• Journal of Hospice and Palliative Care
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• v.11 no.4
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• pp.175-180
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• 2008

진행된 암환자에서 피로는 70% 이상이 경험하게 되는 흔한 증상이며 삶의 질을 저하시키는 주된 요인이다. 피로에 대한 선별검사는 "피곤하거나 지친감이 있나요?"라는 단순한 질문으로 가능하며 이미 개발된 평가도구를 사용하여 평가할 수 있다. 동반 질환이나 피로의 원인을 알기 위한 병력청취와 검사실 검사가 필요할 수 있으며 결과에 따라 가역적 인자를 치료하는 과정이 우선되어야 한다. 적절한 약물치료를 시행하여 증상을 호전시킬 수 있으며 이중 methylphenidate는 암 연관 피로를 호전시키고 마약성 진통제에 의한 진정에 효과가 입증되었다. 환자의 여명에 따라 부신 피질 호르몬제도 사용할 수 있고, 운동 및 환자의 교육과 영양관리 또한 중요하다.

• Journal of Hospice and Palliative Care
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• v.13 no.2
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• pp.98-108
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• 2010

Purpose: The purpose of this study was to identify the relationship between fatigue and quality of life (QOL) of Korean cancer inpatients. Methods: The data were collected from May to August 2007. Study subjects were recruited at D, Y and A university hospitals in Daegu and Kyungpook, Korea. The research instruments utilized in this study were fatigue (FACT-F) and quality of life (FACT-G) in Korean version 4. Data were analyzed with descriptive statistics, t-test, ANOVA, and Pearson correlation using SPSS Win 12.0 program. Results: Fatigue of subjects showed a significant difference according to the type of treatment, change in weight, performance status, exercise, and sleep. The QOL of subjects showed a significant difference according to the purpose of treatment, change in weight, performance status, exercise, and sleep. The mean score of fatigue was 22.48 and the mean score of QOL was 55.52. The fatigue was negatively related to QOL, physical well-being, emotional well-being, and functional well-being. Conclusion: The results suggest the needs for intervention in order to reduce fatigue and to improve QOL of cancer inpatients.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.16 no.8
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• pp.5442-5451
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• 2015

The purpose of this study was to examine the affection factors of quality of life in thyroid cancer patients after thyroidectomy. The subject of this study were 125 patients with thyroid cancer who were receiving operation and outpatient medical examination in general hospital in Gwangju city. Data were analysed using descriptive statistics, t-test, one-way ANOVA, Sheffe test, Pearson correlation analysis and stepwise multiple regression analysis using SPSS 21.0 program. The significant factors influencing quality of life were depression(${\beta}=-0.39$, p<.001), spiritual fatigue(${\beta}=-0.30$, p<.001) and physical fatigue(${\beta}=-0.24$, p<.001), which explained 57.2% of the quality of life. Therefore, it is necessary to develop nursing intervention program reducing fatigue and depression for thyroid cancer patients after thyroidectomy.

• Journal of Korean Academy of Nursing
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• v.29 no.3
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• pp.485-493
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• 1999

Revised Piper Fatigue Scale (Piper et al., 1998)은 미국에서 개발된 암환자의 피로를 측정하는 자가보고서 형식의 도구이다. 이 도구는 총 22문항으로 네 개의 구성요소로 이루어져 있으며, 미국인 유방암 환자를 대상으로 신뢰도와 타당도가 검증되었다. 본 연구의 목적은 한국 유방암 환자를 대상으로 Revised Piper Fatigue Scale의 구성타당도를 재평가하기 위함이다. 총 122명의 유방암 환자가 번역-역번역 과정을 거쳐 한국어로 번역된 Revised Piper Fatigue Scale에 응답을 하였고 그 자료는 요인분석 (principal axis analysis with oblique rotation)에 의해 분석되었다. 요인분석 결과, 총 19문항으로 이루어진 네 개의 구성요소가 도출되었다. 총문항의 Cronbach's alpha는 .93이었고, 도출된 네 요인들의 alpha는 .84에서 .91이었다. 한국어로 번역된 총 19문항의 Revised Piper Fatigue Scale(revised PFS-K)은 한국인 유방암 환자에게도 적용될 수 있는 신뢰도와 타당도가 검증된 도구라 할 수 있다. 앞으로 다양한 한국인 암환자를 대상으로 계속해서 도구 검증이 이루어지기를 제언한다.

• Journal of Digital Convergence
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• v.18 no.11
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• pp.581-593
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• 2020

This study aimed to understand experiences of compassion fatigue reported by nurses providing services to oncology patients and families. We conducted in-depth interviews with 8 nurses currently working in oncology. Three main themes and 13 subthemes were extracted from the thematic analysis suggested by Braun and Clarke. Participants experienced compassion fatigue while feeling the sufferings transferred from patients and caregivers. The stress resulted from unique nature of oncology work added to their compassion fatigue. Participants became running low on empathy towards oncology patients and caregivers because of external work environments and negative perceptions on compassion. The results of the study inform health care professionals about increasing awareness of compassion fatigue of nurses working with oncology patients and families and the importance of providing interventions to promote their individual and professional quality of life.

• Journal of Hospice and Palliative Care
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• v.7 no.2
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• pp.179-188
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• 2004

Purpose: The purpose of this study was to investigate the degree of fatigue and its related factors in cancer patients during chemotherapy. Methods: The subjects of this study consisted of 90 patients over 20 years old who were receiving chemotherapy at the injection room of the o.p.d. and ward admission care unit in a University hospital located in Gwang-ju city and data were collected from August 8th to October 2nd, 2002. Collected data were analysed using SPSS v 10.0. to obtain summary statistics for the descriptive analysis, t-test, ANOVA, pearson correlation, and multiple regression. Results: 1. Fatigue of the subjects was significantly correlated with physical distress score. and 6 items of subscale those were nausea, vomiting, anorexia, pain, and immobility, showed statistically significant correlation. 2. Fatigue of the subjects showed statistically significant differences according to a nap satisfaction. Fatigue of the subjects was significantly correlated with mood state, Also, all 5 items of subscale, which are those were anxiety, confusion, depression, energy, and anger showed statistically significant correlations. 3. Fatigue of the subjects showed statistically significant differences according to metastasis, chemotherapy cycle, post operation existence, post radiation therapy existence. There were significant negative correlation between fatigue and hematocrit and fatigue and weight change. There was no significant correlation between fatigue and spiritual well-being state. With the result to multiple regression, Immobility, Anorexia, Anger explained fatigue by, pain, and immobility showed statistically significant correlation.

• The Journal of the Convergence on Culture Technology
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• v.6 no.4
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• pp.643-653
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• 2020

This study is a descriptive research study to identify the relationship between cancer fatigue, quality of sleep, environmental sleep disturbance, and comfort perceived by hospitalized cancer patients. Data were collected with structured questionnaires from 113 cancer patients from a university hospital in J city, Gyengnam, from September 17 to November 5, 2019, and analyzed using SPSS 21.0, using independent t-test, one-way ANOVA, Scheffé test, Pearson's correlation coefficient, and stepwise multiple regression. The subjects' Comfort is significantly different depending on education level, Cancerous type, Radiation treatment status, Usual exercise status. The result showed that comfort was negatively correlated with cancer fatigue(r=-.609, p<.001), quality of sleep(r=-.478, p<.001), and environmental sleep disturbance(r=-.297, p=.001). The variables that had a significant effect on comfort were cancer fatigue(β=-.42, p<.001), subjective quality of sleep(β=-.30, p=.001), and cancer type(β=-.18, p<.015), and the explanatory power was 46.1%(F=27.24, p<.001). Based on these results, it is necessary to develop a program to improve the quality of sleep and to reduce the cancer fatigue by cooperating with medical and nursing staff in multidisciplinary ways to enhance the comfort of hospitalized cancer patients.

• Journal of Korean Academy of Nursing Administration
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• v.13 no.2
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• pp.254-262
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• 2007

연구목적: 본 연구는 암 간호정보체계에 사용될 한국 6대 암 환자의 핵심간호진단을 결정하기 위해 수행되었다. 핵심간호진단 은 6대 암, 각 환자 군의 간호를 위해 가장 자주 혹은 많이 사용되는 일정의 간호진단 세트로 정의된다. 본 연구에서 6대 암 환자의 핵심간호진단을 결정하고자 하는 가장 큰 목적은 간호진단 과정에서의 편리성을 높임으로써 앞으로 개발될 암 간호정보체계의 유용성과 사용가능성을 높이기 위함이다. 연구방법: 핵심간호진단은 조사연구를 통해 결정하였으며, 결정된 진단들은 문헌고찰과 환자기록 분석을 통해 그 타당도를 확인하였다. 환자기록 분석은 특히 조사연구 결과의 타당도를 확인하기 위해 사용되었다. 조사연구에 사용된 도구 및 환자기록에 나타난 간호진단 혹은 간호문제의 교차분석을 위해서는 NANDA Taxonomy II에 포함된 간호진단이 사용되었다. 219명의 경력간호사가 조사연구에 참여하였으며, 72개의 환자기록이 분석되었다. 핵심간호진단은 암 간호 정보체계의 언어개발을 위해 구성된 전문가 집단에 의해 조사연구 참여자의 20% 이상이 선택한 NANDA 간호진단으로 정하였다. 연구결과: 16개 ${\sim}$ 20개의 NANDA 간호진단이 한국 6대 암, 각 환자군의 핵심간호진단으로 선정되었다. 핵심간호진단 중 '급성통증', '만성통증', '불안', '감염가능성', '피로' 등이 6대 암 환자 군에 모두 포함되었다. 결론: 핵심간호진단의 타당도는 환자기록 분석과 문헌고찰을 통해 확인되었다. 이들 핵심진단은 암 간호정보체계에 사용되어 간호진단 적용을 촉진함으로써 암 환자 간호의 질 향상에 기여할 수 있을 것이다.

• The Monthly Diabetes
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• s.258
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• pp.36-37
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• 2011

스멀스멀 아지랑이 피듯 나른한 오월, 몸이 피곤하고 의욕이 없는 증상은 누구나 한 번쯤 겪어 보았을 것이다. 일반적으로 과로에 의한 피로는 충분한 휴식과 영양을 공급해주면 회복된다. 그러나 휴식을 취해도 호전되지 않고 피로가 6개월 이상 지속된다면 '만성피로'로 의사의 진찰을 받아보아야 한다. 왜냐하면, 피로의 원인이 당뇨, 암, 갑상선질환, 고혈압, 우울증 등에 있을 수 있기 때문이다. 실제로 원인 모를 피곤함으로 병원을 찾은 환자 중 종종 당뇨 진단을 받기도 한다. 그러면 당뇨병환자는 왜 기력이 떨어지고 피곤해하는지 당뇨와 피로의 상관관계에 대해 알아보도록 하자.

• Asian Oncology Nursing
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• v.10 no.1
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• pp.30-37
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• 2010

Purpose: The purpose of this study was to identify the relationship between physical activity and fatigue in patients with cancer. Methods: The participants of the study were 118 patients who had been diagnosed with cancer at least more than three months before at a university hospital. Physical activity was measured by IPAQ Korean version (2006), and fatigue by the Revised Piper Fatigue Scale. The collected data were analyzed using frequency, percentage, t-test, ANOVA, Pearson correlation coefficient. Results: Continuous physical activity overall in this study was on average $2,154.03{\pm}2,845.86$ MET, and the overall degree of fatigue of the participants was $4.47{\pm}1.80$. There were significant negative correlations between fatigue and moderate physical activity. Conclusion: The findings of the study suggested that moderate physical activity is effective for improving fatigue in cancer patients.