• Title/Summary/Keyword: Oncology Nursing

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Hospice Volunteer's Experiences in Caring for Cancer Patients (호스피스 자원 봉사자들의 암 환자 돌봄에 대한 경험)

  • Kim, Boon-Han;Kim, Yoon-Sook;Jung, Yun
    • Asian Oncology Nursing
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    • v.5 no.2
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    • pp.79-86
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    • 2005
  • Purpose: This study was explored the meaning of hospice volunteer's experience in caring for cancer patients and tried to understand their experiences. Method: The data was collected from 7 participants living in Seoul and Gyeonggi province from Jan. to Apr. 2005. Collection of data was by means of in-depth interviews. The analysis of the data was made the phenomenological analytic method suggested by Colaizzi(1978). Result: The result is consisted of nine theme-cluster; experienced a fear, limitation of activity, experienced social care, experienced physical care, good death, experienced necessity of recharging, experienced bereavement care. Conclusion: The result above indicated that health professionals must develop the management and education of volunteer of hospice care for various hospice care. Also, We should to encouraged the continuous education and efficient management. And support system should be developed.

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Exploring Communication Difficulties in Pediatric Hematology: Oncology Nurses

  • Citak, Ebru Akgun;Toruner, Ebru Kilicarslan;Gunes, Nebahat Bora
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.9
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    • pp.5477-5482
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    • 2013
  • Background: Communication plays an important role for the well being of patients, families and also health care professionals in cancer care. Conversely, ineffective communication may cause depression, increased anxiety, hopelessness and decreased of quality life for patients, families and also nurses. Objective: This study aimed to explore communication difficulties of pediatric hematology/oncology nurses with patients and their families, as well as their suggestions about communication difficulties. Materials and Methods: It was conducted in a pediatric hematology/oncology hospital in Ankara, Turkey. Qualitative data were collected by focus groups, with 21 pediatric hematology/oncology nursing staff from three groups. Content analysis was used for data analysis. Results: Findings were grouped in three main categories. The first category concerned communication difficulties, assessing problems in responding to questions, ineffective communication and conflicts with the patient's families. The second was about the effects of communication difficulties on nurses and the last main category involved suggestions for empowering nurses with communication difficulties, the theme being related to institutional issues. Conclusions: Nurses experience communication difficulties with children and their families during long hospital stays. Communication difficulties particularly increase during crisis periods, like at the time of first diagnosis, relapse, the terminal stage or on days with special meaning such as holidays. The results obtained indicate that pediatric nurses and the child/family need to be supported, especially during crisis periods. Feeling of empowerment in communication will improve the quality of care by reducing the feelings of exhaustion and incompetence in nurses.

Demands of Illness in Cancer Patients in Outpatient Settings (퇴원 후 암환자의 간호요구에 관한 연구)

  • Ham, Mi-Young;Choi, Kyung-Sook;Eun, Young;Kwon, In-Soo;Ryu, Eun-Jung
    • Asian Oncology Nursing
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    • v.1 no.2
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    • pp.147-156
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    • 2001
  • This study was designed to describe the most common and most intense demands of illness in people with cancer in outpatient settings. The sample for this study who were at least 21 years old and had been treated for cancer. They recruited from outpatient setting in Seoul and Kyungsangnam-do. The questionnaire was a Likert type 5 point scale with 55 items on four need categories; informational, physical care emotional care and socioeconomic care. There were significant differences in degree of care need according to gender, religion, marital status, economic status, public insurance status, and the past regimen. In conclusion, emotional needs perceived by patients with cancer and family members were higher than the others. Based upon this result, it is recommended that the research to compare needs between cancer patients who have a same illness and family member are necessary.

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A Conceptual Analysis of Cancer Survivorship (암 생존력에 대한 개념분석)

  • Byun, Hye-Sun;Park, Hyun-Joo;Kim, Ji-Youn
    • Asian Oncology Nursing
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    • v.12 no.3
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    • pp.237-245
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    • 2012
  • Purpose: The purpose of this study was to identify attributes of the concept of cancer survivorship. Methods: Walker & Avant's concept analysis framework (2005) was used to review the medical & nursing text books, medical and nursing research articles related to cancer survivorship and published from 1985 to 2011. Results: There were nine aspects of the concept of cancer survivorship: A process, liminality, uncertainty, life-changing experience, complexity, unique experience, duality of positive and negative aspects, partnership, and need for support. Antecedents of cancer survivorship were cancer diagnosis and perception as a cancer survivor. Empirical referents of cancer survivorship were survival rate, quality of life, adaptation to the survivorship experience, and health-related hardiness, social support, spirituality, and health behavior. The consequences of cancer survivorship were effects on the physical, psychosocial, spiritual and socio-economic well-being of the patients. Conclusion: This concept analysis of cancer survivorship is expected to contribute to promotion of survivorship care in the clinical field by removing conceptual ambiguity and confirming the true meaning of survivorship care.

Quality of Life in Colorectal Cancer Patients with Chemotherapy-Induced Peripheral Neuropathy (항암화학요법으로 인한 말초신경병증을 경험하는 대장암 환자의 삶의 질)

  • Kim, Jeong-Hye;Choi, Kyung-Sook;Kim, Tae-Won;Hong, Yong-Sang
    • Asian Oncology Nursing
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    • v.11 no.3
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    • pp.254-262
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    • 2011
  • Purpose: The purpose of this study was to identify the quality of life in colorectal cancer patients with chemotherapy-induced peripheral neuropathy. Methods: A total of 93 patients were recruited in the cross-sectional survey design. Quality of life in colorectal cancer patients were measured by European Organization for Research and Treatment of Cancer (EORTC) QLQ C30 and CIPN20. Results: In the QLQ C30, the mean score of the global health status was 59.41, the functional scale was 73.29 and symptom scale was 26.72. In CIPN20, the mean score of sensory scale was 32.70, autonomic scale was 22.88 and motor scale was 16.12. In the QLQ C30, the global health status showed significant differences according to surgery (p=.027) and the functional scale, and the symptom scale showed significant differences according to gender (p=.046, p=.020) and nonpharmacologic intervention (p=.001, p=.009). The CIPN20, the sensory scale showed significant differences according to age (p=.006), DM (p=.005), grade of CIPN (p=<.001) the status of chemotherapy (p=.001) and nonpharmacologic intervention (p=.010). Conclusion: The level of quality of life in colorectal cancer patients with peripheral neuropathy was relatively low. There is a need for developing a nursing intervention for colorectal cancer patients to improve their quality of life and to decrease chemotherapy-induced peripheral neuropathy.

Trajectories and related Factors of Fatigue in Patients Undergoing Chemotherapy for Lung Cancer (항암화학요법 주기에 따른 폐암환자의 피로 양상과 관련요인)

  • Lee, Eun-Ok;Lee, Myung-Sun;Heo, Dae-Suck;Lee, Kyung-Sook;Eom, Ae-Yong
    • Asian Oncology Nursing
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    • v.1 no.1
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    • pp.54-64
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    • 2001
  • This study was conducted to explore the trajectory of fatigue and related factors on people with lung cancer during chemotherapy. A total of 23 patients with lung cancer participated in the beginning stage of the study. However, 11 dropped out because of death or discontinuity of the studys regimens. The data using the Pipers Fatigue Scale, were collected twice the first day of each treatment cycle and the last day of the completion of 6 cycles. Also, the scores of fatigue using the Visual Analogue Scale (VAS) were measured on the same day of each week during chemotherapy to explain the trajectory of fatigue. The data obtained were analyzed using the Wilcoxon signed ranks tests and Kendalls tau b correlation coefficient. The score of fatigue increased in the first two weeks after the administration of chemotherapy, while decreasing after the second week. During the 1st, 5th, and 6th cycles, the scores of fatigue were greater than 5.5 out of 10. Overall, except for the 6th cycle, the score of fatigue was the highest in the first week. This could be accounted for there only being a small number of patients included in the 6th cycle. In conclusion, fatigue was severe at the end of the first week of chemotherapy, and then increased to reach a plateau in the fifth and sixth stages. The results of this study will help oncology nurses to understand the process of fatigue during chemotherapy. It will be useful to create various intervention programs to decrease fatigue in people with cancer especially in the first week of the chemotherapy.

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Related Factors to Quality of Life among Hospitalized Cancer Patients Undergoing Chemotherapy (항암화학요법을 받은 입원 암환자의 삶의 질에 영향을 미치는 요인)

  • Jeong, Ji-Yeon;So, Hyang-Sook;Hong, Ji-Eun;Chae, Myeong-Jeong;Han, Geun-Hye
    • Asian Oncology Nursing
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    • v.12 no.1
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    • pp.84-91
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    • 2012
  • Purpose: The purpose of this study was to identify relationships between quality of sleep, symptom cluster, depression, environmental disorder, and quality of life among hospitalized cancer patients. Methods: The subjects were 114 patients who underwent chemotherapy for colon cancer, gastric cancer, gynecologic cancer and breast cancer. They were recruited from the cancer center of a university hospital. Data were collected from August 4th to 30th, 2011. The questionnaires included the Korean sleep scale A (quality of sleep), MDASI-K (symptom cluster), the environmental sleep disturbing scale, Zung's depression scale, and the Korean version of EORTC QLQ-C30. The collected data was analyzed by t-test, ANOVA, multiple regression analysis using the SPSS 19.0 program. Results: Functional QOL was negatively associated with symptom QOL (r=-.798, p<.001). Symptom cluster, depression, & spouse (46.3%) were the most powerful predictors for functional QOL (46.3%) and symptom QOL (53.4%). Conclusion: It is evident that oncology nurses need to evaluate two dimensions of quality of life for cancer patients, for example, functional and symptom QOL. We recommend nurses develop specific protocols for relieving physical symptoms and alleviating depression, and furthermore test the effectiveness of them.