Purpose
This study aimed to examine the influence of lifestyle-related factors, such as sleep quality, eating habits, and perceived stress, on the incidence of thyroid cancer in healthy adults. Methods: This study is a cross-sectional case-control study comparing lifestyle-related factors in thyroid cancer and healthy groups. Outpatients with thyroid cancer were recruited from 2012 to 2013, 3~6 months after thyroidectomy at a tertiary hospital in Seoul, Korea (n=468). For the control group, 935 healthy adults were recruited by propensity score matching on demographic characteristics in a 1:2 ratio from hospital health checkup data. The effect of sleep quality, eating habits, and perceived stress on the incidence of thyroid cancer was determined through multiple logistic regression analysis and backward stepwise variable selection. Results: Sleep disturbance and mild/moderate daytime dysfunction were found to have a 1.22 and 1.66/1.77-fold influence, respectively, in patients with thyroid cancer than in healthy controls (p<.05). Coffee consumers who drink 3~6 times/day showed reduced cancer incidence than those who drink very little (odds ratio=0.53, 95% confidence interval=0.32~0.87). Perceived stress was a significant risk factor in univariate (p=.004), but not in multivariate analysis. Conclusion: These findings highlight the need for evaluating sleep quality, especially in high-risk adults and patients with thyroid cancer. Preventive measures should be adopted to lower stress levels and improve sleep quality.

Citations

• Development and Effects of a Smartphone Application to Improve Self-Management in Workers Who Underwent Thyroid Cancer Surgery
  Myoyoun Kim, Seon Young Hwang
  Cancer Nursing.2025;[Epub]     CrossRef
• Multidimensional Prediction Method for Thyroid Cancer Based on Spatiotemporally Imbalanced Distribution Data
  Zhiwei Jia, Yuqi Huang, Yanhui Lin, Min Fu, Chenhao Sun
  IEEE Access.2024; 12: 4674.     CrossRef
• Determining the spatial non-stationarity underlying social and natural environment in thyroid cancer in China
  Xiyu Zhang, Yongqiang Lai, Xiaodan Bai, Bing Wu, Wenjing Xiang, Chenxi Zhang, Guihong Geng, Wenqing Miao, Qi Xia, Qunhong Wu, Huiying Yang, Yanjie Wang, Wanxin Tian, Yu Cao, Xinwei Liu, Hongyu Li, Yulu Tian, Zhe Song, Ziwen Zhao, Zhipeng Huang, Xiaonan Ch
  Science of The Total Environment.2023; 870: 162009.     CrossRef
• Sleep quality, stress and thyroid cancer: a case–control study
  S. Afrashteh, M. Fararouei, M. T. Parad, A. Mirahmadizadeh
  Journal of Endocrinological Investigation.2022; 45(6): 1219.     CrossRef

Purpose
Patient outcomes should improve through patient involvement and improved interactions with healthcare providers during the care process. This study aimed to examine factors affecting the perceived health status of patients with cancer, focused on their treatment experiences, and explored the differences in treatment-related experiences according to the patients’ characteristics. Methods: This cross-sectional study used the 2015 Korea National Health and Nutrition Examination Survey, which assesses patients’ general characteristics, treatment-related experiences, and perceived health status. Data from 255 cancer survivors aged 19 years or older were used in this study. Descriptive statistics, independent t-tests, and multiple regression were used for the data analyses. Results: Cancer patients’ perception of a lower health resulted from the following factors: insufficient information provision during the care process (β=-.13, p=.026), less participation in the treatment-related decision-making (β=-.25, p=.005), and more comorbidities (β=-.31, p=.018). A higher education level (β=.68, p<.001) was associated with higher perceived health status. The set of significant factors explained 19% of the total variance of the perceived health status. Conclusion: Sufficient information provision during the care process and patients’ participation in treatment-related decision-making affected the perceived health status of cancer patients. Hence, providing cancer patients with information and involving them in decision-making may improve illness self-management capabilities and health status.

Purpose
The purpose of this study was to investigate family support and medical staff support and their mediating effects in the relationship between self-efficacy and resilience in patients with colorectal cancer with stoma. Methods: The participants were 170 patients with colorectal cancer who were hospitalized or receiving treatment for colorectal anus surgery in general hospitals located in B, D, and I cities. Data were collected from July 1 to October 25, 2019 through a structured questionnaire. Data analysis was conducted using descriptive statistics, Pearson's correlation coefficient, multiple linear regression analysis, and the bootstrapping method with SPSS/WIN 25.0 and the PROCESS macro program. Results: The mean score for resilience was 2.70±0.62 (range 0~4). Resilience was significantly associated with self-efficacy (r=.59, p<.001), family support (r=.38, p<.001), and medical staff support (r=.37, p<.001). Using Baron and Kenny's approach and PROCESS macro model 4, resilience was found to be affected by self-efficacy (β=.53, p<.001). Further, family support (β=.25, p<.001) and medical staff support (β=.39, p<.001) were affected by self-efficacy. The partial mediating effects of family support (β=.25, p<.001, 95% confidence interval 0.01~0.12) and medical staff support(β=.15, p=.022, 95% confidence interval 0.01~0.16) in the impact of self-efficacy on resilience were confirmed. Conclusion: The impact of self-efficacy on resilience was mediated by family support and medical staff support in patients with colorectal cancer with stoma. The results suggest that family and medical staff support need to be considered in developing nursing interventions to improve self-efficacy and resilience in these patients.

Citations

• Influences of Fatigue, Uncertainty, and Resilience on Self-Care Behaviors in Cancer Patients Undergoing Chemotherapy
  Sa-Rang Kim, Gie-Ok Noh
  Asian Oncology Nursing.2025; 25(2): 110.     CrossRef

Purpose
To investigate the relationship between stigma, adjustment, and quality of life of middle-aged male patients with lung cancer and the influences of those factors on the patients’ quality of life.
Methods
A descriptive survey design was used. A total of 120 male patients between 45 to 64 years participated in the study. They answered a self-reported survey composed of Cataldo Lung Cancer Stigma Scale, Korean Mini-Mental Adjustment to Cancer Scale, and The Functional Assessment of Cancer Therapy Scale-General Version 4. The data were analyzed using Pearson’s correlation coefficients, stepwise multiple regression by the SPSS 25 version.
Results
The stigma showed a positive correlation with “helplessness-hopelessness” and “anxious preoccupation” (r=.30, p=.001; r=.41, p<.001, respectively), and a negative correlation with emotional well-being (r=-.24, p=.008). “Helplessness-hopelessness” and “anxious preoccupation” were negatively correlated with quality of life (r=-.61, p<.001; r=-.46, p<.001, respectively). “Fatalism”, “fighting spirit”, and “cognitive avoidance” showed positive correlations with quality of life (r=.37, p<.001; r=.42, p<.001; r=.19, p=.035, respectively). Factors influencing quality of life by multiple regression were identified as helpless-hopelessness, fatalism, performance status, and anxious preoccupation (F=35.76, p<.001, Adjusted R² =54%).
Conclusion
Maximizing positive adjustment response and improving performance status were effective in improving quality of life of middle-aged male patients with lung cancer. The development of nursing interventions focusing on psychological adjustment and physical activity should be warranted for the given patient population.

Citations

• Factors Affecting Quality of Life Among Patients with Primary Lung Cancer
  Mideum Kang, Myung Sun Hyun, Sun Hyoung Bae, Sunjoo Boo
  Asian Oncology Nursing.2024; 24(3): 144.     CrossRef

Purpose
The objective of this study was to assess effects of a medication adherence promotion program for breast cancer patients receiving adjuvant hormonal therapy.
Methods
This study used a randomized control group repeated measures design. A total of 79 participants were recruited from an outpatient clinic in the Chonbuk National University Hospital, Jeonju city. The program's effects on medication adherence, perceived stress, depression, and fatigue were assessed at three points: before, at the 9th week, and again at the 16th week of the program application. The data were collected from July 3 to November 9, 2017.
Results
Statistically significant differences in changes in medication adherence, perceived stress, and depression over the assessment points between experimental and control groups were revealed. Scores on medication adherence in the experimental group improved at the 9th week mark and lowered a little at the 16th week, but remained higher than before the program application, however. Scores on perceived stress and depression in the experimental group improved at the 9th week and stayed almost at the same level at the 16th week.
Conclusion
It is clear that consistent nursing interventions are needed to promote and maintain medication adherence and associated symptoms, particularly for breast cancer patients who require long-term hormonal therapy.

Purpose
This study was conducted to determine a hypothetical model for the factors affecting uterine cancer patients’ health-related quality of life.
Methods
Data were collected from 409 patients with cervical cancer or endometrial cancer, between March 16 and May 15, 2015, using a self-administered questionnaire . The data were analyzed using SPSS v18 and AMOS v21.
Results
The model supported 14 of the 19 hypotheses for all participants. The results indicated that resilience, marital intimacy, social support, and perceived health status directly affected participants’ quality of life, while sexual function indirectly affected participants’ quality of life. Of these variables, perceived health status had the strongest direct effect on participants’ quality of life. Social support and sexual function were found to directly affect perceived health status. Somatic symptoms were found to directly affect sexual function, and resilience and marital intimacy in turn were found to directly affect somatic symptoms.
Conclusion
These results suggest that management strategies to enhance uterine cancer patients’ quality of life should address patients’ perceived health status, social support, sexual function, and marital intimacy.

Citations

• Self-disclosure in Adult Patients With Cancer
  Hyungran Lee, Younhee Jeong
  Cancer Nursing.2025; 48(4): 289.     CrossRef
• Factors Influencing Health-Related Quality of Life in Patients With Atrial Fibrillation
  Hyeon-Ok Lee, Ji-Yeong Seo
  Journal of Cardiovascular Nursing.2025;[Epub]     CrossRef
• Influencing factors on quality of life in women undergoing cancer treatment: a cross-sectional study
  Hyun Jin Jung, Yu Jin Hong, Seo Young Hong, Ju-Hee Nho
  Women's Health Nursing.2025; 31(3): 192.     CrossRef
• Health-related quality of life in female patients with reumatoid arthritis: a structural equation model
  Bukyung Kim, Mi-Hae Sung
  Korean Journal of Women Health Nursing.2023; 29(2): 91.     CrossRef
• Quality of Life in Middle-aged Men with Prostatic hyperplasia: A Structural Equation Model
  Hee Nam Moon, Seung Hee Yang
  Korean Journal of Adult Nursing.2023; 35(4): 327.     CrossRef
• Factors influencing quality of life in caregivers of adolescents with developmental disabilities
  Joung Woo Joung
  Osong Public Health and Research Perspectives.2022; 13(4): 298.     CrossRef
• Structure Equation Modeling for Resilience in Patients with Breast Cancer
  Dong Rim Hyun, So Yeun Jun, Chang Wan Jun, Sue Kyung Sohn
  Korean Journal of Adult Nursing.2021; 33(2): 87.     CrossRef
• Influence of Perceived Health, Anxiety, Depression, and Social Support on Quality of Life in Patients with Meniere Disease
  Young Mi Ryu, Woo Joung Joung
  Korean Journal of Adult Nursing.2020; 32(4): 399.     CrossRef

PURPOSE
This study aimed to develop and evaluate the effectiveness of the Enhanced Recovery After Surgery (ERAS) program for colorectal cancer surgery patients.
METHODS
This program was developed using ADDIE model. It includes preoperative care (counseling, encouraging liquid food intake, avoiding mechanical bowel preparation, encouraging sips of water up to two hours before surgery) and postoperative care (removal of Foley catheter the day after surgery, water intake after three days, beginning liquid diet intake after four days, a soft diet after five days, supplementing high carbohydrate drinks beginning three days after surgery, and early mobilization on the day of surgery). An experimental group of 15 patients in the ERAS program (July 1, 2017~March 31, 2018) and a control group of 24 patients in the existing program (July 1, 2016~March 31, 2017) were compared. Date was analyzed using independent t-test, χ² test, Fisher's exact test and Mann-Whitney U test.
RESULTS
The time before beginning the soft diet was significantly shorter in the ERAS group than the control group (U=56.00, p<.001). The hospital stay length was significantly decreased in the ERAS group (9.53±1.35) compared to the control group (13.29±4.57) (U=72.50, p=.002). No significant differences emerged in frequencies of postoperative bowel function recovery, complications, or readmission.
CONCLUSION
Although the recommendations of the traditional ERAS were not fully applied in this ERAS program, it offers improved clinical outcomes for patients with laparoscopic colon cancer surgery.

Citations

• Effects of the Enhanced Recovery After Surgery (ERAS) Program for Colorectal Cancer Patients Undergoing Laparoscopic Surgery
  Jeongwon Yeom, Hee-Sook Lim
  Clinical Nutrition Research.2022; 11(2): 75.     CrossRef
• Enhanced Recovery after Cancer Surgery using Dokhwaljihwang-tang-gami: A Case Series
  Nu-ri Jung, Yu-jin Choi, Ki-tae Kim, Seon-mi Shin, Heung Ko
  The Journal of Internal Korean Medicine.2020; 41(2): 248.     CrossRef

PURPOSE
The purpose of this study was to identify the relationship between the supportive care needs and quality of life of back-to-work breast cancer survivors, and determine the factors that affect their quality of life.
METHODS
Data were collected from 146 patients who had undergone surgery and treatment for breast cancer at Konyang University Hospital in Daejeon city and were receiving outpatient care from December 21, 2017 to November 30, 2018. The collected data were analyzed using the SPSS/WIN 21.0 program with descriptive statistics, an independent t-test, a one-way ANOVA, the Duncan test, Pearson's correlation coefficient, and hierarchical multiple regression.
RESULTS
Back-to-work breast cancer survivors show higher physical and mental health indices, which reflect quality of life, when they have fewer physical supportive care needs. Additionally, their physical and mental health indices based on the characteristics of the illness differed according to the cancer stage.
CONCLUSION
It is necessary to develop and test the effectiveness of health education programs that meet the supportive care needs and improve the quality of life of breast cancer survivors returning to work.

Citations

• Return-to-Work Support Needs and Influencing Factors Among Korean Young Adult Cancer Survivors: A Cross-Sectional Study
  Kisook Kim, Hyohyeon Yoon
  Oncology Nursing Forum.2025; 52(2): 151.     CrossRef
• Validity and Reliability of the Korean Version of Supportive Care Needs Survey-Short Form 34 for Patients With Cancer: A Methodological Study
  Eun Ji Park, Hye Young Kim, Ju-Hee Nho, Eun Ko, Allison W. Boyes
  Asian Nursing Research.2025; 19(1): 60.     CrossRef
• Factors affecting return to work in breast cancer survivors in Korea: a cross-sectional study
  Kate J. Sohn, Sung Hae Kim, Hyojin Lee, Sue Kim
  Women's Health Nursing.2024; 30(4): 277.     CrossRef
• The Impact of Symptom Burden, Social Support, Self-Efficacy, and eHealth Literacy on the Quality of Life of Patients Undergoing Breast Cancer Treatment: A Cross-Sectional Study
  Bang-Eun Lee, Ju-Yeon Uhm
  Journal of Korean Academy of Fundamentals of Nursing.2023; 30(3): 345.     CrossRef
• Unmet supportive care needs of breast cancer survivors: a systematic scoping review
  Rongrong Fan, Lili Wang, Xiaofan Bu, Wenxiu Wang, Jing Zhu
  BMC Cancer.2023;[Epub]     CrossRef
• Impact of post-treatment symptoms on supportive care needs among breast cancer survivors in South Korea
  Unhee Kim, Ju-Young Lee
  Asia-Pacific Journal of Oncology Nursing.2023; 10(10): 100295.     CrossRef
• Factors associated with the quality of work life among working breast cancer survivors
  Juhyun Jin
  Asia-Pacific Journal of Oncology Nursing.2022; 9(2): 97.     CrossRef
• Cancer Survivorship Care and Roles of Oncology Nurses
  Eun Young Park
  Asian Oncology Nursing.2022; 22(3): 121.     CrossRef
• Supportive care needs of patients after breast cancer surgery
  Slobodan Tomić, Sanja Tomić, Milena Mikić, Goran Malenković
  Sestrinska rec.2022; 25(84): 4.     CrossRef
• Factors Influencing Supportive Care Needs of Colorectal Cancer Survivors
  Hyekyung Kim, Yang-Sook Yoo
  Asian Nursing Research.2021; 15(1): 60.     CrossRef
• Factors Influencing Quality of Life among Cancer Survivors: Based on the Korean National Health and Nutrition Examination Survey (KNHANES) for 2019
  Hee Jung Kim
  The Korean Journal of Rehabilitation Nursing.2021; 24(2): 109.     CrossRef
• Factors Affecting Quality of Work Life in a Sample of Cancer Survivor Female Nurses
  Ju Hyun Jin, Eun Ju Lee
  Medicina.2020; 56(12): 721.     CrossRef
• A Narrative Inquiry into the Adjustment Experiences of Male Bladder Cancer Survivors with a Neobladder
  So Hee Kim, Eunjung Ryu, Eun-Ju Kim
  International Journal of Environmental Research and Public Health.2020; 17(21): 8260.     CrossRef

PURPOSE
To identify the factors influencing Quality of Life (QoL) in rectal cancer patients and to examine whether perceived social support mediates the relationship between defecation function and QoL.
METHODS
Using self-report questionnaires, a descriptive survey was conducted with 131 rectal cancer patients who underwent anal sphincter-saving resection, in a large medical center in Korea. Data were collected between September and November, 2014, using research instruments validated in the Korean language. The data were analyzed using SPSS/WIN 21.0 and AMOS 21.0.
RESULTS
The mean age and post-surgical follow-up period of the participants were 59.0±10.2 years and 15.9±9.8 months, respectively. Multiple linear regression analysis revealed that, after adjusting for age and gender, defecation function, perceived social support, and employment status predicted QoL. Path analysis showed that perceived social support partially mediated the relationship between defecation function and QoL with a significant indirect effect.
CONCLUSION
These results suggest that a positive perception of social support from family and healthcare providers is necessary to improve the QoL of patients experiencing defecation dysfunction after rectal cancer surgery. To this end, periodic counseling and education from outpatient healthcare providers, during the postoperative follow-up period, could encourage patients to perceive higher social support.

Citations

• Structural equation modeling of symptom clusters and health-related quality of life among patients with advanced colorectal cancer receiving chemotherapy in Bangkok, Thailand
  Savitree Suratako, Yaowarat Matchim, Mary Quinn Griffin
  Belitung Nursing Journal.2025; 11(4): 468.     CrossRef
• A causal model of health-related quality of life in colorectal cancer patients post-surgery
  Thi Hong Hanh Tran, Sureeporn Thanasilp, Noppamat Pudtong
  European Journal of Oncology Nursing.2024; 72: 102691.     CrossRef
• The Relationships among Social Support, Bowel Function Symptoms and Uncertainty in Rectal Cancer Patients
  Kyungmi Lee, Semi Lim
  Journal of Korean Academy of Fundamentals of Nursing.2021; 28(4): 421.     CrossRef

PURPOSE
In Korea, cancer is the leading cause of death, and colorectal cancer accounts for a third of deaths caused by cancer. This study aimed to analyze the influence of hospital nurse staffing level on colorectal cancer evaluation grades, mortality rate, and the length of stay of patients who underwent surgery for colorectal cancer.
METHODS
Secondary data collected in 2016, 2018 from the Health Insurance Review and Assessment Service, was used to measure nurse staffing, based on the adjusted nursing grade in general units and was then categorized as adhering with or violating the Medical Service Act. The influence of the nurse staffing on colorectal cancer evaluation grades, and the mortality rate in 129 hospitals was analyzed using multivariate logistic regression and multivariate gamma regression, respectively, and its influence on length of stay was analyzed through hierarchical multiple regression.
RESULTS
Hospitals that adhered to the Medical Service Act in nurse staffing had significantly lower odds for poor colorectal cancer evaluation grades. Hospitals which nurse staffing adhered to the Medical Service Act had a significantly lower mortality rate than those that violated it (B=−0.51, p=.019), and had a significantly shorter length of stay (β=−.19, p=.034).
CONCLUSION
Improvement of nurse staffing levels, in compliance with the Medical Service Act is crucial to provide high-quality nursing services to patients undergoing colorectal cancer surgery and to decrease the mortality rate, and shorten the hospitalization period required for surgery and recovery.

Citations

• Machine Learning in Optimising Nursing Care Delivery Models: An Empirical Analysis of Hospital Wards
  Manar Aslan, Ergin Toros
  Journal of Evaluation in Clinical Practice.2025;[Epub]     CrossRef
• Mortality in orthopedic patients: a retrospective review of 333 medical records
  Kamran Shirbache, Asma Mafhoumi, Nazanin Anaraki, Elham Madreseh, Seyyed Hossein Shafiei, Nima Bagheri, Leila Oryadi Zanjani, Ahmadreza Nezameslami, Gholamreza Garmroudi, Mohammad Hossein Nabian
  European Journal of Orthopaedic Surgery & Traumatology.2025;[Epub]     CrossRef
• Factors Associated with In-Hospital Mortality in Acute Care Hospital Settings: A Prospective Observational Study
  Ana María Porcel-Gálvez, Sergio Barrientos-Trigo, Eugenia Gil-García, Olivia Aguilera-Castillo, Antonio Juan Pérez-Fernández, Elena Fernández-García
  International Journal of Environmental Research and Public Health.2020; 17(21): 7951.     CrossRef

PURPOSE
This systematic review and meta-analysis was performed to confirm the effects of exercise on Breast Cancer-Related Lymphedema (BCRL) in breast cancer survivors.
METHODS
Totally, 1,614 articles were retrieved from databases including PubMed, Ovid MEDLINE, Embase, Cochrane CENTRAL, CINAHL, Korea Med, Kmbase, KISS, NDSL, KiSTi, and academic journals related to nursing in Korea between June 17 and 18, 2019. Fifteen Randomized Controlled Trials (RCTs) were selected for the analysis from June 19 to July 12, 2019. Cochrane's Risk of Bias assessed the quality and risk of bias of selected articles. Review Manager version 5.3 was used for the meta-analysis.
RESULTS
Studies were published since 2006 including a total of 1,109 participants who were diagnosed with or at risk of BCRL or had undergone surgery for breast cancer treatment. Although exercises were found ineffective for reducing upper extremity edema (Z=0.37, 95% Confidence Interval [CI]=−0.06~0.04, p=.710), they significantly improved shoulder Range of Motion (ROM), especially flexion (Z=5.88, 95% CI=3.06~6.12, p<.001) and abduction (Z=3.41, 95% CI=2.71~10.06, p<.001), upper extremity function (Z=4.02, 95% CI=−12.09~−4.17, p<.001), and Quality of Life (QoL) (Z=3.00, 95% CI=0.13~0.61, p=.003). Egger's regression test assessed publication bias (Intercept=3.75, t=1.79, df=8, p=.111).
CONCLUSION
Results suggest that exercise is beneficial to BCRL management, especially improvement of shoulder ROM, upper extremity function, and QoL. However, exercise must be performed carefully to prevent side effects. Therefore, nurses should continuously observe signs and symptoms related to BCRL and educate breast cancer survivors on safely performing exercise.

Citations

• A Narrative Inquiry of the Difficulties by Breast Cancer Survivors in the Sports Participating
  Ji Yeon Suh, Seami Lim, Junho Lee
  IJASS(International Journal of Applied Sports Sciences).2022; : 203.     CrossRef
• Funcionalidad y marcha en pacientes con linfedema de miembro inferior tratados mediante un programa de ejercicio terapéutico: serie de casos
  P. Toro, P. Araya-Castro, E. Srur
  Fisioterapia.2021; 43(3): 143.     CrossRef

PURPOSE
This study aimed to investigate the improvement in lifestyle of patients with Colorectal Cancer (CRC) by examining their lifestyle before and after diagnosis, and to identify the factors influencing lifestyle improvement to prevent the recurrence of CRC.
METHODS
The participants were 125 patients with CRC who visited the outpatient clinic of Kyungpook National University Chilgok Hospital in Daegu from December 2017 to March 2018. Questionnaires consisted of items on CRC-related lifestyle, knowledge of lifestyle risks for CRC, beliefs of lifestyle improvement (perceived benefits and barriers), self-efficacy, and fear of cancer recurrence. Lifestyle improvement referred to the score given to the improved lifestyle through the score difference in the measure of lifestyle related to CRC before and after diagnosis. The collected data were analyzed using SPSS/WIN 21.0 program.
RESULTS
The factors influencing lifestyle improvement were gender (β=.46, p<.001), age (β=.31, p<.001), knowledge of lifestyle risks for CRC (β=.20, p=.005), perceived benefits of lifestyle improvement (β=.19, p=.008), and number of discomforts(symptoms) that impede lifestyle improvement (β=.17, p=.016). These variables explained 38% of CRC patients' lifestyle improvement.
CONCLUSION
These findings suggest that we need to find ways to provide knowledge of the lifestyle risks for CRC to patients with CRC and improve their perceptions of the benefits of lifestyle improvement to promote lifestyle improvement and help prevent the recurrence of CRC after CRC diagnosis.

Citations

• Health-promoting lifestyle among Chinese patients with colorectal polyps: a cross-sectional study
  Jingru Zhou, Yanjun Liu, Fang Yang, Yanfen Wang, Yan Liu, Wenwen Ming, Sisi Guo, Dan Zhou, Lin He, Xiaoli Zhong
  Scientific Reports.2025;[Epub]     CrossRef
• The Proliferation Inhibitory Effect of Postbiotics Prepared from  Probiotics with Antioxidant Activity against HT-29 Cells
  Yeeun Kim, Hak Jun Kim, Keunho Ji
  Applied Sciences.2022; 12(24): 12519.     CrossRef
• What is the prevalence of fear of cancer recurrence in cancer survivors and patients? A systematic review and individual participant data meta‐analysis
  Yvonne L. Luigjes‐Huizer, Nina M. Tauber, Gerry Humphris, Nadine A. Kasparian, Wendy W. T. Lam, Sophie Lebel, Sébastien Simard, Allan Ben Smith, Robert Zachariae, Yati Afiyanti, Katy J. L. Bell, José A. E. Custers, Niek J. de Wit, Peter L. Fisher, Jacquel
  Psycho-Oncology.2022; 31(6): 879.     CrossRef
• Convalescent Hospital Use among Young and Older Female Cancer Survivors
  Hyesun Park, Kisook Kim
  International Journal of Environmental Research and Public Health.2021; 18(5): 2744.     CrossRef

PURPOSE
Cancer diagnosis and treatment affect patient fertility. Although the reproductive method has been well studied, early assessment of fertility and discussions of infertility-related issues are not very common. This study evaluated oncology nurses' knowledge regarding fertility preservation for patients with cancer.
METHODS
This study was conducted from March 11 to May 13, 2015 using a convenience sample of nurses who were caring for patients with cancer at a tertiary hospital in South Korea. We recruited 123 oncology nurses and used questionnaires to collect cross-sectional data regarding their knowledge about the causes of fertility impairment (Cause score), fertility preservation in general (General score), and methods of fertility preservation (Method score).
RESULTS
The mean total score of fertility preservation knowledge was 15.46±3.64, and the mean Cause, General, and Method scores were 6.28±1.86 out of 11, 5.72±1.50 out of 8, and 3.54±1.19 out of 6, respectively. Significant differences in knowledge levels were found according to nurses' marital status and total nursing experience. Nurses who assessed the issue of fertility upon the first encounter with patients and provided active nursing care had the greatest knowledge.
CONCLUSION
Oncology nurses should have in-depth understanding of fertility preservation and must discuss the topic with patients with cancer. Nurses should also identify each patient's individual needs through continuous assessment and provide referrals to appropriate specialists both before and during treatment.

Citations

• Oncofertility Experience in Young Women with Breast Cancer
  Jisung Park, Aekyung Kim
  Journal of Korean Academy of Fundamentals of Nursing.2025; 32(1): 82.     CrossRef
• Insights into the Knowledge and Barriers of Oncofertility Among Oncology Nurses in Saudi Arabia
  Isamme AlFayyad, Muawiyah Yaqub, Mohamad AlTannir
  Journal of Cancer Education.2025;[Epub]     CrossRef
• Psychometric properties of the Korean version of the oncofertility barriers scales among nurses: A methodological study
  Hae Jeong An, Yoonjung Kim
  Asia-Pacific Journal of Oncology Nursing.2023; 10(9): 100275.     CrossRef

PURPOSE
To measure the degree of physical activity among breast cancer survivors and to identify how it was influenced by social cognitive factors, as defined in Bandura's social cognitive theory.
METHODS
A total of 128 breast cancer survivors were recruited for this descriptive study and answered the survey questionnaire. The collected data covered general characteristics, physical activity, and social cognitive factors, such as self-efficacy, outcome expectations, goal setting, and socio-structural factors (social support and negative impact of cancer). Data collection was conducted from July to October 2017.
RESULTS
The degree of physical activity among breast cancer survivors was moderate. The participants' level of physical activity differed according to their Body Mass Index (BMI) and type of surgery. Physical activity was significantly correlated with exercise goal setting, exercise self-efficacy, outcome expectations, and family support. Exercise goal setting (β=.55, p<.001), BMI (kg/m2) (β=−.21, p=.003), and exercise self-efficacy (β=.15, p=.040) were identified as factors influencing physical activity.
CONCLUSION
Intervention programs to increase the degree of physical activity among breast cancer survivors will need to consider various aspects, including goal setting, BMI regulation, and self-efficacy improvement. Repeated studies on the social recognition of breast cancer survivors and extended studies on health promotion activities are recommended.

Citations

• Predictor Scales of Cognitive Factors Affecting Physical Activity in Individuals Surviving Cancer: Psychometric Properties of Turkish Versions
  Şura Kaya, Melek Nihal Esin
  Rehabilitation Oncology.2025; 43(1): 10.     CrossRef
• Using the transtheoretical model of behaviour change to analyse the impact of stopping exercise: a reflection
  Lucy Scott, Tanya Andrewes
  British Journal of Nursing.2021; 30(20): 1203.     CrossRef

PURPOSE
The purpose of this study was to better understand the concept of fighting spirit in Korean patients with cancer by identifying its dimensions and attributes and clarifying its definition through concept analysis.
METHODS
The hybrid model was used to perform the concept analysis of fighting spirit in patients with cancer. Through a review of 11 studies in the theoretical phase and interviews of 12 patients with cancer in the field phase, the derived results were brought together in the integration phase. The interviews were conducted from April 2017 to March 2018.
RESULTS
The concept of fighting spirit in Korean patients with cancer was found to have four dimensions with eight attributes: personal factors (acceptance, self-control, goals of life, change in belief, and positive attitude), sociocultural factors (supportive relationships), environmental factors (therapeutic environment), and spiritual factors (reliance on faith).
CONCLUSION
In this study, fighting spirit in Korean patients with cancer was characterized as the belief in overcoming cancer by accepting it as a part of life, having a goal in life, maintaining self-control with a positive attitude, and continuing to maintain health with social and spiritual support in a therapeutic environment. Based on the results, future studies should develop a tool for measuring the fighting spirit of patients with cancer and effective programs for improving patients' fighting spirit.

Citations

• A North Korean Defector’s Experience With Becoming A Nurse in South Korea
  Sang Hui Chu, Jinsook Kim
  Journal of Korean Public Health Nursing.2024; 38(2): 220.     CrossRef
• The Effects of Coping Strategies Between Uncertainty and Quality of Life of Korean Women With Gynecological Cancer
  Eungil Ko, Yaelim Lee
  Advances in Nursing Science.2024; 47(3): E84.     CrossRef
• Perceptions of the meaning of life among Korean patients with advanced cancer: A mixed-methods study
  Su-Jin Koh, Kyung-Ah Kang, Hyeyeong Kim, Jaekyung Cheon, Hyeon-Su Im, Jae-Hon Lee, Minsu Ock, Juhee Cho, Eun-Hye Lee
  Palliative and Supportive Care.2023; 21(4): 658.     CrossRef
• “When I Sing, I Feel Peaceful”: Experiences of Older Choral Singers From North Korea
  Jinmoo Heo, Sanghee Lee, Sua Im, Jaeyoon Bae
  Journal of Applied Gerontology.2022; 41(1): 245.     CrossRef
• Family Caregiver Suffering in Caring for Patients with Amyotrophic Lateral Sclerosis in Korea
  Juyeon Oh, Jung-A Kim, Min Sun Chu
  International Journal of Environmental Research and Public Health.2021; 18(9): 4937.     CrossRef
• Predictors of Breast Self Examination Practice among North Korean Immigrant Women
  Mi Yeul Hyun, Hyo Jeong Song, Eun Joo Lee, Seong Chul Hong, Sung Yob Kim, Chang Hyun Lee
  Korean Journal of Health Promotion.2015; 15(1): 9.     CrossRef

PURPOSE
The purpose of this study was to investigate resilience and its mediating effect on the association between symptom distress and depression among recurrent gynecologic cancer patients undergoing chemotherapy.
METHODS
A purposive sample of 113 patients diagnosed with recurrent gynecologic cancer was recruited. A cross-sectional survey design was used. The data were collected through a structured questionnaire from September to November 2014.
RESULTS
There was a positive correlation between symptom distress and depression. Negative correlational relationships were found between symptom distress and resilience and between resilience and depression. Resilience showed a partial mediating effect between symptom distress and depression (Z=2.34, p=.019).
CONCLUSION
The results suggest that the negative effects of symptom distress on depression can be reduced by improving the resilience. Further, it is necessary to explore the multidimensional constructs of resilience and develop intervention programs that can improve the resilience among recurrent gynecologic cancer patients.

Citations

• Mediating Effect of Resilience between Supportive Care Needs and Quality of Life of Female Genital Cancer Patients
  Yu-Jung Son, Keum-Hee Nam
  Korean Journal of Adult Nursing.2022; 34(3): 269.     CrossRef
• Symptoms, resilience, coping, and psychosocial adjustment in women with gynaecological cancer in South Korea: A cross sectional study
  Sun Young Yu, Ju-Hee Nho, Mi Hyun Jung, Hyun Yi Kim, Hyun Jin An, Hyun Ah Choi
  European Journal of Oncology Nursing.2022; 56: 102097.     CrossRef

PURPOSE
Sleep disturbances related to multiple conditions are common in patients with cancer while undergoing chemotherapy. The quality of life in these patients may be negatively affected due to sleep disturbances. Therefore, by analyzing nursing records, this study aimed to examine factors influencing sleep disturbances among hospitalized patients with colorectal cancer undergoing chemotherapy.
METHODS
This study was a retrospective review of nursing records of 231 patients with colorectal cancer who were hospitalized for chemotherapy in 2015. Data were collected from electronic medical records, and analyzed using the independent t-test, χ2 test, and logistic regression.
RESULTS
Thirty-five (15.2%) patients had sleep disturbances. Nursing records related to sleep (n=85) consisted of 32 (37.6%) assessments and 53 (62.4%) interventions. Pharmacological interventions for sleep disturbances (98.1%) were used more often as compared to non-pharmacological interventions (1.9%). In logistic regression analysis, sleep disturbances were related to the body mass index (Odds Ratio [OR]=0.86, 95% Confidence Interval [CI]=0.76~0.98), targeted therapy(OR=2.62, 95% CI=1.09~6.32), and length of hospital stay (OR=1.08, 95% CI=1.02~1.14).
CONCLUSION
Sleep disturbances were influenced by body mass index, targeted therapy, and length of hospital stay. Thus, nutritional and psycho-emotional status after metastasis or recurrence should be closely monitored in patients with colorectal cancer undergoing chemotherapy, especially during prolonged hospitalization. Further, in addition to the use of pharmacological interventions, various non-pharmacological nursing interventions to promote sleep health should be developed.

Citations

• Effect of Healing Beats Program on Stress, Heart Rate and Sleep Quality of Colorectal Cancer Patients Treated with Chemotherapy: A Randomized Controlled Trial
  Eun-Jeong Hong
  Asian Oncology Nursing.2024; 24(1): 32.     CrossRef
• The Effect of a Supportive Educational Intervention Through Virtual Social Networks on Sleep Quality and Insomnia of Patients with Cancer
  Elahe Sarlak, Jamshid Ansari, Rahmatollah Moradzadeh, Nazi Nejat
  Journal of Cancer Education.2023; 38(5): 1675.     CrossRef
• Systematic Review of the Pittsburgh Sleep Quality Index used for Measuring Sleep Quality among Adults with Trauma Experiences
  Go-Un Kim, Ju Hee Lee
  Korean Journal of Adult Nursing.2019; 31(4): 337.     CrossRef

PURPOSE
The specific aims were to identify the process of fight against ovarian cancer and how the women interact with other people.
METHODS
The subjects included 12 women who were higher than stage II epithelial ovarian cancer. Data were collected with an in-depth individual interview from July 2017 to April 2018. The specific analysis process followed the grounded theory method of Corbin and Strauss.
RESULTS
The results show that the core category was “finding the existence value with being tied to the bridle of death”. The outcomes were “fighting cancer in loneliness”, “life compromised with death”, and “social sublimation”. The women with ovarian cancer experienced the collapse of existence value while they reached the phase of implicit maintenance through the phases of chaos, active seeking, and desperate coping by using various strategies.
CONCLUSION
The results of this study indicate psychosocial problems due to the collapse of women's existence value in the process of ovarian cancer treatment, which have an important effect on the entire treatment process. Thus, it is important to develop nursing strategies based on the characteristics of the process of treatment in ovarian cancer and health providers should support them to rebuild the value of the existence through it.

Citations

• The Experience of Gynecologic Cancer in Young Women: A Qualitative Study
  Sung-Jin Kim, Hyunjeong Shin
  Journal of Korean Academy of Nursing.2023; 53(1): 115.     CrossRef

PURPOSE
The purpose of this study was to evaluate the effects of auricular acupressure on nausea, vomiting, and retching in patients with colorectal cancer receiving chemotherapy.
METHODS
A non-equivalent control group with a pretest-posttest design was used. The participants were assigned into either the control or the experimental group. The patients were recruited from November 2013 to March 2014 from a tertiary hospital in Seongnam city, South Korea. A total of 50 patients completed the study. The Korean version of the Index of Nausea, Vomiting, and Retching (INVR) was used.
RESULTS
The experimental group showed significantly lower nausea (p=.011) and retching (p=.014) than did the control group after receiving auricular acupressure. There were significant interaction effects between time and group on auricular acupressure on nausea (F=3.11, p=.009) and retching (F=3.01, p=.010). There were significant interaction effects between time and group on auricular acupressure on total score of INVR (F=8.23, p < .001).
CONCLUSION
Auricular acupressure therapy is effective in relieving nausea and retching after chemotherapy. Auricular acupressure intervention could be used to improve the quality of life for patients with colorectal cancer.

Citations

• The Effectiveness of P6 and Auricular Acupressure as a Complimentary Therapy in Chemotherapy-Induced Nausea and Vomiting Among Patients With Cancer: Systematic Review
  Bushra Alhusamiah, Jumana Almomani, Ahmad Al Omari, Ala’a Abu attallah, Afaf Yousef, Jafar Alasad Alshraideh, Ruqayya S. Zeilani
  Integrative Cancer Therapies.2024;[Epub]     CrossRef
• Evaluation of acupuncture and auriculotherapy in the control of chemotherapy-induced nausea and vomiting: a Pilot Study
  Sabrina Ferreira Monteiro Morais, Ruth Natalia Teresa Turrini
  Revista da Escola de Enfermagem da USP.2023;[Epub]     CrossRef
• Avaliação da acupuntura e auriculoterapia no controle de náuseas e vômitos induzidos por quimioterapia: Estudo Piloto
  Sabrina Ferreira Monteiro Morais, Ruth Natalia Teresa Turrini
  Revista da Escola de Enfermagem da USP.2023;[Epub]     CrossRef
• Aplicabilidade da auriculoterapia em pacientes oncológicos: revisão integrativa da literatura
  Carolina Lélis Venâncio Contim, Fátima Helena do Espírito Santo, Isadora Górski Moretto
  Revista da Escola de Enfermagem da USP.2020;[Epub]     CrossRef

PURPOSE
This prospective study was done to determine if it is possible to extend the implanted port heparin flushing cycle.
METHODS
Patients enrolled in the study had their port flushed once 8 weeks or more in a tertiary hospital between July 2015 and November 2016. They were observed until they had completed six scheduled flushes or developed any port-related complication. Functional outcomes at heparin flushing were evaluated by using port infection, normal saline injection, blood aspiration and patient's posture during heparin administration.
RESULTS
A total of 24 patients were enrolled and total of 72 cases of heparin flush were observed. The median heparin flushing interval was 95 days. No infection of port or problem with saline injection occurred. But there were 6 cases of initial difficult and 1 case of difficult in blood aspiration. However, there was not any case to get rid of the heparin flush, nor were there any patients noted who were not able to use it.
CONCLUSION
It was confirmed that there was no problem in the status and function of the implanted port, even if the heparin flush cycle was extended to 8 weeks or more.

Citations

• Is it feasible to prolong the flushing interval for totally implantable venous access devices (TIVADs)? A systematic review and meta-analysis
  Lei Liu, Junli Liang, Zhanlun Liu, Yinghui Jin, Cuicui Ma, Xiaoyan Zhao, Mingyi Qin, Jinwei Wei, Xinsheng Li, Yanli Xie, Fengxia Liu, Laiyou Li, Jianxin Wang
  International Journal of Clinical Oncology.2025; 30(1): 40.     CrossRef
• Prolonged flushing and locking interval for totally implantable vascular access device: A systematic review and meta-analysis
  Zhao-yu Xiong, Hui-min Zhou, Su-yun Li
  The Journal of Vascular Access.2021; 22(6): 969.     CrossRef

PURPOSE
This study aimed to evaluate effects of heated-humidified anesthetic gas on body temperature, acid-base balance, blood cortisol, and lymphocyte in the elderly patients with colorectal cancer during laparoscopic surgery.
METHODS
This study utilized an experimental design with a randomized controlled trial. A total of 60 patients with colorectal cancer were randomly assigned to one of two groups: either to the heated-humidified anesthetic gas group or to the usual anesthetic gas group. The following variables were measured: body temperature, acid-base balance, blood cortisol, and lymphocyte. The data were analyzed with independent t-test, χ2 test, ANCOVA, and repeated ANOVA using SPSS/WIN 20.0.
RESULTS
There was a significant difference in body temperature between the experimental group and the control group during laparoscopic surgery (F=41.18, p < .001). However, no statistically significant differences were found in acid-base balance, blood cortisol, and lymphocyte between two groups.
CONCLUSION
In this study, the body temperature during laparoscopic surgery was more effectively maintained with the heated-humidified anesthetic gas compared with the regular anesthetic gas. Therefore, the heated-humidified anesthetic gas might be considered to maintain the body temperature during laparoscopic surgery especially in the elderly population.

Citations

• The effects of warmed carbon dioxide pneumoperitoneum nursing care on core body temperature, acid-base balance, and lymphocytes in older patients with cancer in Korea: a randomized controlled trial
  Hyosun Park, Nayeon Shin, Jeong-Heum Baek
  Journal of Korean Biological Nursing Science.2025; 27(4): 598.     CrossRef
• Living experiences of older patients with cancer amid the COVID-19 pandemic: A phenomenological study
  Yong Hwan Hyeon, Kyoung Ja Moon
  Journal of Korean Gerontological Nursing.2024; 26(1): 54.     CrossRef

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

• Perceived stigmatization in cancer patients during the first year after diagnosis: the role of socioeconomic status
  Jochen Ernst, Anne-Kathrin Köditz, Ute Goerling, Tanja Zimmermann, Beate Hornemann, Franziska Springer, Anja Mehnert-Theuerkauf
  Journal of Cancer Survivorship.2025;[Epub]     CrossRef
• Influences of Distress and Uncertainty on Supportive Care Needs in Preoperative Gynecological Cancer Patients in the Early Stages of Diagnosis
  Lee Na Yun, Jeong Hye Kim
  Asian Oncology Nursing.2025; 25(2): 53.     CrossRef
• Development of a Scale to Assess Cancer Attitude in the Community
  Neşe Uysal, Filiz Ünal Toprak
  Seminars in Oncology Nursing.2024; 40(6): 151728.     CrossRef
• Disease Perception, Stigma, Distress, Physical Symptom Experience and Quality of Life in Colorectal Cancer Patients Undergoing Chemotherapy: A Cross-Sectional Study
  Eun-Hee Lee, Dongwon Choi
  Journal of Korean Academy of Fundamentals of Nursing.2024; 31(4): 494.     CrossRef
• Trajectories of Depressive Symptoms Among Patients Undergoing Chemotherapy for Breast, Gastrointestinal, Gynecological, or Lung Cancer
  Johanna A. Suskin, Steven M. Paul, Ashley R. Stuckey, Yvette P. Conley, Jon D. Levine, Marilyn J. Hammer, Christine Miaskowski, Laura B. Dunn
  Cancer Nursing.2024;[Epub]     CrossRef
• Turkish validity and reliability of the Cancer Stigma Scale (CASS-T)
  Banu Çevik, Sultan Kav, Pelinsu Kaynar, Zeynep Kübra Sahin, Büşra Tekcan, Şeymanur Ülker
  Palliative and Supportive Care.2023; 21(1): 100.     CrossRef
• The Relationship between Self-Perceived Health and Physical Activity in the Mental Health of Korean Cancer Survivors
  Sungjung Kwak, Jieun Shin, Jong-Yeup Kim
  Healthcare.2023; 11(11): 1549.     CrossRef
• Factors associated with distress among female cancer survivors at the workplace: A cross-sectional study
  Juhyun Jin, Eunju Lee, Suin Lee
  Journal of Occupational Health.2022;[Epub]     CrossRef
• Factors associated with the quality of work life among working breast cancer survivors
  Juhyun Jin
  Asia-Pacific Journal of Oncology Nursing.2022; 9(2): 97.     CrossRef
• Structural Equation Model of the Quality of Working Life among Cancer Survivors Returning to Work
  Ju Hyun Jin, Eun Ju Lee
  Asian Nursing Research.2021; 15(1): 37.     CrossRef
• Factors Affecting Quality of Work Life in a Sample of Cancer Survivor Female Nurses
  Ju Hyun Jin, Eun Ju Lee
  Medicina.2020; 56(12): 721.     CrossRef
• Good Nursing Experience of Patients with Cancer in a Korean Cancer Hospital
  Eunyoung E. Suh, Hye Jin Yoo, Jeong Hee Hong, In Gak Kwon, Hyunju Song
  Journal of Korean Critical Care Nursing.2020; 13(3): 51.     CrossRef
• Relationship between Mothers' Diagnosis of Cervical Cancer and Attitudes toward Preventing Cervical Cancer in their Pubertal Daughters
  Da Bit Lee, Hae Won Kim
  Korean Journal of Women Health Nursing.2019; 25(4): 434.     CrossRef
• The Mediating Effect of Workplace Spirituality on the Relation between Job Stress and Job Satisfaction of Cancer Survivors Returning to Work
  Ju-Hyun Jin, Eun-Ju Lee
  International Journal of Environmental Research and Public Health.2019; 16(19): 3510.     CrossRef
• Experience of Cancer Patients Receiving Spiritual Nursing Care in one Christian General Hospital
  Eun Youngi Seo, Suhye Kwon, Youngkyoung Kim, ALeum Han
  Asian Oncology Nursing.2019; 19(3): 179.     CrossRef

PURPOSE
This study was designed to explore positive and negative aspects of the caregiver reaction and identify factors influencing psychological well-being among family caregivers of home-based cancer patients.
METHODS
The participants were 139 family caregivers from two cities. These caregivers took care of he family member in the home. Data were collected utilizing the Caregiver Reaction Assessment Scale and the Psychological Well-being Scale.
RESULTS
Self-esteem was the highest reaction reported among the family caregivers. There were significant correlations between caregiver reaction and their psychological well-being. In multiple regression analysis, self-esteem and family support were predictors of psychological well-being among family caregivers (F=13.71, p < .001, Adj. R²=.393).
CONCLUSION
The results demonstrated that self-esteem and family support impacts the psychological well-being among cancer family caregivers. Thus, nursing intervention are needed to enhance self-esteem to improve psychological well-being among family caregivers.

Citations

• Refining Caregiver Reaction Assessment (CRA) Instrument Using Rasch Measurement Model Validation
  Miftafu Darussalam, Onny Setiani, Untung Sujianto, Mateus Sakundarno Adi
  Malaysian Journal of Medicine and Health Sciences.2025; 21(s3): 25.     CrossRef
• Family Caregivers’ Experiences Related to Fear of Cancer Recurrence in Caring for Cancer Survivors
  Ka Ryeong Bae, Jisoo Yu
  Asian Oncology Nursing.2023; 23(2): 64.     CrossRef
• The effect of caregiver educational program on caregiver reactions and lifestyle behaviors for caregivers of colorectal cancer patients: a quasi-experimental study
  Nilay Bektas Akpinar, Tulin Beduk, Filiz Cay Senler
  Supportive Care in Cancer.2022; 30(5): 4389.     CrossRef
• Influences of Depression and Social Support on Quality of Life in Family Caregivers of Cancer Patients Undergoing Chemotherapy at an Outpatient Department
  Hye Young Kim, Eun Ko
  Journal of Korean Academy of Fundamentals of Nursing.2022; 29(4): 430.     CrossRef
• Palyatif bakım kliniğinde yatan hastalara bakım veren bireylerin mental iyi oluş durumları ve sosyal destek düzeylerinin incelenmesi
  Fatma ERSİN, Dursun ÇADIRCI, Gül KILIÇ DEDEOĞLU
  Ege Tıp Dergisi.2022; 61(3): 379.     CrossRef
• Factors associated with Burden of Family Caregivers of Home-dwelling Elderly People with Dementia: A Systematic Review and Meta-analysis
  Eun Kyung Kim, Heeok Park
  Korean Journal of Adult Nursing.2019; 31(4): 351.     CrossRef

PURPOSE
This study was to explore and describe their experience of living with a colostomy.
METHODS
The data were collected by in-depth interviews with eight patients with colorectal cancer. The individual interviews lasted from 45 minutes to one hour each time, up to two times. The main questions were “How do you cope with the distress related to your colostomy?” The interview data were analyzed using Colaizzi's phenomenological method.
RESULTS
Of the eight participants, five were men and three were women. Mean age was 60.6 years. Three theme clusters were identified; ‘overcoming adversity of ostomy’, and ‘adjustment to ostomy’ and ‘new life through self-transcendence’.
CONCLUSION
These results showed that participants try to overcome their negative images and distress of having an ostomy by themselves, or with support from neighbors, families, religious persons or health professionals. The results from this study can help nurses to develop effective colostomy-caring interventions for patients living with a colostomy.

Citations

• Hopelessness and suicide ideation in ostomy patients: a mixed method study
  Nasrin Sarabi
  Journal of Coloproctology.2020; 40(03): 214.     CrossRef
• Effects of social support and self‐efficacy on the psychosocial adjustment of Korean ostomy patients
  Keum Hee Nam, Heui Yeoung Kim, Jung Ho Kim, Ki‐Noh Kang, Soo Yang Na, Bok Hee Han
  International Wound Journal.2019; 16(S1): 13.     CrossRef

PURPOSE
The purpose of this study was to describe the mediating effect of social support and its relationship between distress and quality of life (QoL) of elderly patients with gastric cancer.
METHODS
186 elderly patients who visited an inpatient/outpatient at two cancer hospitals were recruited from May 30 to July 26, 2017. Distress, social support, and QoL were measured using structured questionnaires such as Distress Thermometer and Problem list, Perceived Social Support scale, and QoL scale for Korean patients with cancer. The mediating effects were analyzed by a multiple hierarchical regression.
RESULTS
Distress was found to have significant negative correlations with social support (r=-.47, p < .001) and QoL (r=-.58, p < .001). There was a positive correlation between social support and QoL (r=.72, p < .001). The influencing factors on QoL were education, recurrence, sleep, dietary problem, distress, and social support. These variables were explained 66% of the variance in QoL. The direct effect of distress on QoL was significant (β=-.24, p < .001) and the indirect effect of distress on QoL via social support was significant (z=-4.14, p < .001).
CONCLUSION
Based on this study findings, intervention programs directed at reducing distress by focusing on bolstering social support is recommended to improve QoL in elderly patients with gastric cancer.

Citations

• Factors Affecting the Quality of Life in Low-Income Older Adults with Sarcopenia: A Cross-Sectional Study
  Ju-Hee Nho, Eun Jin Kim
  Journal of Korean Academy of Nursing.2023; 53(1): 1.     CrossRef
• Predictive Factors for Psychological Distress in Patients with Lung Cancer Who Underwent Video-Assisted Thoracic Surgery Lobectomy
  Ji Eun Han, Kwhanmien Kim, Jin-Hee Park
  Asian Oncology Nursing.2023; 23(3): 136.     CrossRef
• Factors That Influence Sleep Disturbance and the Mediating Effects of Depression on Sleep Disturbance in Patients With Rheumatoid Arthritis
  SiWon Lee, HyunSoo Oh, SooHyun Kim, Won Park, SeongRyul Kwon, Mie Jin Lim, Kyong-Hee Jung, WhaSook Seo
  Orthopaedic Nursing.2022; 41(5): 335.     CrossRef
• Effects of the teach-back method among cancer patients: a systematic review of the literature
  Seonhwa Choi, Jahyun Choi
  Supportive Care in Cancer.2021; 29(12): 7259.     CrossRef
• Impact of Posttraumatic Growth and Health Promoting Behavior on Quality of Life in Patients with Gastrointestinal Cancer
  Mi-Ae Kim, Hyun-Ju Lee
  Journal of Korean Academy of Fundamentals of Nursing.2021; 28(1): 32.     CrossRef
• The Development and Evaluation of a Health Literacy-Adapted Self-Management Intervention for Elderly Cancer Patients Undergoing Chemotherapy
  Yoon Sun Kim, Young Sook Tae, Kwuy-Im Jung
  Journal of Korean Academy of Nursing.2019; 49(4): 472.     CrossRef
• Predictors of Quality of Life and Social Support as a Mediator between Defecation Function and Quality of Life among Rectal Cancer Patients
  Jung Rang Kim, Seon Young Hwang
  Korean Journal of Adult Nursing.2019; 31(5): 487.     CrossRef
• Symptom Distress and Depression in Patients with Recurrent Gynecologic Cancer Undergoing Chemotherapy: Mediating Effect of Resilience
  Eun Jung Yang, Ho Sihn Ryu
  Korean Journal of Adult Nursing.2019; 31(1): 28.     CrossRef
• Oxaliplatin-induced Peripheral Neuropathy, Symptoms, Distress and Quality of Life among Korean Patients with Gastrointestinal Cancer
  Hye Jeong Jung, Soo jung Ahn, Yoo Ri Yang, Kyoung A Kim, Sang Joon Shin, Min Kyu Jung, Sang Hui Chu
  Asian Oncology Nursing.2019; 19(4): 204.     CrossRef

PURPOSE
Korean elderly women residing in rural areas still appear to be marginalized from health services for cancer prevention. The purposes of this study were to measure the degrees of colorectal cancer (CRC) knowledge, health literacy, and self-management behaviors among the elderly women in rural areas and to identify the influences of their CRC knowledge and health literacy on self-management behaviors.
METHODS
Total 121 elderly women aged 65 or older living in rural areas were recruited for this descriptive study and answered survey questionnaires.
RESULTS
The participants' mean age was 78.2±7.51 years old. Of participants, 49.6% completed CRC screening and age of non-screening group was significantly older than that of screening group (χ²=35.31, p < .001). The screening group showed higher levels of CRC knowledge (t=3.76, p < .001) and cancer preventive behaviors (t=2.68, p=.008) than non-screening group. Age (B=0.15) and CRC knowledge (B=-0.36) were identified as influencing factors on the CRC screening. Health literacy (β=.37) and CRC knowledge (β=.30) were found as the most influencing factors on the cancer preventive behaviors.
CONCLUSION
The results of this study could be used as a basis for developing educational interventions and effective strategies specifically for the elderly women residing rural areas in Korea.

Citations

• Structural Equation Modeling Analysis on Health Literacy and Cancer Prevention Behaviors among Medically-Underserved, Low-Income Populations
  Eun Jin Kim, Su Hyun Kim
  Journal of Korean Academy of Fundamentals of Nursing.2021; 28(1): 83.     CrossRef
• Factors Influencing the Self-management Behaviors of the Elderly with Hypertension in the Local Community
  Jeongju Hong
  Journal of Korean Academy of Community Health Nursing.2021; 32(3): 303.     CrossRef
• Associations among Health Literacy, Psychosocial Factors, and Cancer-related Health Actions: A Systematic Literature Review
  Eun Jin Kim, Su Hyun Kim
  Korean Journal of Adult Nursing.2018; 30(6): 565.     CrossRef

PURPOSE
The objective of the study was to identify impact of depression, fatigue, family support, and resilience on rehabilitation among cancer survivors.
METHODS
One hundred and twenty-four participants who visited an out-patient department were recruited from a university hospital in Korea. An inclusion criterion was no reported relapse following the primary cancer treatment. Data were collected from July 1st to August 31st, 2014. Data analysis included an independent t-test, ANOVA, Pearson correlation coefficients and multiple regression using the SPSS 19.0 program.
RESULTS
Rehabilitation of those with colon and breast cancer was significantly correlated with depression, fatigue, family support and resilience. In a regression analysis, cancer rehabilitation accounted for 79.2% of the variance of depression, fatigue, monthly household income and resilience. The most significant factor affecting the success of rehabilitation was depression (β=-0.39, p < .001).
CONCLUSION
The results of the study indicate the importance of managing depression for the successful rehabilitation of cancer survivors. Nurses should prioritize the development and implementation of effective interventions for the improvement of rehabilitation among cancer survivors.

Citations

• Symptom Distress and Depression in Patients with Recurrent Gynecologic Cancer Undergoing Chemotherapy: Mediating Effect of Resilience
  Eun Jung Yang, Ho Sihn Ryu
  Korean Journal of Adult Nursing.2019; 31(1): 28.     CrossRef

PURPOSE
The purpose of this study was to investigate patients’ perceived postoperative recovery over time and to identify the influences of resilience and social support on postoperative recovery among patients with gastrointestinal cancer.
METHODS
101 patients with GI cancer who underwent surgery at S tertiary hospital were recruited from October 29th, 2015 to January 19th, 2016. Data was collected 3 times at postoperative day (POD)3, and POD5 in the hospital and at POD14 at home. Statistical analyses used were descriptive statistics, t-test, ANOVA, ANCOVA, correlation, and linear mixed model.
RESULTS
The patients' perceived postoperative recovery(reverse cording) decreased at home rather than time during hospital stay (POD3: 16.70, POD5: 15.74, POD14: 17.08). Postoperative recovery at POD5 showed negative correlation with resilience (r=−.36, p=.002). Postoperative recovery scores at POD14 were negatively correlated with resilience (r=−.60, p < .001) and social support (r=−.34, p=.019). There was a positive correlation (r=−.36, p=.002) between resilience and social support. Resilience was a significant associated factor with postoperative recovery over time (β=−0.29, p=.001).
CONCLUSION
Since the degree of postoperative recovery after hospital discharge was perceived lower than that of during hospital stay, nursing interventions such as nurse-led telephone follow-up programs should be applied during the transition period.

Citations

• Influence of Resilience and Social Support on Body Image of Patients in an Acute Stage Following Traffic Accidents
  Jihye Shin, Jieun Cha
  Journal of Korean Academy of Fundamentals of Nursing.2021; 28(2): 156.     CrossRef
• Factors Affecting Quality of Life in Patients with Radical Prostatectomy
  Hyo Jung Park, Yoonju Lee
  Korean Journal of Adult Nursing.2019; 31(2): 190.     CrossRef
• Predictive model for quality of life in patients with recurrent coronary artery disease
  Eunhee Jo, Sung Reul Kim, Hye Young Kim
  European Journal of Cardiovascular Nursing.2019; 18(6): 501.     CrossRef

PURPOSE
Despite the importance of promoting quality of life (QOL) among patients with terminal cancer, a comprehensive understanding of QOL among this population is lacking in South Korea. Thus, the purpose of the integrative review was to identify patterns in studies about patient-reported QOL among Korean adult patients with a diagnosis of terminal cancer.
METHODS
The integrative review method described by Whittemore and Knaf was used in this stuy. Twenty-five articles were selected for analysis.
RESULTS
Most articles addressed factors that influenced QOL or validated an assessment instrument to measure QOL in patients with terminal cancer. Only one qualitative research article which described patients' experiences of living with terminal cancer. Six other articles examined the effects of interventions on patients' QOL but these did not provide detailed information about interventions. These articles seldom used robust designs and methods to test the interventions.
CONCLUSION
Findings from the review suggest conducting studies with qualitative methodologies to gain an in-depth understanding of QOL from patients' perspectives. Additional studies with robust designs and methods are also necessary to develop and test theory-based, empirically-derived interventions that help maintain or promote QOL in patients with terminal cancer.

Citations

• Challenges and Proposed Improvements in Advance Care Planning: Insights from a Real Clinical Case of a Terminally Ill Patient in Korea
  Hongyeul Lee
  Korean Journal of Medical Ethics.2025; 28(1): 41.     CrossRef
• Effect of Laughter Therapy on Mood Disturbances, Pain, and Burnout in Terminally Ill Cancer Patients and Family Caregivers
  Hee Moon, Songjah Journ, Seonah Lee
  Cancer Nursing.2024; 47(1): 3.     CrossRef
• Cross-Cultural Validation of the McGill Quality of Life Questionnaire-Revised (MQOL-R), Korean Version; A Focus on People at the End of Life
  Kyung-Ah Kang, Myung-Nam Lee
  The Korean Journal of Hospice and Palliative Care.2022; 25(3): 110.     CrossRef
• Initial Assessment and Care Planning in Palliative Hospice Care: Focus on Assessment Tools
  Eun Ju Park, Su Jin Koh, Jae Kyung Cheon
  The Korean Journal of Hospice and Palliative Care.2019; 22(2): 67.     CrossRef

PURPOSE
The objective of this study was to identify and evaluate the measures used for assessment of posttraumatic growth (PTG) for women survivors with breast cancer and to evaluate the psychometric properties of each instrument.
METHODS
A systematic review was conducted to identify measurement instruments used for assessment of PTG using electronic databases such as KoreaMed, DBpia, PubMed, Embase, PsycINFO, CINAHL, and Cochrane Library. Studied published both in Korean and/or English were included for the analysis. Studies were examined by two independent reviewers and eighty-nine studies met the inclusion criteria. The selection of the eighty-nine studies was evaluated on methodological and psychometric properties including validity and reliability of the instruments.
RESULTS
Three instruments were identified in the review of the eighty-nine studies. The three instruments were identified as 1) Posttraumatic Growth Inventory (PTGI), 2) Benefit Finding Scale, and 3) Positive Meaning Scale. The PTGI was the most frequently reported instrument used in the review. The majority of the reported studies were used translation and back-translation, but some of the studies did not report translation methods. Most studies (71.9%) reported reliability, but only 29.2% studies reported validity of the instruments used in the study.
CONCLUSION
This study was conducted to provide an evidence for selection and development of measurement instruments of PTG for breast cancer survivors.

Citations

• Current status of systematic review studies on patient-reported outcome measures published in Korean journals
  Duck-Hee Chae, Jiyeon Lee, Eun-Hyun Lee
  Research in Community and Public Health Nursing.2025; 36: 1.     CrossRef
• Scoping review protocol of post-traumatic growth (PTG) in Korean cancer survivors
  Yu-Jin Park, Kyoung Suk Lee
  BMJ Open.2024; 14(3): e077896.     CrossRef

PURPOSE
The purpose of this study was to identify over time the changes of cancer symptom, depression and quality of life (QOL) among people who had stomach or colorectal cancer.
METHODS
Of the 74 participants recruited, 67 participated in the study. Participants were asked to complete three instruments at three different time. The instruments were the M. D. Anderson Symptom Inventory-Gastrointestinal Cancer Module, Hospital Anxiety Depression Scale, and the Functional Assessment of Cancer Therapy-General. The questionnaires were administered before chemotherapy, toward the end of chemotherapy, and six months after the completion of adjuvant therapy. Data were analyzed using descriptive statistics and repeated measure ANOVA.
RESULTS
At the immediately after chemotherapy point, the most frequent symptom was lack of appetite, followed by fatigue and problem with remembering things. The mean score for depression was 8.27 with a prevalence of 31.3%. The mean score for quality of life was 61.88 out of 135. Repeated measures ANOVA showed a significant increase in cancer symptom (F=23.22, p < .001) and depression (F=35.29, p < .001) after chemotherapy. However, improvement was observed 6 months after the completion of chemotherapy. QOL (F=33.73, p < .001) also showed similar patterns as observed with cancer symptom and depression. Cancer symptom was the strongest predictor of QoL at pre-chemotherapy point. but depression was the strongest predictor at immediately after chemotherapy point.
CONCLUSION
Chemotherapy is highly associated with cancer symptom, depression and QOL in patients with cancer. The nursing intervention is needed to relieve depression as well as cancer symptoms to improve QOL in patients undergoing chemotherapy from baseline to follow-up.

Citations

• Mediating Effect of Resilience between Supportive Care Needs and Quality of Life of Female Genital Cancer Patients
  Yu-Jung Son, Keum-Hee Nam
  Korean Journal of Adult Nursing.2022; 34(3): 269.     CrossRef
• Impact of Posttraumatic Growth and Health Promoting Behavior on Quality of Life in Patients with Gastrointestinal Cancer
  Mi-Ae Kim, Hyun-Ju Lee
  Journal of Korean Academy of Fundamentals of Nursing.2021; 28(1): 32.     CrossRef
• Changes in chemotherapy-induced peripheral neuropathy, disturbance in activities of daily living, and depression following chemotherapy in patients with colorectal cancer: A prospective study
  Pok-Ja Oh, Jung Ran Lee, Sook-Kyoung Kim, Jeong-Hye Kim
  European Journal of Oncology Nursing.2020; 44: 101676.     CrossRef
• Qualitative Study of Compliance with Nutritional Management in Colorectal Cancer Patient Undergoing Chemotherapy
  Heejung Park, Hyonson Kil, Wookyoun Cho
  Korean Journal of Community Nutrition.2020; 25(4): 303.     CrossRef
• Health-related Quality of Life and Its Related Factors among Cancer Survivors and General Adults: Focusing on Lifestyle Behaviors and Mental Health
  Eun A Song, Youngran Kweon, Yoon Young Hwang, Minjeong An
  Korean Journal of Adult Nursing.2020; 32(4): 385.     CrossRef
• Changes in Chemotherapy-induced Peripheral Neuropathy, Sleep Quality, and Quality of Life following Chemotherapy in Stomach Cancer Patients: a Prospective Study
  Pok Ja Oh, Jin Lee, Jeong Hye Kim
  Asian Oncology Nursing.2020; 20(2): 72.     CrossRef
• Symptom Distress and Depression in Patients with Recurrent Gynecologic Cancer Undergoing Chemotherapy: Mediating Effect of Resilience
  Eun Jung Yang, Ho Sihn Ryu
  Korean Journal of Adult Nursing.2019; 31(1): 28.     CrossRef
• Predictors of Quality of Life and Social Support as a Mediator between Defecation Function and Quality of Life among Rectal Cancer Patients
  Jung Rang Kim, Seon Young Hwang
  Korean Journal of Adult Nursing.2019; 31(5): 487.     CrossRef
• Changes of Cognitive Function and Fatigue following Chemotherapy in Patients with Gastrointestinal Cancer: A Prospective Controlled Study
  Pok-Ja Oh, Sun Mi Moon
  Asian Oncology Nursing.2019; 19(3): 126.     CrossRef
• Oxaliplatin-induced Peripheral Neuropathy, Symptoms, Distress and Quality of Life among Korean Patients with Gastrointestinal Cancer
  Hye Jeong Jung, Soo jung Ahn, Yoo Ri Yang, Kyoung A Kim, Sang Joon Shin, Min Kyu Jung, Sang Hui Chu
  Asian Oncology Nursing.2019; 19(4): 204.     CrossRef
• Health care Utilization of Cancer patient Women at Nursing Hospital
  Hye-Sun Park, Kyung-Sook Park
  Journal of Digital Contents Society.2018; 19(11): 2139.     CrossRef

PURPOSE
The purpose of this study was to design a mobile-application of a cognitive training program for people who have chemo-related cognitive complaints.
METHODS
The program was developed based on the networkbased instructional system design proposed by Jung. The program consisted of several tasks centered on four cognitive domains: learning, memory, working memory, and attention. For memory learning, a target-image and all its elements (color, position, and number) were presented on the screen that had to be recognized among a number of distractor-figures. In working memory training, the previous learned target-figure according to the level of difficulty had to be remembered among many different figures. In attention training named “Find the same figure,” two identical symbols in a grid-pattern filled with different images were presented on the screen, and these had to be simultaneously touched. In attention training named “Find the different figure,” a different symbol in a grid pattern filled with same figures had to be selected. This program was developed to train for a minimum of 20 min/day, four days/week for six weeks.
RESULTS
This cognitive training revealed statistically significant improvement in subjective cognitive impairments (t=3.88, p=.006) at six weeks in eight cancer survivors.
CONCLUSION
This cognitive training program is expected to offer individualized training opportunities for improving cognitive function and further research is needed to test the effect in various settings.

Citations

• User evaluation of a mobile education application for the management of metabolic syndrome among cancer survivors
  Ji-Su Kim, Minhae Kim, Yeji Seo
  European Journal of Oncology Nursing.2023; 63: 102276.     CrossRef
• Effects of smart-care services program for breast cancer survivors
  Bok Yae Chung, Sung Jung Hong
  The Journal of Korean Academic Society of Nursing Education.2021; 27(2): 95.     CrossRef
• Development and Effectiveness of a Mobile Health Lifestyle Program for University Students
  Yeon Hee Kim, Sung Rae Shin
  Journal of Korean Academy of Community Health Nursing.2021; 32(2): 150.     CrossRef

PURPOSE
The aim of this study was to evaluate the effect of sexual health program for men with rectal cancer resection based on sexual function, self-esteem, depression, and marital intimacy.
METHODS
Using a quasi-experiment design, the intervention group (n=32) participated in the sexual health program based on PLISSIT (Permission, Limited Information, Specific Suggestions, Intensive Therapy) model. They received the program three times between August 2014 and March 2015. The comparison group (n=30) received a general educational program for rectal cancer. Four survey questionnaires such as International Index of Erectile Function (IIEF), Self-Esteem Scale, Center for Epidemiologic Studies Depressing Scale (CES-D), Marital Intimacy were used to measure the four key variables.
RESULTS
After the sexual health program, the intervention group showed statistically positive effect for the sexual function (F=4.14, p=.046), self-esteem (F=16.71, p < .001), depression (F=12.56, p=.001), and marital intimacy (F=12.45, p=.001) than the comparison group.
CONCLUSION
Sexual health program should be consistently provided for men with rectal cancer resection since the intervention group reported better self-esteem, less depression, more intimacy and better sexual functioning.

Citations

• The effect of an osteoarthritis adaptation program on biological, psychological, and social integrity variables and quality of life in older women with osteoarthritis in Korea: a quasi-experimental study
  Hye Sim Seo, Young Eun, Mi Yang Jeon
  Journal of Korean Biological Nursing Science.2025; 27(3): 356.     CrossRef
• Feasibility and effectiveness of communication tools for addressing intimacy and sexuality in patients with cancer: a systematic review
  Susanne A. M. Arends, Carlijn E. van Rossum, Corien M. Eeltink, Jantien E. Robertus, Linda J. Schoonmade, Anneke L. Francke, Irene P. Jongerden
  Supportive Care in Cancer.2024;[Epub]     CrossRef

PURPOSE
This study was designed to develop and test the Hope Scale for Korean cancer patients.
METHODS
The process for the development of the Hope Test was a selection of initial items drawn from a literature review and in-depth interviews. The selected items were assessed for content validity by experts. The Hope Scale was comprised of five factors and 30 preliminary items. The preliminary Hope Scale for Korean Cancer Patients (HS_KCP) was administered to 259 cancer patients from one university hospital and one cancer hospital in Busan. Data were analyzed using item analysis, factor analysis, Pearson correlation coefficients, and Cronbach's α.
RESULTS
Eighteen items were selected for the final scale. Five factors (inner sense of control, trust and expectation for recovery of disease, interconnection, spirituality, emotional despair) evolved from the factor analysis, which explained 63.3% of the total variance. The convergent & discriminent validity was r=.83 (p<.001), r=-73 (p<.001). The internal consistency, Cronbach's α was .88 and reliability of the subscales ranged from .54 to .85.
CONCLUSION
The Hope Scale for Korean cancer patients demonstrated acceptable validity and reliability. It can be used to assess the hope of cancer patients and is feasible within a clinical setting.

Citations

• The Effects of Spiritual Well-being on Self-care Practices in People Undergoing Hemodialysis: The Mediating Effect of Hope
  Bu Kyung Kim, Pok-Ja Oh
  Korean Journal of Adult Nursing.2022; 34(6): 592.     CrossRef
• Psychometric Evaluation of Persian Version of Hope Scale in Iranian Patients With Cancer
  Hamid Sharif Nia, Pardis Rahmatpour, Long She, Mahdi Abounoori, Mohammad Moein Maddah, Saeed Pahlevan Sharif, Mobin Mohammadinezhad
  Journal of Nursing Measurement.2022; 30(1): 40.     CrossRef
• The Catalogue of Spiritual Care Instruments: A Scoping Review
  Ricko Damberg Nissen, Erik Falkø, Dorte Toudal Viftrup, Elisabeth Assing Hvidt, Jens Søndergaard, Arndt Büssing, Johan Wallin, Niels Hvidt
  Religions.2020; 11(5): 252.     CrossRef
• Concept Analysis of Fighting Spirit in Korean Patients with Cancer
  Kyung Ok Kim, Jung A Kim
  Korean Journal of Adult Nursing.2019; 31(1): 50.     CrossRef
• Post-traumatic Growth among Stroke Patients: Impact of Hope, Meaning in Life, and Social Support
  Young-Ju Jeong, Hee Sun Kim
  Korean Journal of Adult Nursing.2019; 31(6): 605.     CrossRef
• Relationships among Hope, Self-care Agency and Quality of Life of Female Oncology Patients with Lymphedema
  Ka Ryeong Bae, Young Soon Im, Gie Ok Noh, Yoojung Son, Han Gil Seo
  Asian Oncology Nursing.2017; 17(4): 213.     CrossRef

PURPOSE
The purpose of this study was to describe the impact of fatigue and distress on self-efficacy among breast cancer survivors and to provide a base for development of nursing intervention strategy to improve self-efficacy.
METHODS
A descriptive research design was used. The subjects were 158 patients who were either being treated or were receiving follow-up care at a university breast center in D City from May 30 to August 30, 2014. Structured questionnaires, Revised Piper Fatigue Scale, Distress Thermometer, and Self-Efficacy Scale for Self-Management of Breast Cancer were used to measure fatigue, distress, and self-efficacy. Data were analyzed using t-test, ANOVA, Pearson's correlation coefficients, and multiple regressions.
RESULTS
The mean scores of fatigue, distress, and self-efficacy were 3.83, 4.31, and 3.77, respectively. There were significant differences among participants in terms of educational background, current treatment methods, perceived health status, economic burden for fatigue and perceived health status for distress. Self-efficacy was impacted by age, educational background, marital status, average monthly income, perceived health status, and medical expenses. Fatigue, age, and the burden on medical expense had the most impact on self-efficacy, accounting for 17% of the variance.
CONCLUSION
Fatigue should be managed to improve self-efficacy of breast cancer survivors. Therefore, nursing programs designed to decrease fatigue may be helpful.

Citations

• Analysis of Breast Cancer Nursing Education Content and Educational needs for Breast Cancer Patient Nursing Perceived by Nurses
  Young-Hee Je, Kyoung-Ah Kang
  Asian Oncology Nursing.2025; 25(1): 1.     CrossRef
• Does the Association Between Fatigue and Fatigue Self-management Preference Vary by Breast Cancer Stage?
  Min Kyeong Jang, Chang Park, Keon Suk Lee, KyungHi Lee, Eun Kyung Hwang, Hye Jin Joh, Kyung Hee Lim, Yun Hee Ko, Dong Mi Kim, Jeehee Han, Sue Kim
  Cancer Nursing.2022; 45(1): 43.     CrossRef
• Pro-inflammatory Cytokine Levels and Cancer-related Fatigue in Breast Cancer Survivors: Effects of an Exercise Adherence Program
  Sung Hae Kim, Yoon Kyung Song, Jeehee Han, Yun Hee Ko, Hyojin Lee, Min Jae Kang, Hyunki Park, Hyangkyu Lee, Sue Kim
  Journal of Breast Cancer.2020; 23(2): 205.     CrossRef
• Relationships between Attitude Towards Treatment, Distress, and Decision Conflict among Cancer Patients Receiving Chemotherapy
  Hyun Mi You, Eun Young Park
  Asian Oncology Nursing.2019; 19(4): 242.     CrossRef
• The Role of Sleep Quality, Social Support and Fatigue on Daily Life Self-Efficacy in People with Spinal Cord Injury
  Simin Zeqeibi Ghannad1, Tayebe Fateminik, Sirus Alipoor
  Iranina Journal of Psychiatric Nursing.2017; 5(5): 26.     CrossRef
• The Impact of Social Cognitive Constructs on Dietary Behaviors in Breast Cancer Survivors
  Hyenam Hwang
  Asian Oncology Nursing.2016; 16(3): 139.     CrossRef