Browse > Article
http://dx.doi.org/10.5977/jkasne.2019.25.4.414

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

Nam, Hyo Yeon (Yong-So Elementary School)
Shim, Hyung Wha (Department of Nursing, Pusan-Catholic University)
Publication Information
The Journal of Korean Academic Society of Nursing Education / v.25, no.4, 2019 , pp. 414-423 More about this Journal
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
Early detection of cancer; Relaxation therapy; Education; Procedural pain; Intention;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
연도 인용수 순위
1 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.
2 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   DOI
3 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.
4 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   DOI
5 Lee, E. O., & Choi, M. A. (1996). Pain theory and intervention. Seoul: Shinkwang Publishing House.
6 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   DOI
7 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   DOI
8 National Cancer Information Center. (2016, April 1). National cancer examination project. Retreived from http://kosis.kr/statisticsList/statisticsListIndex.do?menuId
9 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.
10 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   DOI
11 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.
12 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   DOI
13 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.
14 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   DOI
15 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.
16 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   DOI
17 Son, C. N. (2011). Behavioral relaxation training and behavioral relaxation assessment. Korean Journal of Psychology, 30(4), 973-993.
18 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.
19 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.
20 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
21 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.
22 Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior & Human Decision Processes, 50(2), 179-211.   DOI
23 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   DOI
24 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   DOI
25 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.
26 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.
27 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   DOI
28 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   DOI
29 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
30 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.