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An Ethnographic Research on Psychological Experiences of Mothers Caring for their Children with Recurent Cancer.

Asian Oncology Nursing.2015;15(2):75-88. doi:10.5388/aon.2015.15.2.75

PURPOSE: This study was done to explore and have a deeper understanding of psychological experiences of mothers caring for their children with recurrent cancer. METHODS: This paper applied an ethnographic research method. Using maximum variation sampling, the participants consisted of 7 mothers who were caring for their children with recurrent cancer. Data were collected through in-depth informal interviews, participant observation and telephone interviews, and analyzed following Spradley's methodology. RESULTS: The mothers' psychological experiences were organized into one cultural theme, three categories and nine properties. The cultural theme was 'inner growth through adversity'. The three categories were 'daily life dancing on a tightrope', 'seizing hold of the string of hope', and 'being matured in life through the child's pain'. CONCLUSION: Supportive and effective nursing intervention must be provided on the basis of a deeper understanding of mothers' experiences caring for their children with recurrent cancer, so that it could strengthen their inner growth through adversity, and ultimately improve the mothers' quality of life.
Child* ; Dancing ; Humans ; Interviews as Topic ; Mothers* ; Nursing ; Qualitative Research ; Quality of Life ; Recurrence

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Changes of Symptom Distress and Quality of Life in Breast Cancer Patients Receiving Adjuvant Therapy.

Jin Hee PARK ; Sun Hyoung BAE ; Young Mi JUNG

Asian Oncology Nursing.2015;15(2):67-74. doi:10.5388/aon.2015.15.2.67

PURPOSE: The purpose of this study was to identify changes of symptom distress and quality of life (QOL) in breast cancer patients receiving adjuvant therapy. METHODS: 113 patients with breast cancer were administered the Memorial Symptom Assessment Scale-Short Form and the Functional Assessment of Cancer Therapy-Breast before adjuvant therapy, both a week and 6 months after completing adjuvant therapy. 71 patients (CTx group) were treated with adjuvant chemotherapy and radiotherapy. 42 patients (RTx group) received only adjuvant radiotherapy. Data were analysed using the SPSS/Win 21.0 program. RESULTS: Compared with the RTx group, patients in the CTx group reported higher overall symptom distress and physical symptom distress. The CTx group reported lower scores in overall QOL, physical well-being and the breast cancer specific domain than the RTx group. CONCLUSION: Findings from this study support that chemotherapy results in higher risk for more severe symptoms and leads to impaired QOL for breast cancer patients. Comprehensive symptom management should be implemented for breast cancer patients receiving chemotherapy.
Breast Neoplasms* ; Chemotherapy, Adjuvant ; Drug Therapy ; Humans ; Quality of Life* ; Radiotherapy ; Radiotherapy, Adjuvant ; Symptom Assessment ; Surveys and Questionnaires

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Factors Influencing Quality of Life in Thyroid Cancer Patients with Thyroidectomy.

Jiyeon YANG ; Myungsun YI

Asian Oncology Nursing.2015;15(2):59-66. doi:10.5388/aon.2015.15.2.59

PURPOSE: The purpose of the study was to examine the relationships among anxiety, depression, self-esteem, and quality of life in thyroid cancer patients with thyroidectomy and to identify factors influencing their quality of life. METHODS: A cross-sectional survey was conducted to measure anxiety, depression, self-esteem, and quality of life of 129 thyroid cancer patients between 2011 and 2012. The data were analyzed with t-test, one-way ANOVA, post-hoc comparison (Duncan), Pearson's correlation coefficients, and multiple regression analysis. RESULTS: The mean age of the participants was 49.8, and most of them were female and married. The mean time since diagnosis of the participants was two years. The mean score for quality of life was 74 out of 108. Quality of life was significantly different by gender, employment and the stage of cancer at diagnosis. Anxiety, depression and self-esteem were all correlated to quality of life. As a result of stepwise multiple regression analysis, depression, self-esteem, and gender were discovered to account for 58.1% of the variance in quality of life. Depression was the most influential factor. CONCLUSION: The results of the study indicate that depression and self-esteem should be integrated when developing psychosocial intervention to promote quality of life among thyroid cancer patients.
Anxiety ; Cross-Sectional Studies ; Depression ; Diagnosis ; Employment ; Female ; Humans ; Quality of Life* ; Thyroid Neoplasms* ; Thyroidectomy*

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A Study of the Relationships between Compassion Fatigue, Compassion Satisfaction, Depression, Anxiety, and Sleep Disorders among Oncology Nurses.

Sung Ja KIM ; Hyunjoo NA

Asian Oncology Nursing.2017;17(2):116-123. doi:10.5388/aon.2017.17.2.116

PURPOSE: This study was conducted to identify the relationships between various factors, including compassion fatigue, compassion satisfaction, depression, anxiety, and sleep disorders among oncology nurses. METHODS: A convenience sample of 140 oncology nurses from 3 university hospitals completed questionnaires. The collected data were analyzed using t-tests, ANOVA, Pearson's correlation coefficients, and Kruskal-Wallis tests. RESULTS: Compassion fatigue is composed of secondary traumatic stress and burnout. The levels of compassion fatigue showed significant positive correlations with depression, anxiety, and sleep disorder. On the other hand, the levels of compassion satisfaction showed significant negative correlations with compassion fatigue, depression, anxiety, and sleep disorders. The subjects in the at-risk and very distressed group of compassion fatigue and compassion satisfaction risk profile had significantly higher levels of depression, anxiety, and sleep disorders. CONCLUSION: Such efforts will help reduce the level of depression, anxiety, and sleep disorders in oncology nurses at-risk of developing compassion fatigue. It is also necessary to provide organization support for oncology nurses, and to develop an intervention that is designed to mitigate their compassion fatigue and to promote compassion satisfaction.
Anxiety* ; Compassion Fatigue* ; Depression* ; Empathy* ; Hand ; Hospitals, University ; Sleep Wake Disorders*

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The Factors of Pain and Pain Management after Transarterial Chemoembolization in Patients with Hepatocellular Carcinoma.

Se Na JUNG ; Je In SEON ; Kwang Sung KIM

Asian Oncology Nursing.2017;17(2):107-115. doi:10.5388/aon.2017.17.2.107

PURPOSE: The purpose of this study was to identify the factors of pain and pain management after transarterial chemoembolization (TACE) in patients with hepatocellular carcinoma (HCC). METHODS: Participants were 99 inpatients with HCC who underwent TACE at C University in Seoul from May to October 2016. The instruments used in this study were the Numerical Rating Scale (NRS), the Pain Management Index (PMI), and the modified Patient Outcome Questionnaire (American Pain Society). The data were analyzed using SPSS 24.0, specifically descriptive statistics, t-test, ANOVA, and multiple regression. RESULTS: The percentage of patients who experienced pain after TACE was 66.7%. The mean pain score immediately after TACE was 4.43±2.36 and the highest score on average was 6.58±2.32. The pain score was highest at 5.24±5.67 hours after TACE. Significant factors influencing pain after TACE were the extent of embolization and the ECOG (Eastern Cooperative Oncology Group) score, which explained 26% of the variance in pain. PMI scores revealed that 33.3% of the participants were inadequately treated for pain. CONCLUSION: In order to properly manage pain after TACE, medical staff need accurate understanding of pain and to administer the appropriate dosage of analgesics. The development of pain management protocol for patients who have undergone TACE would help achieve these goals.
Analgesics ; Carcinoma, Hepatocellular* ; Humans ; Inpatients ; Medical Staff ; Pain Management* ; Seoul

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Nursing Needs and Satisfaction of Family of Pediatric Cancer Patients during Chemotherapy.

Eun Jung PARK ; Jeong Hee JEONG ; Seong Rye JIN ; Eun Joo CHO ; Ju Youn KIM ; Ji Hyun SHIN ; Myung Eun HUR ; Min Jung SEO ; Eun Kyung CHA ; Gie Ok NOH

Asian Oncology Nursing.2017;17(2):97-106. doi:10.5388/aon.2017.17.2.97

PURPOSE: The aim of this study was to explore the nursing needs and satisfaction of pediatric cancer patient families during chemotherapy. METHODS: Data collection was conducted from April to July 2016 using the questionnaire of nursing needs and satisfaction developed by the researchers in 123 families of children who were diagnosed with pediatric cancer and undergoing chemotherapy. The collected data were analyzed by descriptive statistics, t-test, and ANCOVA using the SPSS 22.0 program. RESULTS: Nursing needs and satisfaction were 4.27 ± 0.78 and 4.16 ± 0.57, respectively. Significant differences between nursing need and satisfaction were observed in the educational/informational domain (t=3.94, p=<.001) and community resources nursing domain (t=2.16, p=.032). Also, in terms of general characteristics, the nursing needs were significantly different depending on the elapsed time after diagnosis (t=1.98, p=.049), and the nursing satisfaction was significantly different depending on the type of treatment (F=4.02, p=.009). CONCLUSION: Based on the results of this study, when caring for children who are receiving chemotherapy and their family, it is necessary to develop nursing interventions that meet the individualized nursing needs of those directly and indirectly affected.
Antineoplastic Agents ; Child ; Data Collection ; Diagnosis ; Drug Therapy* ; Humans ; Needs Assessment ; Nursing* ; Pediatric Nursing ; Personal Satisfaction

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The Influences of Quality of Sleep and Mood State on Fatigue in Primary Brain Tumor Patients.

Jae Hyun HWANG ; Hyoung Sook PARK

Asian Oncology Nursing.2017;17(2):87-96. doi:10.5388/aon.2017.17.2.87

PURPOSE: The purpose of this study was to identify the influences of sleep quality and mood state on fatigue in primary brain tumor patients. METHODS: The participants were 118 patients with primary brain tumors between May 2015 and March 2016. Data were collected using questionnaires including individual and disease related characteristics, the Pittsburgh Sleep Quality Index, Linear Analogue Self-Assessment scales, and The Fatigue Scale for Cancer Patients developed by Kim Kyeong-hee (2006). Data were analyzed using descriptive statistics, Pearson correlation, and hierarchical multiple regression. RESULTS: Fatigue had significant correlations with sleep quality (r=.55, p<.001) and mood state (r=.74, p<.001). The influencing factors for fatigue were mood state (β=.46, p<.001) was the best predictor of fatigue, followed by age (β=.17, p=.049), and performance status (β=-.19, p=.011). CONCLUSION: The research findings show that understanding of psychological factors such as anxiety, depression, confusion, energy and anger should be given priority for fatigue management in primary brain tumor patients. This study provides base data for managing fatigue in patients with primary brain tumors, and is expected to contribute to the improvement of the health of patients with primary brain tumor.
Anger ; Anxiety ; Brain Neoplasms* ; Depression ; Fatigue* ; Humans ; Psychology ; Self-Assessment ; Weights and Measures

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A Comparison of Symptoms, Depression, and Quality of Life according to Stages of Survivorship in Lung Cancer Patients.

Yoon Jung CHAE ; Jeong Sook PARK

Asian Oncology Nursing.2017;17(2):79-86. doi:10.5388/aon.2017.17.2.79

PURPOSE: This study was a descriptive study to compare symptoms, depression and the quality of life according to stages of survivorship in lung cancer patients. METHODS: Data were collected from April 1st to September 30th 2016. The subjects of this study were 135 lung cancer patients who were outpatients or inpatients at a university hospital. The instruments used were the MDASI-LC (M.D. Anderson Symptom Inventory-Lung Cancer), the Korean CES-D (Center for Epidemiologic Studies Depression) and FACT-L (Functional Assessment Cancer Therapy-Lung) version 4. RESULTS: Insensibility/numbness (F=-2.42, p=.016) and trouble walking (F=-2.21, p=.029) symptom scores were significantly higher in the acute survival stage (less than 2 years) than the overextended survival stage (more than 2 years). But there was no significant differences in depression and quality of life between survival stages in lung cancer patients. CONCLUSION: Lung cancer patients of more than 2 survival years should be managed for relief symptoms such as insensibility/numbness and trouble walking cautiously.
Depression* ; Epidemiologic Studies ; Humans ; Inpatients ; Lung Neoplasms* ; Lung* ; Outpatients ; Quality of Life* ; Survival Rate* ; Walking

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Factors Influencing Conflicts of Chemotherapy Decision Making among Pre-Operative Cancer Patients.

Nam Yee KOO ; Ji Hyun LEE

Asian Oncology Nursing.2017;17(2):69-78. doi:10.5388/aon.2017.17.2.69

PURPOSE: This study was attempted to grasp the factors affecting the decision-making conflicts of preoperative cancer patients. METHODS: The subjects of this study were 110 cancer patients scheduled to undergo surgeries at K university hospital. Data were collected utilizing scales for decision-making conflicts and anxiety state, and measurement tools for attitude toward treatment and, shared decision-making. RESULTS: The level of decision-making conflicts over cancer treatment of preoperative cancer patients turned out to be slightly lower than the median. There were significant correlations between shared decision-making between physicians and patients, and quality of life which was a subdomain of attitude toward treatment. In multiple regression analysis, the most powerful predictor was the shared decision-making of physicians and patients. Overall, the explanatory power of the measured variables for decisionmaking conflicts about cancer therapy was 20%. CONCLUSION: The study highlights the importance of shared decision-making and quality of life which involves attitude toward treatment. Thereby, it is deemed to be necessary to develop intervention strategies regarding decision-making conflicts about cancer treatment in consideration of these variables.
Anxiety ; Decision Making* ; Drug Therapy* ; Hand Strength ; Humans ; Quality of Life ; Weights and Measures

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Trends of Studies Published in Asian Oncology Nursing, 2011~2014.

Soo Hyun KIM ; Min Young KIM ; Sun Hee KIM ; Hye Kyung KIM ; Insook LEE ; Jiyeon LEE ; Yun Hee HAM ; Eunjung RYU

Asian Oncology Nursing.2015;15(2):114-122. doi:10.5388/aon.2015.15.2.114

PURPOSE: The purpose of this study was to analyze and identify recent trends of published research in Asian Oncology Nursing (AON). METHODS: A total of 140 studies were analyzed using a tool developed by the researchers, focusing on research design, research subject, research themes, and type of interventions and outcome variables of experimental studies. RESULTS: AON lacked studies which were supported by research funds (27.9%), or used an experimental study design (10.0%). In particular, there were only 2 studies (1.4%) conducted with randomized controlled trials (RCT). Research subjects were various, including patients with cancer, family care givers, healthy population, and oncology nurses. Based on a framework of cancer control continuum, most studies addressed issues of the treatment phase, whereas few studies addressed issues of diagnosis, survivorship, or the end-of-life (EOL) phase. Regarding research themes, psychosocial nursing including quality of life, anxiety, and depression was most frequently reported. In the experimental studies, an education program was most frequently applied and psycho-social-spiritual variables and symptoms were most frequently used to evaluate the effects of the intervention. CONCLUSION: The results suggest that further expansion of RCT and studies regarding diagnosis, survivorship, and EOL phases are needed. Also, our findings may contribute toward the development of a Korean oncology nursing research agenda.
Anxiety ; Asian Continental Ancestry Group* ; Caregivers ; Depression ; Diagnosis ; Education ; Financial Management ; Humans ; Nursing ; Nursing Research ; Oncology Nursing* ; Quality of Life ; Research Design ; Research Subjects ; Survival Rate

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