• Title/Summary/Keyword: Oncology Nursing

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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 Analysis of the Korean Nursing Research Trends on Complementary and Alternative Therapies for Cancer Patients (암환자에게 적용한 보완.대체요법 관련 국내 간호연구 분석 - 간호학술지를 중심으로 -)

  • Jun, Myung-Hee;Uhm, Dong-Choon;Jeong, Seong-Hee
    • Asian Oncology Nursing
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    • v.9 no.1
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    • pp.67-75
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    • 2009
  • Purpose: The purpose of this study was to analyze nursing research trends on the complementary and alternative therapies (CAT) for the cancer patients in Korea. Method: Thirty eight articles published in 17 nursing-related journal from 1987 to 2008 were analyzed. Results: Nursing Researches on CAT for the cancer patients have increased since 2000. Among the 38 studies, 34 studies used Quasi-experimental design and 13 studies (33%) were conducted for the breast cancer patients. Mind-body therapy (53%), manual healing therapy (42%), and pharmacologic and biological therapy (5%) were the often used CAT types. Nausea, vomiting, vital signs, immune cell, pain, and fatigue were measured as physiologic outcome variables; anxiety, depression, and hope as psychological outcome variables; and quality of life as social outcome variables. Conclusion: More CAM studies are needed targeting the patients with various cancer types and home-based cancer patients.

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The Effects of Pre-operational Education on Nursing Care Satisfaction and Anxiety;A Comparison between Traditional Face-to-face Education and Mobile Text Messages (정보제공 방법에 따른 암수술환자 가족의 간호요구 만족도와 불안)

  • Lim, Jung-Soon;Chung, Bok-Yae
    • Asian Oncology Nursing
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    • v.7 no.2
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    • pp.162-168
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    • 2007
  • Purpose: This study was aimed to compare two different kinds of pre-operational education methods on nursing care satisfaction and anxiety among family members of cancer patients. Methods: This research used a quasi-experimental design. A total of 80 patients participated in the study. Forty subjects who were in the experimental group were assigned to be received mobile text-information via cellular phone, whereas control group was given the direct messages from nurses during peri-operative time. Peri-operative family needs and anxiety were measured and analyzed by X2-test and t-test. Result: There was no statistically significant difference in the levels of peri-operative family needs satisfaction and the levels of state anxiety between the two groups (p= .05). Conclusion: Based upon these findings, the nursing intervention with cellular phone short message could be as effective as direct peri-operative information in reducing the level of state anxiety and in increasing of the level of nursing care satisfaction among the family members of cancer patients.

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An Integrative Review of Oncology Nursing Research : 1980-1998 (국내의 암관련 간호연구논문 분석)

  • 최선혜;남영화;류은정;백명화;서동희;서순림;최귀윤;최경숙
    • Journal of Korean Academy of Nursing
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    • v.28 no.3
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    • pp.786-800
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    • 1998
  • The purposes of this study were to describe systemically 18 years of oncology nursing research in Korea and suggest it's direction in future. 149 nursing studies published from 1980 to 1998 were selected for the present study. There were examined the source and the design of study, type of subjects, measurement variables, the intervention outcome of experimental research, and theme of qualitative research. The results were as follows : 1. 121 of 149 studies were composed of master thesis and dissertation of graduate school. There were 55 correlations, 30 descriptions, 19 comparisons, 19 qualitative studies and 2 Q-methods as the type of research design. 2. Cancer patients without describing specified diagnosis as subjects' characteristic were 44 of total studies. The others had various diagnoses such as gastric cancer, uterine cancer, breast cancer, leukemia, lymphoma, colorectal cancer, and lung cancer. According to treatment type, patients receiving chemotherapy were the highest number distribution as 53 of all researches. 3. Most measurement instruments used for research were translated it into Korean that developed by foreigners, such as Zung's depression, Spielberg's anxiety, and Wallston's locus of control. 4. Quality of life was shown the most frequently among correlational researches. the next one was depression, the third was hope, and so on. 5. There was the most frequent comparison between cancer and non-cancer patients in comparative researches. It was surveyed those variables as diet habits, risk factors, stressful life events, anxiety and depression, and self-care capacity between two groups. 6. The subjects were mostly chemotherapy patients as 15 of 24 experimental studies. Oral care and education were respectively the highest experimental interventions. 7. Qualitative researches about cancer were reported since 1991. Their themes were illness experience, adaptation process, dying experience, family experience, hope, caring, experience of health behavior, meaning of chemotherapy and experience of cancer survivor. Phenomenologic methodology was designed above 50% of qualitative researches. According to the above findings, cancer research had increased since 1990 and done mostly by descriptive design but a few experimental studies. As recommendations for the future, It is necessary to study the comparison of oncology nursing research internationally, the replication to establish the effect of nursing intervention, and the family care of cancer patient.

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Characteristics and Quality of Life in Patients with Chemotherapy-Induced Peripheral Neuropathy (항암화학요법으로 인한 암환자의 말초신경병증 관련 특성과 삶의 질)

  • Kwak, Mi-Kyong;Kim, Eun-Ji;Lee, Eun-Ryung;Kwon, In-Gak;Hwang, Moon-Sook
    • Asian Oncology Nursing
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    • v.10 no.2
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    • pp.231-239
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    • 2010
  • Purpose: The purpose of study was to identify how patients experienced chemotherapy-induced peripheral neuropathy (CIPN) and quality of life related to CIPN. Methods: This was a descriptive research. We collected data from 105 patients with chemotherapy-induced peripheral neuropathy. They completed a self-reported questionnaire including Eastern Cooperative Oncology Group (EORTC) CIPN20 and items related to their disease and peripheral neuropathy. The investigators filled in part of items about disease and treatment. Results: In the study, duration of peripheral neuropathy was 9.4 month and 54.3% of patients used pharmacological or non-pharmacological interventions. Patients reported the highest score for sensory scale and it's score was $38.74{\pm}20.24$. The scores for motor scale and autonomic scale were $21.95{\pm}19.19$ and $26.61{\pm}21.0$ respectively. This showed that patients more suffered from sensory neuropathy than any other domain of neuropathy. The most frequently selected two items were 'did you have tingling fingers or hands?' and 'did you have tingling toes or feet?'. Conclusion: The results of this study will provide useful information for chemotherapy-induced peripheral neuropathy.

Quality of Life and Related Factors in Hospice Volunteers (호스피스 자원봉사자의 삶의 질 정도와 관련요인)

  • Han, Ji-Eun;Choi, Euy-Soon
    • Asian Oncology Nursing
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    • v.6 no.2
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    • pp.143-151
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    • 2006
  • Purpose: This study was to explore the degree of quality of life (QOL) in hospice volunteers and identify related factors Methods: A total of 243 subjects was recruited from eight hospitals of the Catholic University in Korea. Research tool used to measure QOL was questionnaires developed by You-Ja, Ro in 1988. The data obtained was analyzed using the SAS program to compute a t-test, ANOVA, and Stepwise multiple regression. Results: The mean score of QOL was $3.65{\pm}0.39$. The QOL was significantly increased with perceived health status, satisfaction to the hospice volunteer activity, family response on volunteer activity, qualification as a hospice volunteer, and needs of education. Among six domains of QOL, self-esteem had the highest score. Conclusions: It would be necessary for hospice volunteers to provide an program considered health status, satisfaction to the hospice volunteer activity, family response on their activity, qualification as a hospice volunteer, and needs of education to increase their QOL.

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The Effects on Self-care Knowledge and Performance in the Individualized Education for Chemotherapy (항암화학요법에 관한 개별교육이 자가 간호 지식과 자가 간호 수행에 미치는 효과)

  • Jeong, Hae-Yoon;Kwon, Myung-Soon
    • Asian Oncology Nursing
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    • v.8 no.1
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    • pp.8-16
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    • 2008
  • This study was conducted to investigate whether an individualized cancer patient education would increase self-care knowledge and performance. Eventually, it was to reduce side effect and promote self-care for chemotherapy. Method: This study utilized a nonequivalent control group pre-post test design. The subjects included 50 patients with cancer 25 in the experimental group, and 25 in the control group. The study was performed from January 2006 to June 2006 for the patients who were first treated by chemotherapy in a university hospital. Results: Individualized education was significantly increased in self-care knowledge and performance. Self-care knowledge and performance showed significant correlations as well. Conclusions: Individualized patient education was an effective nursing intervention in increasing self-care knowledge and performance for chemotherapy.

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A Study on the Family Functioning in the Family with the Cancer Patient (암환자가족의 가족기능에 대한 조사연구)

  • Han, Suk-Jung
    • Asian Oncology Nursing
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    • v.3 no.2
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    • pp.155-163
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    • 2003
  • This study was designed to assess the level of family function between cancer patient's families and normal families, and to seek better quality family-Mcentered nursing care. The subjects for this study were 95 ca patient's families who were selected from th university hospitals and 95 normal families who selected from 1 university hospital. The instrument used for this study was McMaster Family Assessment Device (FAD) developed by Epstein, Baldwin and Bishop (1983). The scale consisted of 53 items covering 7 areas: 'problem solving', 'communication', 'roles', 'affective responsiveness', 'affective involvement', 'behavior control', and 'general functioning'. As for data analyses, descriptive statistics, ${\chi}^2-test$, t-test, ANOVA were adopted using SAS program. The result of this study was as follows: There there was no significant difference between cancer patient's family function and normal family function. Also there was no significant difference on cancer patient's family function with regard to family characteristics, disease's characteristics, and clinical stage of cancer.

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Sleep Quality in Lung Cancer Patients

  • Akyuz, Ruveyda Gelisken;Ugur, Ozlem;Elcigil, Ayfer
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.5
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    • pp.2909-2913
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    • 2013
  • Background: The aim of this study was to determine factors affecting sleep quality of 100 patients with advanced stage lung cancer. Methods and Results: it was a descriptive study. A variety of assessment tools were used to provide sleep scores to examine the relation between adverse effects caused by the treatment (nausea, vomiting, fatigue) and sleep quality. As a result, no statistically significant relation between coughing and respiratory problems of patients, or existing depression, and average sleep quality score was found (KW:0.872, p=0.646, KW: 3.174, p=0.205, u: 441.000 p=0.916). It was revealed that nausea and loss of appetite experienced also did not affect the sleep quality score (p>0.05), whereas problems such as vomiting and fatigue did exert effects (p<0.01). Conclusions: Patients with advanced stage lung cancer suffer from sleep problems and cancer related symptoms also affect their sleep quality negatively. Nurses should plan interventions that can control symptoms such as pain, vomiting and fatigue, which affect the sleep of patients.

Influencing Factors on Medication Adherence in Colorectal Cancer Patients Receiving Oral Chemotherapy (대장암 환자의 경구용 항암제 복용이행과 영향요인)

  • Kim, Jeong-Hye
    • Asian Oncology Nursing
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    • v.12 no.3
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    • pp.213-220
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    • 2012
  • Purpose: The purpose of this study was to identify factors that influence medication adherence in colorectal cancer patients receiving oral chemotherapy. Methods: One hundred and nine colorectal cancer patients receiving oral chemotherapy were recruited in the cross-sectional survey design. A survey including medication adherence, knowledge about chemotherapy, self-efficacy, depression and symptom experience were completed. Results: The level of medication adherence was $7.38{\pm}.80$. Medication adherence showed significant differences according to perceived health status and combination of IV chemotherapy. Medication adherence was significant correlated with self-efficacy, depression and symptom experience. On stepwise regression analysis, the most important factors related to the medication adherence were symptom experience, perceived health status and combination of IV chemotherapy. These variables explained 17% of medication adherence. Conclusion: The level of medication adherence in colorectal cancer patients receiving oral chemotherapy was relatively high. It is important to develop nursing intervention for medication adherence in colorectal cancer patients that focus on symptom experience and to consider about perceived health status and combination of IV chemotherapy.