Purpose Cancer diagnosis is associated with psychological distress, which often leads to a significant reduction in adaptation and quality of life. This study aimed to identify the prevalence and related factors of psychological distress in newly diagnosed breast cancer patients. Methods The study included 138 women scheduled for surgery or neoadjuvant chemotherapy following a recent breast cancer diagnosis at a university hospital in Korea.
Psychological distress was assessed using the National Comprehensive Cancer Network Distress Thermometer and problem lists. Data collection occurred from November 1, 2021, to November 30, 2022. Descriptive statistics and logistic regression analysis were utilized for data analysis. Results The average age of the participants was 51.72 years. Among the 138 participants, 67.4% (n=93) reported moderate to severe levels of psychological distress. Multivariate logistic regression analysis identified financial burden (Odds Ratio [OR]=4.32), fears (OR=5.35), and nervousness (OR=5.50) as predictors of moderate to severe psychological distress. Conclusion Approximately two-thirds of newly diagnosed breast cancer patients experienced significant psychological distress.
Nervousness, fears, and financial burden were significant factors influencing this distress. Therefore, management of psychological distress should be implemented for patients experiencing financial burdens or emotional problems, such as nervousness and fear, from the time of diagnosis.
Purpose Lung cancer (LC) is the leading cause of cancer-related death globally, and understanding symptom clusters (SCs) among LC patients could improve symptom management. This scoping review provides a comprehensive summary of the most common SCs and their compositions identified in studies specifically investigating SCs of LC patients. Methods A scoping review was conducted following the Joanna Briggs Institute methodology. The study included LC patients as participants, SCs as the concept, and studies with distinct aim to investigate LC SCs as the context. We searched studies from inception to September 2022 in PubMed, Embase, PsycINFO, CINAHL, and the Cochrane Library databases using the terms: "lung cancer," "cancer survivors, " and "symptom cluster." Results: Of 41 reviewed reports, 188 SCs were identified. Both a priori and de novo method were used to identify LC SCs, with exploratory factor analysis being the most commonly used statistical method in the de novo approach. The three most frequent SCs were respiratory, gastrointestinal (GI), and psychological SCs. The most common respiratory SC included cough + dyspnea. Nausea + vomiting was the most prevalent cluster membership among GI SCs. Sad + feeling irritable + feeling nervous + worrying was the most common cluster membership among psychological SCs. Conclusion Respiratory, GI, and psychological SCs were common among LC patients, and addressing these clusters could improve symptom management strategies. Further research on SCs across the lung cancer trajectory is essential to enhance our understanding about SCs and facilitate effective symptom management throughout the disease course.
Purpose This study investigated differences in inner strength, multiple identities, and quality of life among colorectal cancer survivors, considering gender and the presence of an ostomy. It also focused on identifying factors that influenced their quality of life. Methods In this cross-sectional study, 170 colorectal cancer survivors were recruited.
Inner strength, multiple identities, and quality of life were assessed through an online survey. Within each subgroup, comparisons were made in two ways: (a) between women and men; and (b) between ostomy and non-ostomy groups. Results The quality of life for colorectal cancer survivors was higher among men than women. For inner strength, men reported higher levels of anguish and searching, whereas women showed higher levels of connectedness. The quality of life was higher in the non-ostomy group than the ostomy group. However, the non-ostomy group had a higher level of anguish and searching than the ostomy group. Inner strength emerged as the most powerful factor influencing quality of life after adjusting for age and gender. Conclusion This study emphasizes the significance of inner strength in colorectal cancer survivors. It provides a deeper understanding of quality of life in colorectal cancer survivors by examining factors that influence it and considering how these effects differ based on gender and the presence of an ostomy. To improve the quality of life of colorectal cancer survivors, it is essential to comprehend the roles of factors such as gender and ostomy and develop individualized interventions tailored to their specific characteristics.
Purpose The aim of this study was to better understand the concept of patient activation in patients with cancer by identifying its dimensions and attributes and clarifying its definition through concept analysis.
Methods: This concept analysis study used the method of Walker and Avant (2019), and systematically reviewed dictionary entries and 30 studies in various academic fields.
Results: The concept of patient activation in patients with cancer was found to have four attributes: seeking health information, participating in treatment decision-making, confidence in health care, self-management behaviors. The antecedents identified were cancer history, fear of recurrence, information and resources provided by healthcare professionals, access to healthcare providers, negative perceptions of cancer, social support, and sociodemographic status. The consequences were appropriate treatment implementation, satisfaction with treatment, improved physical and mental health conditions, improved quality of life, reduced healthcare costs, and reduced stress.
Conclusion: The development of patient activation measurements tailored to the characteristics of the disease and the goal of strengthening the role of patients, as well as the development and implementation of policies, programs, and guidelines to promote patient activation, will improve the medical experience and outcomes of cancer patients and adopt a more person-centered treatment approach.
Purpose This study aimed to compare the lifestyle, self-rated health, and mental health of breast cancer survivors with those of the healthy people through a propensity-matched comparison, and identify factors affecting the mental health of breast cancer survivors.
Methods This study was a secondary analysis that used data from the Korea National Health and Nutrition Examination Survey (KNHANES), from 2015 to 2020. It included 47,118 participants, of which 134 breast cancer survivors and 268 healthy people were separated and analysed by 1:2 Propensity Score Matching (PSM), and complex sample logistic regression analysis was performed using SPSS and R programs.
Results Statistically significant differences were found in smoking rate, walking exercise rate, cancer screening rate, daily energy intake, and self-rated health between breast cancer survivors and healthy groups. After PSM, there were significant differences in the ratio of perceived stress, suicide plan, suicide attempts, and mental health counseling experiences between the healthy group and breast cancer survivors. As compared to the healthy group, breast cancer survivors had a significantly higher risk of mental health issues by 2.19 times. Self-rated health, household income, and number of household members were significant influencing factors affecting the mental health of breast cancer survivors.
Conclusion This study provides evidence of an increased mental health risk in breast cancer survivors compared with healthy women with no cancer. Mental health outcomes, such as stress, sleep disturbance, and suicidal ideation, have been reported post cancer treatment. Counselling and management strategies would be helpful for breast cancer survivors.
Citations
Citations to this article as recorded by
Factors Associated with Stress among Employed Korean Cancer Survivors: A Cross-sectional Descriptive Study Based on National Data Kisook Kim, Booyoung Oh Korean Journal of Adult Nursing.2023; 35(3): 254. CrossRef
Purpose This study aimed to confirm the relationship between supportive care needs and resilience of female genital cancer patients, and to investigate the mediating effect of resilience in the relationship between supportive care needs and quality of life. Methods This study was conducted with 105 outpatients and inpatients who were receiving treatment for female genital cancer at K University Hospital in B City. Data were collected from July 22, 2021 to August 17, 2021 and analyzed by using the SPSS/WIN 23.0 program. The correlation between the patients’ supportive care needs, resilience, and quality of life was analyzed by Pearson's correlation coefficients, and SPSS Process Macro was used for the significance of parameter indirect effects. Results The quality of life of female genital cancer patients showed a significant negative correlation with supportive care needs (r=-.68, p<.001), and a significant positive correlation with resilience (r=.53, p<.001). Moreover, resilience partially mediated the relationship between supportive care needs and quality of life (95% CI -0.009~-0.032). Conclusion Based on the results of this study, improving the resilience of female genital cancer patients may act as an additional coping strategy to reduce supportive care needs and establish an enhanced quality of life.
Citations
Citations to this article as recorded by
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 influencing the supportive care needs of female patients with genital cancer in South Korea Yu-Jung Son, Keum-Hee Nam, JaeLan Shim Medicine.2023; 102(51): e36650. CrossRef
Purpose This study aimed to construct and test a hypothetical model which explains the psychosocial adjustment of breast cancer survivors using the family resilience model suggested by McCubbin and McCubbin. Methods The study participants were 242 breast cancer survivors who had finished active treatments within the past five years. Data were collected from September to October 2017 from an offline breast cancer self-help group survey and an online breast cancer support group. Data were analyzed using SPSS version 22.0 and AMOS version 23.0. Results The model fit indices for the modified hypothetical model were suitable for the recommended level: x2 =223.80 (df=88, p<.001), x2 /df=2.54, RMR=.04, GFI=.90, IFI=.93, CFI=.93, and RMSEA=.08. Symptoms and posttraumatic growth directly affected psychosocial adjustment. Symptoms were found to be the most influential factors in the psychosocial adjustment. All three family resilience factors-family hardiness, problem-solving communication, and problem-solving coping-directly affected posttraumatic growth and indirectly affected psychosocial adjustment through posttraumatic growth. These variables explained 81.2% of breast cancer survivors’ psychosocial adjustment. Conclusion Health care professionals need to continue to provide interventions for symptom relief and support to improve the psychosocial adjustment of breast cancer survivors. Additionally, practical nursing interventions should be prepared for individuals and families of breast cancer survivors to promote recovery and reinforce family resilience. This will ultimately improve the quality of life for breast cancer survivors and their families.
Citations
Citations to this article as recorded by
Validation of the Korean Version of Patient-Centered Care Tool: For Outpatients Yeo Ju Kim, Gunjeong Lee, Sunyeob Choi Patient Preference and Adherence.2023; Volume 17: 1525. CrossRef
Do spouse burden of care, family resilience, and coping affect family function in gynecologic cancer in Korea?: a cross-sectional study Minkyung Kim, Sukhee Ahn Korean Journal of Women Health Nursing.2022; 28(3): 197. CrossRef
Purpose The purpose of this study was to identify risk factors for nosocomial Vancomycin-Resistant Enterococcus (VRE) infections in patients with hematologic cancer in Korea.
Methods A total of 232 patients (77 in the case group and 155 in the control group) from a tertiary teaching hospital participated in this study from January 2011 to December 2017. Data concerning the disease, treatment, and nursing care were collected from electronic medical records using the coding form.
Results VRE infections were found to be associated with leukemic-type cancer, longer hospital stays, high-risk antibiotic use, low-risk antibiotic use, oral antifungal agent use within one month of admission, lower serum albumin levels, and dependent self-care.
Conclusion The implication of this study’s results is that VRE infections are associated with factors other than VRE colonization, which is known to be the main influencing factor. Considering these factors, it is crucial to develop programs for VRE prevention and management. In particular, oncology nurses should adhere to precaution guidelines when they have contact with patients who are undergoing a prolonged hospital stay, are having difficulties with self-care activities, or are more likely to have depressed immunity because of intensive chemotherapy and nutritional deficiency. Tools to screen risk factors for VRE infections and programs to encourage nurses’ adherence to guidelines need to be evaluated and provided continuously.
Citations
Citations to this article as recorded by
Effect of Virtual-Reality Simulation of Indwelling Catheterization on Nursing Students’ Skills, Confidence, and Satisfaction Soohyun Park, Hyeon Gyeong Yoon Clinical Simulation in Nursing.2023; 80: 46. CrossRef
Purpose Patients with prostate cancer have high survival rates, but report low Quality of Life (QOL) due to sleep difficulties. This scoping review aimed to explore and identify current publication trends, major concepts, measurements, and interventions regarding sleep disturbance in patients with prostate cancer.
Methods Using the Arksey & O’Malley scoping review method, structured searches for articles published from 2000 to 2021 were conducted on six electronic databases using a combination of the terms “prostate cancer”, “malignant neoplasm of prostate”, “sleep*”, “circadian rhythm”, and “insomnia”.
Results Thirty-one studies were reviewed. The publication rate has increased from 6.5% (2000~2005) to 51.6% (2016~2021). The Insomnia Severity Index (ISI) was the most frequently used subjective measurement. Objective measurements to measure sleep quality or sleep disturbance included actigraphy and Polysomnography (PSG). The incidence of sleep disturbance in patients with prostate cancer was 8.0% to 75.9%, and hormone and radiation therapy, hot flashes, and nocturia were identified as influencing factors. Intervention strategies presented were Cognitive Behavioral Therapy (CBT), Mindfulness-Based Cognitive Therapy (MBCT), Acceptance and Commitment Therapy (ACT), and qigong or tai chi programs.
Conclusion Interest in sleep disturbance in patients with prostate cancer is increasing. Further studies are expected to measure the prevalence of sleep disturbance using objective and subjective measurements in various ways. Nurses must consider tailored interventions based on the individual characteristics of patients with prostate cancer.
Citations
Citations to this article as recorded by
Predictors of sleep quality components in patients undergoing transarterial chemoembolisation: a cross-sectional study Ji Young Park, Myoung Soo Kim, Jung Mi Ryu Supportive Care in Cancer.2024;[Epub] CrossRef
Research Trends of Non-Pharmacological Interventions for Sleep-Wake Disturbances in Cancer Patients Moon Ju Oh, Hee Sun Kim Asian Oncology Nursing.2022; 22(3): 163. CrossRef
Purpose This study was conducted so as to determine a hypothetical model concerning factors affecting breast cancer patients' resilience.
Methods: Data were collected via a self-administered questionnaire from 212 patients with breast cancer between July 25 and August 24, 2020. The data were analyzed using SPSS/WIN 20.0 and AMOS 21.0.
Results: The model supported 7 of the 11 presented hypotheses for all participants. Test results indicated that “hope”, “uncertainty”, and “symptom experience” all directly affected participants' resilience, and that “uncertainty” also affected participants', “depression” and “hope”. “Spiritual well-being” affected participants' sense of “hope” and “symptom experience”. Of these variables, “hope” had the strongest direct influence on resilience across all participants. “Uncertainty” was found to directly and indirectly affect participants, whereas “spiritual well-being” indirectly affected the resilience of all participants. “Uncertainty” and “spiritual well-being” indirectly affected the resilience of all participants.
Conclusion: These results suggest that management strategies to enhance breast cancer patients' resilience should address patients' uncertainty, spiritual well-being, hope, and symptom experience.
Citations
Citations to this article as recorded by
Resilience-related Breast Cancer: A Concept Analysis Fitria Endah Janitra, Nur Aini, Anggi Lukman Wicaksana Nurse Media Journal of Nursing.2023; 13(1): 31. CrossRef
Purpose This study was intended to clarify the concept of spiritual distress in cancer patients using the hybrid model of Schwarz-Barcott and Kim.
Methods: The hybrid model was used to clarify the dimension, attributes, and definition of spiritual distress. In the theoretical phase, a systemic literature review of nursing and other disciplines was conducted. In the fieldwork phase, individual in-depth interviews were held with six cancer patients. In the final analytic phase, the results of the theoretical and fieldwork phases were integrated after comparing and reviewing.
Results: The concept of spiritual distress was analyzed in three domains: a changed relationship with God, a changed relationship with the self, and a changed relationship with others. Also, 10 attributes were clarified. The changed relationship with God domain had two attributes: “low connectedness in relationship with God” and a “feeling of guilt”. The changed relationship with the self domain had five attributes: “loss of self-identity”, “changed meaning of life”, “loss of inner peace”, “dwelling on the cause of unsloved suffering”, and “avoidance of confronting death”. The changed relationship with others domain had three attributes: “shrunk relationships”, “the feeling of being unloved and unforgivable”, and “burden on family”.
Conclusion: The concept of spiritual distress in patients with cancer encompasses multidimensional domains and 10 attributes. To assess spiritual distress in patients with cancer based on the findings of this study, it is necessary to develop a suitable spiritual distress assessment scale.
Citations
Citations to this article as recorded by
The Development of a Tool for Assessment of Spiritual Distress in Cancer Patients Jin Sook Kim, Il-Sun Ko, Su Jin Koh Journal of Korean Academy of Nursing.2022; 52(1): 52. CrossRef
A Concept Analysis of Stress in Hemodialysis Patients Bomi Kim, Hyeyoung Kim, Jisun Lee Korean Journal of Adult Nursing.2021; 33(6): 601. CrossRef
Purpose The purpose of this study was to evaluate whether hand press pellet is effective for constipation in breast cancer patients receiving chemotherapy.
Methods: This was a quasi-experimental study that used non-equivalent control group pretest-posttest design. Participants were 52 breast cancer patients-26 each in the experimental and control groups. The intervention was conducted thrice a week for 6 weeks; for the experimental group, a hand press pellet was applied to the corresponding points (A1, A5, A8, A12, A16, N18, E22, K9, F6, D2, D6, H2, L4, B7, B19) of the left hand (palm and back) to alleviate constipation. Three and 6 weeks after the intervention, outcomes were measured by using the Constipation Assessment Scale, Bristol Stool Form Scale, and Patient Assessment of Constipation-Quality of Life questionnaire.
Results: A significant difference was observed between the two groups on the Constipation Assessment Scale (χ2=44.38, p<.001) and Bristol Stool Form Scale (χ2=33.24, p<.001). Patient assessment of constipation-quality of life of the experimental group were statistically significant compared with that of the control group (F=37.23, p<.001).
Conclusion: Hand press pellet can be used as an effective nursing intervention to alleviate constipation in breast cancer patients.
Citations
Citations to this article as recorded by
Effects of hand-press pellet on pain and daily life of elders with chronic lower back pain: randomized controlled trial Hyojung Park, Hyejin Lee BMC Complementary Medicine and Therapies.2024;[Epub] CrossRef
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
Citations to this article as recorded by
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.
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
Citations to this article as recorded by
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
Citations to this article as recorded by
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
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
Self-disclosure in Adult Patients With Cancer Hyungran Lee, Younhee Jeong Cancer Nursing.2023;[Epub] 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
Citations to this article as recorded by
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
Citations to this article as recorded by
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
Citations to this article as recorded by
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
Citations to this article as recorded by
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
Citations to this article as recorded by
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
Citations to this article as recorded by
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
Citations to this article as recorded by
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
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
Citations to this article as recorded by
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
Citations to this article as recorded by
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
Citations to this article as recorded by
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
Citations to this article as recorded by
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 deathâ€. The outcomes were “fighting cancer in lonelinessâ€, “life compromised with deathâ€, and “social sublimationâ€. 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
Citations to this article as recorded by
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
E-SUBMISSION
First
Prev
