Pub Date : 2019-12-01DOI: 10.5388/aon.2019.19.4.242
H. You, E. Park
Purpose: The purpose of this study was to find the factors affecting the decisional conflict of patients undergoing chemotherapy. Methods: Participants were 137 patients undergoing chemotherapy in a hospital. The Quality Quantity Questionnaire, a distress thermometer and the Decisional Conflict Scale were used to gather self-reported data. The collected data were analyzed using descriptive statistics, t-tests, ANOVA, post-hoc Scheffe’s tests, Pearson’s correlations coefficients and stepwise multiple regression. Results: The decisional conflict showed that the score for severe to high distress groups were higher than that of the mild distress group. The levels of distress and satisfaction of chemotherapy decisional conflict were positively correlated (p=.043). Decisional conflict was significantly affected by age (p=.041), the burden of treatment costs (p=.047), the support system(p=.049), the current feeling of health(p=.024), and comorbidity (p=.039). The significant predictors of decisional conflict were support system, current feeling of health, age, and the burden of treatment costs, which explained 15% of the variance. Conclusion: To improve the decisional conflict patients who are receiving chemotherapy, it is deemed to be necessary to develop an intervention program, for oncology nurses to use regarding decisional conflict over cancer treatment in consideration of the variables we have identified.
{"title":"Relationships between Attitude Towards Treatment, Distress, and Decision Conflict among Cancer Patients Receiving Chemotherapy","authors":"H. You, E. Park","doi":"10.5388/aon.2019.19.4.242","DOIUrl":"https://doi.org/10.5388/aon.2019.19.4.242","url":null,"abstract":"Purpose: The purpose of this study was to find the factors affecting the decisional conflict of patients undergoing chemotherapy. Methods: Participants were 137 patients undergoing chemotherapy in a hospital. The Quality Quantity Questionnaire, a distress thermometer and the Decisional Conflict Scale were used to gather self-reported data. The collected data were analyzed using descriptive statistics, t-tests, ANOVA, post-hoc Scheffe’s tests, Pearson’s correlations coefficients and stepwise multiple regression. Results: The decisional conflict showed that the score for severe to high distress groups were higher than that of the mild distress group. The levels of distress and satisfaction of chemotherapy decisional conflict were positively correlated (p=.043). Decisional conflict was significantly affected by age (p=.041), the burden of treatment costs (p=.047), the support system(p=.049), the current feeling of health(p=.024), and comorbidity (p=.039). The significant predictors of decisional conflict were support system, current feeling of health, age, and the burden of treatment costs, which explained 15% of the variance. Conclusion: To improve the decisional conflict patients who are receiving chemotherapy, it is deemed to be necessary to develop an intervention program, for oncology nurses to use regarding decisional conflict over cancer treatment in consideration of the variables we have identified.","PeriodicalId":43724,"journal":{"name":"Asian Oncology Nursing","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47520677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-01DOI: 10.5388/aon.2019.19.4.233
Yoon-Ji Kang, Kwuy-Im Jung
Purpose: The purpose of this study was to investigate whether the effects of emotional intelligence and working environment on nursing performance of nurses caring for cancer patients in small and medium hospitals were mediated by communication competence. Methods: The data was collected between Aug. 1 and Aug. 30, 2018 from 240 nurses caring for cancer patients from 11 small and medium hospitals in B city. Variables included in this study were the Wong and Law Emotional Intelligence Scale (WLEIS), the Practice Environment Scale of Nursing Work Index (PES-NWI), the Global Interpersonal Communication Competence (GICC), and nursing performance. The collected data were analyzed by t-tests, ANOVA and Scheffe’s test, Pearson’s correlation coefficients, and 3 step multiple regression using SPSS/WIN 24.0 and the Sobel test. Results: Communication competence, in the relationship between emotional intelligence and nursing working environment on nursing performance in nurses caring for cancer patients in small and medium hospitals, showed a partial mediating effect (Z=5.24, p<.001; Z=2.44, p=.001 respectively). Conclusion: The results of this study showed the effects of emotional intelligence and nursing working environment on nursing performance of nurses caring for cancer patients in small and medium hospitals were mediated by communication competence.
{"title":"Effects of Emotional Intelligence and Nursing Working Environment on Nursing Performance of Nurses Caring for Cancer Patients in Small and Medium Hospitals: The Mediating Effect of Communication Competence","authors":"Yoon-Ji Kang, Kwuy-Im Jung","doi":"10.5388/aon.2019.19.4.233","DOIUrl":"https://doi.org/10.5388/aon.2019.19.4.233","url":null,"abstract":"Purpose: The purpose of this study was to investigate whether the effects of emotional intelligence and working environment on nursing performance of nurses caring for cancer patients in small and medium hospitals were mediated by communication competence. Methods: The data was collected between Aug. 1 and Aug. 30, 2018 from 240 nurses caring for cancer patients from 11 small and medium hospitals in B city. Variables included in this study were the Wong and Law Emotional Intelligence Scale (WLEIS), the Practice Environment Scale of Nursing Work Index (PES-NWI), the Global Interpersonal Communication Competence (GICC), and nursing performance. The collected data were analyzed by t-tests, ANOVA and Scheffe’s test, Pearson’s correlation coefficients, and 3 step multiple regression using SPSS/WIN 24.0 and the Sobel test. Results: Communication competence, in the relationship between emotional intelligence and nursing working environment on nursing performance in nurses caring for cancer patients in small and medium hospitals, showed a partial mediating effect (Z=5.24, p<.001; Z=2.44, p=.001 respectively). Conclusion: The results of this study showed the effects of emotional intelligence and nursing working environment on nursing performance of nurses caring for cancer patients in small and medium hospitals were mediated by communication competence.","PeriodicalId":43724,"journal":{"name":"Asian Oncology Nursing","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49411215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-01DOI: 10.5388/aon.2019.19.4.204
H. Jung, Soojung Ahn, Yoojung Yang, Kyoung A Kim, S. Shin, M. Jung, S. Chu
Jung, Hye Jeong · Ahn, Soo jung 1 · Yang, Yoo Ri · Kim, Kyoung A · Shin, Sang Joon · Jung, Min Kyu · Chu, Sang Hui Department of Nursing, Graduate School of Yonsei University, Seoul; Department of Nursing, Yonsei University College of Nursing, Seoul; Division of Medical Oncology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul; Mo-Im Kim Nursing Research Institute, Yonsei University College of Nursing, Seoul, Korea
{"title":"Oxaliplatin-induced Peripheral Neuropathy, Symptoms, Distress and Quality of Life among Korean Patients with Gastrointestinal Cancer","authors":"H. Jung, Soojung Ahn, Yoojung Yang, Kyoung A Kim, S. Shin, M. Jung, S. Chu","doi":"10.5388/aon.2019.19.4.204","DOIUrl":"https://doi.org/10.5388/aon.2019.19.4.204","url":null,"abstract":"Jung, Hye Jeong · Ahn, Soo jung 1 · Yang, Yoo Ri · Kim, Kyoung A · Shin, Sang Joon · Jung, Min Kyu · Chu, Sang Hui Department of Nursing, Graduate School of Yonsei University, Seoul; Department of Nursing, Yonsei University College of Nursing, Seoul; Division of Medical Oncology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul; Mo-Im Kim Nursing Research Institute, Yonsei University College of Nursing, Seoul, Korea","PeriodicalId":43724,"journal":{"name":"Asian Oncology Nursing","volume":"1 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42093750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-01DOI: 10.5388/aon.2019.19.4.224
S. Kang, J. Park
Purpose: This study was to investigate patient safety perception and patient participation, and to provide basic data for the development of patient participation education programs. Methods: The subjects of this study were 183 patients with at least one experience of the Hemato-oncology Department at a tertiary hospital in Seoul. Data were collected from April 11, 2019 to May 7, 2019 using structured questionnaires including patient safety perception and patient participation. Results: The patient safety perception score was 4.23±0.48 out of 5. The patient participation score was 4.30±0.53 out of 5. Patient safety perception was significantly different according to age (p=.008), education (p=.045), employment status (p=.031), marital state (p=.037), medical department (p=.004), comorbidity (p=.046), and patient participation education (p=.010). Patient participation was significantly difference in age (p=.020), education (p=.004) and employment status (p=.005). The correlation between the patient safety perception and patient participation was statistically significant (r=.75, p<.001). Conclusion: It is necessary to improve the system for medical staff, patients and medical institutions in order to enable patients to communicate with medical staff in a satisfactory manner and participate in patient safety activities.
{"title":"Patient Safety Perception and Patient Participation among Hemato-oncology Patients","authors":"S. Kang, J. Park","doi":"10.5388/aon.2019.19.4.224","DOIUrl":"https://doi.org/10.5388/aon.2019.19.4.224","url":null,"abstract":"Purpose: This study was to investigate patient safety perception and patient participation, and to provide basic data for the development of patient participation education programs. Methods: The subjects of this study were 183 patients with at least one experience of the Hemato-oncology Department at a tertiary hospital in Seoul. Data were collected from April 11, 2019 to May 7, 2019 using structured questionnaires including patient safety perception and patient participation. Results: The patient safety perception score was 4.23±0.48 out of 5. The patient participation score was 4.30±0.53 out of 5. Patient safety perception was significantly different according to age (p=.008), education (p=.045), employment status (p=.031), marital state (p=.037), medical department (p=.004), comorbidity (p=.046), and patient participation education (p=.010). Patient participation was significantly difference in age (p=.020), education (p=.004) and employment status (p=.005). The correlation between the patient safety perception and patient participation was statistically significant (r=.75, p<.001). Conclusion: It is necessary to improve the system for medical staff, patients and medical institutions in order to enable patients to communicate with medical staff in a satisfactory manner and participate in patient safety activities.","PeriodicalId":43724,"journal":{"name":"Asian Oncology Nursing","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48355464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-01DOI: 10.5388/aon.2019.19.4.252
J. Park, G. Noh, I. Kwon
Purpose: The purpose of this study was to identify the work environment related to the handling and administration of antineoplastic drugs in the members of the Korean Oncology Nursing Society. Methods: The study was carried out from October 2018 to November 2018. The self-reported surveys included questions on the work environment, experience and concerns from occupational exposure, safe activities of antineoplastic drugs and use of personal protective equipment (PPE), hand hygiene, and type of PPE (e.g., gown, gloves, and mask). Results: A total of 125 participants from 41 organizations were surveyed. The nurses were mostly educated on safe management of antineoplastic drugs (95.2%) and concerned about health threats caused by occupational exposure (7.23± 2.14 out of 10). In addition, harmful activities were found, with gown use being the lowest when handling antineoplastic drugs. Conclusion: This study supports that appropriate staffing, equipment, and facilities, mandatory education, and establishment of policies are very important in creating a safe work environment for handling antineoplastic drugs.
{"title":"Status and Strategies for Safety Management of Antineoplastic Drugs among Oncology Nurses","authors":"J. Park, G. Noh, I. Kwon","doi":"10.5388/aon.2019.19.4.252","DOIUrl":"https://doi.org/10.5388/aon.2019.19.4.252","url":null,"abstract":"Purpose: The purpose of this study was to identify the work environment related to the handling and administration of antineoplastic drugs in the members of the Korean Oncology Nursing Society. Methods: The study was carried out from October 2018 to November 2018. The self-reported surveys included questions on the work environment, experience and concerns from occupational exposure, safe activities of antineoplastic drugs and use of personal protective equipment (PPE), hand hygiene, and type of PPE (e.g., gown, gloves, and mask). Results: A total of 125 participants from 41 organizations were surveyed. The nurses were mostly educated on safe management of antineoplastic drugs (95.2%) and concerned about health threats caused by occupational exposure (7.23± 2.14 out of 10). In addition, harmful activities were found, with gown use being the lowest when handling antineoplastic drugs. Conclusion: This study supports that appropriate staffing, equipment, and facilities, mandatory education, and establishment of policies are very important in creating a safe work environment for handling antineoplastic drugs.","PeriodicalId":43724,"journal":{"name":"Asian Oncology Nursing","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42434146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-09-01DOI: 10.5388/aon.2019.19.3.142
YeonMi Seo, Sujin Shin
Purpose: The purpose of this study was to identify the relationship between attitudes toward the withdrawal of life-sustaining treatment, death anxiety and death acceptance among hospitalized cancer patients who were at least 65 years old. Methods: This study adopted a descriptive study design. Data were collected from 128 patients diagnosed with cancer. The instruments used were the Attitudes toward Life-sustaining Treatment Scale, Death Anxiety Scale and modified versions of the Death Attitude Profile-Revised (DAP-R) questionnaire. Results: The mean score for the subjects’ attitudes toward the withdrawal of life-sustaining treatment was 3.48 ±0.50 out of 5. Death anxiety was reported at 2.53±0.54 out of 4. Death acceptance was reported at 4.10 ±1.20 out of 7. There was a significant negative correlation between the subjects’ attitudes toward the withdrawal of life-sustaining treatment and death anxiety (r= -.21, p=.018), however there was no statistically significant correlation between the subjects’ attitude towards the withdrawal of lifesustaining treatment and death acceptance (r=-.07, p=.462). Conclusion: The more positive elderly cancer patients are about the withdrawal of life-sustaining treatment, the lower their death anxiety is. This finding can help nurses with patient care towards the end of life by considering the relationship between death anxiety and their attitudes toward the withdrawal of life-sustaining treatment.
{"title":"The Relationship among Attitudes toward the Withdrawal of Life-sustaining Treatment, Death Anxiety, and Death Acceptance among Hospitalized Elderly Cancer Patients","authors":"YeonMi Seo, Sujin Shin","doi":"10.5388/aon.2019.19.3.142","DOIUrl":"https://doi.org/10.5388/aon.2019.19.3.142","url":null,"abstract":"Purpose: The purpose of this study was to identify the relationship between attitudes toward the withdrawal of life-sustaining treatment, death anxiety and death acceptance among hospitalized cancer patients who were at least 65 years old. Methods: This study adopted a descriptive study design. Data were collected from 128 patients diagnosed with cancer. The instruments used were the Attitudes toward Life-sustaining Treatment Scale, Death Anxiety Scale and modified versions of the Death Attitude Profile-Revised (DAP-R) questionnaire. Results: The mean score for the subjects’ attitudes toward the withdrawal of life-sustaining treatment was 3.48 ±0.50 out of 5. Death anxiety was reported at 2.53±0.54 out of 4. Death acceptance was reported at 4.10 ±1.20 out of 7. There was a significant negative correlation between the subjects’ attitudes toward the withdrawal of life-sustaining treatment and death anxiety (r= -.21, p=.018), however there was no statistically significant correlation between the subjects’ attitude towards the withdrawal of lifesustaining treatment and death acceptance (r=-.07, p=.462). Conclusion: The more positive elderly cancer patients are about the withdrawal of life-sustaining treatment, the lower their death anxiety is. This finding can help nurses with patient care towards the end of life by considering the relationship between death anxiety and their attitudes toward the withdrawal of life-sustaining treatment.","PeriodicalId":43724,"journal":{"name":"Asian Oncology Nursing","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46886925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-09-01DOI: 10.5388/aon.2019.19.3.135
Fenshan Zheng, Ogcheol Lee, Jie Zhou, Chunyu Li
Purpose: This study aimed to identify the effects of illness perception and health beliefs on the quality of life (QOL) of breast cancer patients. Methods: A cross-sectional study was conducted. Data were collected using questionnaires administered to 200 patients admitted for chemotherapy after a partial or total mastectomy at a university hospital in Yanji City. The data were analyzed using t-tests, analysis of variance, Pearson’s correlation coefficients, and hierarchical regression analysis. Results: The QOL of the breast cancer patients was significantly correlated with health beliefs and a subfactor of illness perception. The significant factors influencing QOL were understanding illness and feeling threatened, accounting for 31.7% of the variance in QOL. Conclusion: Illness perception of breast cancer patients had a negative influence on QOL, whereas health beliefs affected it positively. An implication of this study’s findings is that interventions to reduce negative illness perception can improve the QOL among breast cancer patients.
{"title":"Effects of Illness Perception and Health Beliefs on the Quality of Life of Breast Cancer Patients in the Yanbian Area of China","authors":"Fenshan Zheng, Ogcheol Lee, Jie Zhou, Chunyu Li","doi":"10.5388/aon.2019.19.3.135","DOIUrl":"https://doi.org/10.5388/aon.2019.19.3.135","url":null,"abstract":"Purpose: This study aimed to identify the effects of illness perception and health beliefs on the quality of life (QOL) of breast cancer patients. Methods: A cross-sectional study was conducted. Data were collected using questionnaires administered to 200 patients admitted for chemotherapy after a partial or total mastectomy at a university hospital in Yanji City. The data were analyzed using t-tests, analysis of variance, Pearson’s correlation coefficients, and hierarchical regression analysis. Results: The QOL of the breast cancer patients was significantly correlated with health beliefs and a subfactor of illness perception. The significant factors influencing QOL were understanding illness and feeling threatened, accounting for 31.7% of the variance in QOL. Conclusion: Illness perception of breast cancer patients had a negative influence on QOL, whereas health beliefs affected it positively. An implication of this study’s findings is that interventions to reduce negative illness perception can improve the QOL among breast cancer patients.","PeriodicalId":43724,"journal":{"name":"Asian Oncology Nursing","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48305875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-09-01DOI: 10.5388/aon.2019.19.3.179
E. Seo, Suhye Kwon, Youngkyoung Kim, A. Han
Experience of Cancer Patients Receiving Spiritual Nursing Care in one Christian General Hospital Seo, Eun Youngi · Kwon, Suhye · Kim Youngkyoung · Han ALeum Department of Nursing, SAEGYARO Hospital, Busan; College of Nursing, Kosin University, Busan; Research Associate, Center for Wholistic Nursing Science, College of Nursing, Kosin University, Busan; Nurse, Kosin University Gospel Hospital, Busan, Korea
{"title":"Experience of Cancer Patients Receiving Spiritual Nursing Care in one Christian General Hospital","authors":"E. Seo, Suhye Kwon, Youngkyoung Kim, A. Han","doi":"10.5388/aon.2019.19.3.179","DOIUrl":"https://doi.org/10.5388/aon.2019.19.3.179","url":null,"abstract":"Experience of Cancer Patients Receiving Spiritual Nursing Care in one Christian General Hospital Seo, Eun Youngi · Kwon, Suhye · Kim Youngkyoung · Han ALeum Department of Nursing, SAEGYARO Hospital, Busan; College of Nursing, Kosin University, Busan; Research Associate, Center for Wholistic Nursing Science, College of Nursing, Kosin University, Busan; Nurse, Kosin University Gospel Hospital, Busan, Korea","PeriodicalId":43724,"journal":{"name":"Asian Oncology Nursing","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45491935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-09-01DOI: 10.5388/aon.2019.19.3.150
Nami Chun, G. Noh
Purpose: This study was conducted to identify the quality of life (QOL) and the influence of urinary dysfunction on QOL in women with cervical cancer after radical hysterectomy. Methods: A secondary analysis was conducted using data collected for a previous study of Chun et al. and the same subjects of a group of 157 cervical cancer patients. Novel data from the EORTC QLQ-C30 and QLQ-CX24 were used in addition to the results of urinary dysfunction from the previous study. Descriptive analysis of EORTC QLQ-C30 and QLQCX24 results and a multiple regression analysis were conducted to explore the influence of urinary dysfunction on global QOL. Results: Subjects showed low QOL especially for social, physical and role function in the EORTC QLQ-C30 as well as the QLQ-CX24. Intensity of urinary dysfunction (p<.001) as well as daily life distress due to urinary dysfunction (p<.001) were the most significant factors affecting QOL in women with cervical cancer after radical hysterectomy. Conclusion: Results suggest that oncology nurses should pay attention to the relatively low QOL of post-hysterectomy patients. They should also consider the influence of urinary dysfunction on QOL when developing nursing intervention programs to increase the QOL for women with cervical cancer after radical hysterectomy.
{"title":"Influence of Urinary Dysfunction on Quality of Life in Women with Cervical Cancer after Radical Hysterectomy","authors":"Nami Chun, G. Noh","doi":"10.5388/aon.2019.19.3.150","DOIUrl":"https://doi.org/10.5388/aon.2019.19.3.150","url":null,"abstract":"Purpose: This study was conducted to identify the quality of life (QOL) and the influence of urinary dysfunction on QOL in women with cervical cancer after radical hysterectomy. Methods: A secondary analysis was conducted using data collected for a previous study of Chun et al. and the same subjects of a group of 157 cervical cancer patients. Novel data from the EORTC QLQ-C30 and QLQ-CX24 were used in addition to the results of urinary dysfunction from the previous study. Descriptive analysis of EORTC QLQ-C30 and QLQCX24 results and a multiple regression analysis were conducted to explore the influence of urinary dysfunction on global QOL. Results: Subjects showed low QOL especially for social, physical and role function in the EORTC QLQ-C30 as well as the QLQ-CX24. Intensity of urinary dysfunction (p<.001) as well as daily life distress due to urinary dysfunction (p<.001) were the most significant factors affecting QOL in women with cervical cancer after radical hysterectomy. Conclusion: Results suggest that oncology nurses should pay attention to the relatively low QOL of post-hysterectomy patients. They should also consider the influence of urinary dysfunction on QOL when developing nursing intervention programs to increase the QOL for women with cervical cancer after radical hysterectomy.","PeriodicalId":43724,"journal":{"name":"Asian Oncology Nursing","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42835374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-09-01DOI: 10.5388/aon.2019.19.3.126
P. Oh, S. Moon
Chemotherapy-related cognitive impairment (CRCI) is one of the most frequently reported side effects of chemotherapy. About 15~70% of cancer patients experience a decline in memory, face problems with attention, and complain of an inability to multitask following chemotherapy. and 17~35% of these cases persist long-term. Even if cognitive decline in cancer patients is mild, it can have a negative impact on their quality of life due to the difficulties it can cause in daily living and work. CRCI primarily presents with abnormalities in pathways connecting the frontal lobe and the subcortical regions, as well as hippocampal damage, leading to the impairment of memory and working memory (immediate memory), attention, and information processing speed. Cognitive function includes receptive functions such as selecting, acquiring, and unifying information, memory and learning, which involves storage and retrieval, mental organization of information and organized thinking, as well as expressive functions such as behavior and communication of information. In terms of anticancer agents that affect CRCI, metabolic inhibitors (e.g., 5-FU, methotrexate), alkylating agents (cyclophosphamide, carmustine), and paclitaxel are reported to be toxic to neural progenitor cells and oligodendrocytes, which form the myelin sheaths in the central nervous system. These anticancer agents are commonly prescribed to patients with stomach or colorectal cancer, which are the most prevalent cancers in Korea. The symptoms and severity of CRCI are affected by various factors, including the cumulative dose of anticancer agents, age, and nutritional status. Interest in CRCI has prompted research in diverse areas, including the treatment agents, as well as the incidence, duration, and extent of cognitive impairment. So far, basic research to manage cognitive decline in cancer patients has focused on investigating the causes of chemotherapy-related cognitive decline. Most studies that have investigated the effects of anticancer treatment itself, including drug dose (standard vs high dose) and hormone therapy, on cognitive function have dealt with breast cancer patients. Thus, further research is required to determine Changes of Cognitive Function and Fatigue following Chemotherapy in Patients with Gastrointestinal Cancer: A Prospective Controlled Study Oh, Pok-Ja ∙ Moon, Sun Mi Department of Nursing, Sahmyook University, Seoul; Surgical Department, Korea Cancer Center Hospital, Seoul, South Korea
化疗相关性认知障碍(CRCI)是化疗最常见的副作用之一。大约15~70%的癌症患者在化疗后会出现记忆力下降、注意力问题和无法同时处理多项任务的症状。其中17~35%的病例长期存在。即使癌症患者的认知能力下降是轻微的，也会给日常生活和工作带来困难，从而对生活质量产生负面影响。CRCI主要表现为连接额叶和皮层下区域的通路异常，以及海马损伤，导致记忆和工作记忆(即时记忆)、注意力和信息处理速度的损害。认知功能包括选择、获取和统一信息、记忆和学习等接受功能，其中包括存储和检索、信息的心理组织和有组织的思维，以及信息的行为和交流等表达功能。在影响CRCI的抗癌药物方面，代谢抑制剂(如5-FU、甲氨蝶呤)、烷基化剂(环磷酰胺、卡莫司汀)和紫杉醇被报道对神经祖细胞和少突胶质细胞有毒性，这些细胞在中枢神经系统中形成髓鞘。这些抗癌药通常用于治疗国内发病率最高的胃癌和大肠癌患者。CRCI的症状和严重程度受多种因素的影响，包括抗癌药物的累积剂量、年龄和营养状况。对CRCI的兴趣促进了不同领域的研究，包括治疗药物，以及认知障碍的发生率、持续时间和程度。到目前为止，管理癌症患者认知能力下降的基础研究主要集中在调查化疗相关认知能力下降的原因。大多数调查抗癌治疗本身影响的研究，包括药物剂量(标准剂量与高剂量)和激素治疗对认知功能的影响，都是针对乳腺癌患者的。因此，需要进一步的研究来确定胃肠道癌症患者化疗后认知功能和疲劳的变化:一项前瞻性对照研究Oh, Pok-Ja∙Moon, Sun Mi, Sahmyook大学护理系，首尔;韩国首尔韩国癌症中心医院外科
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