• 한국산학기술학회논문지
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• 제20권2호
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• pp.562-570
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• 2019

본 연구는 외래에서 항암화학요법을 받는 유방암 환자의 수면의 질에 영향을 미치는 요인을 규명하고자 실시하였다. B시에 소재한 종합병원에서 외래로 통원하며 항암화학요법을 받고 있는 유방암 환자 203명을 대상으로 자료를 수집하였으며, 수면의 질 정도는 가정경제상태(F=4.363, p=.014), 신체적 불편 증상(t=3.398, p=.001), 동반질환(t=2.634, p=.009), 유방암 진단 전 수면장애 경험(t=3.558, p=.001)에 따라 통계적으로 유의한 차이가 있었다. 외래에서 항암화학요법을 받는 유방암 환자의 수면의 질은 스트레스(r=-.369, p=.001), 피로(r=-.565, p=.001), 우울(r=-.526, p=.001)과 음의 상관관계로 나타났다. 또한 이들의 수면의 질에 영향을 미치는 요인으로는 피로(${\beta}=-.387$, p<.001), 유방암 진단 전 수면장애 경험(${\beta}=-.178$, p<.002), 우울(${\beta}=-.231$, p<.004)순으로 나타났으며, 수면의 질에 대한 이들 변수의 설명력은 총 37.4%이었다. 본 연구의 결과를 토대로 외래에서 항암화학요법을 받는 유방암 환자의 수면의 질을 증진시키기 위해서는 피로를 감소시키고, 유방암 진단 전 수면장애 경험 유무를 미리 파악하여 항암치료 전 조기에 적절한 약물적, 비약물적 수면중재를 제공하고, 우울을 감소시키기 위한 통합적 간호중재 프로그램 개발이 필요하다.

• 대한간호학회지
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• 제29권4호
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• pp.755-765
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• 1999

Most people experience fatigue at some point in their lives, and they say the word ‘fatigue’ in their ordinary conversational speech. The ordinary word is used as a military or engineering term and has been studied in various different disciplines, such as ergonomics, physiology, psychology, medicine, and nursing. In spite of its widespread uses, however, fatigue has not been well defined. The term of fatigue Is thus often used with different meanings and is applied in diverse contexts that had led to a confusion of ideas. In people with cancer, fatigue is reported as a major distress. Despite the importance of fatigue in cancer patients, the phenomena of fatigue is poorly understood. Therefore, the purpose of the present study is to analyze the concept of fatigue in people with cancer. The process for the concept analysis was guided by Walker and Avant's conceptual analysis methodology. The identified attributes of fatigue in the present study were subjective feeling, lack of energy, sustenance, and multidimensions. The antecedents were cancer treatment and economic status. The consequences were decreased daily, vocational, leisure, and social activities, uncertainty, and difficulties in adjustment. Symptoms (pain, anorexia, and insomnia) and emotional disturbance were not clear whether they are antecedents or consequences. However, they are related with cancer related fatigue. Even though still in the beginning stage, instruments measuring cancer related fatigue have been developed by some nursing investigators.

• 한국식품영양과학회지
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• 제39권12호
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• pp.1800-1806
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• 2010

본 연구는 1일 1.5 L씩 4주간의 바나듐수 음용이 비진행성 암환자의 피로감 개선에 긍정적인 효과를 미치는 지 확인하기 위하여 수행되었다. 본 연구 결과 4주간의 바나듐수 음용은 비진행성 암환자의 피로감 개선을 위해 통계적으로 경계선상의 유의성을 보였으므로 향후에는 탐색형 연구로부터 확증형 연구를 통하여 피험자 수가 증가할 경우 통계학적으로 유의성을 보일 것이라고 예상되므로 근거 확보를 위한 진일보한 연구가 이루어져야 할 것이다. 즉 1일 1.5 L씩 4주간의 바나듐수 음용은 비진행성 암환자의 피로감 개선에 대해 유의수준 10%에서 통계적으로 유의한 차이가 나타났다. 이는 바나듐수가 암 환자의 피로에 도움이 되고 또한 참여자 수가 늘어날 경우 통계학적으로 유의성을 보일 것이라는 최소한의 근거를 보여주는 것이다. 향후에는 피험자수의 증가를 비롯하여 성별, 암종별 피험자수를 매치하고 피로감 개선을 포함한 기타 추가 기능에 대한 연구 수행을 기대할 수 있겠다.

• 한국산학기술학회논문지
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• 제17권1호
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• pp.304-314
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• 2016

본 연구는 암 병동에 근무하는 간호사의 공감피로 경험의 의미와 본질을 이해하기 위해 수행되었다. 연구 참여자는 암 병동 근무기간이 최소 6개월 이상인 11명을 대상으로 하였다. 심층면담을 실시하여 자료를 수집하였으며, Giorgi의 현상학적 방법으로 분석하였다. 연구결과 신체적으로 힘듦, 환자의 상황에 갇힌 마음, 암이라는 병 앞에서 무너짐, 되새겨지는 환자관련 기억, 변화된 자신의 모습을 발견함, 회복의 길을 찾아감의 6개의 범주로 도출되었다.

• 기본간호학회지
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• 제9권1호
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• pp.16-26
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• 2002

Purpose: This study was done to investigate the effect of foot reflexology on vital signs, general fatigue, mood and foot fatigue in cancer patients receiving chemotherapy. Method: Data were collected from a convenience sample of 11 patients who were admitted at S and E University Hospital. Changes in systolic blood pressure (SBP), diastolic blood pressure(DBP), pulse rate(PR), general fatigue, mood status, and foot fatigue between pre and post foot reflexology were analyzed using Wilcoxon signed rank test and Friedman test at 0.05 level of significance. Results: There were significant differences in the SBP(p= .009), DBP(p=.014), PR(p=.015), general fatigue (p=.015) mood status(p=.007), and foot fatigue(p= .007) between pre and post foot reflexology. Conclusion: Foot reflexology can improve vital signs, general/foot fatigue and mood status, therefore we recommend to use foot reflexology as an effective nursing intervention in cancer patients receiving chemotherapy.

• 대한간호학회지
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• 제33권5호
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• pp.562-569
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• 2003

Purpose: The purpose of this longitudinal prospective study was to assess changes in fatigue and quality of life for a 6-week course of radiotherapy. Method: A descriptive and longitudinal design was used to this study. Twenty-three subjects receiving radiotherapy from a radiotherapy clinic of a general hospital completed the questionnaires. Fatigue was measured using Lee's scale(1999) and quality of life using Yang's scale(2002) weekly for 6 weeks. Result: Fatigue significantly increased(F=6.043, p=.000), and quality of life significantly decreased (F=3.938, p=.003) and physical symptoms also significantly increased(F=2.432, p=.039) during a 6-week radiotherapy. Multiple regression analysis revealed that fatigue at the first week and physical symptoms at the 6th week were the significant affecting variables(60.1% of the variance) on fatigue. And 63.2% of the variance in quality of life was explained by quality of life and fatigue at the first week and body weight change for 6 weeks radiotherapy. Conclusion: Based on these results, the fatigue and quality of life at the beginning time of radiotherapy have a lasting impact throughout the course of treatment. It suggests that nurses provide patients with information about the occurrence of fatigue during radiotherapy and the practical methods of intervening physical symptoms.

• 성인간호학회지
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• 제15권4호
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• pp.617-627
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• 2003

Purpose: The purpose of this study is to investigate fatigue and its related factors in cancer patients receiving radiotherapy. Method: The subjects of this study consisted of 98 patients receiving radiotherapy. Subjects were recruited from C University Hospital radiation oncology unit located in Gwangju from March to May, 2001. Questionnaire and medical records were used for data collection. The obtained data was analyzed using SAS program that included descriptive statistics, t-test, ANOVA, Post-hoc test(Fisher's LSD) and Pearson's correlation coefficients. Result: The fatigue perceived by the subjects was middle level ($5.59{\pm}1.59$) and 72.4% of them reported greater than 5 points. The subjects in no religion, low income, and spouse caregiver groups experienced the higher fatigue than another groups, respectively. The subjects in nasopharyngeal cancer, head & neck radiation site, and analgesics medication groups did, experience fatigue as well. The fatigue not only positively correlated with symptom distress, disruption of usual activity, sleep dissatisfaction, and mood state, but also negatively with less family support. Conclusion: Cancer patients receiving radiotherapy experience the middle level of fatigue and it correlates with the multi-dimensional factors. However, further research is needed to identify the changes in fatigue over the radiotherapy period through longitudinal design and to develop nursing intervention for fatigue decrease.

• Child Health Nursing Research
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• 제16권1호
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• pp.66-72
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• 2010

Purpose: This study was done to identify factors associated with fatigue in pediatric patients with cancer in order to develop nursing interventions for this population. Methods: The participants were 95 pediatric cancer patients admitted to a university medical center in Seoul, Korea, and 95 parents. The $PedsQL^{TM}$, Multidimensional Fatigue Scale developed by Varni (2002) was used to measure fatigue. Data were analyzed with the SAS program and t-test, analysis of variance (ANOVA), Pearson correlation coefficients, and multiple regression were used to identify the association of factors with fatigue. Results: The mean score for fatigue was 30.42 in the pediatric cancer patients and 34.77 in the parents. Fatigue was higher in patients living with a single parent, in patients whose father had a lower education and those patients with a fever. Pain, frequency and intensity of nausea and vomiting, depression, anxiety, and disruption of usual activity were positively associated with fatigue. The predictive factors for fatigue were disruption of usual activity, depression and living with or without parents. Conclusion: Pediatric patients with cancer experienced fatigue during their diagnosis and treatment. Of the multiple factors associated with fatigue, the association between disruption of usual activity and fatigue was the highest indicating a need to be concerned with this factor when providing interventions to alleviate fatigue.

• 한국산학기술학회논문지
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• 제19권11호
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• pp.370-379
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• 2018

본 연구는 갑상선암 수술환자의 치료기간에 따른 삶의 질 변화에 대해 알아보고, 삶의 질 변화에 영향을 미치는 요인을 파악하여 갑상선암 환자의 삶의 질을 향상시키기 위한 개입 필요성과 증상관리 프로그램 개발을 위한 기초자료를 제공하고자 하였다. 대전광역시 소재 일개 상급종합병원 이비인후과에서 2013년 7월부터 2014년 12월까지 갑상선암 진단을 받고 갑상선절제수술을 받은 환자 76명을 대상으로 하였고, 삶의 질에 영향을 미치는 요인을 알아보기 위해 t-test와 ANOVA에서 통계적으로 유의하게 나온 변수를 산출하여 다중회귀분석(multiple regression)을 실시하였다. 연구결과에서 수술 전과 후 1개월까지의 삶의 질 변화에서는 성별, 암 병력, 피로가 통계적으로 유의하였고, 수술 후 3개월까지의 삶의 질 변화에서는 병기, 암 병력, 불안, 통증이 통계적으로 유의한 변화가 있었다(P<.05). 회귀분석 결과 조사시기별 삶의 질 변화에 영향을 미치는 요인은 수술 전과 후 1개월에서는 우울과 피로였으며, 수술 후 3개월에서는 불안이었고, 수술 후 6개월에서는 모두 유의하지 않은 것으로 조사되었다. 따라서 수술 전과 후 1개월 시기에 우울과 피로 증상을 관리하여 환자의 신체적, 정신적 고통을 줄일 수 있도록 노력해야 하며, 수술 후 3개월에서는 불안 증상을 관리하여 환자의 삶의 질을 향상시킬 수 있도록 해야 할 것이다. 이는 결과적으로 건강관리 시스템에 대한 부담을 줄이고, 공중보건에 긍정적인 영향을 미치는 사회적 비용을 감소시킬 수 있을 것으로 생각된다.

• 대한간호학회지
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• 제32권6호
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• pp.897-905
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• 2002

The purpose of this study was to discuss and address the state of the knowledge development and the nature of knowledge regarding fatigue. Method: This study analyzed the 63 fatigue related articles published from 1990 to 2001. The analysis schema was 'Alternative linkages among philosophy, theory, and method for nursing science' (Kim, 1993). Result: The 63 articles had been studied only within 5 types among all 96 types of linkages. Most of the articles (59 among 63 articles) had been studied within scientific realism and deductive logic. Fifty-three articles among 59 articles were the type of explanatory and predictive theory, grasping reality by the etic method on the controlled setting. Conclusion: This study suggests more development of knowledge regarding fatigue with various logics, especially with discovery logic such as inductive and retroductive or methods in multiple designs on various subjects under various philosophy needed for nursing practice.