• Title/Summary/Keyword: 암 환자 가족

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Information Needs and Satisfaction among Family Members of Terminal Cancer Patients through Phone Cancer Information Services (말기 암 환자 가족의 전화상담을 통한 정보요구와 만족도 조사)

  • Kwon, Kyeung-Eun;Kim, Boon-Han;Chang, Yoon-Jung;Kim, Hee-Jung;Jung, Yun
    • Journal of Hospice and Palliative Care
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    • v.12 no.1
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    • pp.5-13
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    • 2009
  • Purpose: This exploratory study was undertaken to analyze the information needs of family members of terminal cancer patients, collected through the telephone counselling service by National Cancer Information Center. Methods: The study included 113 family members of terminal cancer patients who had enrolled at the National Cancer Information Center for the period from June, 2007 through March, 2008 and had agreed to the survey. Results: The subjects (n=113) consisted of grown-up children (n=82) and spouses (n=8) of patients'. Those in their 40's (n=40) and 30's (n=36) accounted for the majority of the sample. The questions raised most were about the information on treatment methods (n=117), management of terminal cancer patients (n=46), terminal cancer patients' life (n=27), deathbed and prediction of remaining life (n=18), hospitalization (n=16), and financial support (n=15). Most of the subjects were satisfied with the telephone counseling services, and 69% of the subjects had come to know about the telephone counseling service via Internet, and 10.6% of them stated that the PR for the service was poor. Conclusion: It is deemed essential for the government to use the mass media for PR of the hospice services, since family members of terminal cancer patients' are less aware of the hospice conducive to enhancement of patients' remaining quality of life, being involued too deeply in their treatment.

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The Relationship of Social Support, Stress, Health Status and Quality of Life in Caregivers of Home-stay Cancer Patient in a Comminity (지역사회 재가 암환자 가족의 사회적 지지 스트레스, 건강상태 및 삶의 질과의 관계)

  • Kim, Boon-Han;Kim, Tae-Su;Kim, Eui-Sook;Jung, Yun
    • Journal of Hospice and Palliative Care
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    • v.3 no.2
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    • pp.144-151
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    • 2000
  • Purpose : This investigation was to identify the relationship of social support, stress, health and quality of life in caregivers of home-stay cancer patient. Method : We used a questionnaire and obtained data from the records of 79 caregivers of home-stay cancer patient in a community. Window SPSS-PC was used for the data analysis and the statistical method used were the t-test, ANOVA and Pearson's correlation coefficient. Result : The mean score of family support(3.24) was higher than nurse's support(3.03). The mean score of stress was 3.52 and that of health status was 2.98. The mean score of quality of life was 2.34. The health status of caregivers of cancer patient was influence by age(F=3.17, p=0.018) and education(F=3.59, p=0.032). There was a correlation between nurse's support and family support(r=.263, p<0.05). There was a correlation between stress and health status(r=0.597, p<0.01). The quality of life was correlated with stress(r=-.678, p<0.01) and health status(r=-0.741, p<0.01). Conclusion : The above result indicate that we must consider of social support, stress and health status to promote of quality of life of the caregiver of cancer patient.

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Cancer Care-giver Burden On The Parents-Children Negative Communication - The Moderating Effect Of Family TSL Attitude - (암환자 주부양자의 부양부담이 자녀와의 역기능적 의사소통에 미치는 영향에서 가족간 TSL 태도의 조절효과: 청장년층과 중장년층의 비교연구)

  • Kim, Jae Yop;Sung, Shin Myoung;Hwang, Ho Koung;Im, Ji-hye
    • Korean Journal of Family Social Work
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    • no.54
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    • pp.77-106
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    • 2016
  • The purpose of this study is to examine the effect of cancer care-giver burden on the parent-children negative communication. Plus the moderating effect of family TSL Attitude(positive thinking and behaviors between family member). Cancer family care burden and parent-children communication have a difference in the family life cycle. So It compared to the young adult group and middle-aged group. The research conducted from 2015 April to September and It was targeted to cancer care-giver who were at the great hospitals in Seoul. The total people were 199, but for the purpose of this study 145 people who had children were extracted. Frequency analysis, T-test and Multiple Regression Analysis were conducted. Consequently, the young adult group care burden have direct effect on the negative parent-children communication, and the Family TSL Attitude have moderating effect. however, In the middle-age group, the care burden haven't significant effect on the negative parent-children communication and family TSL Attitude haven't moderating effect. Base on the this result, this study suggested the need of cancer care-giver burden relieving program and family communication program. Also It proposed the different access to the cancer patient family in the life cycle.

Relationship among Resilience, family support and health promotion of hospitalized cancer patients in an advanced general hospital (일 상급종합병원에 입원한 암환자의 극복력, 가족지지 및 건강증진행위간의 관계)

  • Lee, Jeong-Ran;Lee, Gyoung-Wan;Chin, Eun-Young;Park, Boc-Nam;Son, Yun
    • Journal of the Korean Institute of Oriental Medical Informatics
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    • v.21 no.2
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    • pp.35-45
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    • 2015
  • Purpose: The aim of this study was to investigate the relationship among resilience, family support and health promotion of hospitalized cancer patients in an advanced general hospital. Methods: Data were collected from 131 hospitalized cancer patients and analyzed SPSS 18.0 program. Results: Resilience showed significant differences according to gender, education level, occupation, family income, family help. and recurrence. Family support showed significant differences according to education level, occupation, care giver, family help, progress of disease and recurrence. Resilience and family support are positive correlations. Conclusion: It is needed to develop various program including cancer patient and their family for the promoting resilience.

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Quality of Life of Older Cancer Patients in Comparison with Older Chronic Disease Patients and Middle-Aged Cancer Patients (노인 암환자를 중심으로 노인 만성질환자 및 중년 암환자 간의 삶의 질과 그 영향 요인 비교)

  • Lim, Yeonok;Kim, Yojin;Yoon, Hyunsook
    • Korean Journal of Social Welfare
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    • v.65 no.4
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    • pp.367-393
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    • 2013
  • Quality of life(QoL) of older cancer patients have not gained enough attention from researchers even when cancer is the number one cause of death of Korean elderly. Therefore, this study aims at understanding the QoL of older cancer patients and factors related to it, applying Taylor(2012)'s Stress-Coping Process model, and by comparing with older chronic disease patients and middle-aged cancer patients. Results indicated that physical health QoL of older cancer patients was the worst and their mental health QoL was similar with middle aged cancer patients. Multi-group analysis of Structural Equation Modeling indicated that the relation between QoL and the stress coping resources was not statistically different from older cancer patients and older chronic disease group, as well older cancer patients and middle-aged cancer patients. Implications of results to improve the QoL of older cancer patients are discussed.

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Nurses' Perception on Fluid Therapy for Terminally Ill Patients (말기 환자의 수액요법에 대한 간호사의 인식)

  • Jo, Hyeon-Sook;Cho, Ok-Hee;Yoo, Yang-Sook
    • Journal of Hospice and Palliative Care
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    • v.13 no.4
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    • pp.243-251
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    • 2010
  • Purpose: This study was conducted to investigate how nurses who take care of terminal patients perceive fluid therapy and how this therapy is currently being used in hospitals. Methods: This survey included 200 nurses, 87 of whom were working in the oncology units of 3 university hospitals in Seoul, Korea, and 113 were working in 18 hospice centers. The data for this study were collected by means of structured questionnaires and analyzed by using the Statistical Analysis System software. The differences in perception towards fluid therapy between nurses working in oncology units and those working in hospice centers were examined using the $x^2$ test and analysis of covariance. Results: Fluid therapy was perceived more negatively by the nurses from hospice centers than by those from oncology units. Continuous subcutaneous infusion was used in hospice centers, but not in oncology units. In addition, the average amount of fluid infused daily differed significantly between the oncology units and hospice centers. Conclusion: Our results show that there were differences in the perception towards fluid therapy between nurses in different clinical settings. Nurses caring for terminal and palliative care patients should not simply provide or withhold fluid therapy, but rather develop a wider range of views on fluid therapy, focusing on effective alternative interventions.

Factors Influencing Caregiver Reaction among Family Caregivers for Persons with Cancer (암환자 가족원의 건강정보이해력과 사회적 지지가 돌봄부담에 미치는 영향)

  • Park, Sang-Un;Kim, Hee-Jin;Kim, Geom-Nam;Park, Hye-Jeong;Gil, Cho-Rong;Lee, Ji-Yeon;Chang, Hee-Kyung
    • Journal of Digital Convergence
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    • v.17 no.3
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    • pp.291-304
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    • 2019
  • The purpose of this study was to identify factors influencing family caregivers' reaction of persons with cancer. The study participants were 130 cancer patients and their family caregivers. Data on participant characteristics, caregiver reaction, perceived social support, and cancer related health literacy were collected from July 17 to November 7, 2018 using a structured questionnaire. Data were analyzed with the SPSS/WIN 23.0 program for descriptive statistics, using independent t-test, one-way analysis of variance, Pearson's correlation coefficient and enter multiple regression analysis. The determining factors affecting caregivers' reaction were in case of spouse of patient(${\beta}=.252$, p=.002), subjective health status(${\beta}=-.207$ p=.012), and health literacy (self-care, patient's needs and preference) (${\beta}=-.411$, p<.001; ${\beta}=.247$, p=.037 respectively), and their explanation power was about 37.9%. This finding underscores the need for developing and application of the individualized education program with health literacy improvement strategies for family caregivers of cancer patients.

A Phenomenological Study of Experience about Family Caregivers' Caring for Their Terminal Cancer Patient (호스피스 병동 말기 암 환자 가족의 돌봄 경험에 관한 현상학적 연구)

  • Yang, Eun-Sook;Lee, Dong-Hun
    • The Journal of the Korea Contents Association
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    • v.17 no.10
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    • pp.667-685
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    • 2017
  • The purpose of this study was to explore the meaning and essence of experience of family members as care-givers of terminally ill cancer patients at hospice wards. This study was based on the Giorgi phenomenological method, which describes the experiences about the family caregivers. We had in-depth interview with spouses and orthogonal families of nine terminally ill cancer patients. Results were drawn into 13 essential themes, 45 sub themes, and 122 main points. The essential themes are as follows: "cling of life", "bed-keeper", "sacrifice of care", "physical and mental exhaustion during care process","feeling of love and hatred", "avenge on a patient", "self-condemnation", "futility after exhaustion", "consolation of other caregivers", "utmost efforts in resignation", "freedom from suffering", "paradoxical blessing of cancer", "introspected revolution", and "preparation of a dignified death". Implications and limitations are discussed based on study results.

Symptom Features of Terminally Ill Cancer Patients and Depression of Family Caregivers

  • Kim, Hyo Min;Koh, Su-Jin;Hwang, In Cheol;Choi, Youn Seon;Hwang, Sun Wook;Lee, Yong Joo;Kim, Young Sung
    • Journal of Hospice and Palliative Care
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    • v.20 no.3
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    • pp.188-193
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    • 2017
  • Purpose: There has been very little study on the associations between patient's symptoms themselves and family caregiver (FC)'s depression in the palliative phase. This cross-sectional study was to investigate the relationship between symptom features of terminally ill cancer patients and their FC's depression. Methods: We performed a multicenter survey using the MD Anderson symptom inventory and the Hospital Anxiety and Depression Scale. A total of 293 patient-FC pairs were recruited from seven tertiary medical centers. A multivariate regression analysis was applied for identifying the relevant factors associated with FC depression and for estimating adjusted depression score of FCs. Results: Among various psychosocial factors, low FC quality of life, low social support, spouse, and more caregiving time were significantly associated with FCs' depression. According to the presence of FCs' depression, there were significant differences in some symptom characteristics of patients. Even after adjusting for the relevant confounders, depression scores were lower in FCs caring for patients who had negative symptoms (loss of appetite, P=0.005; drowsiness, P=0.024; and dry mouth, P=0.043) than in FCs caring for patients who had not. FCs caring for patients with severe appetite loss had lower depression scores than those with not severe one (P=0.039). Conclusion: Our result suggests that patient's symptom characteristics might be helpful when evaluating a FC's depression.

심장에 남는 환자 - 노(老)의사가 평생을 바쳐 써 내려간 생명의 시(詩)

  • Lee, Min-U
    • 건강소식
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    • v.34 no.1
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    • pp.8-9
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    • 2010
  • '암'이라는 단어가 풍기는 뉘앙스는 두려움을 넘어 공포로 다가온다. 그래서 모든 암 환자들과 그 가족들이 받는 고통은 상상을 초월한다. 백혈병도 마찬가지로, 발병한지 4개월 만에 죽음에 이르기도 하는 무서운 암이다. 하지만 조혈모세포 이식으로 완치 가능한 암이 또한 백혈병이다. 그래서 절망적이지만 희망적이다.

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