Browse > Article

Research on Subjective Symptoms of Cancer Patients Using Questionnaire - Based on the 48 Patients Who Have Participated in Clinical Trial about Korean Red Ginseng -  

Kim, Eun Jung (Dept. of Acupuncture & Moxibustion, College of Oriental Medicine, Dongguk University)
Jung, Chan Yung (Dept. of Acupuncture & Moxibustion, College of Oriental Medicine, Dongguk University)
Kim, Kap Sung (Dept. of Acupuncture & Moxibustion, College of Oriental Medicine, Dongguk University)
Lee, Seung Deok (Dept. of Acupuncture & Moxibustion, College of Oriental Medicine, Dongguk University)
Publication Information
The Journal of Korean Medicine / v.33, no.3, 2012 , pp. 1-9 More about this Journal
Abstract
Objectives: This research was aimed 1) to find out various subjective symptoms cancer patients had, 2) to find out the quantitative difference of symptoms occurring according to the area of cancer, current treatment methods, and relapse of the cancer and 3) to analyze the relationship between the occurrence of symptoms. Methods: This study was a survey about the various subjective symptoms cancer patients had. The subjects were 48 cancer patients in a double-blinded randomized controlled trial about the effectiveness of Korean Red Ginseng (KRG) treatments. Surveys were examined before Korean Red Ginseng (KRG) treatments. The questionnaire consisted of demographic research, patient history and accompanying symptoms. The symptoms part consisted of 4 questions on general symptoms (vertigo, hot flush, rash, insomnia), 2 questions on digestion symptoms (anorexia, dyspepsia), 2 questions on excretions (diarrhea, constipation), and 5 questions on symptoms in different body parts (headache, dryness of lips, chest pain, aphthous ulcer, nose bleeding). The questionnaire was used to research presence of symptoms and relationships between the occurrence of symptoms. Results: A total of 48 patients took part in this survey. Dizziness was the most frequent subjective symptom patients had (64.58%), followed by dry mouth (43.75%), headache (43.75%), insomnia (41.67%), anorexia (37.5%) and chest discomfort (37.5%). The presence of these subjective symptoms was partially related to the patient's history details - type of cancer, method of cancer treatment (chemotherapy, radiotherapy), termination of treatment, presence of pain, fatigue and recurrence, etc. Factor analysis was conducted to analyze the relationship between the occurrence of symptoms. It suggested 5 factors as a result, but there was a limitation that only a low level of correlation was shown among them. Conclusions: We were able to analyze the occurrences and the relationships among them for accompanying subjective symptoms in cancer patients. However the results of the study are limited in that only 48 patients participated. The symptoms in cancer patients showed a tendency for clustering, occurring simultaneously or continuously rather than occurring alone. The study of these symptom clusters is worth further study, for it is similar to the Symptom Differentiation System in Traditional Korean Medicine. For effective approach to the treatment of cancer in Traditional Korean Medicine, further research on the Korean traditional view of cancer patients should be done based on this research, regarding various symptoms and those relationships on a larger scale.
Keywords
Cancer; symptom; subjective symptom; KRG (Korean Red Ginseng); history;
Citations & Related Records
Times Cited By KSCI : 4  (Citation Analysis)
연도 인용수 순위
1 Chung CW, Kim MJ, Rhee MH, Do HG. Functional status and psychosocial adjustment in gynecologic cancer patients receiving chemotherapy. Korean Journal of Women Health Nursing. 2005;11(1):58-66.
2 Lee EO, Kim J, Park H, Kwon IG, Lee EH. Development and evaluation of symptom management guidelines for cancer patients. Journal of Korean Academy of Adult Nursing. 2005;17(2):208-18.
3 Longman AJ, Braden CJ, Mishel MH. Side-effects burden, psychological adjustment, and life quality in women with breast cancer: pattern of association over time. Oncol Nurs Forum. 1999 Jun;26(5):909-15.
4 Kim SH, Lee R, Lee KS. Symptom Clusters in Patients with Breast Cancer. Journal of Korean Academy of Adult Nursing. 2009;21(6):705-17.
5 Hur HK, Lee EH, Lee WH, So HS, Chung BY, Kang ES. Symptom occurrence related to disease characteristics of adult patients with cancer. Journal of Korean Academy of Adult Nursing. 2002;14(3):411-7.
6 Park BK, Wang JH, Cho JH, Son CG. Review of Randomized Controlled Trials using Herbal Remedies on Cancer Patients. J Korean Oriental Med. 2010;31(5):12-32.
7 Choi CM, Koh BH, Kim SH, Choi WC, Lee SK. A Study on Quality of Life of Advanced Hepatobiliary and Pancreatic Cancer patients Administered with Traditional Korean Cancer Treatment. J Korean Oriental Med. 2008;29(4): 30-8.
8 Lee DH, Kim SH, Choi YS, Chun BC, Hong MH, Cho KH, et al. The effects of performance status, clinical symptoms and laboratoy data on length of survival of advanced cancer patients. Journal of the Korean Academy of Family Medicine. 2001;22(12):1794-805.
9 Lee KS, Ahn HS, Hwang LI, Lee YS, Koo BH. Utilization of alternative therapies in cancer patients. Journal of the Korean Cancer Association. 1998;30(2):203-13.
10 Park JS, Oh YJ. An analysis of cancer symptoms, perceived health status, and given nursing services for community dwelling cancer patients who are registered in a public health center. Journal of Korean Oncology Nursing. 2010;10(1):48-58.
11 Ministry of Health and Welfare. Survival in Patients with Cancer in Korea. Available at: h t t p : / / s t a t m w g o k r / s t a t / d a t a / c m _ d ata_ viewjsp?menu_code=MN03020000&cont_se q=16445[accessed on 01 Dec 2011].
12 Kim YJ, Seo NS. Effects of Progressive Muscle Relaxation on Nausea, Vomiting, Fatigue, Anxiety, and Depression in Cancer Patients Undergoing Chemotherapy. Journal of Korean Oncology Nursing. 2010;10(2):171-9.   DOI
13 Jeong JS, Ryu BH, Kim JS, Park JW, Choi WC, Yoon SW. Bojungikki-Tang for Cancer-Related Fatigue: A Pilot Randomized Clinical Trial. Integrative Cancer Therapies. 2010;9(4):331-8.   DOI   ScienceOn
14 Kim BC, Song YM, Park SJ, Kim SY, Gwak JI. Use of Dietary Supplements in Cancer Patients. Korean Journal of Family Medicine. 2009;30(8): 632-40.   DOI
15 Richardson MA, Sanders T, Palmer JL, Greisinger A, Singletary SE. Complementary/alternative medicine use in a comprehensive cancer center and the implications for oncology. Journal of Clinical Oncology. 2000;18(13):2505.   DOI
16 Jeong TY, Lee YW, Cho CK, Yoo HS. Analysis of Clinical Characteristics for 899 Cancer Patients Treated at an Oriental Hospital. Korean J OrientInt Med. 2010;31(1):102-12.
17 Barton DL, Soori GS, Bauer BA, Sloan JA, Johnson PA, Figueras C, et al. Pilot study of Panax quinquefolius (American ginseng) to improve cancer-related fatigue: a randomized, double- blind, dose-finding evaluation: NCCTG trial N03CA. Supportive care in cancer. 2010;18(2): 179-87.   DOI   ScienceOn
18 Braga FPF, Lemos Junior CA, Alves FA, Migliari DA. Acupuncture for the prevention of radiation-induced xerostomia in patients with head and neck cancer. Brazilian Oral Research. 2011;25(2):180-5.   DOI   ScienceOn
19 Ezzo J, Richardson M, Vickers A, Allen C, Dibble S, Issell B, et al. Acupuncture-point stimulation for chemotherapy-induced nausea or vomiting. Cochrane Database Syst Rev. 2006;2.
20 Ashbury FD, Findlay H, Reynolds B, McKerracher K. A Canadian survey of cancer patients' experiences: Are their needs being met? Journal of pain and symptom management. 1998; 16(5):298-306.   DOI   ScienceOn
21 Korea Institute of Science and Technology Information. Standardization and unification of the terms and conditions used for diagnosis in oriental medicine. (III) 1997: 659-677.