Browse > Article
http://dx.doi.org/10.12799/jkachn.2021.32.1.51

Development and Effect of the Integrated Health Promotion Program for Cancer Survivors Living at Home  

Yoon, Hee Sang (Seoul Woman's College of Nursing)
Hwang, Eun A (Seodaemun-gu Health Care Center)
Publication Information
Research in Community and Public Health Nursing / v.32, no.1, 2021 , pp. 51-63 More about this Journal
Abstract
Purpose: This study aimed to develop an integrated health promotion program for cancer survivors residing in the community based on the shared care model, and evaluate its effectiveness. Methods: A quasi-experimental trial was conducted. The participants consisted of 35 cancer survivors with completed intensive cancer therapy at the cancer hospital. The intervention group (n=20) and the control group (n=15) were recruited from among a district home cancer patient registrations. The intervention group participated in an integrated health promotion program based on the MAPP (Mobilizing for Action through Planning and Partnership) development process. The program consisted of physical, psycho-social and body image units. The participants were assessed before the program, and immediately after the program. Data were collected between July 1 and September 2, 2018 using FACT-G quality of life (QOL), distress thermometer (DT), and resilience. The data were analyzed by performing a χ2 test, Fisher's exact test, Mann-Whitney test, and ranked ANCOVA using SPSS. Results: The intervention group reported a higher QOL overall and significantly higher social/family well-being than the control group. Distress was significantly lower in intervention group than in the control group. Resilience had no significant difference between the two groups. Conclusion: These findings indicate that the integrated health promotion program base on the shared care model and MAPP development process could be effective intervention for improving social/family well-being and the QOL, and reducing distress of cancer survivors at home. Community health center nurses need to provide intervention to support self-care competency for cancer survivors' comprehensive care with physical, psycho-social, and body image to help them adjust their life to a moderate risk group in the community.
Keywords
Health promotion; Cancer survivors; Quality of life; Psychological distress; Resilience, Psychological;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 The American Cancer Society. Estimated New Cases for the Four Major Cancers by Sex and Age Group, 2019 [Internet]. Washington: American Cancer Society. 2019. [cited 2019 April 10] Available from: https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/annual-cancer-facts-and-figures/2019/estimated-deaths-for-the-four-major-cancers-by-sex-and-age-group-2019.pdf
2 The Canadian Strategy for Cancer Control: 2017-2022. Toronto, Canadian Partnership against Cancer; 2017.
3 Minister of Government Legislation. Cancer Control Act [Internet]. Sejong-si: Ministry of Government Legislation. 2018 [cited 2019 Feb 21]. Available from: http:://www.mohw.go.kr/react/search/search.jsp
4 Cella DF, Tulsky DS. Quality of life in cancer: Definition, purpose, and method of measurement. Cancer Investigation. 1993; 11(3):327-336. https://doi.org/10.3109/07357909309024860   DOI
5 Padilla GV, Ferrell B, Grant MM, Rhiner M. Defining the content domain of quality of life for cancer patients with pain. Cancer Nursing. 1990;13(2):108-115.
6 Colombo R, Dohety DJ, Wilson CM, Krzys K, Lange S, Maynes H. Implementation and preliminary analysis of FACT-G quality of life questionnaire within an oncology survivorship clinic. Cureus. 2018;10(3):e2272-e2285. https://doi.org/10.7759/cureus.2272   DOI
7 Park E, Park J, Kim S, Lee H. Job loss and re-employment of cancer patients in Korean employees: A nationwide retrospective cohort study. Journal of Clinical Oncology. 2008;26(8): 1302-1309. https://doi.org/10.1200/JCO.2007.14.2984   DOI
8 Carlson LE, Bultz BD. Efficacy and medical cost offset of psychosocial interventions in cancer care: Making the case for economic analyses. Psycho-Oncology. 2004;13(12):837-849. https://doi.org/10.1002/pon.832   DOI
9 Cancer care point. Cancer Care point Online programs & Services [Internet]. San Jose: Cancer care Point. 2018 [cited 2018 June 11]. Available from: https://https://www.cancercarepoint.org
10 Kim J. Development of recommendations for distress management toward improvement of quality of life in cancer patients. Research Report. Sejong: Minister of Health, Welfare and Family Affairs; 2009 May. Report No: 0830690-1.
11 Muzzatti B, Annunziata MA. Body image assessment in oncology: An update review. Supportive Care in Cancer. 2017;25 (3):1019-1029. https://doi.org/10.1007/s00520-016-3538-y   DOI
12 Hahm BJ, Shim EJ, Kim HK, Kim JH. History and current status of psycho-oncology. Journal of Korean Neuropsychiatric Association. 2007;46(5):413-420.
13 Park JH, Chun M, Jung YS, Bae SH, Jung YM. Psychoeducational approach to distress management of newly diagnosed patients with breast cancer. Journal of Korean Academy Nursing. 2018;48(6);669-678. https://doi.org/10.4040/jkan.2018.48.6.669   DOI
14 An H, Nho JH, Yoo S, Kim H, Nho M, Yoo H. Effects of lifestyle intervention on fatigue, nutritional status and quality of life in patients with gynecologic cancer. Journal of Korean Academy Nursing. 2015;45(6):812-822. https://doi.org/10.4040/jkan.2015.45.6.812   DOI
15 Park NH. Ministry of Health and Welfare White Book [Internet]. Sejong city: Ministry Health and Welfare. [cited 2019 Feb 21]. Available from: http://www.mohw.go.kr/react/search/search.jsp
16 Connor KM, Davidson JR. Development of a new resilience scale: The Connor-Davidson Resilience Scale (CD-RISC). Depress & Anxiety. 2003;18(2):76-82. https://doi.org/10.1002/da.10113   DOI
17 Yang JH, Kim OS. The structural equation model on resilience of breast cancer patients receiving chemotherapy. Journal of Korean Academy Nursing. 2016;46(3):327-337. https://doi.org/10.4040/jkan.2016.46.3.327   DOI
18 Pierrisnard C, Baciuchka M, Mancini J, Rathelot P, Vanelle P, Montana M. Body image and psychological distress in women with breast cancer: A French online survey on patients' perceptions and expectations. Breast Cancer. 2018;25(3):303-308. https://doi.org/10.1007/s12282-017-0828-2   DOI
19 Brederecke J, Zimmermann T. Psychometric properties of the German version of the Self Image Scale (SIS-D) in a sample of cancer patients. Public Library of Science ONE. 2020;15(10): e040619. https://doi.org/10.1371/journal.pone.0240619   DOI
20 Cho B. Health care model and the role of primary care after the treatment of cancer patients. Research Institute for Healthcare Policy Korean Medical Association. 2015;12(4):62-70.
21 Oeffinger KC, McCabe MS. Models for delivering survivorship care. Journal of Clinical Oncology. 2006;24(32):5117-5124. https://doi.org/10.1200/JCO.2006.07.0474   DOI
22 National Comprehensive Cancer Network. NCCN Distress Thermometer(v.2.2018) [Internet]. Fort Washington: National Comprehensive Cancer Network; [cited 2018 June 26]. Available from: http://www.nccn.org/international/internationaladaptations.aspx
23 Farahani LA, Parvizy S, Asadi-Lari M, Mohammadi E, Azghadi BH, Taghizadeh Z. Study protocol for promoting physical activity among women based on the MAPP process. Eastern Mediterranean Health Journal. 2019;24(11):1074-1081. https://doi.org/10.26719/2018.24.11.1074   DOI
24 ParaAs-Bravo P, Salvadores-Fuentes P, Alonso-Blanco C, Paz-Zulueta M, Santibanez-MarguEello M, Palacios-Cenaet D, et al. The impact of muscle relaxation techniques on the quality of life of cancer patients, as measured by the FACT-G questionnaire. Public Library of Science ONE. 2017;12(10):e0184147. https://doi.org/10.1371/journal.pone.0184147   DOI
25 Dietrich AJ, Oxman TE, Williams JWJ, Schulberg HC, Bruce ML, Lee PW, et al. Re-engineering systems for the treatment of depression in primary care: Cluster randomised controlled trial. BMJ. 2004;329(7466):602-605. https://doi.org/10.1136/bmj.38219.481250.55   DOI
26 Oxman TE, Dietrich AJ, Williams JWJ, Kroenke K. A three-component model for reengineering systems for the treatment of depression in primary care. Psychosomatics. 2002;43(6):441-450. https://doi.org/10.1176/appi.psy.43.6.441   DOI
27 Sehlen S, Martin-Mittag B, Herschbach P. Schweden M, Book K, Henrich G, et al. Health-related quality of life supersedes other psychosocial predictors of long-term survival in cancer patients undergoing radiotherapy. Acta Oncology. 2012;51 (8):1020-1028. https://doi.org/10.3109/0284186X.2012.683879   DOI
28 Seo JY. Distress and quality of life in cancer patients receiving chemotherapy. [dissertation]. [Seoul]: Seoul National University; 2014. 89 p.
29 Quade D. Rank analysis of covariance. Journal of the American Statistical Association. 1967;62(320):1187-1220.   DOI
30 Clark MM, Bostwick JM, Rummans TA. Group and individual treatment strategies for distress in cancer patients. Mayo Clinical Proceedings. 2003;78(2):1538-1543. https://doi.org/10.4065/78.12.1538   DOI