• 제목/요약/키워드: cancer communication

검색결과 333건 처리시간 0.027초

Psychosocial Factors and Health Behavior among Korean Adults: A Cross-sectional Study

  • Kye, Su-Yeon;Park, Kee-Ho
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권1호
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    • pp.49-56
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    • 2012
  • Objective: This study was an attempt to identify associations between health behavior, such as smoking, alcohol consumption, healthy diet, and physical activity, and psychosocial factors. Methods: This crosssectional study was conducted among 1,500 participants aged between 30 and 69 years, selected from a population-based database in October 2009 through multiple-stratified random sampling. Information was collected about the participants' smoking and drinking habits, dietary behavior, level of physical activity, stress, coping strategies, impulsiveness, personality, social support, sense of coherence, self-efficacy, health communication, and sociodemographics. Results: Agreeableness, as a personality trait, was negatively associated with smoking and a healthy diet, while extraversion was positively associated with drinking. The tendency to consume a healthy diet decreased in individuals with perceived higher stress, whereas it increased in individuals who had access to greater social support. Self-efficacy was found to be a strong predictor of all health behaviors. Provider-patient communication and physical environment were important factors in promoting positive healthy behavior, such as consumption of a healthy diet and taking regular exercise. Conclusions: Psychosocial factors influence individuals' smoking and drinking habits, dietary intake, and exercise patterns.

Preferences of Malaysian Cancer Patients in Communication of Bad News

  • Eng, Tan Chai;Yaakup, Hayati;Shah, Shamsul Azhar;Jaffar, Aida;Omar, Khairani
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권6호
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    • pp.2749-2752
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    • 2012
  • Background: Breaking bad news to cancer patients is a delicate and challenging task for most doctors. Better understanding of patients' preferences in breaking bad news can guide doctors in performing this task. Objectives: This study aimed to describe the preferences of Malaysian cancer patients regarding the communication of bad news. Methodology: This was a cross-sectional study conducted in the Oncology clinic of a tertiary teaching hospital. Two hundred adult cancer patients were recruited via purposive quota sampling. They were required to complete the Malay language version of the Measure of Patients' Preferences (MPP-BM) with minimal researcher assistance. Their responses were analysed using descriptive statistics. Association between demographic characteristics and domain scores were tested using non-parametric statistical tests. Results: Nine items were rated by the patients as essential: "Doctor is honest about the severity of my condition", "Doctor describing my treatment options in detail", "Doctor telling me best treatment options", Doctor letting me know all of the different treatment options", "Doctor being up to date on research on my type of cancer", "Doctor telling me news directly", "Being given detailed info about results of medical tests", "Being told in person", and "Having doctor offer hope about my condition". All these items had median scores of 5/5 (IQR:4-5). The median scores for the three domains were: "Content and Facilitation" 74/85, "Emotional Support" 23/30 and "Structural and Informational Support" 31/40. Ethnicity was found to be significantly associated with scores for "Content and Facilitation" and "Emotional Support". Educational status was significantly associated with scores for "Structural and Informational Support". Conclusion: Malaysian cancer patients appreciate the ability of the doctor to provide adequate information using good communication skills during the process of breaking bad news. Provision of emotional support, structural support and informational support were also highly appreciated.

암환자를 돌보는 간호사의 감성지능, 직무스트레스, 의사소통능력이 간호업무성과에 미치는 영향 (Effect of Emotional Intelligence, Job Stress, and Communication Ability on Nursing Performance of Nurses Caring for Cancer Patients)

  • 김효진;박정숙
    • 동서간호학연구지
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    • 제28권1호
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    • pp.57-66
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    • 2022
  • Purpose: This study examined the effect of emotional intelligence, job stress, and communication ability on nursing performance of nurses caring for cancer patients. Methods: This is a descriptive study involving 185 nurses with an experience of longer than 6 months at K university hospital in B metropolitan city. The data was collected from March 2nd 2021 to March 31st 2021, and analyzed using the descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation coefficients, and stepwise multiple regression. Results: The factors affect the nursing performance of participants were emotional intelligence, total clinical career, communication ability, job stress and satisfaction of current department. The total explanatory power of those variables on the nursing performance was 43.8%. Conclusion: In order to improve nursing performance, it is necessary to apply a program for improving emotional intelligence and communication ability, and for controlling and coping with job stress, considering the career of a nurse taking care for cancer patients. In addition, efficient manpower management and material support at the hospital organization level are required.

행위단서인 매체에서 암관련 정보추구 유무가 건강행위에 미치는 영향 (The Effects of Cancer-related Information Search From Media as Communication Cues on Health Behavior)

  • 홍석민
    • 간호행정학회지
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    • 제19권1호
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    • pp.76-86
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    • 2013
  • Purpose: This study was done to examine the effects of information searches from media as communication cues for health behavior, specifically smoking, drinking liquor, cancer examinations, and regular exercise. Methods: Data were collected through a web survey with a sample size of 600 and analyzed using SPSS 18.0. Results: The results show that the newspaper as a communication cue has an effect on health behavior such as regular exercise and smoking, whereas television only affects regular exercise. Conclusion: The results indicate that there are differences between media as communication cues to improve health behavior and that messages related to health information should be exposed with cautious consideration to media choice so as to increase the effects of message. Managerial implications of the study results are suggested.

유방암 생존자와 정상 여성의 성적 행동 비교 (The Comparison of Sexual Behaviors in Breast Cancer Survivors with Women without Breast Cancer)

  • 박정윤;이은옥
    • 종양간호연구
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    • 제1권2호
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    • pp.180-190
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    • 2001
  • The purpose of this study is to compare the sexual behaviors of breast cancer survivors (BCS) with women without breast cancer (WWBC) and provide basic data to develop education program for patients before surgery. The study sample included 215 subjects: 140 women without breast cancer and 75 women diagnosed at least six months previously with breast cancer. Data were collected using the Wilmoth's Sexual behaviors Questionnaire-F that consisted of 50 items measuring sexually: communication, sexual techniques, sexual responses, body scare, self-touch, relationship quality, and masturbation. All items were scored on a 6-Likert scale with high scores reflecting high levels of the specific sexual behaviors. The reliability of this instrument was .91(Cronbach‘s alpha). Data were collected during the period from September 1 to September 30, 2001. The collected data were analyzed using t-test, Chi-square, ANCOVA with SPSSwin program. The scores of a sample of WWBC were compared to those of BCS and the scores of BCS were compared by type of surgery and period since surgery. The results were as follows: 1. No differences in sexual behaviors were found between BCS and WWBC, but, differences were found in communication, sexual technique, and relationship quality depending on the period since surgery. 2. Mean Score of BCS' communication in sexual behaviors was significantly lower than that of the WWBC. 3. Sexual behaviors scores of BCS with Menopause, lumpectomy, long duration since surgery showed significantly higher than that of the others. In conclusions, BCS returned to the normal sexual behaviors according to period since surgery. The program of the sexual counseling for patients before surgery should consider this result in the future.

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Exosomal Communication Between the Tumor Microenvironment and Innate Immunity and Its Therapeutic Application

  • Hyunseok Kong;Sang Bum Kim
    • IMMUNE NETWORK
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    • 제22권5호
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    • pp.38.1-38.24
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    • 2022
  • Exosomes, which are well-known nanoscale extracellular vesicles, are multifunctional biomaterials derived from endosomes and perform various functions. The exosome is a critical material in cell-cell communication. In addition, it regulates the pathophysiological conditions of the tumor microenvironment in particular. In the tumor microenvironment, exosomes play a controversial role in supporting or killing cancer by conveying biomaterials derived from parent cells. Innate immunity is a crucial component of the host defense mechanism, as it prevents foreign substances, such as viruses and other microbes and tumorigenesis from invading the body. Early in the tumorigenesis process, the innate immunity explicitly recognizes the tumor via Ags and educates the adaptive immunity to eliminate it. Recent studies have revealed that exosomes regulate immunity in the tumor microenvironment. Tumor-derived exosomes regulate immunity against tumor progression and metastasis. Furthermore, tumor-derived exosomes regulate polarization, differentiation, proliferation, and activation of innate immune cells. Exosomes produced from innate immune cells can inhibit or support tumor progression and metastasis via immune cell activation and direct cancer inhibition. In this study, we investigated current knowledge regarding the communication between tumor-derived exosomes and innate immune cell-derived exosomes (from macrophages, dendritic cells, NK cells, and neutrophils) in the tumor microenvironment. In addition, we discussed the potential development of exosomal immunotherapy using native or engineered exosomes against cancer.

Multi-Agent Systems: Effective Approach for Cancer Care Information Management

  • Mohammadzadeh, Niloofar;Safdari, Reza;Rahimi, Azin
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권12호
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    • pp.7757-7759
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    • 2013
  • Physicians, in order to study the causes of cancer, detect cancer earlier, prevent or determine the effectiveness of treatment, and specify the reasons for the treatment ineffectiveness, need to access accurate, comprehensive, and timely cancer data. The cancer care environment has become more complex because of the need for coordination and communication among health care professionals with different skills in a variety of roles and the existence of large amounts of data with various formats. The goals of health care systems in such a complex environment are correct health data management, providing appropriate information needs of users to enhance the integrity and quality of health care, timely access to accurate information and reducing medical errors. These roles in new systems with use of agents efficiently perform well. Because of the potential capability of agent systems to solve complex and dynamic health problems, health care system, in order to gain full advantage of E- health, steps must be taken to make use of this technology. Multi-agent systems have effective roles in health service quality improvement especially in telemedicine, emergency situations and management of chronic diseases such as cancer. In the design and implementation of agent based systems, planning items such as information confidentiality and privacy, architecture, communication standards, ethical and legal aspects, identification opportunities and barriers should be considered. It should be noted that usage of agent systems only with a technical view is associated with many problems such as lack of user acceptance. The aim of this commentary is to survey applications, opportunities and barriers of this new artificial intelligence tool for cancer care information as an approach to improve cancer care management.

대장암 관련 건강검진 정보 (Information related to Colorectal cancer screening health checkup)

  • 박부연
    • 한국전자통신학회논문지
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    • 제7권3호
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    • pp.687-692
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    • 2012
  • 우리나라 40세 이상 성인들에서 대장암의 건강검진 관계성을 파악하여 이들의 대장암 검진 이행에 영향을 미치는 변수를 확인하고자 수행되었다. 조사도구는 국민건강영양조사 제4기 2차년도 자료를 이용하였다. 주요 변수는 국민건강수준, 건강관련의식 및 행태, 식품 및 영양섭취실태에 대해 12,528명을 대상으로 실시하였다. 대장암검진 대상자인 40세 이상 성인 남, 여 4,703명을 연구대상으로 하였다. 연구결과는 대장암 검진 이행여부와 관련성이 있는 변수로는 성별, 연령, 거주 지역, 건강기능 식품 복용여부, 건강검진 수검여부, 암 과거력 등 이었다. 배우자 유무, 교육수준별, 가구 월 총소득, 민간보험, 규칙적 운동여부에서는 관련성이 없었다. 대장암검진 수검을 높이기 위해서는 무료 암검진 확대실시와 암검진의 간편한 검사법에 대한 체계적이고 효과적인 교육과 홍보가 수행되어야 할 것이다.

Identifying Social Characteristics of Health-Related Information Seeker: A Gender-Specific Approach for Cancer Survivors

  • Jung, Minsoo
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권5호
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    • pp.1865-1871
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    • 2015
  • While health information-seeking behavior as an indicator of health communication of patients including cancer survivors has been researched, few studies have focused on how socioeconomic position and media use combine to influence health-related information seekers. This study examined social characteristics of health information-seeking behavior taking into account an individual's socioeconomic position and their media use in Korea, a developed country. The data for this study came from a survey of 1,010 respondents drawn from a nationally representative sample in the Republic of Korea. We conducted multivariate logistic regression analyses for gender-specific effects. We found that men who reported high household income were one and half times more likely to seek health information than those with low income status. We also found that women who performed Internet searches by computer at home were almost two times more likely to seek health information than those who did not. Similar results were found for men as well. Our analyses revealed that socioeconomic position and media use are associated with health information-seeking behavior by gender. Studies on information seekers may bring us more effective health promotion and relevant intervention for people with chronic conditions including cancer survivors.

Thermal Infrared Image Analysis for Breast Cancer Detection

  • Min, Sedong;Heo, Jiyoung;Kong, Youngsun;Nam, Yunyoung;Ley, Preap;Jung, Bong-Keun;Oh, Dongik;Shin, Wonhan
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제11권2호
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    • pp.1134-1147
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    • 2017
  • With the rise in popularity of photographic and video cameras, an increasing number of fields are now using thermal imaging cameras. One such application is in the diagnosis of breast cancer, as thermal imaging provides a low-cost and noninvasive method. Thermal imaging is particularly safe for pregnant women, and those with large, dense, or sensitive breasts. In addition, excessive doses of radiation, which may be used in traditional methods of breast cancer detection, can increase the risk of cancer. This paper presents one method of breast cancer detection. Breast images were taken using a thermal camera, with preliminary experiments conducted on Cambodian women. Then the experimental results were analyzed and compared using Shannon entropy and logistic regression.