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Cognitive Function in Breast Cancer Patients Receiving Adjuvant Chemotherapy (항암화학요법을 받은 유방암 환자의 인지기능)

  • Kim, Kyung-Hae;Chung, Bok-Yae;Kim, Gyung-Duck;Byun, Hye-Sun;Choi, Eun-Hee;Cho, Eun-Jung
    • Asian Oncology Nursing
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    • v.12 no.1
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    • pp.1-11
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    • 2012
  • Purpose: This study reviewed articles related to breast cancer, cognitive function and chemotherapy available in 4 databases. Methods: The researcher reviewed 32 pieces of literature that were published between January 2001 and November 2011. Results: Within the last decade, several studies have investigated whether adjuvant treatment of breast cancer affects cognitive function. A number of prospective studies have reported inconsistent results regarding whether chemotherapy affects cognitive function. Approximately half of the studies reported subtle cognitive decline in a wide range of domains among some breast cancer patients following chemotherapy, and others did not. Conclusion: Breast cancer patients receiving adjuvant chemotherapy showed the most deterioration and the most persistent decline in cognitive function. Since cognitive impairment is subtle, if evident at all, discrepant findings are due to hormonal, physiological, psychological or temporal confounding variables and differences in study design. Especially, that chemotherapy may impair memory, executive function, attention and visuospatial function in women with breast cancer.

The Effect of Back Massage on Degree of Pain, State Anxiety and Quality of Sleep of Postoperative Patients with Gastrectomy (등마사지가 위암 수술 환자의 통증 정도, 상태불안 및 수면의 질에 미치는 효과)

  • Han, Mi-Suk;Lee, Kang-Yi
    • Asian Oncology Nursing
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    • v.12 no.1
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    • pp.69-76
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    • 2012
  • Purpose: Most of postoperative patients experience pain, state anxiety and sleep disturbance. These problems negatively influence the recovery of postoperative patients. So alleviating these problems has been one of the nurses' central roles. The purpose of this study was to examine the effects of back massage on pain, state anxiety and quality of sleep of postoperative gastrectomy patients. Methods: A non-synchronized non-equivalent control group pre and post-test design was used. The research instruments used in this study were the Numerical Rating Scale (NRS) for pain, the State-Anxiety Inventory (STAI) for anxiety and the Verran and Synder-Halpern scale for quality of sleep. The subjects were patients admitted to a university hospital located in D city. Twenty-nine patients in the experimental group had a 10 minute manual back massage stimulation for 5 days from the 1st day to the 5th day after their operation, and 25 patients in the control group did not. Results: The degree of pain was significantly reduced according to post operation day and quality of sleep was significantly increased. However state anxiety was not significantly reduced. Conclusion: Back massage is a partially effective nursing intervention for postoperative patients with gastrectomy who experience pain and sleep disturbance.

The Effect of Symptom Experience and Resilience on Quality of Life in Patients with Colorectal Cancers (대장암 환자의 증상경험과 극복력이 삶의 질에 미치는 효과)

  • Choi, Kyung-Sook;Park, Jung-Ae;Lee, Joo-Hyun
    • Asian Oncology Nursing
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    • v.12 no.1
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    • pp.61-68
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    • 2012
  • Purpose: This study aimed to investigate the influence of resilience and symptom experience on quality of life. Methods: Seventy five patients in an active treatment stage were recruited from 2 hospitals between October and December 2010. A survey including perceived health status, physical functional status, the symptom experience index, resilience, and the functional assessment of cancer therapy-colorectal (FACT-C) was completed. Results: The level of FACT-C was 86.61 (${\pm}18.91$), which was higher than for patients with colostomy, but lower than for patients in a rehabilitation stage. Participants without physical functional limitations showed higher level of both resilience and quality of life. Participants with bad health status showed a lower level of both resilience and quality of life and higher level of symptom experience. The quality of life was related to the level of resilience (${\beta}$=.373), symptom experience (${\beta}$=-.292), and perceived health status (${\beta}$=-3.961). Conclusion: Proactive nursing approaches to manage symptoms and to improve perceived health status would enhance the quality of life of colorectal cancer patients. Furthermore, various strategies to strengthen the level of resilience should be developed.

Relationships between Knowledge, Attitude and Preventive Health Behavior about Cancer in University Students (대학생의 암에 대한 지식, 태도 및 예방적 건강행위의 관계)

  • Kim, Ick-Jee;Kim, Sang-Hee
    • Asian Oncology Nursing
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    • v.12 no.1
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    • pp.44-51
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    • 2012
  • Purpose: The study was to identify the relationships between levels of knowledge, attitude and preventive health behavior about cancer in university students. Methods: The data were analyzed with the SPSS/Win 18.0 program. The participants of this study were 200 university students. Three kinds of instruments were used for this study, questionnaires about cancer-related knowledge, attitude and preventive health behavior from Suh et al. (1998). Results: The mean score for knowledge about cancer was $14.33{\pm}5.32$, the mean score of attitude toward cancer was $31.76{\pm}3.75$ and the mean score of preventive behavior for cancer was $57.20{\pm}8.48$. There was slightly positive correlation between knowledge of cancer and attitude toward cancer. There was positive correlation between the attitude toward cancer and preventive health behavior for cancer. Conclusion: It is necessary to consider the related factors for the development and implementation of systematic education programs that can encourage and promote preventive health behavior for cancer among university students.

Relationships between Stress, Ways of Coping and Burnout of Family Caregivers of Cancer Patients (암환자를 돌보는 가족원의 스트레스, 대처방식과 소진의 관계)

  • Hong, Min-Joo;Tae, Young-Sook;Noh, Mi-Young
    • Asian Oncology Nursing
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    • v.12 no.1
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    • pp.92-99
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    • 2012
  • Purpose: The study was to examine the relationships between stress, ways of coping and burnout among family caregivers of cancer patients. Methods: Data were collected by self-reported questionnaires from 207 family caregivers of cancer patients at one university hospital and one general hospital in Busan, Korea. The instruments included a Stress Scale, a Ways of Coping Scale and a Burnout Scale. The collected data were analyzed using frequency, percentage, t-test, ANOVA, Scheffe's test, and Pearson's correlation coefficients with the SPSS WIN 19.0 program. Results: Stress was found to have significant relationships with age, relation to the patient, education, monthly income, degree of care-giving, financial burden and activities of daily living of patient. In active coping, there were significant differences according to education and religion. Passive coping was significantly related to gender. In burnout, there were significant differences according to age, relation to the patient, education, occupational status, monthly income, degree of care-giving, financial burden and activities of daily living of patient. Stress and burnout showed a positive correlation, while there was a negative correlation between burnout and active coping. Conclusion: These results suggest that promoting active coping would better support family caregivers of cancer patients in managing burnout effectively.

Relationships between Knowledge about Early Detection, Cancer Risk Perception and Cancer Screening Tests in the General Public Aged 40 and Over (암 조기발견 지식.암발생 위험성 지각과 암 조기검진 수검 여부와의 관계: 40세 이상 일반인 대상으로)

  • Yang, Young-Hee
    • Asian Oncology Nursing
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    • v.12 no.1
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    • pp.52-60
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    • 2012
  • Purpose: This study is to determine knowledge about early detection and risk perception of cancer according to taking cancer screening tests in the general population. Methods: The participants were 151 people aged 40 years or older. A questionnaire consisted of knowledge about early detection (warning signs, cancer screening methods, general knowledge for early detection), cancer risk perception and history of cancer screening during past 2 years. Results: The percentages of correct answers were 64.7% in knowledge about warning signs, 73.7% in knowledge of cancer screening tests and 80.1% in general knowledge for early detection. Participants had the highest knowledge about screening methods for stomach cancer and the lowest for liver and colon cancer. The level of risk perception was medium. The participants who participated in cancer screening showed lower risk perception than those who did not. There was no significant relationship between knowledge and performance of cancer screening. The primary reason for not participating in cancer screening was patient's perception of their own health. Conclusion: These results suggest that cancer risk perception can affect the performance of cancer screening and we need to study how to handle this problem. Additionally screening programs should focus on liver cancer and colon cancer.

Bandwidth requirements of FTTH for high speed communication and digital TV (초고속통신과 디지털TV방송 시대를 위한 FTTH의 전송속도에 관한 연구)

  • Lee Jung Wook
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.29 no.12B
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    • pp.1013-1021
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    • 2004
  • Recently, there have been the rapid increasing needs to integrate high-speed communications and digital TV in home network. To realize the integration of those services, the MIC formulated the broadband convergence network (BcN) plan as one of the new growth engines. The BcN will be implemented by FTTH solutions and these solutions are designed to support digital home network. To develop and promote the BcN, we need to find the bandwidth requirements for home network. This paper will examine the bandwidth requirements in detail to accommodate data traffics for high-speed communications and TV at building intra network and home intra network.

Network Compression by Saying Idle Time of Resources and Spaces for Repetitive Activities (작업공간과 자원의 여유시간 최소화를 통한 반복작업 공정계획기법)

  • Yi Kyoo Jin
    • Korean Journal of Construction Engineering and Management
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    • v.1 no.3 s.3
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    • pp.75-80
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    • 2000
  • In scheduling multi-unit projects, several alternatives can exist in network construction due to repetitiveness of their activities. Project duration is affected not only by the duration of each activity but also by the arrangement of repeating activities in such projects. This paper provides a network compression method that assigns predecessors to each activity to minimize its float time. Different to the previous efforts that utilized line of balance as the base scheduling-model, this research adopts precedence diagram arranged in two coordinates, the space axis and the resource one. This method seeks the most appropriate predecessors for each activity in each direction of the two coordinates for the purpose of minimizing the idle resource and space. This activity arrangement method was applied to a multi-unit apartment-construction project, to prove its capability of network compression. The result shows that the method successfully sought room for saving construction duration by changing the activity arrangement. The network compression method presented in this research can be utilized in multi-unit construction projects such as apartment complex projects.

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Experiences of Korean-American Women with High Risk Hereditary Breast Cancer (고위험 유전성 유방암을 지닌 한국계 미국 여성의 질병경험)

  • Choi, Kyung-Sook;Jun, Myung-Hee;Anderson, Gwen
    • Asian Oncology Nursing
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    • v.12 no.2
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    • pp.175-185
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    • 2012
  • Purpose: This micro-ethnographic study aimed to understand coping experiences of Korean-American (K-A) women after diagnosis with breast cancer due to a hereditary gene mutation. Methods: Participatory observation and in-depth interviews were performed at one breast cancer screening center in Southern California, in 2005 with eleven first generation K-A immigrant women. All transcribed interviews and field notes were analyzed using ethnographic methodology. Results: K-A women's experience varied based on acculturation risk factors including: limited English speaking ability; disrupted family relationships, individualistic family values, or intergenerational communication barriers; lack of Korean speaking nurses; and Korean physicians' who lacked knowledge about hereditary breast cancer risk. These risk factors led to isolation, loneliness, lack of emotional and social support. In comparison to Korean homeland women in a similar medical situation, these K-A immigrants felt disconnected from the healthcare system, family support and social resources which increased their struggling and impeded coping during their survivorship journey. These women were not able to access self-support groups, nor the valuable resources of nurse navigator programs. Conclusion: Professional oncology associations for nurses and physicians have a moral obligation to support and promote knowledge of hereditary cancer risk and self-help groups for non-native speaking immigrants.

Factors Associated with Colorectal Cancer Screening of Blue-Color Workers (비사무직 근로자의 대장암 검진 현황 및 예측요인)

  • Park, Su-Ho;Kim, Gwang-Suk;Won, Jong-Uk;Park, Chang-Gi
    • Asian Oncology Nursing
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    • v.12 no.2
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    • pp.166-174
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    • 2012
  • Purpose: Even though the incidence of colorectal cancer (CRC) has increased in Korea, the colorectal cancer screening (CRCS) is lower than that of other cancer screenings. The purpose of this study was to identify CRCS rate and to predict factors in blue-color workers. Methods: A descriptive survey design was employed. Data were collected with 327 workers, recruited from 32 companies, aged 40 and over using questionnaire from August 2010 to January 2011. Collected information included CRCS, demographic characteristics, job characteristics, health behaviors, and interpersonal relationship. The definition of CRCS included fecal occult blood test (FOBT), colonoscopy, or double contrast barium enema (DCBE). Results: Among 94 workers receiving CRCS, workers having FOBT were 37, colonoscopy were 28, and DCBE was 6 in the past. Workers who aged over 50 (OR=2.30, 95% CI=1.11-4.77), middle school educated (OR=0.30, 95% CI=0.14-0.65), less working hours (OR=0.98, 95% CI=0.96- 0.99), and had family members who carried out regular cancer screening (OR=1.89, 95% CI=1.01-3.55) were more likely to perform CRCS. Conclusion: The findings suggest that the information and notice about CRCS to increase screening uptake, providing the accessible screening method, and involving company administrators or health managers might be useful to increase the CRCS rate in workers.