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Factors Influencing Oncology Nurses’ Pain Management of Cancer Patients 影响肿瘤护士对肿瘤患者疼痛管理的因素
IF 0.4 Pub Date : 2021-01-01 DOI: 10.5388/aon.2021.21.4.213
Hoi Sook Seo, E. Y. Park, Se Jin Park, Bokyung Han, Myung-Jin Jang
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引用次数: 0
Factors Affecting the Quality of Life of Working Cancer Survivors: Based on the 6th and 7th (2014, 2016, 2018) Korean National Health and Nutrition Examination Survey (KNHANES) 影响癌症工作幸存者生活质量的因素:基于第6次和第7次(201420162018)韩国国民健康和营养检查调查(KNHANES)
IF 0.4 Pub Date : 2020-12-01 DOI: 10.5388/AON.2020.20.4.171
Jahyun Choi, Sanghee Kim
survivors, many have been conducted on specific occupational groups, such as nurses, 11) dental hygienists, 12) and port stevedores, 13) etc. and there have been many studies on physical and psychological symptoms, 9) the develop-Factors Purpose: The purpose of the study was to compare the relationship between subjective health status, mental health, and quality of life among cancer survivors, who are workers, and to identify the factors affecting the quality of life. Methods: This study conducted a second data analysis using data from the 6 th (2014, 2016) and 7 th (2018) Korea National Health and Nutrition Examination Survey. Retrospective data searching was performed and finally a sample of 205 cancer survivors, who are workers was included. The data were analyzed by descriptive statistics, t-tests, ANOVA, Pearson correlation, and multiple regression analysis. Results: The regression model explained 33.3% of the quality of life, and the influencing factors were depression (β=-.309, p< .001), age (β=-.288, p< .001), subjective health status (β=-.183, p= .005), and gender (β=-.135, p= .024). Conclusion: In order to improve the quality of life of cancer survivors, who are workers, mental health such as depression must be assessed and actively managed. To promote mental health, an intervention program that can improve aspects of health such as physical and spiritual health has been developed to improve the overall quality of life.
幸存者,许多都是针对特定的职业群体进行的,如护士,11)牙科保健师,12)和港口装卸工,13)等,并对身体和心理症状进行了许多研究,9)参与者的发展目的:研究的目的是比较癌症幸存者的主观健康状况、心理健康和生活质量之间的关系,谁是工人,并确定影响生活质量的因素。方法:本研究使用第6次(20142016)和第7次(2018)韩国国家健康和营养检查调查的数据进行了第二次数据分析。进行了回顾性数据搜索,最终纳入了205名癌症幸存者的样本,他们是工人。采用描述性统计、t检验、方差分析、皮尔逊相关和多元回归分析对数据进行分析。结果:回归模型解释了33.3%的生活质量,其影响因素为抑郁(β=-3.09,p<.001)、年龄(β=-2.88,p<0.001)、主观健康状况(β=-1.183,p=.005)和性别(β=-135,p=024),必须评估和积极管理抑郁症等心理健康问题。为了促进心理健康,制定了一项干预计划,可以改善身体和精神健康等健康方面,以提高整体生活质量。
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引用次数: 0
Cancer-related Fatigue of Breast Cancer Survivors: Qualitative Research 癌症幸存者癌症相关疲劳的定性研究
IF 0.4 Pub Date : 2020-12-01 DOI: 10.5388/AON.2020.20.4.141
Haeng-Mi Son, E. Park, Eun-Jeong Kim
daily lives is difficult to understand. This study aimed to understand and describe the subjective experience of CRF among breast cancer survivors in-depth. The findings of this study may facilitate the development of effective management strategies and early detection of CRF and everyday life stresses experienced by Purpose: Cancer-related fatigue (CRF) is an important health concern among breast cancer survivors. However, CRF is apt to be dis-missed as a minor discomfort by medical professionals. This study aimed to understand the experience of CRF in breast cancer survivors. Methods: We conducted a qualitative study using in-depth interviews and thematic analysis. The 14 participants were over the age of 40, complained of fatigue, and had been battling breast cancer for at least eight months to up to 16 years. Results: The analysis revealed four themes: traces of fighting cancer, inseparable part of the self, difficulty in daily life, and the body’s signals for care. Chronic fatigue initially disrupted the daily lives of the participants. As time passed, fatigue made it difficult for patients to fulfill their roles within their families, and gradually alienated friends and neighbors. Nevertheless, they tried to overcome the symptoms of fatigue by responding sensitively to the warning signs or changes in their bodies. Conclusion: Breast cancer survivors often worry about relapse due to persistent fatigue after treatment completion. Therefore, the results of this study may be useful in developing strategies tailored for managing CRF using a multifaceted approach.
日常生活很难理解。本研究旨在深入了解和描述癌症幸存者对CRF的主观体验。这项研究的结果可能有助于制定有效的管理策略,早期发现CRF和日常生活压力。目的:癌症相关疲劳(CRF)是癌症幸存者的一个重要健康问题。然而,CRF很容易被医学专业人员忽略为一种轻微的不适。本研究旨在了解乳腺癌症幸存者应用CRF的经验。方法:采用深入访谈和专题分析相结合的方法进行定性研究。14名参与者年龄超过40岁,抱怨疲劳,与癌症斗争了至少8个月到16年。结果:分析揭示了四个主题:与癌症斗争的痕迹、不可分割的自我、日常生活中的困难以及身体的护理信号。慢性疲劳最初扰乱了参与者的日常生活。随着时间的推移,疲劳使患者难以履行其在家庭中的角色,并逐渐疏远了朋友和邻居。尽管如此,他们还是试图通过对身体的警告信号或变化做出敏感反应来克服疲劳症状。结论:癌症乳腺癌幸存者在治疗结束后经常担心由于持续疲劳而复发。因此,这项研究的结果可能有助于制定采用多方面方法管理CRF的策略。
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引用次数: 2
Healthcare Professionals' Experience of Fear of Cancer Recurrence among Cancer Survivors 医疗专业人员对癌症幸存者癌症复发的恐惧体验
IF 0.4 Pub Date : 2020-12-01 DOI: 10.5388/AON.2020.20.4.179
Ka Ryeong Bae, Y. Ahn, Juhee Cho
Purpose: The purpose of this study is to explore healthcare professionals’ experience of talking about the fear of cancer recurrence with cancer survivors. Methods: Semi-structured in-depth interviews were conducted with 15 healthcare professionals at two uni-versity hospitals in South Korea from August to September 2019. Interviewed healthcare professionals were oncologists and oncology nurses who had at least five years of experience in caring for cancer survivors. Interviews were recorded and transcribed for qualitative content analysis. Results: Participants agreed that most cancer survivors experience fear of cancer recurrence on some level. However, health care professionals rarely heard the word ‘recurrence’ directly from cancer survivors, and they responded to cancer survivors’ concern about recurrence differently. Some of them intervened in the cancer survivors’ problems actively but some had minimum communication with cancer survivors. Health professionals believed that interventions were necessary not only for the survivors but also for themselves. Conclusion: Healthcare professionals need education or training on how to respond to and man-age cancer survivors’ fear of recurrence in clinical settings, considering its impact on survivors’ quality of life.
目的:本研究旨在探讨医护人员与癌症幸存者谈论癌症复发恐惧的经验。方法:2019年8月至9月,对韩国两家大学医院的15名医护人员进行了半结构化的深度访谈。受访的医疗保健专业人员是肿瘤科医生和肿瘤科护士,他们在照顾癌症幸存者方面至少有五年的经验。对访谈进行了记录和转录,以进行定性内容分析。结果:参与者一致认为,大多数癌症幸存者在某种程度上对癌症复发感到恐惧。然而,医疗保健专业人员很少直接从癌症幸存者那里听到“复发”这个词,他们对癌症幸存者对复发的担忧做出了不同的回应。他们中的一些人积极干预癌症幸存者的问题,但一些人与癌症幸存者的沟通很少。卫生专业人员认为,干预措施不仅对幸存者是必要的,对他们自己也是必要的。结论:考虑到癌症幸存者对其生活质量的影响,医疗保健专业人员需要接受教育或培训,了解如何应对其在临床环境中对复发的恐惧。
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引用次数: 2
The Effect of Saline Gargling on Dry Mouth and Sore Throat in Patients with Thyroidectomy 盐水漱口对甲状腺切除术后口干咽痛的影响
IF 0.4 Pub Date : 2020-12-01 DOI: 10.5388/AON.2020.20.4.160
Do Hui Kim, Jeong-Sook Park
1. Background Thyroid cancer is the most common malignant tumor that occurs in the endocrine system. In 2017, it ranked 4th and accounted for 11.3% of the total cancer incidence rate in Korea, and it has been reported that the incidence rate of thyroid cancer among women is 78.5%, which is 3.3 times higher than that of 23.6% for men. The most basic treatment for thyroid cancer is surgery, and total thyroidectomy or lobectomy can be performed depending on the stage of cancer. Due to general anesthesia performed during thyroidectomy, patients experience various discomforts such as thirst, sore throat, pain, nausea, vomiting, helplessness, or drowsiness. Dry mouth and sore throat that occur after intubation for general anesthesia tend to be considered as minor complications compared to postoperative pain or vomiting, but they are discomforts that patients with thyroidectomy frequently complain of and some people experience severe pain. If glycopyrrolate, an anticholinergic agent, is used as a pre-anesthesia medication, it may dry the upper respiratory tract mucosa and cause damage during intubation. Also, it may cause dry mouth due to reduced salivation after surgery since the drug action time is long. In particular, many patients experience severe dry mouth while regaining consciousness due to prolonged oxygen supply and oral aspiration after surgery. Meanwhile, 68.4% of thyroidectomy patients complained of sore throat due to endotracheal intubation and sore throat is the second most common side effect during postoperative anesthesia recovery. Sore throat occurs due to local ischemia, swelling, and mucosal damage of the tracheal mucosa by the endotracheal tube and lasts from 1 to 2 days after surgery. In particular, the incidence of sore throat is much higher with female patients than male patients. This is because women have a smaller tracheal diameter and the softer mucous membrane wall. The reason why patients undergoing thyroid cancer surgery complain more about sore throat than other general anesthesia patients is that the thyroid surgery position is adjacent to the endotracheal tube and its surrounding tissues are damaged during surgery. As mentioned above, if dry mouth or sore throat is induced after thyroid cancer surgery, it can cause physiological and pathological changes together with various discomforts. If dry mouth occurs after surgery, a patient will experience discomfort when speaking, chewing and swallowing, or pain in the oral mucosa. In addition, oral buffering The Effect of Saline Gargling on Dry Mouth and Sore Throat in Patients with Thyroidectomy Kim, Do Hui · Park, Jeong Sook Kyungpook National University Chillgok Hospital, Daegu; College of Nursing, Keimyung University, Daegu, Korea
1.背景甲状腺癌症是最常见的内分泌系统恶性肿瘤。2017年,它排名第四,占韩国癌症总发病率的11.3%,据报道,女性癌症的发病率为78.5%,比男性的23.6%高3.3倍。甲状腺癌症最基本的治疗方法是手术,根据癌症的分期可以进行甲状腺全切除术或肺叶切除术。由于甲状腺切除术期间进行全身麻醉,患者会出现各种不适,如口渴、喉咙痛、疼痛、恶心、呕吐、无助或嗜睡。与术后疼痛或呕吐相比,全麻插管后出现的口干和喉咙痛往往被认为是轻微的并发症,但甲状腺切除术患者经常抱怨这些不适,有些人会感到剧烈疼痛。如果使用抗胆碱能药物格隆溴铵作为麻醉前药物,可能会使上呼吸道粘膜干燥,并在插管过程中造成损伤。此外,由于药物作用时间长,手术后唾液分泌减少可能导致口腔干燥。特别是,许多患者在术后由于长时间的氧气供应和口腔抽吸而恢复意识时会出现严重的口腔干燥。同时,68.4%的甲状腺切除术患者抱怨气管插管引起的喉咙痛,在术后麻醉恢复期间,喉咙痛是第二常见的副作用。咽喉疼痛是由于气管插管对气管粘膜的局部缺血、肿胀和粘膜损伤而发生的,并在手术后持续1至2天。特别是,女性患者的喉咙痛发生率远高于男性患者。这是因为女性的气管直径较小,粘膜壁较软。接受甲状腺癌症手术的患者之所以比其他全身麻醉患者更抱怨喉咙痛,是因为甲状腺手术位置与气管插管相邻,手术过程中气管插管周围组织受损。如上所述,如果甲状腺癌症手术后引起口干或喉咙痛,会引起生理和病理变化,并伴有各种不适。如果手术后出现口干,患者在说话、咀嚼和吞咽时会感到不适,或者口腔黏膜疼痛。此外,口腔缓冲盐水漱口对甲状腺切除术患者口干和喉咙痛的影响Kim,Do Hui·Park,郑秀惠国立大学Chillgok医院,大邱;韩国大邱庆明大学护理学院
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引用次数: 0
Changes in psychological distress and quality of life after esophageal cancer surgery: A prospective study 食管癌症术后心理压力和生活质量的变化:一项前瞻性研究
IF 0.4 Pub Date : 2020-08-19 DOI: 10.21203/rs.3.rs-54022/v1
Jeong Hye Kim, Judy Jung
BackgroundEsophageal cancer patients experience physical and psychological difficulties after surgery. This study aimed to identify the changes in psychological distress and quality of life in patients with esophageal cancer before surgery to three months after surgery.MethodsWe enrolled 49 patients who were scheduled to undergo esophageal surgery at a tertiary hospital in Seoul, South Korea in this prospective study. Patients’ psychological distress and quality of life were assessed with the Korean scales HADS, EORTC QLQ-C30, and QLQ-OES18 at the pre-surgery, one-month post-surgery, and three months post-surgery.ResultsModerate-to-severe depression was reported in 12.2% of patients at the pre-surgery evaluation, in 57.1% of patients one-month post-surgery, and 8.2% of patients three-months post-surgery. Moderate-to-severe depression was reported in 12.2% of patients at the pre-surgery evaluation, in 63.3% of patients one-month post-surgery, and 16.3% of patients three months post-surgery. Clinically significant, moderate changes (10–20 points) in physical functioning, insomnia, nausea and vomiting, and dyspnea, and significant, large changes (> 20) in role functioning, fatigue, pain, and appetite loss (per EORTC QLQ-C30) were reported from pre-surgery to one-month post-surgery. Clinically significant, moderate changes (10–20 points) in dysphagia and taste problems and a significant, large change (> 20) in eating difficulties (per QLQ-OES18) were reported from pre-surgery to one-month post-surgery.ConclusionOne month after esophageal cancer surgery, patients demonstrated severe psychological distress and worsening quality of life.
背景食管癌症患者术后出现生理和心理困难。本研究旨在确定癌症患者术前至术后三个月的心理压力和生活质量的变化。方法我们在这项前瞻性研究中招募了49名计划在韩国首尔一家三级医院接受食道手术的患者。采用韩国量表HADS、EORTC QLQ-C30和QLQ-OES18对术前、术后1个月和术后3个月患者的心理困扰和生活质量进行评估。在术前评估中,12.2%的患者出现中度至重度抑郁症,63.3%的患者在术后一个月出现中度至中度抑郁症,16.3%的患者在手术后三个月出现轻度至重度抑郁症。身体功能、失眠、恶心呕吐和呼吸困难的临床显著中等变化(10-20分),以及显著大变化(> 20) 在角色功能方面,从术前到术后一个月,报告了疲劳、疼痛和食欲下降(根据EORTC QLQ-C30)。吞咽困难和味觉问题的临床显著、中度变化(10-20分)和显著、大的变化(> 20) 结论癌症食管癌术后1个月,患者出现严重的心理困扰和生活质量恶化。
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引用次数: 2
Chemotherapy-induced Peripheral Neuropathy in Patients with Breast Cancer: Associated Factors and Impact on Health-Related Quality of Life 乳腺癌患者化疗诱导的周围神经病变:相关因素及其对健康相关生活质量的影响
IF 0.4 Pub Date : 2020-06-01 DOI: 10.5388/aon.2020.20.2.83
Yu Hyeon Choe, Soo Hyun Kim, H. Oh, W. Seo, S. H. Lee
종 부작용이 발생하게 되는데 대표적인 부작용으로는 오심, 구토, 식욕부진, 탈모, 말초신경병증 등이며 항암제 투여로 인해 폐경이 유발되면 폐경증상인 안면홍조, 수면장애, 우울 등의 증상이 나타 나기도 한다. 이 중 대표적인 신경계 부작용인 항암화학요법으로 인한 말초신경병증(chemotherapy-induced peripheral neuropathy, CIPN)은 말초신경계의 감각, 운동, 자율신경 등에 염증이나 손상, 퇴화가 발생하는 것을 의미하며 항암화학요법을 받는 암 환자들 중 30~40%가 겪는 것으로 보고되고 있다. CIPN 관련요인으로는 성별, 연령, 체질량지수(body mass index, BMI), 가족력과 같은 개인적 요인과 당뇨병 및 신경병증 과거력, 항 유방암 환자의 항암화학요법으로 인한 말초신경병증: 관련요인 및 건강 관련 삶의 질에 미치는 영향
会发生种副作用,代表性的副作用有误判,呕吐,食欲不振,脱发,末梢神经病症等,如果因服用抗癌剂而引发绝经,还会出现肺轻症——面部红晕,睡眠障碍,忧郁等症状。其中最具代表性的神经系统副作用是,抗癌化学疗法引起的末梢神经病症(chemotherapy-induced peripheral neuropathy, CIPN),是指末梢神经系统的感觉、运动、自律神经等发生炎症、损伤或退化,接受抗癌化学疗法的癌症患者中有30%至40%会经历。CIPN相关因素包括:性别、年龄、体质指数(body mass index, BMI)、家族史等个人因素;糖尿病及神经病史、抗乳腺癌患者化疗引起的末梢神经病史;相关因素及对健康生活质量的影响
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引用次数: 2
Factors Influencing Quality of Life Among Breast Cancer Patients Following Immediate Breast Reconstruction 癌症乳腺癌患者即刻乳房再造术后生活质量的影响因素
IF 0.4 Pub Date : 2020-03-01 DOI: 10.5388/AON.2020.20.1.1
A. Y. Kim, Jeong Hye Kim
Purpose: The purpose of this study was to identify factors that influence quality of life (QoL) of breast cancer patients who underwent immediate breast reconstruction. Methods: A total of 113 patients were enrolled. Patients’ operative satisfaction and QoL were measured using satisfaction with breast and the European Organization for Research and Treatment of Cancer Breast-Cancer-Specific Quality of Life questionnaires. Results: The mean operative satisfaction was 54.41±15.57 out of 100. For QoL, the mean functional score was 45.25±20.10 and the symptom score was 25.26±15.79. Significant correlation was seen between operative satisfaction and functional QoL (r=.47, p<.001), and between operative satisfaction and symptom QoL (r=-.35, p<.001). The operative satisfaction and method of reconstruction were identified as influencing factors for functional QoL with explanatory power of 34.1%. The operative satisfaction, method of reconstruction, marital status and neoadjuvant chemotherapy were identified as influencing factors for symptom QoL with explanatory power of 28.6%. Conclusion: The results confirmed operative satisfaction and QoL among breast cancer patients who underwent immediate breast reconstruction, and the factors influencing their QoL. The results of this study are expected to help towards the decision making of patients under consideration for immediate breast reconstruction.
目的:本研究的目的是确定影响乳腺癌患者立即乳房重建的生活质量(QoL)的因素。方法:共纳入113例患者。使用乳房满意度和欧洲癌症研究与治疗组织乳腺癌特异性生活质量问卷来测量患者的手术满意度和生活质量。结果:平均手术满意度为54.41±15.57(满分100分)。生活质量方面,功能评分为45.25±20.10分,症状评分为25.26±15.79分。手术满意度与功能生活质量有显著相关性(r=。47, p< 0.001),手术满意度与症状生活质量之间差异有统计学意义(r=-。35岁,p <措施)。手术满意度和重建方法是影响功能生活质量的因素,解释力为34.1%。手术满意度、重建方式、婚姻状况和新辅助化疗是影响症状生活质量的因素,解释能力为28.6%。结论:结果证实了乳腺癌即刻乳房再造术患者的手术满意度、生活质量及影响其生活质量的因素。本研究的结果有望帮助考虑立即乳房重建的患者做出决定。
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引用次数: 1
폐암 환자들의 입원생활 경험 肺癌病患的住院经历
IF 0.4 Pub Date : 2020-03-01 DOI: 10.5388/AON.2020.20.1.28
김 혜옥, 김 현정
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引用次数: 1
Comparison Study of e-Health Literacy and Health Promoting Behaviors of Cancer Patients and Nurses 癌症患者与护士电子健康素养与健康促进行为的比较研究
IF 0.4 Pub Date : 2020-01-01 DOI: 10.5388/aon.2020.20.2.100
Hyoen Jeong Kim, Miyoung Kim
Purpose: The purpose of this study was to examine the e-health literacy and health promoting behaviors of cancer patients and nurses. Methods: The participants were 76 cancer patients who were admitted to a general hospital and 87 nurses. Data were collected from October to December of 2018 using a list of structured questionnaires. Data were analyzed using independent t-test, ANOVA, Scheffé’s test, and Pearson’s correlation coefficients using SPSS/WIN 23.0. Results: There were significant differences in e-health literacy (t=-3.15, p=.002) and nutrition, one of the sub-areas of health promoting behaviors (t=-3.80, p<.001) between cancer patients and nurses. The health promoting behaviors of cancer patients according to health-related characteristics showed statistically significant differences in health care time (F=6.91, p=.002), health concerns (F=6.30, p=.003), and perceived support (F=6.71, p=.002). Nurses’ health promoting behaviors according to health-related characteristics showed significant differences in health care time (F=16.56, p<.001), health concerns (F=5.99, p=.004), and perceived support (F=5.05, p=.009). Cancer patients and nurses showed a non-significant correlation between e-health literacy and health promoting behaviors. Conclusion: The results of this study suggest that nurses should focus on contents that show significant differences in providing education for e-health literacy to cancer patients, and that nurses should enhance health promoting behaviors associated with their own nutrition.
目的:本研究的目的是了解癌症患者和护士的电子健康素养和健康促进行为。方法:研究对象为76例在某综合医院住院的癌症患者和87名护士。数据收集于2018年10月至12月,使用一系列结构化问卷。数据分析采用独立t检验、方差分析、scheff检验和Pearson相关系数分析,采用SPSS/WIN 23.0。结果:癌症患者与护士在电子健康素养(t=-3.15, p=.002)和健康促进行为之一的营养(t=-3.80, p<.001)方面存在显著差异。癌症患者健康促进行为在健康护理时间(F=6.91, p=.002)、健康关注(F=6.30, p=.003)、感知支持(F=6.71, p=.002)方面差异有统计学意义。护士健康促进行为在健康护理时间(F=16.56, p<.001)、健康关注(F=5.99, p=.004)和感知支持(F=5.05, p=.009)方面存在显著差异。癌症患者和护士的电子健康素养与健康促进行为之间无显著相关。结论:本研究结果提示护士在对癌症患者进行电子健康素养教育时应重点关注具有显著差异的内容,并加强与自身营养相关的健康促进行为。
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引用次数: 2
期刊
Asian Oncology Nursing
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