screening statistics. Retreived January 15, 2019, from http://kosis.kr/statisticsList/statistics ListIndex.do?menuId=M_01_01&vwcd=MT_ZTITLE&parmTabId=M_01_01
  30. Suh, H. J. (1990). The effects of relaxation technique on anxiety and distress of patient with gastrofibroscopy (Unpublished master's thesis). Ewha Womans University, Seoul.