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The Effect of Laughter Therapy on Depression, Anxiety, and Stress in Patients with Breast Cancer Undergoing Radiotherapy.

So Hee KIM ; Yean Hee KIM ; Hwa Jung KIM ; Soon Haeng LEE ; Si On YU

Journal of Korean Oncology Nursing.2009;9(2):155-162.

PURPOSE: The purpose of this study was to investigate the of laughter therapy on depression, anxiety, and stress among patients underwent radiotherapy. METHODS: Participants in the study were comprised of 60 breast cancer outpatients who received radiotherapy. Thirty-one of the patients were assigned in the experimental group and the other 29 patients made up the control group. Laughter therapy was consisted of the delivery of information and active motion resulting in laughter. We provided laughter therapy 4 times for 2 weeks. Each session lasted 60 min. The experimental group received laughter therapy intervention as a group. An average attendance frequency per person was 2.7. To evaluate the effect of laughter therapy, the degrees of depression and anxiety were measured by Hospital Anxiety and Depression (HAD) and stress was measured by the Brief Encounter Psychosocial Instrument (BEPSI). Data analysis included a 2-test, t-test, and Fisher's exact test using SPSS 12.0 and SAS 8.0. RESULTS: There was significant decrease in the degrees of depression, anxiety, and stress in the experimental group compared to those in the control group (p<.01, p=.04, and p<.01, respectively). CONCLUSION: This study provides evidence that laughter therapy is an effective intervention in improving depression, anxiety, and stress in breast cancer patients.
Anxiety ; Breast ; Breast Neoplasms ; Depression ; Humans ; Laughter ; Laughter Therapy ; Outpatients ; Phenothiazines ; Statistics as Topic

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Patients' Experiences of Sensations After Breast Cancer Surgery in Korean Women.

Younghee JEONG ; Dal Sook KIM

Journal of Korean Oncology Nursing.2009;9(2):145-154.

PURPOSE: The purpose of this study was to obtain information about the experiences of sensations after breast cancer surgery characterized by prevalence, frequency, and severity, distresses, and disturbances in ADL using the BSAS (Breast Sensation Assessment Scale) and to develop the standardized Korean BSAS. METHODS: Thirty two women from 3 to 100 days after breast cancer surgery (BCS) completed Roberta's BSAS. The 18 sensations of BSAS were translated using the references of Lee's Korean Pain Rating Scale and English-English, English-Korean dictionaries and the consultation from two native Americans, one bilingual permanent resident of the States, and one nursing professor. The Korean-translated BSAS has high reliability in test-retest. Likert type 4-point scale and 100 mm VAS were used for assessment. RESULTS: Certain sensations remained prevalent (tender, pull, pain), frequent (numb, nag, throb), severe (throb, shoot, numb), causing distress (throb, penetrate, shoot), and influencing on ADL (throb, penetrate, nag). The most frequently experienced sensation other than BSAS was itching. There was little difference in the prevalence of symptom experiences between sentinel lymph node biopsy and axillary lymph node dissection. CONCLUSION: The women after BCS are suffering from neuropathic sensations. The Korean- translated BSAS could be used in effectively assessing breast sensations after BCS in Korean women.
Activities of Daily Living ; Breast ; Breast Neoplasms ; Female ; Humans ; Indians, North American ; Lymph Node Excision ; Nitriles ; Nursing Assessment ; Prevalence ; Pruritus ; Pyrethrins ; Sensation ; Sentinel Lymph Node Biopsy ; Stress, Psychological

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Comparison of the Self-Care Behaviors according to Mental Adjustment to Cancer.

Pok Ja OH

Journal of Korean Oncology Nursing.2009;9(2):136-144.

PURPOSE: This study was to explore the psychosocial adjustment, marital intimacy and family support of post-mastectomy patients. METHODS: The subjects were 90 post-mastectomy patients (stage I or II) who were eligible and agreed to participate in the study. The data collection period was from March to May, 2008. Subjects completed a survey including demographics, psychosocial adjustment scale by Lee (a 4-point Likert scale), marital intimacy scale by Kim (a 4-point Likert scale), and family support by Shim (a 5-point Likert scale). Data were analyzed using SAS (ver 9.0) program and frequency, mean (SD), t-test, ANOVA and Pearson correlation coefficients were used. RESULTS: The mean scores of the psychosocial adjustment and marital intimacy were 2.8 (+/-0.4) and 2.5 (+/-0.5). Also, the mean score of the family support was 3.6 (+/-0.7). Regarding the correlation between the psychosocial adjustment, marital intimacy and family support, there was a positive correlation. CONCLUSION: These results showed that subjects who had higher PURPOSE: This study was to compare the differences in self-care behaviors between the group with fighting spirit and the group with helplessness. METHODS: This study utilized a cross-sectional descriptive design. A total of 97 ambulatory cancer patients completed the Mental Adjustment to Cancer (MAC) scale by Watson et al. (1988) and Self Care Behaviors Scale by Oh et al. (1997). The data was analysed using frequency, percentage, t-test, ANOVA, Pearson's correlation and stepwise multiple regression. RESULTS: Fighting spirit group were found to conduct self-care behaviors more compared to the helplessness group (t=3.346, p<.0001). The score of the self-care behaviors in fighting spirit group was 4.42 out of a total score of 7 and that of helplessness group was 3.85. There was a significant difference (p<.0001) in self-care behaviors according to the level of faith and performance status. Fighting spirit (R2=0.120, p<.0001), performance status (R2=0.078, p=.001) were predictive of self-care behaviors. CONCLUSION: Cancer patients' mental adjustment is correlated with the degree of self-care behaviors. Having fighting spirit is one of the most adaptive techniques that cancer patients could use in adjustment to the life with cancer.marital intimacy and family support showed better in psychosocial adjustment. To improve psychosocial adjustment of post-mastectomy patients for breast cancer more effectively, there is an necessity to provide various strategic supports and intervention for effective communication with spouse and family.
Breast Neoplasms ; Data Collection ; Demography ; Humans ; Phenothiazines ; Self Care ; Spouses

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Psychosocial Adjustment, Marital Intimacy and Family Support of Post-mastectomy Patients.

Ok Hee CHO ; Yang Sook YOO

Journal of Korean Oncology Nursing.2009;9(2):129-135.

PURPOSE: This study was to explore the psychosocial adjustment, marital intimacy and family support of post-mastectomy patients. METHODS: The subjects were 90 post-mastectomy patients (stage I or II) who were eligible and agreed to participate in the study. The data collection period was from March to May, 2008. Subjects completed a survey including demographics, psychosocial adjustment scale by Lee (a 4-point Likert scale), marital intimacy scale by Kim (a 4-point Likert scale), and family support by Shim (a 5-point Likert scale). Data were analyzed using SAS (ver 9.0) program and frequency, mean (SD), t-test, ANOVA and Pearson correlation coefficients were used. RESULTS: The mean scores of the psychosocial adjustment and marital intimacy were 2.8 (+/-0.4) and 2.5 (+/-0.5). Also, the mean score of the family support was 3.6 (+/-0.7). Regarding the correlation between the psychosocial adjustment, marital intimacy and family support, there was a positive correlation. CONCLUSION: These results showed that subjects who had higher marital intimacy and family support showed better in psychosocial adjustment. To improve psychosocial adjustment of post-mastectomy patients for breast cancer more effectively, there is an necessity to provide various strategic supports and intervention for effective communication with spouse and family.
Breast Neoplasms ; Data Collection ; Demography ; Humans ; Marriage ; Phenothiazines ; Spouses

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Marital Intimacy and Quality of Life in Women With Breast Cancer.

ChaeWeon CHUNG ; EunKyung HWANG ; ShinWoo HWANG

Journal of Korean Oncology Nursing.2009;9(2):122-128.

PURPOSE: The study was aimed to investigate the levels of marital intimacy and quality of life (QOL) among women with breast cancer. METHODS: As a descriptive study, a total of 67 married women with breast cancer was recruited via convenient sampling from a breast clinic in an university hospital. A structured, self-reported questionnaire was administered to the participants. RESULTS: The most participants were housewives in their 40s and 50s, and were in high socioeconomic status. Two thirds of women perceived the marital intimacy with their spouse were increased after the diagnosis of breast cancer. Women's marital intimacy significantly differed by their levels of education. The level of cognitive intimacy was the highest among the subscales, whereas, sexual intimacy was the lowest. The family factor of QOL showed the highest score, and there were differences in QOL by employment status and cancer stage. The QOL and marital intimacy were not correlated significantly. CONCLUSION: Further research on the couples with breast cancer and intervention for increasing their marital intimacy are needed in the future.
Breast ; Breast Neoplasms ; Employment ; Family Characteristics ; Female ; Humans ; Marriage ; Quality of Life ; Surveys and Questionnaires ; Social Class ; Spouses

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An Exploratory Study of Hope Structures of the Newly Diagnosed Cancer Patients.

Moon Kyoung PARK ; Dal Sook KIM

Journal of Korean Oncology Nursing.2009;9(2):114-121.

PURPOSE: This study was to explore the hope structures of the newly diagnosed cancer patients by examining the relationships between hope and the three concepts of 'Personal Spirit', 'Risk' and 'Authentic Caring' which composed the multidimensions of the Nekolaichuk and Bruera's hope model. METHODS: Data was collected via survey from 32 newly diagnosed cancer patients. The perceived meaning of life (PML) for 'personal spirit', perceived confidence in cure (PCC) for 'risk', and perceived family support (PFS) and perceived support from medical team (PSM) for 'authentic caring' were adapted from the definitions of the concepts in the model. Hope, PML, and PCC were measured with VAS. PFS and PSM were measured with Korean version of 'Cobb's family support scale', which was modified by Kang. Pearson correlation coefficients were used to identify the relationships among the concepts. RESULTS: The significant relationships were revealed between hope and PCC (p<.001), hope and PML (p<.001), PML and PCC (p<.001), PFS and PML (p=.030), and PSM and PML (p=.047). CONCLUSION: The newly diagnosed cancer patients experience hope in different ways. The cancer patients' hope immediate after diagnosis, however, is most likely to be experienced as seeking balance between uncertainty about cancer treatment and the meaning of life.
Humans ; Uncertainty

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Pain Management Knowledge and Attitude of Hospitalized Patients with Cancer and Their Family Caregivers.

Myoyoun KIM ; Yeon Hwan PARK ; Darlee PARK ; Yeonja HWANG ; Hee Kyung CHANG

Journal of Korean Oncology Nursing.2009;9(2):104-113.

PURPOSE: The aim of this study was to investigate pain management knowledge and attitude in cancer patients and their family caregivers. METHODS: The subjects were 52 hospitalized cancer patients and 52 their family caregivers in a hematooncologic unit in one general hospital. Data were collected via self-reported questionnaires and interviews in 2008. RESULTS: 46.2% of the patient participants reported pain and 50% of them were taking opioid analgesics. Levels of knowledge about cancer pain and its management in both patient and caregiver participants were low, whereas, the scores of knowledge of the caregivers were significantly higher than that of the patients. The attitudes toward cancer pain were not significantly different between patients and caregivers. Both cancer patients and caregivers had some misconcepts in using opioid analgesics and about cancer pain. Patients' and caregivers' level of knowledge about cancer pain and its mangement demonstrated positive correlation. CONCLUSION: Education about cancer pain and its management should target both cancer patients and their family caregivers. Also the education should focus on intervening the misconceptions that patients and their caregivers have regarding cancer pain and its management
Analgesics, Opioid ; Caregivers ; Hospitals, General ; Humans ; Pain Management ; Surveys and Questionnaires

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Nursing Students' Attitude toward Death and Perception on Hospice Care.

Jiyoung HAN ; Naeyoung LEE

Journal of Korean Oncology Nursing.2009;9(2):95-103.

PURPOSE: The purpose of this study was to examine nursing students' attitude toward death and perception on hospice care. METHODS: The survey was performed with 277 nursing students in three universities in Daegu and Busan. The data was collected by questionnaires and were analyzed using descriptive statistics. RESULTS: Regarding the attitude on death, 93.9% of the subjects had ever thought about death. They worried about separation and sadness with family (39.7%). About half (48.7%) of the subjects considered death as a final process of the life. With regard to the perception of hospice, 93% of the subjects heard about hospice through books or nursing courses (83.8%). The best hospice management institution was considered the one run by religious groups or non-profit organizations with government support (33.9%). Ideal model of hospice setting in Korea was hospital or institution specialized with hospice care (47.7%). The barriers the subjects thought to effective hospice care in Korea was the lack of the public consensus on the need for hospice program (37.9%). The average perceptions about the purpose of hospice care was 4.38, whereas, the average of the need of hospice care was 4.06. CONCLUSION: The findings of the study provides the basis for expanding nursing practice and education related to hospice care.
Consensus ; Hospice Care ; Hospices ; Humans ; Korea ; Organizations, Nonprofit ; Surveys and Questionnaires ; Students, Nursing

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Influencing Factors on Hope Among Patients with Breast Cancer.

Young Sook TAE ; Mi Yea KIM

Journal of Korean Oncology Nursing.2009;9(2):86-94.

PURPOSE: This study was aimed to identify the influencing factors on hope in the patients suffering with breast cancers. METHODS: The subjects were 150 women who were diagnosed with breast cancer at three university hospitals and a general hospital. Data collection was conducted by hope scale, family support scale, self esteem scale, depression scale, pain scale, and fatigue scale. The collected data were analyzed using frequency, percentage, t-test, ANOVA, Pearson's correlation coefficients, and stepwise multiple regression. RESULTS: Level of hope in the participants was high. There were a significant correlation among hope, family support, effects of religion, self esteem, depression, pain and fatigue. There were significant differences in hope by the age, education level, and cost burden. The most powerful predictor of hope was self esteem (38.2%). Altogether family support, effects of religion, depression, and fatigue explained 50.4% of hope of the participants. CONCLUSION: The findings of the study suggested that the concepts of self esteem, family support, effects of religion, depression and fatigue should be considered important factors in developing hope promoting program for breast cancer patients.
Breast ; Breast Neoplasms ; Data Collection ; Depression ; Fatigue ; Female ; Hospitals, General ; Hospitals, University ; Humans ; Self Concept ; Stress, Psychological

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Symptom Cluster Presented by Non-small Cell Lung Cancer Patients on Gefitinib Treatment.

Sung Young LEE ; Hyeoun Ae PARK

Journal of Korean Oncology Nursing.2009;9(2):77-85.

PURPOSE: The purpose of this study was to identify symptom cluster experienced by patients with advanced non-small cell lung cancer (NSCLC) on gefitinib treatment. In addition, this study assessed the patterns in severity of the symptom cluster and differences in quality of life (QOL) and function among subgroups by the severity of symptom cluster. METHODS: This study was conducted as a secondary analysis of symptoms of 72 patients from a mother study. Factor analysis was used to identify symptom clusters measured with EORTC QLQ-C30 and LC13 symptom related items. RESULTS: Three symptom clusters were identified: cluster 1 was comprised of fatigue, anorexia and dysphagia; cluster 2 of dyspnea, cough and insomnia; and cluster 3 of pain, constipation and nausea/vomiting. These three symptom clusters were improved one week after gefitinib administration. The group with more severe symptom clusters showed significantly lower QOL and function than the group with less severe symptom clusters. CONCLUSION: Since symptom clusters experienced by the patients with advanced NSCLC influenced on the QOL and function, it is important for nurses to understand and observe their symptom clusters. In addition, there is an necessity to develop nursing interventions to effectively care patients with the symptom clusters.
Anorexia ; Carcinoma, Non-Small-Cell Lung ; Constipation ; Cough ; Dyspnea ; Fatigue ; Humans ; Lung Neoplasms ; Mothers ; Quality of Life ; Quinazolines

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