Cancer is a serious disease that leads to physical, psychosocial, and spiritual difficulties. Filipinos' high reverence to God can affect their health-related behaviors and responses to illnesses like cancer. Though studies have shown the association of spirituality and quality of life, very few have been conducted in Filipino cancer patients. This study aimed to describe their spiritual well-being in terms of the personal, communal, environmental, and transcendental domains; and compare spiritual well-being across different patient characteristics (i.e. type of cancer, stage of cancer, type of treatment, and the period since first symptoms are felt) as input to determining patients at risk for spiritual distress. A descriptive cross-sectional design was utilized with 87 conveniently sampled respondents. A researcher-developed questionnaire and the Spiritual Health and Well-being Measure© (SHALOM) instrument were used to collect data. Data were analyzed using descriptive statistics and Kruskal Wallis H Test. Majority of the respondents were below 50 years old, female, married or with a common-law partner, had at least a high school education, unemployed, did not have enough income to support basic needs, Catholic, and an active member in the church. Most of them had colorectal cancer, were in Stage III, first felt symptoms 6 months to 1 year prior to the conduct of the study, and received a combination of treatments. In terms of personal state, the patients had the highest spiritual well-being in the Transcendental Domain which describes one’s relationship with God. The second-highest spiritual well-being level was found to be the communal domain followed by personal, and environmental domains. Significant differences were found in the spiritual well-being scores in the 4 domains across the types of cancer, with the lowest scores among those with head and neck cancer. Filipino patients in the study had high spiritual well-being despite the presence of cancer. Patient characteristics, especially their illness profile, should be considered in developing nursing interventions that may improve their spiritual well-being.
Neoplasms ; Nursing

PURPOSE: This study was conducted to identify the effects of educational video program delivered using Tablet PC on physical discomfort, uncertainty, state anxiety, and nursing education satisfaction among early gastric cancer patients undergoing endoscopic submucosal dissection. METHODS: The study design was nonequivalent control group pretest-posttest design. The subjects were 60 patients who were hospitalized to undergo endoscopic submucosal dissection. The experimental group watched educational video using Tablet PC (n=30) and the control group received only the usual education (n=30). The collected data were analyzed using independent t-test to examine study hypothesis. RESULTS: The level of physical discomfort (t=3.05, p=.003) and nursing education satisfaction (t=−2.20, p=.032) in the experimental group were significantly different from that of the control group. However, the level of uncertainty (t=−0.82, p=.418) and state anxiety (t=−1.69, p=.097) in the experimental group were not different from that of the control group. CONCLUSION: The study findings confirm that the educational video program delivered using Tablet PC as an effective intervention alleviating physical discomfort and improving satisfaction regarding nursing education among early gastric cancer patients undergoing endoscopic submucosal dissection. Based on the findings, we believe that the educational video program can be helpful in decreaseing physical discomfort, and it also can be utilized to improve nursing education satisfaction.
Anxiety ; Education ; Education, Nursing ; Endoscopy ; Humans ; Nursing ; Stomach Neoplasms ; Uncertainty

PURPOSE: The purposes of this study were to determine the core nursing interventions in nursing notes and the practice which was perceived by nurses of an oncology unit with patients with terminal cancer. Also, comparing interventions in nursing notes with interventions in perceived practice was done. METHOD: Subjects were 44 nursing records of patients with terminal cancer who had died from Jan. to Dec. 2002 at C University Hospital and 83 nurses who were working on an oncology unit for more than one year. Data was collected using a Nursing Interventions Classification and analyzed by means of mean and t-test. RESULTS: The most frequent nursing intervention was 'nausea management' in the nursing note and was 'medication administration : oral' in perceived practice. The frequency of nursing interventions in the nursing record was lower than in perceived practice. CONCLUSION: This study finds that nurses actually practice nursing care, but they may omit records. To correct for omitted nursing records, development of a systematic nursing record system, continuous education and feedback is recommended.
*Terminal Care ; Palliative Care ; *Oncologic Nursing ; *Nursing Records ; Nursing Care ; Neoplasms/*nursing ; Middle Aged ; Male ; Korea ; Humans ; Female ; Aged

PURPOSE: The purpose of this study was to review the resilience of elderly patients of gastric cancer, their self-efficacy, family support, spiritual well-being and depression. METHODS: The subjects were 100 patients who were 65 years old or older who had been admitted to the surgical department at K University Hospital in B City. Data were collected from August 10 to September 2, 2016. RESULTS: Resilience of patients showed significant correlations with the degree of self-efficacy r=.51 (p<.001), the degree of family support r=.47 (p<.001), the degree of spiritual well-being r=.59 (p<.001), the degree of depression r=.34 (p<.001). The factor that affected resilience most was spiritual well-being (β=.35), followed by self-efficacy (β=.21), monthly average income (β=.20), family support (β=.18), and experienced symptoms (β=.15). The overall explanatory power was 47.4%. CONCLUSION: The degree of resilience in elderly patients of gastric cancer was higher when self-efficacy, family support and spiritual well-being were higher. To improve the resilience of elderly patients of gastric cancer, the development and application of a nursing intervention program that take these variables into account is needed.
Aged* ; Depression ; Humans ; Nursing ; Spirituality ; Stomach Neoplasms*

PURPOSE: This study was to develop and evaluate the clinical utility of a nursing educational program to reduce the cancer worry of colorectal cancer patients' family members (RCW-FM) in Korea. METHODS: The RCW-FM was developed based on several preliminary studies: an ethnographic and two quantitative studies to understand the educational needs among Korean colorectal cancer patients and their families. A one week clinical genetic educational course for clinical cancer nurses was implemented, and the RCW-FM led by cancer genetic nurses was constructed. A one group pretest-posttest design was implicated to evaluate the change of the family members' knowledge about colorectal cancer (KCR) and the level of the reduction of cancer worry (CWR). RESULTS: The mean score for KCR significantly increased from 11.75+/-1.28 to 13.87+/-1.13 (p<.05). The mean score of CWR was 4.25+/-.89. CONCLUSION: This new RCW-FM is a satisfactory educational program for reducing the cancer worry of the colorectal patients' family members. But it needs to provide more practical, specific information including a long term perspective, tailored specifically for what Korean families want to know. It should also incorporate the preventive guidelines recommended for high risk hereditary or familial colorectal cancer.
Colonic Neoplasms ; Colorectal Neoplasms* ; Early Detection of Cancer ; Education, Nursing ; Humans ; Korea ; Nursing*

PURPOSE: The purpose of this study was to compare the perceived importance and the perceived caring of nursing needs among oncology nurses, patients with non-terminal cancer and patients with terminal cancer. METHOD: A total of 83 oncology nurses, 56 patients with non-terminal cancer and 39 patients with terminal cancer served as subjects. Data was collected based on the 4-point Likert scale using a self-administered questionnaire from Mar. to Sept. 2004. Finally, data was analyzed using mean, SD, paired-test, and ANOVA. RESULTS: The score of the perceived importance of nursing needs was higher than that of the perceived performance of nursing needs in all three groups. There was also a difference in the degree of perceived performance of nursing needs among the three groups. In contrast, there was no difference in the total score of the perceived importance of nursing needs among the three groups, unlike the importance of informational and physical needs as a subgroup of perceived importance, where a difference was noted. CONCLUSIONS: Strategies should be developed to narrow down these gaps between nurses and patients. In particular, informational and educational programs should be designed for patients with terminal cancer.
Terminally Ill/*psychology ; *Oncologic Nursing ; Nursing Care/*psychology ; Neoplasms/*nursing/psychology ; Middle Aged ; Male ; Humans ; Female ; Adult

PURPOSE: The purpose of this paper (a literature review study) was to confirm the trend of nursing research for head and neck cancer patients in Korea. METHODS: Research databases were reviewed and analyzed from 13 papers (2004 through 2019 using KISS, NDSL, RISS, DBpia, and the National Assembly Library. As a result of this paper, we found that there were many studies that used questionnaires. RESULTS: Measurement variables related to head and neck cancer patients were physical variables related to oral condition, psychological variables related to depression and anxiety, social support, family support related to family, and quality of life as a result variable. CONCLUSION: Therefore, integrated nursing intervention strategies and clinical nursing research considering the physical, psychological, social, and family aspects of head and neck cancer patients are needed. Based on the results of this study, we propose qualitative research on head and neck cancer patients, development of educational programs, intervention studies to verify effects, and development of clinical practice guidelines.
Anxiety ; Clinical Nursing Research ; Depression ; Head and Neck Neoplasms ; Head ; Humans ; Korea ; Nursing Research ; Nursing ; Qualitative Research ; Quality of Life

PURPOSE: This study was undertaken to establish the framework for development of the curriculum of genetics in Nursing Education. METHODS: The Internet search, literature review of the US system of genetic nurses, genetic graduate nursing education programs and curricula for nurse in Korea were reviewed and analyzed. RESULTS: American Nurses genetic system consists of APNG and the GCS and all the APNG credential provided by the GNCC of ISONG. The curriculums of genetic nursing education in the US are mainly conducted in of master's program and genetically related subjects consists of basic genetics subjects, basic applied genetics subjects, genetics in nursing subjects and practical training subjects. Lastly a genetic nursing education program in Korea 44 hr of lectures and practical training of 4 hr is composed of basic genetics, genetic cancer, genetics in nursing and practicum in the computer lab and online include family history assessment, pedigree construction, breast and colorectal cancer risk calculations, and ELSI discussions. CONCLUSION: This study suggested that genetic nursing education course needs in master's program as detailed subjects. Also the establishment of the genetic nurse system is an urgent needed.
Breast ; Colorectal Neoplasms ; Curriculum ; Education, Nursing ; Education, Nursing, Graduate ; Humans ; Internet ; Korea ; Lectures ; Pedigree ; Pyridines ; Thiazoles

OBJECTIVE: Archetypes as structured models of clinical content are considered to be the key broker between the reference models and terminology. This study developed and validated archetypes for nursing problems with breast cancer patients. METHODS: Archetypes were developed with the focuses and characterizing categories to describe the nursing problems identified from the perioperative nursing records of breast cancer patients, a literature review and experts' survey. The archetypes were validated by experts and applied to the clinical cases. RESULTS: Forty seven focuses and 22 characterizing categories of nursing problems were identified. Forty five archetypes, except for the symptoms of URI and vital signs, could be grouped into 16 different types. The symptoms of URI and vital signs were modeled by a combination of other archetypes. The experts' evaluation and application to clinical cases demonstrated the validity of the archetypes developed. CONCLUSION: Archetypes for nursing problems developed in this study can ensure interoperability and contribute to the exchange and sharing of the high quality structured data and information.
Breast ; Breast Neoplasms ; Dietary Sucrose ; Humans ; Nursing Diagnosis ; Perioperative Nursing ; Vital Signs

OBJECTIVES: The aim of this study was to develop nursing practice guidelines and algorithms for the pre- and postoperative care of gastric cancer patients. METHODS: The guidelines and algorithms were developed based on a literature review and subject-matter experts' knowledge. The usefulness and applicability of the developed guidelines and algorithms were evaluated by the expert group. RESULTS: The guidelines comprised 64 recommendations and algorithms for admission care, preoperative care on the day before the operation, preoperative care on the operation day, immediate postoperative assessment, postoperative care, and discharge care of gastric cancer patients. After appropriate evaluation, the experts declared the guidelines to be both useful and applicable. CONCLUSIONS: The guidelines developed in this study can be used for patient care and for training nursing students and novice nurses. In addition, these guidelines can be integrated into the electronic nursing record system for clinical decision support in the future. This will improve the quality of clinical nursing and the expertise of nurses.
Electronics ; Electrons ; Humans ; Nursing Records ; Patient Care ; Postoperative Care ; Preoperative Care ; Stomach Neoplasms ; Students, Nursing