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The Knowledge, Attitudes, Performance, and Barriers of Nurses to Pain in Oncology Settings: A Multi-Center Study 肿瘤科护士的知识、态度、表现和疼痛障碍:一项多中心研究
IF 0.4 Pub Date : 2021-03-01 DOI: 10.5388/AON.2021.21.1.15
H. Kim, Soeun Choi, Sue Kim, Jiyeon Lee, Sun-hee Kim, Insook Lee, Y. Shin, Hye-Young Jang
Purpose: The purpose of this study was to examine knowledge, attitudes, performance, and barriers to pain management of nurses working in oncology settings. Methods: This cross-sectional study was conducted on 222 nurses in five tertiary hospitals in Korea. The period of data collection was 1 September to 30 November 2018. Participants were surveyed using the Nurse Knowledge and Attitudes Survey Regarding Pain (NKASRP), a pain management performance, and barriers questionnaire. The data were analyzed through independent t-test and One-way ANOVA, and the post-hoc test was conducted with the Scheffé test using the SPSS 23 program. Results: According to the study, oncology nurses’ knowledge and attitudes to pain received a score of 26.4±3.77 (out of 41 points) and the performance received a score of 3.24±0.35 (out of 4 points). Among the barriers to pain management, time constraints were the most frequent medical staff-related factor, and reluctance to take opioids was the most frequent patient-related fac-tor. In terms of factors related to the health care system, strict regulation of opioids was the most significant. There was a significant positive correlation between knowledge and attitude of pain management and performance of pain management. Conclusion: Based on the findings of this study, it is recommended that structured education programs to be developed and implemented to en-hance knowledge, attitudes, and performance on pain.
目的:本研究的目的是检查肿瘤科护士的知识、态度、表现和疼痛管理障碍。方法:对韩国五所三级医院的222名护士进行横断面研究。数据收集期为2018年9月1日至11月30日。参与者使用护士疼痛知识和态度调查(NKASRP)、疼痛管理绩效和障碍问卷进行调查。通过独立t检验和单向方差分析对数据进行分析,并使用SPSS 23程序使用Scheffé检验进行事后检验。结果:根据研究,肿瘤科护士对疼痛的知识和态度得分为26.4±3.77(满分41分),表现得分为3.24±0.35(满分4分)。在疼痛管理的障碍中,时间限制是医务人员最常见的相关因素,而不愿服用阿片类药物是最常见的患者相关因素。就与医疗保健系统有关的因素而言,对阿片类药物的严格监管是最重要的。疼痛管理知识和态度与疼痛管理绩效呈正相关。结论:根据这项研究的结果,建议制定和实施结构化的教育计划,以提高对疼痛的知识、态度和表现。
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引用次数: 3
Effects of Non-pharmacological Interventions on Cancer Patients with Sleep Disorder: A Meta-analysis 非药物干预对癌症患者睡眠障碍的影响:荟萃分析
IF 0.4 Pub Date : 2021-03-01 DOI: 10.5388/AON.2021.21.1.1
Jeong Hye Chae, Young Suk Kim, M. Han
Purpose: The objective of this study was to analyze the effects of non-pharmacological interventions on cancer patients with sleep disorder. Methods: A total of 4,246 studies published between 2000 and 2018 were identified by searching NDSL, RISS, Koreamed, PubMed, EMBASE, Cochrane Library, and CINAHL. Seventeen of these studies were selected for inclusion in the meta-analysis. Data were analyzed using the Comprehensive Meta-Analysis (CMA) Ver. 3.4.1 program, and the effect sizes were shown using Hedges’ g score. Results: Intervention studies included 8 studies on exercise, 4 studies on cognitive-behavioral therapy, 2 studies on music, and 1 study each on aromatherapy, massage, and mindfulness-based stress reduction. The overall controlled effect size was .78 (95% Confidence Interval=.40, 1.16, Z=4.02, p<.001), using a random effects model. Conclusion: Through this study, it was found that the effects of exercise (walking), aromatherapy, massage, and music intervention were all statistically significant. As such, the findings of this study provide evidence supporting the incorporation of various non-pharmacological interventions into nursing practice to improve sleep quality in patients with sleep disorder.
目的:本研究旨在分析非药物干预对癌症睡眠障碍患者的影响。方法:通过检索NDSL、RISS、Koreamed、PubMed、EMBASE、Cochrane Library和CINAHL,共鉴定了2000年至2018年间发表的4246项研究。其中17项研究被纳入荟萃分析。使用综合荟萃分析(CMA)第3.4.1.版程序对数据进行分析,并使用Hedges的g评分显示效果大小。结果:干预研究包括8项关于运动的研究,4项关于认知行为疗法的研究,2项关于音乐的研究,以及1项关于芳香疗法、按摩和基于正念的减压的研究。使用随机效应模型,总体控制效应大小为.78(95%置信区间=.401.16,Z=4.02,p<.001)。结论:通过本研究发现,运动(步行)、芳香疗法、按摩和音乐干预的效果均具有统计学意义。因此,这项研究的结果提供了证据,支持将各种非药物干预措施纳入护理实践,以改善睡眠障碍患者的睡眠质量。
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引用次数: 6
Posttraumatic Growth and Health Promotion Behavior in Patients with Cancer: The Mediating Effect of Spiritual Well-Being 癌症患者创伤后成长与健康促进行为:精神幸福感的中介作用
IF 0.4 Pub Date : 2021-03-01 DOI: 10.5388/AON.2021.21.1.33
Shu-Jing Piao, P. Oh
Purpose: This study is a descriptive correlation research to test the mediating effect of spiritual well-being in the relationship between posttraumatic growth and health promotion behaviors of cancer patients. Methods: The data were collected from 145 cancer patients of three hospitals. The instruments were Posttraumatic Growth Inventory, Health-Promoting Lifestyle Profile, and Spiritual Well-Being Scale. Data were analyzed using descriptive statistics, correlation, and multiple regression using Baron and Kenny’s steps for mediation. Results: The mean score for posttraumatic growth was 3.57. The mean score was 2.98 for health promotion behaviors. The mean score for spiritual well-being was 2.96. There were significant correlations among the variables, posttraumatic growth, health promotion behaviors, and spiritual well-being. Spiritual well-being was directly affected by posttraumatic growth (Adj R=25). Health promotion behaviors were directly affected by posttraumatic growth (Adj R=26). Posttraumatic growth and spiritual well-being affected health promotion behaviors (Adj R=31). Spiritual well-being had a partial mediating effect (β=.25, p<.001) on the relationship between posttraumatic growth and health promotion behaviors (Sobel test: Z=2.84, p<.001). Conclusion: Based on the findings of this study, nursing intervention programs focusing on managing posttraumatic growth and increasing spiritual wellbeing are highly recommended to improve health promotion behaviors in cancer patients.
目的:本研究是一项描述性相关性研究,旨在检验精神幸福感在癌症患者创伤后成长与健康促进行为之间的中介作用。方法:收集3所医院145例癌症患者的临床资料。这些工具是创伤后成长量表、促进健康的生活方式档案和精神幸福感量表。使用描述性统计、相关性和多元回归分析数据,使用Baron和Kenny的调解步骤。结果:创伤后生长的平均得分为3.57。健康促进行为的平均得分为2.98。精神幸福感的平均得分为2.96。变量、创伤后成长、健康促进行为和精神幸福感之间存在显著相关性。精神健康受到创伤后成长的直接影响(Adj R=25)。健康促进行为受到创伤后生长的直接影响(Adj R=26)。创伤后成长和精神健康影响健康促进行为(Adj R=31)。精神幸福感对创伤后成长和健康促进行为之间的关系具有部分中介作用(β=0.25,p<.001)(Sobel检验:Z=2.84,p<0.001)。结论:基于本研究的结果,强烈建议开展以管理创伤后成长和提高精神健康为重点的护理干预计划,以改善癌症患者的健康促进行为。
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引用次数: 0
Effect of Nurse's Character for Care and Sense of Coherence on Professional Quality of Life Among Oncology Nurses 肿瘤科护士的护理品质和连贯感对职业生活质量的影响
IF 0.4 Pub Date : 2021-03-01 DOI: 10.5388/AON.2021.21.1.52
G. Noh, G. Kang, I. Kwon, Sang Hee Kim, Y. Kim, Jeong Hye Kim, E. Y. Park, Jeong-Sook Park, Han-Jong Park, Kwuy-Im Jung
Purpose: The purpose of this study was to identify the influence of the nurse’s character on care and the sense of coherence (SOC) on the professional quality of life among oncology nurses. Methods: Data were collected from June 2 to July 1, 2020. The participants were 185 oncology nurses caring for cancer patients. Data were analyzed using independent t-test, one-way ANOVA, Scheffé test, Pearson correlation coefficient, and hierarchical multiple regression with the SPSS/WIN 22.0 program. Nurse’s Character Scale for Care in Clinical Settings (NCS_C) and SOC, Professional Quality Of Life (ProQOL), which is conceptualized with three sub-di-mensions (compassion satisfaction, compassion fatigue, burnout, and secondary traumatic stress), along with demographic and work-related variables were measured. Results: The compassion satisfaction and burnout results had a significant correlation with the nurse’ s character for care and SOC. In multiple regression analysis, the meaningfulness of sub-dimension SOC (β=.58) accounted for 67.8% of compassion satisfaction and the meaningfulness of sub-dimension SOC (β=-.37) accounted for 55.4% of burnout. Conclusion: Meaningfulness of sub-dimension SOC was an important factor that could be used to improve the professional quality of life among oncology nurses. Therefore, it is necessary to develop and make available programs for oncology nurses to improve compassion satisfaction, and methods to decrease burnout needs to be developed.
目的:本研究的目的是确定护士的护理性格和连贯感(SOC)对肿瘤科护士职业生活质量的影响。方法:数据收集时间为2020年6月2日至7月1日。参与者是185名照顾癌症患者的肿瘤科护士。数据采用独立t检验、单因素方差分析、Scheffé检验、Pearson相关系数和SPSS/WIN 22.0程序进行分析。测量了临床护理护士性格量表(NCS_C)和SOC、职业生活质量(ProQOL),其概念化为三个子维度(同情满意度、同情疲劳、倦怠和继发性创伤压力),以及人口统计学和工作相关变量。结果:同情满意度和倦怠结果与护士的护理性格和SOC存在显著相关性。多元回归分析显示,SOC亚维度(β=.58)的有意义性占同情满意度的67.8%,SOC亚维(β=-0.37)的有意思性占倦怠的55.4%。结论:亚维度SOC的意义是提高肿瘤科护士职业生活质量的重要因素。因此,有必要为肿瘤科护士制定和提供提高同情心满意度的计划,并需要制定减少倦怠的方法。
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引用次数: 0
Trajectories and Prediction Factors of Depression in Elderly Cancer Survivors: Using the Korean Longitudinal Study of Ageing 老年癌症幸存者抑郁的轨迹和预测因素:使用韩国老龄化纵向研究
IF 0.4 Pub Date : 2021-01-01 DOI: 10.5388/aon.2021.21.3.155
J. Hyun, Yesol Kim, Mona Choi
Purpose: The purpose of this study was to identify the trajectories of depressive symptoms and the predictive factors that determine the trajectories among elderly cancer survivors in South Korea. Methods: This study was a secondary data analysis using the Korean Longitudinal Study of Ageing (KLoSA). The inclusion criteria were adults who were aged 65 years or older, diagnosed with cancer, and participated in the panel survey at least three times. Data were analyzed using SPSS 25.0 and STATA 16.0 for Group-Based Trajectory Model. Results: This study comprised 197 participants. Depression trajectories were derived into the three groups of ‘non-depression,’ ‘mild depression,’ and ‘depression.’ As a result of multinomial logit analysis using ‘mild depression’ as a reference group, the significant predictors that differentiated the ‘non-depression’ and ‘mild depression’ groups was whether the subject was living alone or not ( p= .001). Conclusion: To prevent and manage depression among the elderly cancer survivors living alone, it is necessary to first identify the social support resources from a cancer diagnosis. In addition, a social foundation should be established to enable elderly cancer survivors to utilize the supporting resources. Further studies should be conducted considering disease-specific variables such as types of cancers, stages of cancer, and treatment methods.
目的:本研究的目的是确定韩国老年癌症幸存者的抑郁症状轨迹和决定其轨迹的预测因素。方法:本研究采用韩国老龄化纵向研究(KLoSA)进行二次数据分析。纳入标准是年龄在65岁或以上,被诊断患有癌症,并参加小组调查至少三次的成年人。采用SPSS 25.0和STATA 16.0进行分组轨迹模型分析。结果:本研究共纳入197名受试者。抑郁轨迹被分为“非抑郁”、“轻度抑郁”和“抑郁”三组。以“轻度抑郁”为参照组进行多项logit分析后发现,区分“非抑郁”组和“轻度抑郁”组的重要预测因素是受试者是否独居(p= 0.001)。结论:要预防和管理老年独居癌症幸存者的抑郁,首先需要从癌症诊断中识别社会支持资源。此外,应该建立一个社会基金会,使老年癌症幸存者能够利用支持资源。进一步的研究应该考虑到癌症的类型、癌症的阶段和治疗方法等特定疾病的变量。
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引用次数: 1
The Development and Application Effects of a Fatigue Self-Care Smartphone Application for Lung Cancer Patients Receiving Chemotherapy 肺癌化疗患者疲劳自我护理智能手机应用的开发与应用效果
IF 0.4 Pub Date : 2021-01-01 DOI: 10.5388/aon.2021.21.4.183
Moon-Hee Mo
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引用次数: 1
Pain Assessment of Lung Cancer Patients in the Emergency Department: A Case Report 急诊科肺癌患者疼痛评估1例
IF 0.4 Pub Date : 2021-01-01 DOI: 10.5388/aon.2021.21.4.194
N. Youn
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引用次数: 0
The Quality of Patient-centered Nursing Care Perceived by Cancer Patients Who Have Had an Operation 肿瘤手术患者对以患者为中心的护理质量的感知
IF 0.4 Pub Date : 2021-01-01 DOI: 10.5388/aon.2021.21.2.65
K. Wang, E. Park
Purpose: The purpose of this study is to explore the quality of patient-centered nursing care by cancer patients who were hospitalized for operation. Methods: This study was a descriptive research. The subjects were 171 cancer patients who received operation. The quality of patient-centered care was measured including individualization, proficiency, responsiveness, and coordination. Results: The average age of the subjects was 56 years, and the subjects comprised gastric cancer, colorectal cancer, and breast cancer patients. The quality of patient-centered nursing care perceived by cancer patients was 5.18 ± 0.81. The education level was a meaningful variable to the quality of patient-centered nursing care by multivariate analysis ( p=.020). Conclusion: The quality of patientcentered nursing perceived by cancer patients was high in individualization, proficiency, and responsiveness, and relatively low in coordination. The difference in nursing staffing has a great influence on the perception of the quality of nursing. We propose studies for the recognition of oncology nurses in the quality of patient-centered nursing and the development of strategies that can provide patient-centered nursing to improve the quality of oncology nursing.
目的:探讨肿瘤手术住院患者以患者为中心的护理质量。方法:采用描述性研究。研究对象为171例接受手术治疗的癌症患者。以病人为中心的护理质量包括个体化、熟练程度、反应性和协调性。结果:研究对象平均年龄56岁,研究对象包括胃癌、结直肠癌和乳腺癌患者。癌症患者对以患者为中心的护理质量的感知为5.18±0.81。多因素分析显示,受教育程度对以患者为中心的护理质量有显著影响(p= 0.020)。结论:癌症患者对以患者为中心的护理质量的感知在个体化、熟练度和响应性方面较高,而在协调性方面相对较低。护理人员配备的差异对护理质量的感知有很大的影响。我们建议研究肿瘤护士对以患者为中心的护理质量的认识,并制定以患者为中心的护理策略,以提高肿瘤护理质量。
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引用次数: 0
Effects of Symptoms and Patient Activation on Sleep Disturbance in Patients with Acute Leukemia Undergoing Chemotherapy 急性白血病化疗患者睡眠障碍的症状和患者激活的影响
IF 0.4 Pub Date : 2021-01-01 DOI: 10.5388/aon.2021.21.3.173
Suna Lee, E. Ryu
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引用次数: 0
Factors Affecting Fear of Cancer Recurrence in Hematopoietic Stem Cell Transplant Patients 影响造血干细胞移植患者癌症复发恐惧的因素
IF 0.4 Pub Date : 2021-01-01 DOI: 10.5388/aon.2021.21.2.88
E. Jo, Sanghee Kim
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引用次数: 0
期刊
Asian Oncology Nursing
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