| Myeong Jeong Chae | 2 Articles |
PURPOSE
The purpose of this study was to identify the mediating effect of reported self-blame in the relationship between stigma and distress among cancer patients. METHODS A convenience sample of 247 inpatients and outpatients diagnosed with one of the five major cancers was recruited. A cross-sectional survey design was used. Data were collected from June 2013 to November 2013. The instruments used for data collection were the Korean Cancer Stigma Scale, the Psychological Symptom Inventory, and the Social Shame and Guilt Scale. Data were analyzed using descriptive statistics, correlation, and multiple regression using Baron and Kenny steps for mediation. RESULTS The mean score reported for cancer stigma was 35.34, the mean score for distress was 13.77, and the mean for self-blame was 19.25. There was a significant correlation among stigma, distress, and self-blame. Self-blame was directly affected by stigma (R2=34.3%). Distress was directly affected by stigma (R2=13.0%). Stigma and self-blame impacted reported distress (R2=20.9%). Self-blame had a partial mediating effect (β=.35, p < .001) in the relationship between stigma and distress (Sobel test: Z=3.64, p < .001). CONCLUSION Based on the findings of this study, nursing intervention programs focusing on reducing stigma and decreasing self-blame may relieve the distress reported by patients with cancer. Citations Citations to this article as recorded by
PURPOSE
This study was conducted to examine the effects of tailored supportive education on physical, psychological status and quality of life in the patients with congestive heart failure (CHF) who had not participated previously in cardiac rehabilitation program. METHODS This study was used a non-equivalent control pre-post design, conducted on 64 CHF patients under medical treatment in a hospital. The experimental group (n=31) received the tailored supportive educational program (once 1~2 days before discharge and 6 times after discharge through outpatient visits or telephone contact: once every week for the first 4 weeks after discharge and once every 2 weeks for the remaining 4 weeks). The control group (n=33) received a traditional discharge education. Data were analyzed using descriptive statistics, chi2-test, Fisher's exact test, t-test and repeated measure ANOVA using the SPSS/WIN 18.0 program. RESULTS Participants in the experimental group showed the significantly increased scores of the quality of life (F=16.01, p<.001), and the significantly decreased scores of physical function (F=7.27, p=.009), depression (F=8.25, p=.006) and anxiety (F=4.11, p=.047), when compared to those of the control group. CONCLUSION The findings indicated tailored supportive education was an effective intervention care in physical, emotional status and quality of life for CHF patients. Citations Citations to this article as recorded by
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