Purpose This study aimed to examine the effect of pain, anxiety, depression, perception dignity, and spiritual well-being on hospice patients’ attitudes toward dignified death. Methods: A total of 130 terminal cancer patients admitted to hospice ․ palliative care institutions in Korea participated in the study. Data were collected using self-report questionnaires and analyzed using descriptive statistics, an independent t-test, one-way ANOVA, Pearson's correlation coefficient, and hierarchical multiple regression using SPSS Statistics 26.0. The assessment tools were the Brief Pain Inventory, Hospital Anxiety and Depression Scale, Perception of Dignity Scale, Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale, and Attitudes toward Dignified Death Scale. Results The mean scores were as follows: 5.25 for pain, 11.98 for anxiety, 14.56 for depression, 22.12 for spiritual well-being, 14.38 for perception of dignity, and 93.12 for attitudes toward dignified death. The results of the hierarchical multiple analysis revealed that spiritual well-being (β=.36, p<.001) was predictive of the attitudes toward dignified death (R2 =.13, p<.001). Conclusion Spiritual well-being is associated with hospice patients’ attitudes toward dignified death. The results highlight the necessity to develop effective nursing intervention programs that promote spiritual well-being for hospice patients’ attitudes toward dignified death.
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
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
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
Citations to this article as recorded by
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 purpose of this study was to assess the relationship between menopausal symptoms and decline in cognitive functioning of menopausal women with mediating effects of health promoting behavior. METHODS Using a convenience sampling, 140 menopausal women were recruited for the cross-sectional survey. Data were collected by using the Menopause Rating Scale, Health Promoting Lifestyle Profile, Everyday Cognition, and Korean Mini-Mental State Examination. RESULTS The mean scores for menopausal symptoms, health promotion behavior, and subjective cognitive decline were 14.40, 153.79, and 67.40 respectively. Health promotion behavior was directly affected by menopausal symptom (R2=8%). Cognitive decline was directly affected by menopausal symptom (R2=11%). Menopausal symptom (β=.33, p<.001) and health promotion behavior (β=−.21, p=.014) were found to be predictive factors in subjective cognitive decline and explained 14%. Health promotion behavior had a partial mediating effect in the relationship between menopausal symptom and perceived cognitive decline (Sobel test: Z=2.05, p=.040). CONCLUSION Based on the findings of this study, developing nursing intervention programs focusing on decreasing menopausal symptoms and encouraging health promotion behavior are recommended to improve cognitive decline in menopausal women.
Citations
Citations to this article as recorded by
A Case Report of Korean Medicine in Treating Postmenopausal Syndrome with Dyspepsia and Arthralgia Dong-soo Seol, Tae-ha Kwon, Min-seok Go, Seong-hyun Lee, Ji-eun Oh, Sae-young Bong, Yoo-jin Lee, Cha-young Lee, Su-won Yu The Journal of Internal Korean Medicine.2024; 45(5): 951. CrossRef
The Effect of Urban Gardening Activities on Physical Activity and Sleep Quality in Middle-Aged Women Young-Bin Jung, Hyung-Kwon Yun, In-Chang Son, Se-Na Choi, Kwan Jeong Song Journal of People, Plants, and Environment.2024; 27(4): 247. CrossRef
Development and Impact of a Cognitive Reserve Enhancement Program for Climacteric Korean Women Ji Hyun KIM, Seungmi PARK Journal of Nursing Research.2024; 32(6): e363. CrossRef
Health-promoting behaviours and psychological distress in breast cancer with endocrine therapy: Mediating roles of menopausal symptoms and social support Xia Li, Tingting Wei, Yan Zhang, Hailing Ren, Xinyu Liu Post Reproductive Health.2024; 30(1): 29. CrossRef
The relationship between psychological distress, depressive symptoms, emotional eating behaviors and the health-related quality of life of middle-aged korean females: a serial mediation model Jihyun Oh, Sunghee Kim BMC Nursing.2023;[Epub] CrossRef
Evaluating Health-promoting Lifestyle Profile among Menopausal Women: A Meta-analysis Zeinab Moshfeghy, Hedyeh Riazi, Sepideh Hajian, Ali Montazeri The Open Nursing Journal.2023;[Epub] CrossRef
Factors influencing the health-related quality of life in Korean menopausal women: a cross-sectional study based on the theory of unpleasant symptoms Ji-Hyun Kang, Moon-Jeong Kim Korean Journal of Women Health Nursing.2022; 28(2): 100. CrossRef
Mediating effect of a health-promoting lifestyle in the relationship between menopausal symptoms, resilience, and depression in middle-aged women Sungwon Park Health Care for Women International.2020; 41(9): 967. CrossRef
A Structural Model for Chemotherapy Related Cognitive Impairment and Quality of Life in Breast Cancer Patients Jung Ran Lee, Pok Ja Oh Journal of Korean Academy of Nursing.2019; 49(4): 375. CrossRef
Effects of Multidisciplinary Lifestyle Modification Program on Health-promoting Behavior, Psychological Distress, Body Composition and Reproductive Symptoms among Overweight and Obese Middle-aged Women Ju-Hee Nho, Eun Suk Hwang Korean Journal of Adult Nursing.2019; 31(6): 663. CrossRef
Factors Influencing Adaptation to Menopause in Middle-aged Women Eun Joo Lee Korean Journal of Women Health Nursing.2018; 24(4): 336. CrossRef
PURPOSE The purpose of this study was to assess the relationship between cognitive function impairment and quality of life (QoL) among patients with breast cancer. Specifically, the intention was to verify the mediating effects for promoting behaviors leading to better health and QoL. METHODS A purposive sample of 152 patients undergoing chemotherapy was recruited. A cross-sectional survey design was used. Data were collected using four instruments: Everyday Cognition Scale, Korean Mini-Mental State Examination, Functional Assessment of Cancer Therapy-Breast Cancer Version 4, and Health Promoting Lifestyle Profile. RESULTS The mean score for subjective cognitive decline was 65.84; the health promotion behavior was 95.89, and 83.34 for QoL. Health promotion behavior was directly affected by cognitive decline (R2=6.0%) as was QoL (R2=43%). Subjective cognitive decline (β=-.57, p<.001) and health promotion behavior (β=.37, p<.001) were seen as predicting factors in QoL and explained 56% (R2=56%). Health promotion behavior had a partial mediating effect in the relationship between self-reported cognitive decline and QoL (Sobel test: Z=-3.37, p<.001). CONCLUSION Based on the findings of this study, nursing intervention programs focusing on managing cognitive decline and promoting health promotion behavior are highly recommended to improve QoL in cancer patients.
Citations
Citations to this article as recorded by
Impacts of Uncertainty and Social Support on the Quality of Life of Breast Cancer Survivors after Chemotherapy: Based on Self-help Group Participants Hyenam Hwang, Yoonshin Lee Asian Oncology Nursing.2023; 23(4): 177. CrossRef
Analysis of Health management Awareness and Practice Experience of Breast Cancer Survivors using Focus Group Interviews Hye Won Kim, Su Jeong Han, Mi Ran Kim The Korean Journal of Rehabilitation Nursing.2020; 23(1): 48. CrossRef
Factors associated with Oncology Nurses' Adherence to Chemotherapy-Induced Neutropenia Guidelines based on Pender's Health Promotion Model Gyeong-Jin Kim, Ja Yun Choi Korean Journal of Adult Nursing.2019; 31(4): 389. 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
A Structural Model for Chemotherapy Related Cognitive Impairment and Quality of Life in Breast Cancer Patients Jung Ran Lee, Pok Ja Oh Journal of Korean Academy of Nursing.2019; 49(4): 375. CrossRef
Computerized programs for cancer survivors with cognitive problems: a systematic review Yoonjung Kim, Sook Jung Kang Journal of Cancer Survivorship.2019; 13(6): 911. CrossRef
Changes of Cognitive Function and Depression following Chemotherapy in Women with Breast Cancer: A Prospective Study Pok Ja Oh, Jung Ran Lee, Hyun Ah Kim Asian Oncology Nursing.2018; 18(2): 66. CrossRef
Menopause Symptoms and Perceived Cognitive Decline in Menopausal Women: The Mediating Effect of Health Promotion Behavior Ji Hyun Kim, Pok Ja Oh Korean Journal of Adult Nursing.2017; 29(2): 200. CrossRef
Development of the Cognitive Function Scale for Breast Cancer Patients Bok Yae Chung, Eun Hee Choi, Gyung Duck Kim, Kyung Hae Kim, Hye Sun Byun Asian Oncology Nursing.2017; 17(1): 12. CrossRef
PURPOSE This study was performed to evaluate the effects of non-pharmacological interventions on sleep disturbance amongst adults aged 55 and above. METHODS PubMed, Cochrane Library, EMBASE, CINAHL and several Korean databases were searched. The main search strategy combined terms including non-pharmacological interventions and presence of insomnia. Non-pharmacological interventions included cognitive behavioral therapy, auricular acupuncture, aromatherapy, and emotional freedom techniques. Methodological quality was assessed using Cochrane's Risk of Bias for randomized studies and Risk of Bias Assessment tool for non randomized studies. Data were analyzed by the RevMan 5.3 program of Cochrane Library. RESULTS Sixteen clinical trials met the inclusion criteria with a total of 962 participants. Non-pharmacological interventions was conducted for a mean of 5.5 weeks, 7.7 sessions, and an average of 70 minutes per session. The effects of non-pharmacological interventions on sleep quality (ES=-1.18), sleep efficiency (ES=-1.14), sleep onset latency (ES=-0.88), awakening time after sleep onset (ES=-0.87), and sleep belief (ES=-0.71) were significant, and their effect sizes were ranged from moderate to large. However, the effects on total sleep time and insomnia severity were not significant. CONCLUSION The findings of the current study suggest that non-pharmacological interventions have a positive impact on attitudes and beliefs about sleep, sleep quality, sleep duration, and sleep efficiency. Therefore, the findings of the study provide an evidence to incorporate various non-pharmacological interventions into nursing practice to improve both sleep quality and quantity in patients with insomnia.
Citations
Citations to this article as recorded by
Effects of Forest Activities on Sleep and Problematic Behaviors in Young Children Ga-Yeon Kim, Poung-Sik Yeon Journal of People, Plants, and Environment.2024; 27(2): 161. CrossRef
Information and Communication Technology-Based Application for Cognitive Behavioral Therapy among Community-Dwelling Older Adults with Insomnia: Development and Validation Study Yeonhee Lee, Inseong Kim, Seonheui Lee, Soyoung Yu Healthcare.2024; 12(1): 106. CrossRef
Effects of Nonpharmacological Interventions on Sleep Quality and Insomnia in Perimenopausal and Postmenopausal Women: A Meta-Analysis Beomman Ha, Jisoon Kim, Wi-Young So, Seonho Kim Healthcare.2023; 11(3): 327. CrossRef
Effects of Non-Pharmacological Interventions to Improve the Sleep of Korean Elderly: A Systematic Review Yunhee Park, Hyun Jung Yun Journal of Korean Academy of Fundamentals of Nursing.2022; 29(1): 67. CrossRef
The Effects of Non-pharmacological Interventions on Sleep among Older Adults in Korean Long-term Care Facilities: A Systematic Review and Meta-analysis Sun Ok Jung, Hyeyoung Kim, Eunju Choi Journal of Korean Academy of Community Health Nursing.2022; 33(3): 340. CrossRef
Effects of Non-pharmacological Interventions on Cancer Patients with Sleep Disorder: A Meta-analysis Jeong Hye Chae, Young Suk Kim, Mi Young Han Asian Oncology Nursing.2021; 21(1): 1. CrossRef
Factors Affecting Sleep Disturbances in Hospitalized Patients with Colorectal Cancer undergoing Chemotherapy: A Retrospective Study Jihyeon Song, Smi Choi-kwon Korean Journal of Adult Nursing.2019; 31(1): 100. CrossRef
Quality of Sleep and Depression for Patients in Psychiatric Hospitals Sukgyoung Jeong, Aeyoung So Journal of Korean Academy of Psychiatric and Mental Health Nursing.2017; 26(4): 374. CrossRef
Cognitive Behavioral Therapy for Primary Insomnia: A Meta-analysis Ji-Hyun Kim, Pok-Ja Oh Journal of the Korea Academia-Industrial cooperation Society.2016; 17(9): 407. CrossRef
PURPOSE The purpose of this study was to assess the effects of cognitive behavioral therapy (CBT) on depression, anxiety, self care behavior and quality of life in cancer patients. METHODS Two thousand and eighty three abstracts were identified through six electronic databases (1980 to June 2012) in Korea. Seventeen studies involving 679 participants met the inclusion criteria for meta analysis. Two authors independently assessed trial quality by Cochrane's Risk of Bias and Methodological Items for Non Randomized Studies and extracted data. The data were analyzed by the RevMan 5.2 program of Cochrane library. RESULTS Overall, study quality was moderate to high. CBT was conducted for a mean of 4.2 weeks, 7 sessions and an average of 36.1-minutes per session. CBT was effective for depression (d=-0.85; 95% CI=-1.09, -0.61), anxiety (d=-0.52; 95% CI=-0.75, -0.29), self care behavior (d=-1.34; 95% CI=-1.93, -0.74), and quality of life (d=-0.42; 95% CI=-0.80, -0.04). Publication bias was not detected as evaluated by funnel plot and Egger's test. CONCLUSION CBT has small to large effects on depression, anxiety, self care and quality of life. These finding suggests that various CBT interventions can assist cancer patients in reducing emotional distress and improving self care and quality of life.
Citations
Citations to this article as recorded by
The role of stigma and depression in the reduced adherence among young breast cancer patients in Hungary Gabriella Vizin, Tamás Szekeres, Anita Juhász, Lilla Márton, Magdolna Dank, Dóra Perczel-Forintos, Róbert Urbán BMC Psychology.2023;[Epub] CrossRef
Meta-analysis of psychosocial interventions on survival time in patients with cancer P.J. Oh, S.R. Shin, H.S. Ahn, H.J. Kim Psychology & Health.2016; 31(4): 396. CrossRef
Effects of Integrated Palliative Care Intervention on Quality of Life in Terminal Cancer Patients: A Meta-analysis Kae Hwa Jo, Ae Ran Park, Jin Ju Lee The Korean Journal of Hospice and Palliative Care.2015; 18(2): 136. CrossRef
The Effect of a Community-Based Self-Management Program for Patients at Thyroid Cancer-Diagnosis Stage : a Pilot Study Hyera Yoo, Sunjoo Boo, Mison Chun, Eun Mi Jo Journal of Korean Public Health Nursing.2015; 29(3): 582. CrossRef
Effects of Psychosocial Interventions on Cortisol and Immune Parameters in Patients with Cancer: A Meta-analysis Pok Ja Oh, Eun-su Jang Journal of Korean Academy of Nursing.2014; 44(4): 446. CrossRef
Effects of Dignity Interventions on Psychosocial and Existential Distress in Terminally ill Patients: A Meta-analysis Pok Ja Oh, Sung-Rae Shin Journal of Korean Academy of Nursing.2014; 44(5): 471. CrossRef
PURPOSE This study was designed to analyze the characteristics and effect size of published intervention studies related to nausea & vomiting among cancer patients. METHODS A total of 1,083 studies were retrieved. From these studies, 20 studies met the inclusion criteria with a total of 698 participants. Two authors independently extracted data from the selected studies and assessed the methodological quality. The data were analyzed by the RevMan 5.0 program of Cochrane library. RESULTS The twenty studies utilized various non-pharmacological interventions: Nine studies on acupuncture (45%), Five studies utilized massage (25%), Two studies used oral cryotherapy (10%) and Four studies used other therapies. In the twenty studies the effect size of the intervention studies reported a higher effect sizes for massage (d=-1.62) and acupuncture (d=-0.89). CONCLUSION This study suggests that non-drug therapy can reduce the levels of nausea and vomiting intensity. Massage and acupuncture interventions studies were more numerous and this may account for the higher effect rate.
PURPOSE The purpose of this study was to develop a program for anger management based on self-efficacy. METHODS In this study, four types of approaches to enhance anger control were developed; 1) a role play for vicarious experiences; 2) an assertive training for anger expression; 3) a 30-minute long education program & a 20-minute long telephone call coaching for verbal persuasion; and 4) a booklet for anger management and self care behaviors. One group pretest-posttest design was used for evaluating the program. Study subjects were 6 cancer patients undergoing chemotherapy. The group were received a 4-week intervention, 60 ~ 90 minutes a day weekly, and measured the variables at baseline, 4 weeks later. Anger-in, anger-out, and anger-control were measured by STAXI-K. Data was analysed by Wilcoxon using SPSS/WIN 12.0 program. Anger situation was analysed according to primary anger-thoughts and secondary anger-thoughts based on cognitive theories of anger. RESULTS The program for anger management consisted of a role play, assertive training, education, telephone call coaching and a booklet. The program revealed significantly less Anger-in (Z = -1.997, p = .046), anger-out (Z = -2.207, p = .027). No difference, however, was found in anger control (Z=-1.826, p=.068). CONCLUSION This evaluation suggested that more assertive training and longer intervention may be needed to maximize anger control.
PURPOSE The purpose of this study was to develop a Web-based flash content for fighting spirit promotion and to test its effect on cancer patients' fighting spirit. METHODS: The 15-minute long Web-based flash content was developed using the following 5 process: analysis, planning, development, program operation and evaluation stages and utilized the multiple edition and revision processes from December 2005 to August 2006. The evaluation was done by one group pretest-posttest design. Study subjects were 17 cancer patients undergoing chemotherapy. The group were received a 2-week intervention, a day weekly, and measured the variables at baseline, 4 weeks later. The study was performed from August 2006 to February 2007 at a cancer center in Korea. Fighting spirit was measured by Mini-MAC(Mental Adjustment to Cancer). Data was analysed by descriptive statistics and paired t-test using SAS 9.13 program. RESULTS: On the Web-based flash content, there are 4 menu bars that consisted of cancer diagnosis, symptom management, stress management, and cancer survivorship. The study group revealed significantly more fighting spirit than pre-test(t=-3.04, p=.008). CONCLUSION: This Web-based flash content can be utilized in psychosocial interventions for promoting fighting spirit in patients with cancer.
PURPOSE The purpose of this study was to investigate the effect of a spirituality/hope promoting program on fighting spirit, helplessness, anxiety, and self-care behaviors. METHODS: A nonequivalent control group pretest- posttest design was used. Study subjects were 22 cancer patients undergoing chemotherapy for the experimental group and 31 for the control group. The experimental group received a 4-week intervention, 30-50 minutes a day weekly. Variables were measured at baseline, 4 and 8 weeks later. Fighting spirit and helplessness were measured by MAC(Mental Adjustment to Cancer) and anxiety was measured by Hospital Anxiety and Depression scale. Self-care behaviors scale developed by Oh et al.,(1997) was used. RESULTS The experimental group revealed significantly more fighting spirit(t=-4.10, p=.000). more self-care behaviors(t=-5.91, p=.000). and less helplessness(t=3.94, p=.000). No difference, however, was found in anxiety between the two groups(t=.24, p=.861). CONCLUSION These results suggested positive effects of a spirituality/hope intervention program. Helplessness decreased mainly through an increase in fighting spirit. Self-care behaviors increased mainly through an decrease in helplessness and increase in fighting spirit.
PURPOSE This study was conducted to 1) find out the frequency of tobacco control intervention, barriers, and facilitators. 2) compare the differences in tobacco control intervention, barriers, and facilitators between oncology nurses and general nurses. METHOD: A sample was composed of 96 oncology nurses and 284 general nurses. The survey questionnaire was mailed out to nurses who were working at the randomly selected hospitals throughout the country. The questionnaire was adopted from the study of national survey on oncology nurse's tobacco interventions in United States by Sarnar, et al.(2000). RESULTS: Oncology nurses were found to provide tobacco control interventions more frequently comparing to the general nurses. "Patient not motivated to quit smoking", "Lack of time", "Lack of recognition/ rewards", were the most commonly identified barriers. "Patient wants to quit", "Adequate time", "Confidence in ability help people to stop smoking", were the most commonly identified facilitators. CONCLUSIONS: Although oncology nurses are in an important position in delivering tobacco interventions and providing resources, their participation in consistent delivery of a tobacco control intervention was less than desirable. To help nurses participate in the assessment of tobacco use and interventions for cessation, the development of educational program is necessary.
PURPOSE The specific aims of this study was to find out the barrier to smoking cessation intervention in clinical practice among clinical nurses and compare them in high barrier group with those in the low barrier group. METHOD: The sample of this study consisted of 738 nurses practicing in general hospitals with over 400 beds throughout the country. The questionnaire was adopted from the 'Oncology Nurse's Tobacco Control Survey' used in the United Stated by Sarna et al.(2001). RESULT: Age, marital status, hospital experience, position were the variables related to the mean score of subjective resource insufficiency. The perception that the patient was not motivated to quit smoking was the most commonly identified barrier in low barrier group and the second most common barrier in high barrier group. CONCLUSION: Younger, with less clinical experience, single, staff nurses were the characteristics of nurses in the high barrier group. The smoking cessation educational program should be targeted to these populations. Further research is needed to develope strategies to reduce the perception associated with barriers in delivery of tobacco cessation interventions.
PURPOSE The purpose of this study was to suggest the projected manpower of hospice and palliative care nurses & APNs(advanced practice nurses)needed in the future. METHOD: Need model, ratio model and expert opinion were used for projecting the number of hospice and palliative care nurses & APNs. RESULT: 1. The number of Korean hospice facilities was 64 in 2002. The number of hospice nurses in 2001 was 194 and that of beds was 407. 2. The number of hospice target patients was estimated at a minimum of 16,415 to a maximum of 25,254 in 2002, 12,366 to 26,389 in 2005, and 14,057 to 30,000 in 2020. 3. The number of hospice and palliative nurses needed to meet the demands in 2002, 2005 and 2020 was estimated at a minimum of 1,136 to maximum of 1,748, 1,187 to 1,826, and 1,349 to 2,076, respectively. 4. The number of hospice & palliative care APNs needed to meet the demands in 2002, 2005 and 2020 was estimated at 232, 242, and 274, respectively. CONCLUSION: The legalization of hospice is expected to increase demands for hospice nurses and advanced practice hospice and palliative care nurses in the future.
PURPOSE The purpose of this study was to suggest the projected workforce of certified emergency nurses in Korea. METHOD: The methods used in this study are 1) demand & ratio model was used for the projected workforce of CEN, 2) Index functional formula was used for the suggestion of the number of general hospitals and hospitals, 3) Experts in Emergency care were contacted to get an opinion and information about the criteria of distribution and scope of CEN, 4) National and international internet data were collected. RESULT: The demand of CEN were analyzed by two ways; demand of Emergency centers only and demand of emergency centers including community centers. The number of CENs needed to meet the demands in 2002, 2005 and 2010 was estimated at minimum of 1,512 to maximum1,576, 1,640 to 1,704 and 1,892 to 1,956 respectively. The projected number of CENs for the 2002 was 1% total available nurses in Korea, and 3.2 CENs per 100,000 population. CONCLUSION: It is really desirable that CENs not only work for hospital emergency centers but also for emergency related centers in community.
This study will test one's spiritual well-being which can be an effective hope factor, and, if so found, suggests the importance of such factors in healing cancer. From this research, a total of 97 samples were used, either hospitalized in or outpatients of the general hospitals in Seoul. The hope scale proposed by Paloutzion and Ellison(1982) and Nowotny's Hope Scale(1989) was used. Data was collected from February to April 1998 to be processed by the SAS statistical package. The study has resulted as follows: 1. The average score and the standard deviation of the overall spiritual well-being recorded 82.36 +/- 15.93, with religious and existential sectors being 40.81 +/- 10.27 and 41.55 +/- 7.72, respectively. 2. The spiritual well-being scores differed significantly according to the sample's level of education, religion, belief, the length of period of religious practices, and the frequency of participation in the religious meeting. 3. THe hope score of the sampled cancer patients showed an average of 82.94 with the standard deviation of 10.27. 4. The demographic characteristics were found to have resulted in a significant difference in the hope scores in such areas as religion and strength of the faith. 5. The hypothesis was supported that the spiritual well-being has a positive effect on the patient's hope (r=.632, p=.0001). 6. A multiple regression analysis indicated that the existential well-being(50%), age(5%), and the religious well-being(2%) significantly explained the hope scores. Viewing that religion and faith contributed significantly to a patient's spiritual well-being and hope, nurses should better regard and furthermore encourage the religious life of the cancer patient. Also suggested is that spiritual caring proven very effective by this study be applied actively in enhancing the hope for the cancer patients.
The purpose of this study is to explore and describe the lived experience of leukemia patients by eliciting their verbal description of the experience. Participants were persons who were diagnosed with leukemia at the hospital and living at home after treatment. Data were obtained from interview of five leukemia patients and experience journals of 10 leukemia patients. Interview were tape recorded and transcribe verbation. The transcripts were analyzed by Colaizzi method. Major theme clusters that were emerged from the analysis are "Urgency or Impendence", "Terribleness or Miserableness", "Uncertainty", "Searching for hope" and "Spiritual well-being". The results of this study may help nurse to implement more efficient nursing strategies for leukemia patients by deeply understanding their lived experience and to develop quality of life program for leukemia patients.
This study was designed to test the correlation between spiritual well-being and quality of life and to identify this variable on quality of life. The subjects were 70 cancer patients of select hospitals in Seoul. Ellison(1983)'s spiritual well-being scale, Padilla's quality of life scale were used after some modification. The results & conclusions are as follows : 1. The score on the spiritual well-being scale ranged from 47 to 120 with a mean of 81.40(SD : 13.98). 2. The score on the quality of life scale ranged from 72 to 166 with a mean of 119.67(SD : 21.71). 3. In the relationship between social-demographic & spiritual well-being were significant difference in religion, the degree of faith & education. 4. There were significant correlations between spiritual well-being and quality of life. (gamma=.584, P<.001) 5. Existential spiritual well-being had significant effect on quality of life.(37%) In conclusion, the results propose the processes from spiritual well-being to quality of Life through religion. Spiritual well-being intervention programs are needed to improve the quality of life in cancer patients.
E-SUBMISSION
First
Prev
