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Research Papers
Effectiveness of a mobile application for tracking symptoms and enhancing symptom management among breast cancer patients receiving chemotherapy in Bangkok, Thailand: a non-randomized controlled trial
Duangrat Kaveenuntachai, Supawan Jaiboon, Bualuang Sumdaengrit, Chureeporn Silaguntsuti, Arveewan Vittayatigonnasak, Pornchan Sailamai
J Korean Acad Nurs 2025;55(2):178-190.   Published online May 27, 2025
DOI: https://doi.org/10.4040/jkan.25011
AbstractAbstract PDFePub
Purpose
This study evaluated the effectiveness of a mobile application in tracking symptoms and improving symptom management and quality of life (QoL) among breast cancer patients undergoing chemotherapy in Thailand.
Methods
A non-randomized controlled trial was used, with 25 participants in the intervention group and 25 in the control group. Research instruments included a demographic data form, the NCI-PRO-CTCAE Items-Thai-Thailand version 1.0, and the European Organization for Research and Treatment of Cancer Quality of Life Core Questionnaire and Breast Cancer-Specific Module.
Results
The intervention group had significantly less severe side effects than the control group, with mean differences of –23.33 (95% confidence interval [CI], –27.82 to –18.83) on day 1, –28.18 (95% CI, –33.22 to –23.14) on day 3, –34.63 (95% CI, –40.18 to –29.08) on day 7, –42.56 (95% CI, –48.72 to –36.40) on day 14, and –51.31 (95% CI, –58.13 to –44.48) on day 21 (p<.001 for all). On day 21, participants in the intervention group reported significantly higher scores in the Global Health QoL and Functional Scales compared to the control group (p<.001). Additionally, intervention group participants reported lower scores on the Symptom Scales and higher scores on the Functional Scales than those in the control group (p<.001).
Conclusion
The ChemoPro application helped manage chemotherapy-related symptoms and was associated with improved symptom monitoring and QoL. Nonetheless, the study was limited by a small sample size and restriction to Android users. Future research with larger and more diverse populations is recommended before broader implementation in clinical practice.

Citations

Citations to this article as recorded by  
  • Effectiveness of a digital health intervention on the supportive care needs and quality of life in Mexican patients with breast cancer: a randomized clinical trial
    Saúl Eduardo Contreras-Sánchez, Svetlana V. Doubova, Rocío Grajales-Álvarez, Ricardo Villalobos-Valencia, Abdel Karim Dip-Borunda, José Gustavo Nuñez-Cerrillo, Alma Diana Huerta-López, Álvaro José Montiel-Jarquín, Arturo García-Galicia, Enrique Isay Talam
    BMC Cancer.2026;[Epub]     CrossRef
  • 4,260 View
  • 215 Download
  • 1 Crossref
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Development and Evaluation of an App-Based Self-Management Program for Exercise Practice of Breast Cancer Survivors: A Non-Randomized Controlled Trial
Suyoun Maeng, Jungok Yu
J Korean Acad Nurs 2024;54(2):250-265.   Published online May 31, 2024
DOI: https://doi.org/10.4040/jkan.23119
AbstractAbstract PDF
Purpose
This study aimed to develop an app-based self-management program based on the transtheoretical model (TTM) for breast cancer survivors’ exercise practice, as well as to investigate the program’s effects on the stage of change for exercise, exercise self-efficacy, exercise decisional balance, exercise amount, and body composition.
Methods
This non-randomized controlled study included 52 participants (26 in each of the experimental and control groups, respectively). An app-based self-management program based on the TTM was conducted with the experimental group for a 12-week period. The program comprised three components: individual coaching for each stage of change for exercise based on TTM, amount of exercise and body composition monitoring, and online self-help meetings.
Results
Compared with the control group, the experimental group had significantly higher stages of change for exercise (p < .001), exercise self-efficacy (p < .001), exercise decisional balance (p = .002), exercise amount (p < .001), and body composition (body weight [p = .006], body mass index [p = .005], and body fat percentage [p = .010]) immediately and four weeks after the intervention.
Conclusion
An appbased self-management program based on the TTM improves exercise behaviors in breast cancer survivors and provides physical benefits.

Citations

Citations to this article as recorded by  
  • Effects of a mobile health coaching intervention on symptom experience, self-management, and quality of life in breast cancer survivors: A quasi-experimental study
    Jin-Hee Park, Sun Hyoung Bae, Yong Sik Jung, Min Hee Hur, Ji Young Kim, Su Jin Jung
    Medicine.2025; 104(12): e41894.     CrossRef
  • 4,174 View
  • 212 Download
  • 2 Web of Science
  • 1 Crossref
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The Experience of Gynecologic Cancer in Young Women: A Qualitative Study
Sung-Jin Kim, Hyunjeong Shin
J Korean Acad Nurs 2023;53(1):115-128.   Published online February 28, 2023
DOI: https://doi.org/10.4040/jkan.22119
AbstractAbstract PDF
Purpose
This study aimed to understand the experiences of women under 40 years of age with gynecologic cancer.
Methods
Semi-structured individual in-depth interviews were conducted with 14 Korean female patients aged 21~39 years with gynecologic cancer. The data were analyzed using Corbin and Strauss' grounded theory approach, including open coding, context analysis, and integrating categories.
Results
Grounded theory analysis revealed nine categories and a core category of ‘the journey to find my life after losing the life as a typical woman.’ The categories that emerged as the conditions are ‘Unwelcomed guest, cancer,’ ‘Completely devastated life as an ordinary woman,’ ‘Uncertain future,’ ‘Losing my physical characteristics as a woman,’ and ‘Life tied with treatments.’ The actions/interactions were ‘Decrease of interpersonal relationships,’ ‘A lonely battle to overcome alone,’ and ‘The power to overcome hardships.’ The consequence was ‘Live my own life.’ Conclusion: This study contributes to the development of a substantive theory of the experience of gynecologic cancer in young women, which has been on the rise in recent years. The study’s results are expected to be used as a basis for providing nursing care to help young women with gynecologic cancer adapt to their disease.

Citations

Citations to this article as recorded by  
  • The Mediating Effects of Negative Affect and Cancer Coping in the Relationship between Perceived Stress and Health-Related Quality of Life among Gynecological Cancer Survivors: A Cross-Sectional Study
    Yeon-woo Kim, Sunki Kim, Hye-Ja Park
    Korean Journal of Adult Nursing.2025; 37(3): 266.     CrossRef
  • Exploring the Disease Experience in Women with PCOS: A Qualitative Content Analysis
    Miok Kim, Su Jeong Yi
    Healthcare.2025; 13(24): 3243.     CrossRef
  • ORGAN LOSS AS A TRIGGER OF IDENTITY CRISIS IN WOMEN WITH MALIGNANT TUMORS OF THE REPRODUCTIVE SYSTEM (literature review)
    Valentyn BELYAK, Rostyslav BILOBRYVKA
    Ukrains kyi Visnyk Psykhonevrolohii.2025; : 123.     CrossRef
  • Illness Experiences of Young Adult Thyroid Cancer Patients Receiving Radioactive Iodine Treatment
    Hyeon Ae Lee, Sue Kyung Sohn
    Asian Oncology Nursing.2025; 25(4): 195.     CrossRef
  • Factors Influencing Oncofertility in Gynecological Cancer Patients: Application of Mixed Methods Study
    Minji Kim, Juyoung Ha
    Journal of Korean Academy of Nursing.2024; 54(3): 418.     CrossRef
  • 1,672 View
  • 82 Download
  • 3 Web of Science
  • 5 Crossref
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Effects of the Advanced Practice Nurse-Led Psychoeducational Program for Colorectal Cancer Survivors
Hye Kyung Kim, Yang-Sook Yoo
J Korean Acad Nurs 2022;52(3):245-260.   Published online June 30, 2022
DOI: https://doi.org/10.4040/jkan.21207
AbstractAbstract PDF
Purpose
This study aimed to investigate the effects of an advanced practice nurse-led psychoeducational program on distress, anxiety, depression, coping with cancer (CWC), health promotion behavior (HPB), and quality of life (QOL) among colorectal cancer survivors.
Methods
This study was designed as a quasi-experimental study with a non-equivalent control group pretest-posttest. The participants were survivors of colorectal cancer who underwent follow-up care. There were 39 survivors: 19 in the experimental group and 20 in the control group. The experimental group performed a psychoeducational program for 120 minutes per session, once a week for a total of six weeks, while the control group received routine education and counseling. Distress, anxiety, depression, CWC, HPB, and QOL were investigated before, immediately after, and 4 weeks after the intervention. The data were analyzed with SPSS/WIN ver. 24.0, using repeated measures ANOVA.
Results
There were significant interactions between time and group for distress and anxiety. In addition, CWC interacted with the total of CWC and interpersonal coping, and QOL interacted with the total of QOL and functional status. However, there were no significant differences in the depression or HPB scores.
Conclusion
Based on the results of this study, we expect that this program can be used as an effective intervention for colorectal cancer survivors.

Citations

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  • Tailored psychoeducation for multiple myeloma patients: a step toward enhancing quality of life and health outcomes
    Yoorin Cho, Yang Sook Yoo
    Health Education Research.2026;[Epub]     CrossRef
  • Effectiveness of a mobile-based return to work program for decent return to work, fatigue, stress, and quality of working life among cancer survivors
    Kisook Kim, Hyohyeon Yoon
    Journal of Cancer Survivorship.2025; 19(2): 713.     CrossRef
  • Elevating Elderly Cancer Care: A Systematic Review of Advanced Practice Nursing’s Role in Senior Oncology Patients’ Quality of Life
    Cristian-David Useche-Guerrero, María-de-los-Ángeles Merino-Godoy, Eva-María Barroso-Márquez, Emilia Isabel Martins Teixeira da Costa, Rafaela Camacho Bejarano, Francisco-Javier Gago-Valiente, Rizal Angelo Grande
    Journal of Nursing Management.2024;[Epub]     CrossRef
  • Effects of Psycho-education Interventions on Colorectal Cancer Patients: A systematic review and meta-analysis
    XiaoYing Zhang, HuangQin Liu, LiYing Lin, Huimin Xiao
    Journal of Cancer Education.2023; 38(5): 1413.     CrossRef
  • How should the healthcare system support cancer survivors? Survivors’ and health professionals’ expectations and perception on comprehensive cancer survivorship care in Korea: a qualitative study
    Su Jung Lee, Dal-Lae Jin, Young Ae Kim, Hyun-Ju Seo, Seok-Jun Yoon
    BMC Cancer.2023;[Epub]     CrossRef
  • Cancer Survivorship Care and Roles of Oncology Nurses
    Eun Young Park
    Asian Oncology Nursing.2022; 22(3): 121.     CrossRef
  • 1,952 View
  • 93 Download
  • 6 Web of Science
  • 6 Crossref
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The Development of a Tool for Assessment of Spiritual Distress in Cancer Patients
Jin Sook Kim, Il-Sun Ko, Su Jin Koh
J Korean Acad Nurs 2022;52(1):52-65.   Published online February 28, 2022
DOI: https://doi.org/10.4040/jkan.21120
AbstractAbstract PDF
Purpose
This study was conducted to develop a scale to measure spiritual distress in cancer patients.
Methods
A total of 69 preliminary items for the spiritaul distress assessment tool (SDAT) were compiled, based on a literature review, selection of empirically relevant items through concept analysis of hybrid models, confirmation of content validity by experts, cognitive interviews, and a pretest. Self-administered questionnaires were collected between April 1 and July 31, 2018, from 225 cancer patients at four medical institutions and one nursing home. The data were analyzed using item analysis, exploratory factor analysis, convergent and discriminant validity, and Pearson correlation for criterion validity. Reliability was tested by Cronbash’s α coefficient.
Results
The final version of the SDAT consisted of 20 items. Five-factors, loss of peace, burden of family, avoidance of confronting death, guilt and remorse, regret for not being able to apololgize and forgive were extracted, and showed 62.8% of total variance. The factors were confirmed through convergent and discriminant validity. Criterion validity was confirmed by functional assessment chronic illness therapy spiritual well-being scale 12 (FACIT-Sp12). The overall Cronbach’s α was .91, and the coefficients of each subscale ranged from .78~.83.
Conclusion
The SDAT for cancer patients is valid and reliable. It is suggested that the tool can be used to measure spiritual distress in cancer patients.

Citations

Citations to this article as recorded by  
  • Development of a measurement of doctor-patient communication quality scale
    Jiayi Shao, Minhui Wen, Yuqing Zhang, Liping Zhang, Jiangjie Sun
    Frontiers in Public Health.2025;[Epub]     CrossRef
  • Validity and reliability of the integrated palliative care outcome scale (IPOS) in Korea: a multicenter study of terminally ill cancer patients
    So-Jung Park, Yujin Park, Mira Han, Sun-Hyun Kim, In Cheol Hwang, Go-un Woo, Yoo Jeong Lee, Young Sung Kim, Hyun Jung Jho, Yoon Jung Chang
    BMC Palliative Care.2024;[Epub]     CrossRef
  • Family caregivers’ perceived value of caring for older patient: A hybrid model of concept analysis
    Seon-Hye Heo, Hye-Ryoung Kim
    Journal of Korean Gerontological Nursing.2023; 25(2): 152.     CrossRef
  • Spiritual Distress in Patients with Dyspnea: A Review of Measurement Tools
    Leah McCann Klug
    Illness, Crisis & Loss.2023; 31(4): 736.     CrossRef
  • 2,443 View
  • 77 Download
  • 2 Web of Science
  • 4 Crossref
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The Lived Experience of Body Alteration and Body Image with Regard to Immediate Breast Reconstruction among Women with Breast Cancer
Jeonghee Ahn, Eunyoung E. Suh
J Korean Acad Nurs 2021;51(2):245-259.   Published online April 30, 2021
DOI: https://doi.org/10.4040/jkan.21028
AbstractAbstract PDF
Purpose
The purpose of this study was to explore the lived experience of body alteration and body image with regard to immediate breast reconstruction among women with breast cancer.
Methods
Data were collected from July to December 2020 through individual in-depth interviews with 15 women who had undergone immediate breast reconstruction due to breast cancer. Verbatim transcripts were analyzed using Colaizzi’s phenomenological analysis.
Results
The following four theme clusters emerged. First, “revalued meaning of breasts due to cancer” illustrated the fact that cancer removal surgery brought the participants to reconsider the meaning of their breasts. Second, “had no choice but breast reconstruction” demonstrated the participants’ decision-making process of not wanting to lose breasts. Third, “unsatisfied breasts despite reconstruction” portrayed the distress due to the unexpected surgical outcomes. Finally, “restarted everyday routines with the altered body” described the healing process of the participants by accepting their changed body.
Conclusion
In Korea, where family-centeredness and fidelity are highly valued, women perceived their breasts not only as a symbol of femininity but as the mediator connecting the self to family. Despite the distress related to imperfect breasts, the participants were thankful for their reconstructed breasts. Breast reconstruction helped them return to daily life as the psychological trauma of breast cancer was healed. The participants rebuilt their body image by accepting their scarred new body. This may allow health professionals to provide constructive and culturally appropriate counseling in advance by providing insight into women’s perception of their body image with regard to breast reconstruction.

Citations

Citations to this article as recorded by  
  • Mental health in female breast cancer survivors post-mastectomy: A structural model based on Roy's adaptation model
    Hyeng Sook Yoon, Eunjung Ryu
    Asia-Pacific Journal of Oncology Nursing.2025; 12: 100820.     CrossRef
  • Categorising Subjective Perceptions of Middle-Aged Breast Cancer Patients Using Q Methodology
    Min-Jeung Shim, Song-Yi Lee, Oh-Sun Ha
    Healthcare.2024; 12(18): 1873.     CrossRef
  • Body Acceptance Scale for Women with Breast Cancer: Development and Validation of a Measurement
    Jeonghee Ahn, Eunyoung E. Suh
    Seminars in Oncology Nursing.2023; 39(5): 151486.     CrossRef
  • Influence of body image on quality of life in breast cancer patients undergoing breast reconstruction: Mediating of self‐esteem
    Yunhee Jang, Mihyeon Seong, Sohyune Sok
    Journal of Clinical Nursing.2023; 32(17-18): 6366.     CrossRef
  • Body acceptance in women with breast cancer: A concept analysis using a hybrid model
    Jeonghee Ahn, Eunyoung E. Suh
    European Journal of Oncology Nursing.2023; 62: 102269.     CrossRef
  • A systematic review and meta-analysis on the prepectoral single-stage breast reconstruction
    Jiameng Liu, Xiaobin Zheng, Shunguo Lin, Hui Han, Chunsen Xu
    Supportive Care in Cancer.2022; 30(7): 5659.     CrossRef
  • 2,518 View
  • 86 Download
  • 7 Web of Science
  • 6 Crossref
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Original Articles
Applying Extended Theory of Planned Behavior for Lung Cancer Patients Undergone Pulmonary Resection: Effects on Self-Efficacy for Exercise, Physical Activities, Physical Function, and Quality of Life
Yeonjung Lim, Haejung Lee, Do Hyung Kim, Yeong Dae Kim
J Korean Acad Nurs 2020;50(1):66-80.   Published online January 31, 2020
DOI: https://doi.org/10.4040/jkan.2020.50.1.66
AbstractAbstract PDF
Abstract Purpose:

This study aims to examine the effects of nursing interventions based on the Extended Theory of Planned Behavior (ETPB) regarding self-efficacy for exercise (SEE), physical activity (PA), physical function (PF), and quality of life (QOL) in patients with lung cancer who have undergone pulmonary resection.

 Methods:

This quasi-experimental study was conducted between July 2015 and June 2018 in two university-affiliated hospitals. The intervention included pre-operative patient education, goal setting (action and coping planning), and feedback (behavior intention and perceived behavioral control). The intervention group (IG) (n=51) received nursing interventions from the day before surgery to 12 months after lung resection, while the comparison group (CG) (n=36) received usual care. SEE, PA, PF (dyspnea, functional status, and 6-minute walking distance [6MWD]), and QOL were measured before surgery and at one, three, six, and 12 months after surgery. Data were analyzed using the χ2 test, Fisher’s exact test, Mann-Whitney U test, t-test, and generalized estimation equations (GEE).

 Results:

There were significant differences between the two groups regarding SEE (χ2=13.53, p=.009), PA (χ2=9.51, p=.049), functional status (χ2=10.55, p=.032), and 6MWD (χ2=15.62, p=.004). Although there were no time or group effects, the QOL mental component (Z=-2.78, p=.005) of the IG was higher than that of the CG one month after surgery. Interventions did not affect dyspnea or the QOL physical component.

 Conclusion

The intervention of this study was effective in improving SEE, PA, functional status, and 6MWD of lung cancer patients after lung resection. Further extended investigations that utilize ETPB are warranted to confirm these results.

Citations

Citations to this article as recorded by  
  • [Retracted] Dynamic Changes and Influencing Factors for the Quality of Life in Nursing Care after Lung Cancer Resection
    Shuzhen Hu, Aihong Fang, Mohammad Farukh Hashmi
    Contrast Media & Molecular Imaging.2022;[Epub]     CrossRef
  • Study on influence factors of public participation willingness in substation project based on integrated TPB-NAM model
    Xin Ma, Junpeng Li, Fuli Guo, Caocao Cui, Tengfei Chen, Fan Xv, Wenbin Wang
    Frontiers in Psychology.2022;[Epub]     CrossRef
  • 2,548 View
  • 105 Download
  • 2 Web of Science
  • 2 Crossref
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Incidence of Colon Cancer Related to Cigarette Smoking and Alcohol Consumption in Adults with Metabolic Syndrome: Prospective Cohort Study
Ahra Jo, Heeyoung Oh
J Korean Acad Nurs 2019;49(6):713-723.   Published online December 30, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.6.713
AbstractAbstract PDF
Purpose

The purpose of this study was to identify the impact of cigarette smoking and alcohol consumption on the incidence of colon cancer in adults with metabolic syndrome.

 Methods

This study employed a longitudinal study design and utilized secondary data drawn from the Korean Genome and Epidemiology Study (KoGES). The data of a sample of 2,327 adults with metabolic syndrome tracked every two years from 2001 to 2014 were used in this study. Statistical data analyses of the frequency, number of cases per 100,000 person-years, log-rank test, Kaplan-Meier curve, and Cox's proportional hazards regression were performed using IBM SPSS statistics version 24.

 Results

During the observation period, the number of colon cancer cases was 46, and the total person-years were 252,444. The incidence of colon cancer was higher in current, over 10 pack-year smokers when compared to non-smokers (hazard ratio=3.38, 95% confidence interval=1.09~8.42).

 Conclusion

Excessive and long-term smoking should be avoided to prevent colon cancer, especially in adults with metabolic syndrome, since it might exacerbate the risk factors of colon cancer. Particularly, health professionals need to provide individualized smoking cessation interventions to those at high risk of colon cancer.

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  • Genetic correlation, and causal relationships between 3 solid cancer types and human traits
    Claudia Cava, Ehsan Nazemalhosseini Mojarad, Isabella Castiglioni
    Network Modeling Analysis in Health Informatics and Bioinformatics.2024;[Epub]     CrossRef
  • Ribosomal Protein L9 Maintains Stemness of Colorectal Cancer via an ID-1 Dependent Mechanism
    Eun-Hye Jeon, So-Young Park, Keon Uk Park, Yun-Han Lee
    Journal of Cancer Prevention.2024; 29(2): 25.     CrossRef
  • Unhealthy lifestyle factors and the risk of colorectal cancer: a Mendelian randomization study
    Xingyuan Li, Zewen Chang, Jiaqi Wang, Ke Ding, Shengqi Pan, Hanqing Hu, Qingchao Tang
    Scientific Reports.2024;[Epub]     CrossRef
  • Association between WHO First-Step Analgesic Use and Risk of Breast Cancer in Women of Working Age
    Hyun Sook Oh, Hwa Jeong Seo
    Pharmaceuticals.2023; 16(2): 323.     CrossRef
  • RPL27 contributes to colorectal cancer proliferation and stemness via PLK1 signaling
    So-Young Park, Daekwan Seo, Eun-Hye Jeon, Jee Park, Byeong-Churl Jang, Jee Kim, Seung-Soon Im, Jae-Ho Lee, Shin Kim, Chi Cho, Yun-Han Lee
    International Journal of Oncology.2023;[Epub]     CrossRef
  • Time to Diagnosis and Treatment of Diabetes Mellitus among Korean Adults with Hyperglycemia: Using a Community-Based Cohort Study
    Ihn-Sook Jeong, Chan-Mi Kang
    International Journal of Environmental Research and Public Health.2022; 19(19): 12090.     CrossRef
  • Effects of Nutritious Meal Combined with Online Publicity and Education on Postoperative Nutrition and Psychological State in Patients with Low Rectal Cancer After Colostomy
    Lijuan Qu, Mei Zhou, Yi Yu, Kaili Li, Deepika Koundal
    Computational and Mathematical Methods in Medicine.2022; 2022: 1.     CrossRef
  • Burden of Cancer Due to Cigarette Smoking and Alcohol Consumption in Korea
    Yoon-Sun Jung, Seok-Jun Yoon
    International Journal of Environmental Research and Public Health.2022; 19(6): 3493.     CrossRef
  • Effect and Prognosis Factors of Combining Laparoscopic Radical Resection of Colon Adenocarcinoma with Docetaxel Therapy in Treating Middle and Advanced Colon Adenocarcinoma
    Qi Gao, Caifeng Zhang, Zhichao Dong, Yan Guo, Li Zhang, Sudipta Roy
    Computational Intelligence and Neuroscience.2022; 2022: 1.     CrossRef
  • Cuproptosis-Related genes in the prognosis of colorectal cancer and their correlation with the tumor microenvironment
    Weiqiang Wu, Jingqing Dong, Yang Lv, Dongmin Chang
    Frontiers in Genetics.2022;[Epub]     CrossRef
  • Motivational Factors for Smoking Behaviors in Individuals with Metabolic Syndrome
    Moonkyoung Park, Baram Kang, Ahyun Ryu, YueLin Li, Rhayun Song
    Patient Preference and Adherence.2021; Volume 15: 2847.     CrossRef
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  • 21 Download
  • 12 Web of Science
  • 11 Crossref
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The Effects of Utilizing Smartphone Application Peer Support on Health Behavior and Body Mass Index among Breast Cancer Survivors
Gaeun Park, Haejung Lee, Hyun Yul Kim
J Korean Acad Nurs 2019;49(5):550-561.   Published online January 15, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.5.550
AbstractAbstract PDF
Abstract Purpose

This study aimed to identify the effects of utilizing Smartphone Application Peer Support (SAPS) on health behavior and body mass index (BMI) among overweight or obese breast cancer survivors (BCS).

 Methods

A nonequivalent control group with a non-synchronized design was utilized and 36 participants (experimental group 14, control group 22) were recruited from August 2017 to September 2018. Participants were 40~65 years old, overweight or obese, had completed primary cancer treatment within the 12 months prior to the study, and had not done regular exercise during the last 6 months. The 3-month SAPS consisted of exercise and diet education (once p/2 weeks), peer support (once p/week), and self-monitoring using smartphone applications (5 times p/week). All participants underwent assessments at baseline, right after SAPS, and at 3 months after SAPS. Data were analyzed using repeated measures ANOVA.

 Results

At the completion of SAPS significant differences were found between groups in motivation for exercise (t=-3.24, p=.005), physical activity (t=-4.15, p<.001), total calorie intake (t=3.42, p=.002), calories from fat (t=-3.01, p=.005), intake of vegetables (t=-2.83, p=.008), and BMI (t=5.21, p<.001). Significant differences in BMI (t=4.13, p<.001) remained up to 3 months after SAPS completion. No significant differences was shown between groups in self-efficacy for exercise, either immediately after or 3 months after SAPS.

 Conclusion

The SAPS has the potential to improve motivation for exercise, health behavior, and BMI of BCS. However, special efforts are required to encourage participants to complete the intervention and maintain long-term effects for future trials.

Citations

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  • EHealth intervention for quality of life in long-term breast cancer survivors: randomized controlled trial
    Gustavo Adolfo Pimentel-Parra, Nelia Soto-Ruiz, Paula Escalada-Hernández, Leticia San Martín-Rodríguez, Cristina García-Vivar
    JNCI: Journal of the National Cancer Institute.2026;[Epub]     CrossRef
  • Efficacy of Mobile App–Based Dietary Interventions Among Cancer Survivors: Systematic Review and Meta-Analysis
    Krista Ching Wai Chung, Naomi Takemura, Wendy Wing Tak Lam, Mandy Man Ho, Antoinette Marie Lee, Wynnie Yuen Yee Chan, Daniel Yee Tak Fong
    JMIR mHealth and uHealth.2025; 13: e65505.     CrossRef
  • Development and Evaluation of an App-Based Self-Management Program for Exercise Practice of Breast Cancer Survivors: A Non-Randomized Controlled Trial
    Suyoun Maeng, Jungok Yu
    Journal of Korean Academy of Nursing.2024; 54(2): 250.     CrossRef
  • Effects of an integrated lifestyle intervention for overweight and obese breast cancer survivors: A quasi-experimental study
    Su Jin Seo, Ju-Hee Nho
    European Journal of Oncology Nursing.2024; 73: 102714.     CrossRef
  • 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
  • Effectiveness of Digital Health on the Quality of Life of Long-Term Breast Cancer Survivors: A Systematic Review
    Gustavo Adolfo Pimentel-Parra, M. Nelia Soto-Ruiz, Leticia San Martín-Rodríguez, Paula Escalada-Hernández, Cristina García-Vivar
    Seminars in Oncology Nursing.2023; 39(4): 151418.     CrossRef
  • Effectiveness of a virtual reality application‐based education programme on patient safety management for nursing students: A pre‐test–post‐test study
    Jae Woo Oh, Ji Eun Kim
    Nursing Open.2023; 10(12): 7622.     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
  • The development of a lifestyle modification mobile application, “Health for You” for overweight and obese breast cancer survivors in Korea
    Su-Jin Seo, Ju-Hee Nho, Youngsam Park
    Korean Journal of Women Health Nursing.2021; 27(3): 243.     CrossRef
  • Peer‐supported lifestyle interventions on body weight, energy intake, and physical activity in adults: A systematic review and meta‐analysis
    Siew Lim, Wai Kit Lee, Andy Tan, Mingling Chen, Chau Thien Tay, Surbhi Sood, Stephanie Pirotta, Lisa J. Moran, Meena Daivadanam, Ljoudmila Busija, Helen Skouteris, Mamaru A. Awoke, Briony Hill
    Obesity Reviews.2021;[Epub]     CrossRef
  • Application and evaluation of mobile nutrition management service for breast cancer patients
    Ji Hee Choi, Seon-Joo Park, Hee Kwon, Hae-Jeung Lee
    Journal of Nutrition and Health.2020; 53(1): 83.     CrossRef
  • 1,538 View
  • 25 Download
  • 10 Web of Science
  • 11 Crossref
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A Structural Model for Chemotherapy Related Cognitive Impairment and Quality of Life in Breast Cancer Patients
Jung Ran Lee, Pok Ja Oh
J Korean Acad Nurs 2019;49(4):375-385.   Published online January 15, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.4.375
AbstractAbstract PDF
Abstract Purpose

This study aimed to develop and test a structural model for chemotherapy-related cognitive impairment of breast cancer patients based on a literature review and Hess and Insel's chemotherapy-related cognitive change model.

 Methods

The Participants consisted of 250 patients who were ≥19 years of age. The assessment tools included the Menopause Rating Scale, Symptom Experience Scale, Hospital Anxiety and Depression Scale, Everyday Cognition, and Functional Assessment of Cancer Therapy-Breast Cancer. Data were analyzed using the SPSS 21.0 and AMOS 21.0 programs.

 Results

The modified model was a good fit for the data. The model fit indices were χ 2=423.18 (p<.001), χ 2/df=3.38, CFI=.91, NFI=.91, TLI=.89, SRMR=.05, RMSEA=.09, and AIC=515.18. Chemotherapy-related cognitive impairment was directly influenced by menopausal symptoms (β=.38, p=.002), depression and anxiety (β=.25, p=.002), and symptom experiences (β=.19, p=.012). These predictors explained 47.7% of the variance in chemotherapy-related cognitive impairment. Depression and anxiety mediated the relations among menopausal symptoms, symptom experiences, and with chemotherapy related cognitive impairment. Depression and anxiety (β=-.51, p=.001), symptom experiences (β=-.27, p=.001), menopausal symptoms (β=-.22, p=.008), and chemotherapy-related cognitive impairment (β=-.15, p=.024) had direct effects on the quality of life and these variables explained 91.3%.

 Conclusion

These results suggest that chemotherapy-related toxicity is highly associated with cognitive decline and quality of life in women with breast cancer. Depression and anxiety increased vulnerability to cognitive impairment after chemotherapy. Nursing intervention is needed to relieve chemotherapy-related toxicity and psychological factor as well as cognitive decline for quality of life in patients undergoing chemotherapy.

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Experiences of Ego Integrity Recovery in Elderly Cancer Patients: Grounded Theory Approach
Han-Gyo Choi, Hye-Ah Yeom
J Korean Acad Nurs 2019;49(3):349-360.   Published online January 15, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.3.349
AbstractAbstract PDF
Abstract Purpose

This study was conducted to derive a substantive theory on lived experiences of elderly cancer patients.

 Methods

The data were collected from February to March 2018 through in-depth personal interviews with 14 elderly cancer patients. The collected data were analyzed based on Corbin and Strauss's grounded theory.

 Results

The core category was “the journey to find balance in daily lives as a cancer patient by recovering disturbed ego integrity.” The core phenomenon was “shattered by suffering from cancer,” and the causal conditions were “physical change” and “limitations in daily life.” The contextual conditions were “decreased self-esteem,” “feelings of guilt toward the family,” and the sense of “economic burden.” The participants’ action and interaction strategies were “maintaining or avoiding social relations,” “seeking meaning of the illness,” “falling into despair,” and “strengthening the willingness to battle the cancer.” The intervening conditions were “support from health care providers and family,” “dissatisfaction with health care providers,” “spiritual help from religion,” and “the improvement or worsening of health conditions.” The consequences were “having a new insight for life,” “living positively along with cancer illness,” and “the loss of willingness to live.” A summary of the series of processes includes the “crisis stage,” “reorganizing stage,” and the “ego integration stage.”

 Conclusion

This study explored the holistic process of ego integrity impairment and the recovery experience of elderly cancer patients. This study is expected to be used as a basis for the development of nursing interventions that can support patients when coping with all stages of their cancer illness trajectory.

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Effects of Mobile Navigation Program in Colorectal Cancer Patients based on Uncertainty Theory
Kyengjin Kim, Wanju Park
J Korean Acad Nurs 2019;49(3):274-285.   Published online January 15, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.3.274
AbstractAbstract PDF
Abstract Purpose

This study aimed to examine the effects of a mobile navigation program on uncertainty, resilience, and growth through uncertainty in colorectal cancer patients.

 Methods

To verify the effectiveness of the mobile navigation program, 61 participants diagnosed with colorectal cancer undergoing surgery were selected. A nonequivalent control group nonsynchronized design was used to evaluate the program. Uncertainty was measured using the Korean version of the Uncertainty in Illness Scale, resilience was measured using the Korean version of the Connor-Davidson Resilience Scale, and growth through uncertainty was measured using the Growth through Uncertainty Scale.

 Results

Compared with the control group, patients in the mobile navigation program group showed significant differences in scores for uncertainty (F=7.22, p=.009) and resilience (F=4.31, p=.042), but not for growth through uncertainty (F=2.76, p=.102).

 Conclusion

These results suggest that the mobile navigation program has positive effects on decreasing uncertainty and increasing resilience among colorectal cancer patients. The mobile navigation program could play a significant role in assisting colorectal cancer patients in regard to the continuity and usability of the program.

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Family Surrogates' Decision Regret and Psychological Stress about End-of-Life Cancer Treatments: Path Analysis
Su Hyun Kim
J Korean Acad Nurs 2018;48(5):578-587.   Published online October 31, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.5.578
AbstractAbstract PDF
Purpose

This study aimed to understand the mechanisms of decision regret and stress of family surrogates' end-of-life decision making using an exploratory path model. In particular, the research identified the direct effects of perceptions of uncertainty and effective decisions on decision regret and stress, and examined the indirect effects of being informed, having clear values, and being supported for decision regret and the stress of end-of-life decision making through the mediating variables of perceptions of uncertainty and effective decisions.

 Methods

Data were collected from 102 family surrogates who had participated in end-of-life decision making for patients with terminal cancer in a tertiary hospital.

 Results

Perception of effective decisions was a significant direct predictor of decision regret, and uncertainty was a significant predictor of stress among the participants. Being informed, having clear values, and being supported had a significant indirect influence on decision regret through the perception of effective decisions among family surrogates. However, only having clear values had a significant indirect influence on stress through the perception of uncertainty. The model explained 63.0% of decision regret and 20.0% of stress among the participants and showed a good fit with the data, χ2=12.40 (df=8, p=.134), TLI=.97, and RMSEA=.07.

 Conclusion

Nurses can support family surrogates in end-oflife decision-making processes to decrease their decision regret by providing information about end-of-life care choices, clarifying personal values, and supporting the decision-making process, and to relieve their stress by facilitating the clarification of personal values.

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Psychosocial Adjustment in Korean Colorectal Cancer Survivors
Hyejin Sun, Jia Lee
J Korean Acad Nurs 2018;48(5):545-553.   Published online October 31, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.5.545
AbstractAbstract PDF
Purpose

The increasing survival rate of colorectal cancer demands various nursing interventions and continuous care for patients to adapt to their psychosocial daily lives. The purpose of this study was to identify factors associated with psychosocial adjustment in colorectal cancer survivors.

 Methods

A cross-sectional descriptive study with face-to-face interviews was conducted of 156 colorectal cancer survivors after surgery visiting an outpatient cancer clinic at a tertiary hospital in S city, Korea. Posttraumatic growth, health-promoting behavior, length of treatment, difficulty in activities of daily living, and having a stoma were entered into the linear regression model.

 Results

The strongest factor influencing the level of psychosocial adjustment was health-promoting behavior (β=.33, p<.001), followed by difficulty in activities of daily living (β=-.24, p=.001), posttraumatic growth (β=.20, p=.004), and having a stoma (β=-.19, p=.004).

 Conclusion

Nursing interventions for psychosocial adjustment in colorectal cancer survivors need to include the contents for posttraumatic growth, as well as health-promoting behavior, and activities of daily living.

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Psychoeducational Approach to Distress Management of Newly Diagnosed Patients with Breast Cancer
Jin-Hee Park, Mison Chun, Yong Sik Jung, Sun Hyoung Bae, Young-Mi Jung
J Korean Acad Nurs 2018;48(6):669-678.   Published online January 15, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.6.669
AbstractAbstract PDF
Abstract Purpose

The purpose of this study was to examine the effects of integrated psychoeducational program for distress management of newly diagnosed patients with breast cancer.

 Methods

A quasi-experimental trial was conducted. The participants consisted of 47 female patients with breast cancer assigned to an intervention group (n=25) and control group (n=22). The intervention group participated in integrated psychoeducational program, consisting of individual face-to-face education and telephone-delivered health-coaching sessions. Data were collected at three time points: pre-intervention (T1), post-intervention (T2), and 6-month follow-up (T3). Study instruments were Distress thermometer, Supportive Care Needs Survey Short Form 34 and Functional Assessment of Cancer Therapy-Breast.

 Results

Compared with the control group, breast cancer patients in the intervention group reported lower distress and supportive care needs than the control group. The intervention group reported higher quality of life (QOL) overall and higher emotional well-being than the control group.

 Conclusion

These findings indicate that the integrated psychoeducational program is an effective intervention for reducing distress and supportive care needs and increasing QOL of newly diagnosed patients with breast cancer. Oncology nurses need to provide psychoeducational intervention to support patients with breast cancer in managing their distress and helping them adjust to their life.

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    Tetiana Odynets, Yuriy Briskin, Valentina Todorova
    Integrative Cancer Therapies.2019;[Epub]     CrossRef
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Reliability and Validity of the Korean Version of the Coping and Adaptation Processing Scale–Short-Form in Cancer Patients
Chi Eun Song, Hye Young Kim, Hyang Sook So, Hyun Kyung Kim
J Korean Acad Nurs 2018;48(3):375-388.   Published online January 15, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.3.375
AbstractAbstract PDF
Abstract Purpose

This study was conducted to assess the reliability and validity of the Korean version of the Coping and Adaptation Processing Scale-Short-Form in patients with cancer.

 Methods

The original scale was translated into Korean using Brislin's translation model. The Korean Short-Form and the Functional Assessment Cancer Therapy-General were administered to 164 Korean patients with cancer using convenience sampling method. The collected data were analyzed using SPSS 23.0 and AMOS 23.0. Construct validity, criterion validity, test-retest reliability, and internal consistency reliability of the Korean Coping and Adaptation Processing Scale-Short-Form were evaluated.

 Results

Exploratory factor analysis supported the construct validity with a four-factor solution that explained 60.6% of the total variance. Factor loadings of the 15 items on the four subscales ranged .52~.86. The four-subscale model was validated by confirmatory factor analysis (Normed χ 2=1.38 (p=.013), GFI=.92, SRMR=.02, RMSEA=.05, TLI=.94, and CFI=.95), and criterion validity was demonstrated with the Functional Assessment Cancer Therapy-General. Cronbach's alpha for internal consistency of the total scale was .83 and ranged .68~.81 for all subscales, demonstrating sufficient test-retest reliability.

 Conclusion

The Korean version showed satisfactory construct and criterion validity, as well as internal consistency and test-retest reliability.

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    Carolina Gutiérrez-López, Gustavo Ordoñez-Sierra, Ricardo Borda Hernández, Marcia Andrea Quiñonez-Mora
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Symptom Distress and Coping in Young Korean Breast Cancer Survivors: The Mediating Effects of Social Support and Resilience
Ji Hyun Lee, Hye Young Kim
J Korean Acad Nurs 2018;48(2):241-253.   Published online January 15, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.2.241
AbstractAbstract PDF
Abstract Purpose

The purpose of this study was to test the mediating effect of social support and resilience on the relationship between symptom distress and coping in young Korean breast cancer survivors.

 Methods

A purposive sample of 209 young breast-cancer survivors (mean age 39.9) was recruited for a cross-sectional survey, and the data were collected between June and October 2015. The instruments used in this study were the Memorial Symptom Assessment Scale-Short Form, the Multidimensional Scale of Perceived Social Support, 10-item Connor-Davidson Resilience Scale, and Cancer Coping Questionnaire. The collected data were then analyzed using the SPSS 23.0 and AMOS 23.0 programs.

 Results

Symptom distress was found to have a significant indirect effect on coping (beta=-.32, p=.002), but not a significant direct effect (beta=.06, p=.577). Additionally, based on the values obtained for the squared multiple correlation, symptom distress, social support, and resilience were found to explain 46.4% of the total variance of coping.

 Conclusion

Based on the results of this study, it can be suggested that in order to enhance young breast cancer survivors’ ability to cope with the distress they commonly feel, intervention methods that strengthen resilience and provide social support should be developed and made available to them.

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    Mi‐ran Lee, Chiyoung Cha
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    Ibane Aizpurua-Perez, Joana Perez-Tejada
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    Dan Luo, Manuela Eicher, Kate White
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Impact of Uncertainty on the Quality of Life of Young Breast Cancer Patients: Focusing on Mediating Effect of Marital Intimacy
Yeong Kyong Oh, Seon Young Hwang
J Korean Acad Nurs 2018;48(1):50-58.   Published online January 15, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.1.50
AbstractAbstract PDF
Abstract Purpose

The purpose of this study was to examine the mediating effect of marital intimacy on the impact of uncertainty on the quality of life (QoL) of young breast cancer patients.

 Methods

This study used a pathway analysis with 154 young breast cancer cases in their early diagnosis stage at a medical center in Korea. Data were collected from November 2016 to February 2017 and analyzed using correlation analysis and pathway analysis.

 Results

Uncertainty, marital intimacy, and 4 sub-scales of QoL showed a significant correlation. Marital intimacy was directly affected by uncertainty (b=-.39, p=.013) and 4 sub-scales of QoL were also affected by uncertainty. Among the 4 sub-scales of QoL, physical well-being (PWB) (b=.17, p=.026), social well-being (SWB) (b=.49, p=.010), and functional well-being (FWB) (b=.38, p=.009) were affected by marital intimacy but emotional well-being (EWB) was not affected by it. The mediating effect of marital intimacy on the impact of uncertainty on QoL was confirmed. Marital intimacy showed a significant indirect effect on PWB (b=-.07, p=.024), SWB (b=-.19, p=.008), and FWB (b=-.15, p=.005), and it means that marital intimacy has a partial mediating effect on the impact of uncertainty on PWB, SWB, and FWB.

 Conclusion

Effects of uncertainty on QoL was mediated by marital intimacy of young breast cancer patients in their early diagnosis stage. It suggests that marital intimacy needs to be considered in providing nursing intervention for young breast cancer patients.

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Review Article
Effects of Psychoeducational Intervention for Cancer Survivors: A Systematic Review and Meta-Analysis
Jin-Hee Park, Sun Hyoung Bae
J Korean Acad Nurs 2017;47(2):143-163.   Published online April 28, 2017
DOI: https://doi.org/10.4040/jkan.2017.47.2.143
AbstractAbstract PDFSupplementary Material
Purpose

This study was a systematic review and meta-analysis designed to investigate effects of psychoeducational intervention for cancer survivors.

 Methods

Ten databases were searched. Two reviewers independently performed the selection of the studies, data extraction and assessment. The risk of bias was assessed using Cochrane Collaboration's tool. To estimate the effect size, meta-analysis of the studies was performed using Comprehensive Meta-Analysis and RevMan programs.

 Results

Of 18,781 publications identified, 35 met inclusion criteria, and 25 studies were used to estimate effect size of psychoeducational intervention. Effect sizes (standardized mean difference [SMD]) were heterogeneous and random effects models were used in the analyses. Psychoeducational intervention was effective for quality of life (n=2,410, ES=0.23; 95% CI: 0.09~0.37), coping and self-efficacy (n=179, ES=0.68; 95% CI: 0.26~1.11), anxiety (n=1,786, ES=-0.26; 95% CI: -0.37~-0.15), depression (n=1,910, ES=-0.28; 95% CI: -0.37~-0.18), and psychological distress (n=2,242, ES=-0.31; 95% CI: -0.46~-0.17). Subgroup analysis showed that counseling was the most effective intervention for quality of life, and behavioral therapy was an effective intervention for all positive and negative outcomes. Publication bias was not detected except for psychological distress.

 Conclusion

Psychoeducational intervention appears to be effective in improving quality of life and coping and self-efficacy, and it is effective in reducing psychological symptoms in cancer survivors. Behavioral therapy, especially, is commonly effective in improving psychosocial outcomes. However, low-quality evidence, variability in the designs of existing studies, and publication bias suggest that additional high-quality trials should be conducted in the future.

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    Safa Elkefi, Corina T. Lelutiu-Weinberger, Jean-Marie Bruzzese, Alicia K. Matthews
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    Journal of Advanced Nursing.2022; 78(5): 1267.     CrossRef
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Original Articles
An Analytical Review on Fatigue of Cancer Patients
Yun Jung Lee, Dal Sook Kim
Journal of Korean Academy of Nursing 2002;32(6):897-905.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2002.32.6.897
AbstractAbstract PDF

PURPOSE: The purpose of this study was to discuss and address the state of the knowledge development and the nature of knowledge regarding fatigue. METHOD: This study analyzed the 63 fatigue related articles published from 1990 to 2001. The analysis schema was 'Alternative linkages among philosophy, theory, and method for nursing science' (Kim, 1993). RESULT: The 63 articles had been studied only within 5 types among all 96 types of linkages. Most of the articles (59 among 63 articles) had been studied within scientific realism and deductive logic. Fifty-three articles among 59 articles were the type of explanatory and predictive theory, grasping reality by the etic method on the controlled setting. CONCLUSION: This study suggests more development of knowledge regarding fatigue with various logics, especially with discovery logic such as inductive and retroductive or methods in multiple designs on various subjects under various philosophy needed for nursing practice.

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  • Trends in Research on Caregivers Hospitalized Children in Korea-Focus on Knowledge Type
    In-soo Kwon, Yeong-mi Seo, Ji-youn Kim
    Journal of Korean Academy of Child Health Nursing.2012; 18(3): 101.     CrossRef
  • Trends of Doctoral Dissertations in Nursing Science: Focused on Studies Submitted Since 2000
    Hyunsook Shin, Kyung-Mi Sung, Seok Hee Jeong, Dae-Ran Kim
    Journal of Korean Academy of Nursing.2008; 38(1): 74.     CrossRef
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The Longitudinal Study on the Calorie and Protein Intakes and Food Choices in Gastrectomy Patients who Receiving Adjuvant Chemotherapy
Myung Hee Jun, Soo Gyung Wang
Journal of Korean Academy of Nursing 2002;32(2):206-218.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2002.32.2.206
AbstractAbstract PDF

This study was conducted to investigate nutrient and food choices in gastric cancer patients receiving Cisplatin after surgery. Ten patients were followed from the fist day of the first cycle to the last date of the 6th the cycle of the chemotherapy. The subjects kept daily self record of dietary intake and the period of nausea/vomiting during 6 cycles. Using Computer Aided Nutritional Analysis Program, the degree of Calorie, carbohydrate, protein, fat and fluid intakes according the chemotherapy period. The reseacher developed food intake rating scale, and then three dietitians analysed the oral intakes according to the type of foods. As the results of this study, during the chemotherapy cancer patients are intakes much fewer calorie, protein and fluids than recommended dietary allowance. Oral intake was worsen as treatment proceed. During the chemotherapy periods most of the patients choose fruits, vegitables, steam rice, porridge, yogurt and the beam soup to overcome nausea and vomiting. In order to promote oral intake for chemotherapy patients, the researcher strongly suggest that indiviual food preform should be considered.

Citations

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  • Trends in Nursing Research on Cancer Patients Nutrition in Korea
    Su-Ol Kim
    Asian Oncology Nursing.2016; 16(1): 1.     CrossRef
  • Energy Intake and Fatigue in Patients Receiving Chemotherapy
    Mi Suk Byun, Na Hyun Kim
    Journal of Korean Biological Nursing Science.2012; 14(4): 258.     CrossRef
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Effects of a Comprehensive Rehabilitation Program for Mastectomy Patients
Ok Hee Cho
Journal of Korean Academy of Nursing 2004;34(5):809-819.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.5.809
AbstractAbstract PDF
Purpose

The purpose of this study was to investigate the effect of a comprehensive rehabilitation program on physical function, immune response, fatigue and quality of life in mastectomy patients.

 Method

The subjects included fifty-five patients with breast cancer (27 in the control group and 28 in the experimental group). The subjects in the experimental group participated in a comprehensive rehabilitation program for10 weeks, which was composed of 1 session of education, 2 sessions of stress management, 2 sessions of exercise, and 1 session of peer support group activity per week.

 Result

The results revealed anincrease in shoulder extension, abduction, external rotation, and internal rotation of the affectedupper extremity, and in shoulder extension and abduction of the healthy upper extremity. Also an increase in quality of life and a decrease in fatigue were significantly higher in the experimental group than the control group. However, the results revealed that the natural killer cell ratio of the experimental group increased but there was no significant difference from that of the control group.

 Conclusion

The 10-week comprehensive rehabilitation program showed a large affirmative effect on physical function, fatigue and quality of life of breast cancer patients after a mastectomy.

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    Kyung-Hye Hwang, Ok-Hee Cho, Yang-Sook Yoo
    Clinical Nursing Research.2016; 25(2): 192.     CrossRef
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    Jong Hee Han
    Journal of the Korea Academia-Industrial cooperation Society.2016; 17(12): 307.     CrossRef
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    Ji Jeong Kim, Yun A Shin, Min Hwa Suk
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    Sun Young Park, Jong Im Kim
    Journal of muscle and joint health.2013; 20(3): 171.     CrossRef
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    Jeong-Sun Lim, Jong-Im Kim
    Journal of muscle and joint health.2012; 19(1): 37.     CrossRef
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    Eun A Cho, Hyun Ei Oh
    Journal of Korean Academy of Nursing.2011; 41(3): 285.     CrossRef
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    Bok-Yae Chung, Yu Xu
    Asian Nursing Research.2008; 2(1): 55.     CrossRef
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Reliability and Validity of the Korean Version of the Cancer Stigma Scale
Hyang Sook So, Myeong Jeong Chae, Hye Young Kim
J Korean Acad Nurs 2017;47(1):121-132.   Published online February 28, 2017
DOI: https://doi.org/10.4040/jkan.2017.47.1.121
AbstractAbstract PDF
Purpose

In this study the reliability and validity of the Korean version of the Cancer Stigma Scale (KCSS) was evaluated.

 Methods

The KCSS was formed through translation and modification of Cataldo Lung Cancer Stigma Scale. The KCSS, Psychological Symptom Inventory (PSI), and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 (EORTC QLQ-C30) were administered to 247 men and women diagnosed with one of the five major cancers. Construct validity, item convergent and discriminant validity, concurrent validity, known-group validity, and internal consistency reliability of the KCSS were evaluated.

 Results

Exploratory factor analysis supported the construct validity with a six-factor solution; that explained 65.7% of the total variance. The six-factor model was validated by confirmatory factor analysis (Q (χ2/df)= 2.28, GFI=.84, AGFI=.81, NFI=.80, TLI=.86, RMR=.03, and RMSEA=.07). Concurrent validity was demonstrated with the QLQ-C30 (global: r=-.44; functional: r=-.19; symptom: r=.42). The KCSS had known-group validity. Cronbach's alpha coefficient for the 24 items was .89.

 Conclusion

The results of this study suggest that the 24-item KCSS has relatively acceptable reliability and validity and can be used in clinical research to assess cancer stigma and its impacts on health-related quality of life in Korean cancer patients.

Citations

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    Sujin Kim, Sunki Kim, Hye-Ja Park
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    Kisook Kim, Hyohyeon Yoon
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    Hyewon Lim, Hyunmi Son, Gyumin Han, Taehwa Kim
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    Xue‐Mei Xie, Jing Gao, Ding‐Xi Bai, Huan Chen, Yue Li
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The Relationships among Chemotherapy-Induced Nausea and Vomiting (CINV), Non-Pharmacological Coping Methods, and Nutritional Status in Patients with Gynecologic Cancer
Haerim Lee, Smi Choi-Kwon
J Korean Acad Nurs 2017;47(6):731-743.   Published online January 15, 2017
DOI: https://doi.org/10.4040/jkan.2017.47.6.731
AbstractAbstract PDF
Abstract Purpose

Chemotherapy-induced nausea and vomiting (CINV) can cause severe malnutrition. However, relationships between CINV levels, nonpharmacological coping methods, and nutritional status of female cancer patients have rarely been investigated. Therefore, this study aimed to analyze their relationships in gynecologic cancer patients.

 Methods

Participants receiving a highly and moderately emetogenic chemotherapy were recruited. The level of CINV was assessed using a numeric rating scale. Coping methods were determined using multiple-choice self-report questionnaires and categorized into seven types for statistical analysis. Nutritional status was evaluated using biochemical and anthropometric parameters.

 Results

Among all the 485 patients, 200 eligible inpatients were included. Despite the administration of prophylactic antiemetics, 157 patients (78.5%) still experienced CINV, and several used nonmedically recommended coping methods, such as just enduring the symptom or rejecting food intake. A total of 181 patients (90.5%) had nutritional disorders. Although the level of CINV was indirectly related to the occurrence of nutritional disorders, patients who rejected food (b=1.57, p=.023) and did not use physical measures (b= -1.23, p=.041) as coping methods were under the high risk of nutritional disorders.

 Conclusion

Korean gynecologic cancer patients had high levels of CINV and were at high risk of nutritional disorders, which may be related to the use of nonscientific coping methods, possibly due to cultural backgrounds and lack of proper nutritional program. Therefore, developing a culturally appropriate educational program for the cancer patients with CINV is urgently needed.

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    Elif BALKAN, Ümran OSKAY
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    Nayeon Shin, Jummi Park
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Decision Making Experience on Breast Reconstruction for Women with Breast Cancer
Myungsun Yi, Woo Joung Joung, Eun Young Park, Eun Jin Kwon, Haejin Kim, Ji Young Seo
J Korean Acad Nurs 2016;46(6):894-904.   Published online December 30, 2016
DOI: https://doi.org/10.4040/jkan.2016.46.6.894
AbstractAbstract PDF
Purpose

The purpose of this study was to explore decision making experiences of Korean women with breast cancer who underwent breast reconstruction with/after a mastectomy.

 Methods

Data were collected during 2015-2016 through individual in-depth interviews with 10 women who had both mastectomy and breast reconstruction, and analyzed using phenomenological method to identify essential themes on experiences of making a decision to have breast reconstruction.

 Results

Five theme clusters emerged. First, “expected loss of sexuality and discovery of autonomy” illustrates various aims of breast reconstruction. Second, “holding tight to the reputation of doctors amid uncertainty” specifies the importance of a trust relationship with their physician despite a lack of information. Third, “family members to step back in position” describes support or opposition from family members in the decision making process. Fourth, “bewilderment due to the paradox of appearance-oriented views” illustrates paradoxical environment, resulting in confusion and anger. Lastly, “decision to be made quickly with limited time to oneself” describes the crazy whirling process of decision making.

 Conclusion

Findings highlight aims, worries, barriers, and facilitators that women with breast cancer experience when making a decision about breast reconstruction. Deciding on breast reconstruction was not only a burden for women in a state of shock with a diagnosis of breast cancer, but also an opportunity to decide to integrate their body, femininity, and self which might be wounded from a mastectomy. These findings will help oncology professionals provide effective educational counselling before the operation to promote higher satisfaction after the operation.

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  • Mental health in female breast cancer survivors post-mastectomy: A structural model based on Roy's adaptation model
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    Soo Yeon Kim, Sue Kim
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    Eun Young Park, Myungsun Yi, Hye Sook Kim, Haejin Kim
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    Jeonghee Ahn, Eunyoung E Suh
    Journal of Korean Academy of Nursing.2021; 51(2): 245.     CrossRef
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    A Young Kim, Jeong Hye Kim
    Asian Oncology Nursing.2020; 20(1): 1.     CrossRef
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    Soo-Kyung Bok, Youngshin Song, Ancho Lim, Hyunsuk Choi, Hyunkyung Shin, Sohyun Jin
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    Hyeon-Young Kim, Sun Hwa Shin
    Journal of Korean Academy of Fundamentals of Nursing.2020; 27(2): 129.     CrossRef
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    Kristopher Lamore, Cécile Flahault, Léonor Fasse, Aurélie Untas
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    Jae-Won Kim, Jun-Ho Lee, Tae-Gon Kim, Yong-Ha Kim, Kyu Jin Chung
    Archives of Plastic Surgery.2018; 45(05): 441.     CrossRef
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Frequency, Intensity and Daily Life Distress of Urinary Dysfunction in Women with Cervical Cancer after Radical Hysterectomy
Nami Chun, Gie Ok Noh, Hyun Ju Song, Sang Hee Kim
J Korean Acad Nurs 2016;46(3):400-408.   Published online June 30, 2016
DOI: https://doi.org/10.4040/jkan.2016.46.3.400
AbstractAbstract PDF
Purpose

This study was done to identify frequency, intensity of urinary dysfunction and daily life distress in women after a radical hysterectomy for cervical cancer.

 Methods

One hundred and fifty seven women who had undergone a radical hysterectomy and one hundred and sixty five women as healthy controls completed questionnaires on intensity of urinary dysfunction and daily life distress caused by urinary dysfunction.

 Results

Women with cervical cancer showed higher frequency of urinary dysfunction than healthy controls. Major urinary dysfunction for women with cervical cancer in order of frequency were night-time incontinence (odds ratio=10.39, p<.001), difficulty in starting urination, weak urine stream and sense of incomplete emptying of bladder. The highest score on intensity was difficulty in starting urination, followed by urgency, weak urine stream, daytime frequency and sense of incomplete emptying. Night-time incontinence was the urinary symptom causing the most daily life distress for cervical cancer women followed by difficulty in starting urination, urgency, sense of incomplete emptying, and night-time frequency.

 Conclusion

Results suggest that nurses should address the potential postoperative urinary complications and develop long term interventions to decrease urinary dysfunction and daily life distress for women who have had a radical hysterectomy for cervical cancer.

Citations

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  • Evaluation of pelvic floor muscle function (PFMF) in cervical cancer patients with Querleu–Morrow type C hysterectomy: a multicenter study
    Shiyan Wang, Lei Gao, Hongwu Wen, Yunong Gao, Qiubo Lv, Hongyu Li, Sumei Wang, Yanlong Wang, Qing Liu, Jinsong Han, Haibo Wang, Yi Li, Na Yu, Qing Wang, Tingting Cao, Sha Wang, Huaxin Sun, Zhiqi Wang, Xiuli Sun, Jianliu Wang
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  • Association of pelvic floor function with postoperative urinary incontinence in cervical cancer patients after the radical hysterectomy
    Shiyan Wang, Runzhi Wang, Hongwu Wen, Yunong Gao, Qiubo Lv, Hongyu Li, Sumei Wang, Yanlong Wang, Qing Liu, Jinsong Han, Haibo Wang, Yi Li, Qing Wang, Tingting Cao, Sha Wang, Huaxin Sun, Zhiqi Wang, Xiuli Sun, Jianliu Wang
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    Asian Oncology Nursing.2019; 19(3): 150.     CrossRef
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    Eun Jung Yang, Ho Sihn Ryu
    Korean Journal of Adult Nursing.2019; 31(1): 28.     CrossRef
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  • 9 Download
  • 4 Crossref
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The Structural Equation Model on Resilience of Breast Cancer Patients Receiving Chemotherapy
Jeong Ha Yang, Ok Soo Kim
J Korean Acad Nurs 2016;46(3):327-337.   Published online June 30, 2016
DOI: https://doi.org/10.4040/jkan.2016.46.3.327
AbstractAbstract PDF
Purpose

The purpose of this study was to construct and test a structural equation model on resilience of breast cancer patients receiving chemotherapy.

 Methods

Participants were 204 patients with breast cancer who received chemotherapy treatment. They participated in a structured interview, which included social support, depression, symptom experience, self-efficacy, hope, resilience, and infection prevention behaviors. Data were analyzed using SPSS/WIN 20.0 and AMOS 18.0.

 Results

Lower depression (γ=-.33, p=.020) and symptom experience (γ=-.31, p=.012) and higher self-efficacy (γ=.32, p=.005) and hope (γ=.48, p=.016) were influenced by higher social support. Greater resilience was influenced by lower symptom experience (β=-.18, p=.016), higher self-efficacy (β=.49, p=.023), and higher hope (β=.46, p=.012), and these predictors explained 66.7% of variance in resilience. Greater resilience (β=.54, p=.009) made an impact on greater infection prevention behaviors. Resilience mediated the relations of symptom experience (β=-.10 p=.013), self-efficacy (β=.27, p=.006) and hope (β=.25, p=.009) with infection prevention behaviors. These predictors explained 24.9% of variance in infection prevention behaviors.

 Conclusion

The findings of the study suggest that breast cancer patientsw ith greater resilience who are receiving chemotherapy participate in increased infection prevention behaviors. Further research should be conducted to seek intervention strategies that improve breast cancer patients' resilience.

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    Hsin-Tien Hsu, Chiung-Hui Juan, Jyu-Lin Chen, Hsiu-Fen Hsieh
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    Dong Rim Hyun, So Yeun Jun, Chang Wan Jun, Sue Kyung Sohn
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    Yoon Jung Shin, Eui Geum Oh
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    Mi Na Yun, Kyoung Mi Kim
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A Study on the Knowledge Structure of Cancer Survivors based on Social Network Analysis
Sun Young Kwon, Ka Ryeong Bae
J Korean Acad Nurs 2016;46(1):50-58.   Published online February 29, 2016
DOI: https://doi.org/10.4040/jkan.2016.46.1.50
AbstractAbstract PDF
Purpose

The purpose of this study was to identify the knowledge structure of cancer survivors.

 Methods

For data, 1099 articles were collected, with 365 keywords as a Noun phrase extracted from the articles and standardized for analyzing. Co-occurrence matrix were generated via a cosine similarity measure, and then the network analysis and visualization using PFNet and NodeXL were applied to visualize intellectual interchanges among keywords.

 Results

According to the result of the content analysis and the cluster analysis of author keywords from cancer survivors articles, keywords such as 'quality of life', 'breast neoplasms', 'cancer survivors', 'neoplasms', 'exercise' had a high degree centrality. The 9 most important research topics concerning cancer survivors were 'cancer-related symptoms and nursing', 'cancer treatment-related issues', 'late effects', 'psychosocial issues', 'healthy living managements', 'social supports', 'palliative cares', 'research methodology', and 'research participants'.

 Conclusion

Through this study, the knowledge structure of cancer survivors was identified. The 9 topics identified in this study can provide useful research direction for the development of nursing in cancer survivor research areas. The Network analysis used in this study will be useful for identifying the knowledge structure and identifying general views and current cancer survivor research trends.

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Development and Validation of the Empowerment Scale for Woman with Breast Cancer
Sun Hwa Shin, Hyojung Park
J Korean Acad Nurs 2015;45(4):613-624.   Published online August 31, 2015
DOI: https://doi.org/10.4040/jkan.2015.45.4.613
AbstractAbstract PDF
Purpose

The purpose of this study was to develop a scale to evaluate empowerment in woman with breast cancer and to examine the validity and reliability of the scale.

 Methods

The development process for the initial items included a literature review, interviews, and construction of a conceptual framework. The identified items were evaluated for content validity by experts, resulting in 3 factors and 48 preliminary items. Participants were 319 women with breast cancer recruited to test reliability and validity of the preliminary scale. Data were analyzed using item analysis, confirmatory factor analysis, criterion related validity, internal consistency and test-retest reliability.

 Results

The final scale consisted of 30 items and 3 factors. Factors, including 'intrapersonal factor' (14 items), 'interactional factor' (8 items), and 'behavioral factor' (8 items), were drawn up after confirmatory factor analysis. Goodness of fit of the final research model was very appropriate as shown by χ2/df=1.86, TLI=.90, CFI=.92, SRMR=.06, and RMSEA=.05. Criterion validity was evaluated by total correlation with the Cancer Empowerment Questionnaire .78. Cronbach's alpha for total items was .93 and test-retest reliability was .69.

 Conclusion

Findings from this study indicate that the scale can be used in the development of nursing interventions to promote the empowerment of women having breast cancer.

Citations

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    Nanna Bjerg Eskildsen, Clara Ruebner Joergensen, Thora Grothe Thomsen, Lone Ross, Susanne Malchau Dietz, Mogens Groenvold, Anna Thit Johnsen
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Prevalence and Characteristics of Chemotherapy-related Cognitive Impairment in Patients with Breast Cancer
Jin-Hee Park, Sun Hyoung Bae, Yong-Sik Jung, Young-Mi Jung
J Korean Acad Nurs 2015;45(1):118-128.   Published online February 27, 2015
DOI: https://doi.org/10.4040/jkan.2015.45.1.118
AbstractAbstract PDF
Purpose

Evidence suggests that some patients with breast cancer experience cognitive difficulties following chemotherapy. This longitudinal study was done to examine the prevalence of cognitive impairment and trajectory of cognitive function over time in women with breast cancer, who received adjuvant chemotherapy.

 Methods

Participants were 137 patients with breast cancer. They completed neuropsychological tests and the Functional Assessment of Cancer Therapy-Cognitive Function before adjuvant therapy (pretest), toward the end of adjuvant therapy (posttest), and 6 months after the completion of adjuvant therapy (follow-up test). Of the patients, 91 were treated with adjuvant chemotherapy and 46 patients who did not receive chemotherapy made up the comparison group. A reliable-change index and repeated-measure ANOVA were used for statistical analyses.

 Results

At the posttest point, over 30% of patients showed complex cognitive impairment and reported greater difficulty in subjective cognitive function. At the follow-up test point, 22.0% of patients exhibited complex cognitive impairment and 30.8% of patients complained of subjective cognitive impairment. Repeated-measure ANOVA showed significant decreases after receiving chemotherapy followed by small improvements 6 months after the completion of chemotherapy in cognitive domains of change for attention and concentration, memory, executive function, and subjective cognitive function.

 Conclusion

These results suggest that chemotherapy in patients with breast cancer may be associated with objective and subjective cognitive impairments. Further studies are needed to explore the potential risk factors and predictor of chemotherapy-related cognitive changes. Also nursing interventions for prevention and intervention of cognitive impairments should be developed and tested.

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    Asia-Pacific Journal of Oncology Nursing.2023; 10(4): 100212.     CrossRef
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    Jing Yang, Yongchun Deng, Daihong Liu, Yong Tan, Meng Lin, Xiaoyu Zhou, Jing Zhang, Hong Yu, Yixin Hu, Yu Tang, Shixi Jiang, Jiuquan Zhang
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    Pok Ja Oh, Ji Hyun Kim
    Asian Oncology Nursing.2022; 22(1): 1.     CrossRef
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    Camila Vasconcelos Carnaúba Lima, Raner Miguel Ferreira Póvoa
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Effects of a Progressive Walking Program on Physical Activity, Exercise Tolerance, Recovery, and Post-Operative Complications in Patients with a Lung Resection
Inah Kim, Haejung Lee
J Korean Acad Nurs 2014;44(4):381-390.   Published online August 15, 2014
DOI: https://doi.org/10.4040/jkan.2014.44.4.381
AbstractAbstract PDF
Abstract Purpose

The purpose of this study was to identify the effects of a Progressive Walking program (PW) on physical activity, exercise tolerance, recovery, and post-operative complications for patients with a lung resection.

 Methods

A nonequivalent control group non-synchronized design was utilized and 37 participants with a lung resection (22 for control group, 15 for experimental group) were recruited at A university hospital from December 2012 to August 2013. The PW consisted of preoperative education, goal setting, and feedback, provided to the experimental group, and usual care to the control group. Data were analyzed using the SPSS WIN 18.0.

 Results

A higher proportion of patients in the experimental group showed adequate levels of physical activity (p= .001), shorter period of chest tube retention (≤ 7 days; p= .011), and shorter stay in the hospital (≤ 10 days; p= .036) than patients in the control group. Patients in the experimental group reported longer 6-minute walking distance (p= .032) and lower levels of dyspnea (p= .049) than patients in the control group. The PW did not influence the occurrence of pulmonary complications.

 Conclusion

The findings of this study suggest that the PW could be a useful strategy for improving patients’ post-operative health and reducing cost after lung resection.

Citations

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  • Effects of patient-based self-assessed fatigue intervention on early postoperative ambulation following gynaecological oncology surgery: a randomised controlled non-inferiority trial
    Qian Du, Bo Chen, Xiaohong Zhang, Hong He, Xiaomin Qin, Lin Li, Junyi Du, Xindi He, Shaoyong Xu, Huang Xiaojie
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An Analysis of Cancer Survival Narratives Using Computerized Text Analysis Program
Dal Sook Kim, Ah Hyun Park, Nam Jun Kang
J Korean Acad Nurs 2014;44(3):328-338.   Published online June 30, 2014
DOI: https://doi.org/10.4040/jkan.2014.44.3.328
AbstractAbstract PDF
Purpose

This study was done to explore experiences of persons living through the periods of cancer diagnosis, treatment, and self-care.

 Methods

With permission, texts of 29 cancer survival narratives (8 men and 21 women, winners in contests sponsored by two institutes), were analyzed using Kang's Korean-Computerized-Text-Analysis-Program where the commonly used Korean-Morphological-Analyzer and the 21st-century-Sejong-Modern-Korean-Corpora representing laymen's Korean-language-use are connected. Experiences were explored based on words included in 100 highly-used-morphemes. For interpretation, we used 'categorizing words by meaning', 'comparing use-rate by periods and to the 21st-century-Sejong-Modern-Korean-Corpora', and highly-used-morphemes that appeared only in a specific period.

 Results

The most highly-used-word-morpheme was first-person-pronouns followed by, diagnosis·treatment-related-words, mind-expression-words, cancer, persons-in-meaningful-interaction, living and eating, information-related-verbs, emotion-expression-words, with 240 to 0.8 times for layman use-rate. 'Diagnosis-process', 'cancer-thought', 'things-to-come-after-diagnosis', 'physician·husband', 'result-related-information', 'meaningful-things before diagnosis-period', and 'locus-of-cause' dominated the life of the diagnosis-period. 'Treatment', 'unreliable-body', 'husband · people · mother · physician', 'treatment-related-uncertainty', 'hard-time', and 'waiting-time represented experiences in the treatment-period. Themes of living in the self-care-period were complex and included 'living-as-a-human', 'self-managing-of-diseased-body', 'positive-emotion', and 'connecting past · present · future'.

 Conclusion

The results show that the experience of living for persons with cancer is influenced by each period's own situational-characteristics. Experiences of the diagnosis and treatment-period are negative disease-oriented while that of the self-care period is positive present-oriented.

Citations

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  • Factors to improve distress and fatigue in Cancer survivorship; further understanding through text analysis of interviews by machine learning
    Kyungmi Yang, Jina Kim, Mison Chun, Mi Sun Ahn, Eunae Chon, Jinju Park, Mijin Jung
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    Ka Ryeong Bae, Sun Young Kwon
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Factors Influencing Quality of Life in Patients with Breast Cancer on Hormone Therapy
Eunkyung Hwang, Myungsun Yi
J Korean Acad Nurs 2014;44(1):108-117.   Published online February 28, 2014
DOI: https://doi.org/10.4040/jkan.2014.44.1.108
AbstractAbstract PDF
Purpose

The purpose of the study was to identify degrees of pain, menopause symptoms, and quality of life, and to identify factors influencing quality of life of patients with breast cancer who were on hormone therapy.

 Methods

A cross-sectional survey design was utilized. Data were collected using questionnaires from 110 patients with breast cancer who had been on hormone therapy for 3 months or more and were being treated at a university hospital in Seoul. Data were analyzed using χ2-test, t-test, ANOVA, Pearson correlation coefficient and multiple linear regression.

 Results

Mean age of the participants was 53.56 (SD=6.67) and 54 (51.4%) had stage 0 or I at the time of diagnosis. Most of the participants reported having pain and menopause symptoms (88.2% and 95.5% respectively). The mean score for quality of life was 87.84±21.17. Pain, menopause symptoms and quality of life had strong correlations with each other (p<.005). Quality of life was explained by menopause symptoms (β= -.71), economic status (β=.20) and occupation (β=.16).

 Conclusion

The results of the study suggest that menopause symptoms should be incorporated into oncologic nursing care to improve quality of life of patients with breast cancer on hormone therapy.

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    Juhyun Jin
    Asia-Pacific Journal of Oncology Nursing.2022; 9(2): 97.     CrossRef
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    Sujin Ha, Eunjung Ryu
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    Yubeen Jang, Younhee Jeong
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    Myungsun Yi, Eunkyung Hwang
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    Younglan Kim, Yul Ha Min
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    Jin Hee Jun, Youn Ok Lee, Se-Na Lee
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    Suhyeon Choi, Eunjung Ryu
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A Meta-analysis of Chemotherapy related Cognitive Impairment in Patients with Breast Cancer
Jin-Hee Park, Sun Hyoung Bae
J Korean Acad Nurs 2012;42(5):644-658.   Published online October 12, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.5.644
AbstractAbstract PDF
Purpose

The purpose of this study was to evaluate the cognitive effects of chemotherapy in patients with breast cancer.

 Methods

Using several databases, prospective studies were collected up to August 2011. Of 2,106 publications identified, 12 met the inclusion criteria, and 8 studies were used to estimate the effect size of chemotherapy on cognitive impairment.

 Results

Twelve studies were done since 2005 and most of the research was performed in Europe or North America. Eight studies were used to generate effect size across the cognitive domains of attention/concentration, verbal and visual memory, executive function, visuospatial skill, language, and subjective cognitive function. Each of the cognitive domains showed small effect sizes (-0.02 ~ -0.26), indicating diminished cognitive function for the chemotherapy group compared with non-chemotherapy groups.

 Conclusion

Finding suggests that breast cancer patients who undergo chemotherapy may experience mild cognitive decline. Further study is needed to generate knowledge and guideline for interventions to address chemotherapy related cognitive impairment in these patients.

Citations

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    Pok Ja Oh, Ji Hyun Kim
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    Bok Yae Chung, Sung Jung Hong
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    Pok-Ja Oh, Sun Mi Moon
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    Pok Ja Oh, Jeong Hye Kim
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    M. T. King, D. S. J. Costa, N. K. Aaronson, J. E. Brazier, D. F. Cella, P. M. Fayers, P. Grimison, M. Janda, G. Kemmler, R. Norman, A. S. Pickard, D. Rowen, G. Velikova, T. A. Young, R. Viney
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Development and Effectiveness of Expressive Writing Program for Women with Breast Cancer in Korea
Eun Young Park, Mungsun Yi
J Korean Acad Nurs 2012;42(2):269-279.   Published online April 30, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.2.269
AbstractAbstract PDF
Purpose

To develop a expressive writing program for women with breast cancer and to identify its effects on stress physical symptom, cancer symptom, anxiety, depression, and QOL.

 Methods

A non-equivalent control pre-post design was used. Participants were recruited from self-help groups in six hospitals and were assigned to the experimental group (29) or control group (29). Data were collected before, after, and at four weeks after the intervention program. Changes in the variables were evaluated to test effects of the developed program, using χ2-test, Fisher's exact test, repeated measures ANOVA, and paired t-test.

 Results

The expressive writing program was developed for women with breast cancer based on Pennebaker's expressive writing. Significant differences were found between the two groups for stress related to physical symptoms (p<.00) and quality of life (p=.024). No significant differences were found in cancer symptoms, anxiety, or depression between the two groups.

 Conclusion

The results indicate that the expressive writing program designed to express cancer-related deep thoughts and emotions helps in decreasing physical symptoms and improving QOL. Further studies are needed to identify the effect on emotions such as anxiety and depression for women with breast cancer with above average levels of anxiety and depression.

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Illness Experience of Adolescents with Hematologic Malignancies
Sun Young Son
J Korean Acad Nurs 2011;41(5):603-612.   Published online October 31, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.5.603
AbstractAbstract PDF
Purpose

The purpose of this study was to describe the experience process of adolescents with hematologic malignancies. The question for the study was "What is the experience of adolescents with hematologic malignancies like?".

 Methods

The grounded theory methodology was used for this study. The data were collected through in-depth interview from 10 adolescents with hematologic malignancies. Data collection was done from January to June 2007. Theoretical sampling was used until the data reached saturation.

 Results

As a result of the analysis, "Reconstructing self-image from deviated and suspended life" was identified as the core category. And 11 subcategories were identified and they were integrated to the core category. 'Establishment of expanded and matured self' was identified as the consequence.

 Conclusion

The results of the study provide a frame for effective individualized nursing intervention strategies in helping adjustment of the adolescents with hematologic malignancies.

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    Ae-Kyung Kim
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Effectiveness of PLISSIT Model Sexual Program on Female Sexual Function for Women with Gynecologic Cancer
Nami Chun
J Korean Acad Nurs 2011;41(4):471-480.   Published online August 31, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.4.471
AbstractAbstract PDF
Purpose

The purpose of this study was to evaluate the effectiveness of the Permission, Limited Information, Specific Suggestions, Intensive Therapy (PLISSIT) model sexual program on female sexual function for women with gynecologic cancer.

 Methods

The integrative 6-hr (two hours per session) program reflecting physical and psychosocial aspects of women's sexuality was developed based on Annon's PLISSIT model. Participants were 61 women with cervical, ovarian, or endometrial cancer. Of them, 29 were assigned to the experimental group and 32 to the control group. The women completed the Female Sexual Function Index (FSFI) including sexual desire, arousal, lubrication, orgasm, satisfaction, and pain. Independent t-test and repeated measured ANOVA were used to test the effectiveness of the program.

 Results

Significant group differences were found on FSFI sub-domain scores including sexual desire, arousal, lubrication, orgasm, and satisfaction but not pain. Significant time differences were found on all domains except for pain in the experimental group repeated measured ANOVA.

 Conclusion

The results indicate that the three-week PLISSIT model sexual program is effective in increasing sexual function for women with gynecologic cancer. Nurses may contribute to improving women's sexual function by utilizing the program. Strategies to relieve sexual pain need to be considered for greater effectiveness of the program.

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An Explanatory Model for Sleep Disorders in People with Cancer
Hee Sun Kim, Eui Geum Oh
J Korean Acad Nurs 2011;41(4):460-470.   Published online August 31, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.4.460
AbstractAbstract PDF
Purpose

The aim of this study was to develop and test an explanatory model for sleep disorders in people with cancer. A hypothetical model was constructed on the basis of a review of previous studies, literature, and sleep models, and 10 latent variables were used to construct a hypothetical model.

 Methods

Data were collected from April 19 to June 25, 2010, using self-report questionnaires. The sample was 291 outpatients with cancer who visited the oncology cancer center at a university hospital. Collected data were analyzed using SPSS Win 15.0 program for descriptive statistics and correlation analysis and AMOS 7.0 program for covariance structural analysis.

 Results

It appeared that overall fit index was good as χ2/df=1.162, GFI=.969, AGFI=.944, SRMR=.052, NFI=.881, NNFI=.969, CFI=.980, RMSEA=.024, CN=337 in the modified model. The explanatory power of this model for sleep disorders in people with cancer was 62%. Further, sleep disorders were influenced directly by cancer symptom experience, dysfunctional beliefs and attitudes about sleep, and past sleep pattern.

 Conclusion

Findings suggest that nurses should assess past sleep pattern and consider the development of a comprehensive nursing intervention program to minimize the cancer symptom experience, dysfunctional beliefs and attitudes about sleep, and thus, reduce sleep disorders in people with cancer.

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    Suna Lee, Eunjung Ryu
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Psychosocial Adjustment of Low-Income Koreans with Cancer
Myungsun Yi, Eun Young Park, Dal Sook Kim, Young Sook Tae, Bok Yae Chung, Hyang Sook So
J Korean Acad Nurs 2011;41(2):225-235.   Published online April 30, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.2.225
AbstractAbstract PDF
Purpose

To describe psychosocial adjustment of low-income Koreans who have cancer.

 Methods

Data were collected during 2008 using individual in-depth interviews with 18 Korean people with cancer. The income status of the participants was low, 11 were recipients of the National Basic Livelihood Protection program. Mean age was 58.3 yr and 11 were female. Five participants had stomach cancer, five, colorectal cancer, and four, breast cancer. Data were analyzed using grounded theory methodology.

 Results

The core category emerged as 'bearing up alone with double suffering'. 'Poverty and cancer: A double suffering' emerged as a causal condition. The adjustment process consisted of three stages: 'forming a treatment will to live' ,'practicing for the cure',and 'restructuring self and repaying favors'. Each stage indicated action-interaction strategies which were employed to bear up alone with double suffering during the illness process. Self-reflection, parental responsibility, and support from the public sector played important roles in overcoming the double suffering. Two types of consequences were identified: Transcended life and strained life suppressed by poverty and cancer.

 Conclusion

The results provide insights into the psychosocial adjustment process for low income Korean with cancer and can be used in developing and implementing efficient home-care services for these people.

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    Yi-Ping Wen, Eden R. Brauer, Kristen Choi
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    Ji Eun Kim, Ilaria Campesi
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    Ae-Kyung Kim
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    Hye Sook Kim, Hye-Young Jang, Myungsun Yi, Hye Yeon Seo
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    Young-Sun Rhee
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    Yeon Hee Choi, Young Sun Ha
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    Myungsun Yi, Keeho Park, Eun Young Park
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    Dal Sook Kim, Ah Hyun Park, Nam Jun Kang
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    Jae-Bin Cha, Jung-He Nam, Sung-Sik Ahn
    The Korean Journal of Health Service Management.2013; 7(1): 1.     CrossRef
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Development and Evaluation of 「Hospice Smart Patient」 Service Program
Chai-Soon Park, Yang-Sook Yoo, Dong-Won Choi, Hyun-Jeong Park, Ji-In Kim
J Korean Acad Nurs 2011;41(1):9-17.   Published online February 28, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.1.9
AbstractAbstract PDF
Purpose

The purpose of this study was to develop and implement the Hospice Smart Patient Program and to evaluate its effectiveness.

 Methods

It was quasi-experimental non-equivalent pre-post study. Breast cancer patients who underwent surgery, chemotherapy or radiotherapy, or who needed palliative care, participated in the study. Participants were divided into two groups, experimental and control groups based on their preferences. The program was developed after literature review and discussion among experts on hospice and palliative care. Participants who were in the experimental group received either face-to-face or phone 「Hospice Smart Patient」 Service at least once a week for 5 months.

 Results

There was a significant difference in quality of life and communication skill between the two groups after the service was provided. In addition, participants in experimental group showed improved decision making skills, mastery sense, and understanding of hospice and palliative care, which would be beneficial in improving their quality of life.

 Conclusion

We have concluded that the 「Hospice Smart Patient」 Program is useful for cancer patients in decision making, improving self-control and choosing hospice care to improve their quality of life.

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    Romel Jonathan Velasco Yanez, Ana Fátima Carvalho Fernandes, Erilaine de Freitas Corpes, Régia Christina Moura Barbosa Castro, Judith Sixsmith, Luís Carlos Lopes-Júnior
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Relationship of Social Support and Meaning of Life to Suicidal Thoughts in Cancer Patients
Yeon Jung Kim, Kwang Ja Lee
J Korean Acad Nurs 2010;40(4):524-532.   Published online August 31, 2010
DOI: https://doi.org/10.4040/jkan.2010.40.4.524
AbstractAbstract PDF
Purpose

This study was done to explore the relationship of social support and meaning of life to suicidal thoughts among patients with cancer.

 Methods

Data were collected by questionnaires from 138 patients who had been in cancer treatment at medical clinics and 8 patients who were members of an internet cancer association. The data were collected between August and November 2009 and analyzed using SPSS 12.0.

 Results

Of the participants, 47.3% reported having had suicidal thoughts and 16.4% had attempted suicide since the diagnosis of cancer. The study participants received most support from family members, but 73.3% reported experiencing an existential vacuum. The suicide attempt group had significantly higher scores according to gender, age, level of education, diagnosis, treatment modality, level of activity, caregiver and social support compare to the suicide thought group. Suicidal thoughts were negatively related to social support and meaning of life was positively associated with social support. Support from family and friends and diagnosis explained 50.0% of variance for suicidal thoughts with 36.0% of variance being explained by family support.

 Conclusion

Nurses should be able to identify risk factors for suicide in cancer patients. Prevention and intervention efforts need to be directed toward improving social support, family support in particular, and assisting patients finding meaning in life after a diagnosis of cancer.

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    Xinyue Zhang, Dan Zhang, Yuqi Liu, Yinong Tian, Feiping Yu, Yingjuan Cao, Yonggang Su
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The Effects of Logotherapy on Meaning in Life and Quality of Life of Late Adolescents with Terminal Cancer
Kyung-Ah Kang, Jeoung-Sook Shim, Dae-Geun Jeon, Myung-Suk Koh
J Korean Acad Nurs 2009;39(6):759-768.   Published online December 31, 2009
DOI: https://doi.org/10.4040/jkan.2009.39.6.759
AbstractAbstract PDF
Purpose

To evaluate the effects of a logotherapy program entitled 'Finding meaning in my life' for adolescents with terminal cancer.

 Methods

A nonequivalent control group, non-synchronized design was conducted with a convenience sample of 44 late adolescents with terminal cancer. The experimental group (n=22) participated in the 'Finding meaning in my life' program which consisted of five-day sessions for one week. The control group (n=22) received the usual nursing care. The effects were measured using adolescent meaning in life (AMIL), and quality of life (QOL) scales. The collected data were analyzed by descriptive statistics, Chi-square, and t-test using SPSS/PC 17.0 program.

 Results

There were significant differences in AMIL (t=3.36, p<.05) and QOL (t=2.67, p<.05) between the experimental and control groups.

 Conclusion

Logotherapy is effective in improving the meaning in life and quality of life of late adolescents with terminal cancer, and can be used to prevent existential distress.

Citations

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Symptom Experience and Quality of Life in Breast Cancer Survivors
Jin Hee Park, Eun-Young Jun, Mi-Young Kang, Yong-Sik Joung, Gu-Sang Kim
J Korean Acad Nurs 2009;39(5):613-621.   Published online October 31, 2009
DOI: https://doi.org/10.4040/jkan.2009.39.5.613
AbstractAbstract PDF
Purpose

The purposes of this study were to evaluate symptom experience and quality of life (QOL) and to identify the predictors of QOL among breast cancer survivors.

 Methods

A cross-sectional study was conducted on 200 disease-free breast cancer survivors at two hospitals between December 2007 and July 2008. Functional Assessment of Cancer Therapy Scale-B, Memorial Symptom Assessment Scale-short Form and The Linear Analogue Self Assessment Scale were used to assess symptom experience and QOL in these patients. Data were analyzed using the Pearson correlation, t-test, ANOVA, and stepwise multiple regression with SPSS/WIN 12.0.

 Results

The mean score of QOL for breast cancer survivors was 95.81 (±18.02). The highest scores among physical and psychological symptoms were sexual interest and anxiety. Year since treatment completion was significantly associated with QOL in sociodemographic variables. Physical and psychological symptoms have a significant negative association with QOL. The results of the regression analyses showed that physical and psychological symptoms were statistically significant in predicting patients' QOL.

 Conclusion

Symptom experience and QOL are essential variables that should be acknowledged when delivering health care to breast cancer survivors. More attention to the reduction and management of psychological distress could improve QOL among breast cancer survivors.

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Effects of a Cognitive-Behavioral Nursing Intervention on Anxiety and Depression in Women with Breast Cancer undergoing Radiotherapy
Myung-Sook Yoo, Haejung Lee, Jung-A Yoon
J Korean Acad Nurs 2009;39(2):157-165.   Published online April 28, 2009
DOI: https://doi.org/10.4040/jkan.2009.39.2.157
AbstractAbstract PDF
Purpose

The purpose of this study was to analyze the effects of a cognitive-behavioral nursing intervention on anxiety and depression of patients with breast cancer undergoing radiotherapy.

 Methods

A nonequivalent control group design was used for the study. The research participants were patients with breast cancer (N=71; experimental group=35, comparison group=36) who received radiotherapy at P university hospital. The experimental group received a 6-week cognitive-behavioral nursing intervention (2 hr/week), which included nursing counseling, education about treatment choices for breast cancer and possible side effects and management strategies during radiotherapy, and rehabilitation exercise.

 Results

Following the intervention, the experimental group showed significantly lower levels of anxiety (Experimental group=34.60±6.35, Comparison group=44.63±9.93, t=3.552, p<.001) and depression (Experimental group=10.20±6.61, Comparison group=17.81±10.85, t=3.542, p<.001) than the comparison group.

 Conclusion

The findings from this study showed that cognitive-behavioral counseling applied by nurses is very effective to reduce anxiety and depression among patients with breast cancer. Therefore, providing nursing counseling to broader spectrum of patients with cancer should be considered. Further research would warrant future clinical application of nursing counseling.

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Factors Influencing Quality of Life in Patients with Gastrointestinal Neoplasms
Eun Ok Lee, Aeyong Eom, Rhayun Song, Young Ran Chae, Paul Lam
J Korean Acad Nurs 2008;38(5):649-655.   Published online October 30, 2008
DOI: https://doi.org/10.4040/jkan.2008.38.5.649
AbstractAbstract PDF
Purpose

The purpose of this study was to identify the factors influencing quality of life after analyzing the relationship between depression, health promotion and quality of life in patients with gastrointestinal neoplasms.

 Methods

The subjects of this study were 63 people who underwent treatments from 2 general hospitals in Seoul and Daejeon and had no recurrence in stages I & II of gastrointestinal neoplasms. Data was collected from March 1 to April 30, 2006. A questionnaire consisting of Center for Epidemiologic Studies Depression (CES-D), Health Promoting Lifestyle Profile II (HPLP II) and Functional Assessment of Cancer Therapy-Colorectal (FACT-C) was given. The collected data was analyzed with the SPSS program which was used for descriptive statistics, Pearson correlation coefficients and hierarchical multiple regression.

 Results

The major findings of this study were as follows: 1) There was a significant relationship between depression (r=-.639, p=.000), health promotion (r=.407, p=.001) and quality of life. 2) Significant factors were depression (F=-4.091, p=.000) and health promotion (F=2.375, p=.021) that explained 46% of quality of life (F=10.022, p=.000).

 Conclusion

Cancer patients experienced extreme depression which led to a negative effect on quality of life. Health promotion was an important variable to the quality of life and it gave the patients motivation for having a will and belief for better health.

Citations

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