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Erratum: Factors Associated with Colorectal Cancer Screening of Blue-Color Workers.

Su Ho PARK ; Gwang Suk KIM ; Jong Uk WON ; Chang Gi PARK

Asian Oncology Nursing.2012;12(3):246-246. doi:10.5388/aon.2012.12.3.246

This erratum is being published to correct the error in author information on page 166.

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A Conceptual Analysis of Cancer Survivorship.

Hye Sun BYUN ; Hyun Joo PARK ; Ji Youn KIM

Asian Oncology Nursing.2012;12(3):237-245. doi:10.5388/aon.2012.12.3.237

PURPOSE: The purpose of this study was to identify attributes of the concept of cancer survivorship. METHODS: Walker & Avant's concept analysis framework (2005) was used to review the medical & nursing text books, medical and nursing research articles related to cancer survivorship and published from 1985 to 2011. RESULTS: There were nine aspects of the concept of cancer survivorship: A process, liminality, uncertainty, life-changing experience, complexity, unique experience, duality of positive and negative aspects, partnership, and need for support. Antecedents of cancer survivorship were cancer diagnosis and perception as a cancer survivor. Empirical referents of cancer survivorship were survival rate, quality of life, adaptation to the survivorship experience, and health-related hardiness, social support, spirituality, and health behavior. The consequences of cancer survivorship were effects on the physical, psychosocial, spiritual and socio-economic well-being of the patients. CONCLUSION: This concept analysis of cancer survivorship is expected to contribute to promotion of survivorship care in the clinical field by removing conceptual ambiguity and confirming the true meaning of survivorship care.
Health Behavior ; Humans ; Nursing Research ; Quality of Life ; Spirituality ; Survival Rate ; Survivors ; Uncertainty

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Comparison of Pain Management between before and after the Application of Guidelines in Cancer Emergency Room.

Young Hwa WON ; Yeon Hee KIM ; Jeong Yun PARK

Asian Oncology Nursing.2012;12(3):230-236. doi:10.5388/aon.2012.12.3.230

PURPOSE: This study was to investigate the effect of the application of cancer pain management guidelines on pain management among patients in Cancer Emergency Room. METHODS: This study was a retrospective descriptive study. Before application, data were collected by analyzing the Electronic Medical Record in Cancer Emergency Room in September, 2011, and after application in February, 2012. The subjects of this study consisted of 231 patients (pre-application group 83, post-application group 148), who stayed over 24 hours and complained of pain higher than Numeric Rating Scale score 4. The post-test was conducted after educating the nurses about the application of the pain management guidelines in the Electronic Medical Record. RESULTS: This survey showed that, as the cancer pain management guidelines were applied for cancer patients with above moderate pain, the pain intensity decreased, the number of patients reaching the treatment goal score increased. Furthermore, the estimated time to reach the treatment goal decreased significantly. CONCLUSION: Pain intensity of the cancer patients was decreased through regular pain assessments by nurses and the medication of analgesics according to the cancer pain management guidelines. Therefore, it is necessary to develop the pain management program and to provide the physicians and nurses with intensive education about the pain management guidelines for systematic and effective pain management.
Analgesics ; Electronic Health Records ; Electronics ; Electrons ; Emergencies ; Emergency Service, Hospital ; Humans ; Methods* ; Pain Management ; Pain Measurement ; Practice Guidelines as Topic ; Retrospective Studies

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Correlates Influencing Cognitive Impairment in Breast Cancer Patients receiving Chemotherapy.

Bok Yae CHUNG ; Eun Jung CHO

Asian Oncology Nursing.2012;12(3):221-229. doi:10.5388/aon.2012.12.3.221

PURPOSE: The purpose of this study was to identify correlates influencing cognitive impairment in breast cancer patients receiving chemotherapy. METHODS: Study subjects consisted of 102 breast cancer patients who received chemotherapy. Subjects were the members of a breast cancer self-help group. Data were collected using structured self-reporting questionnaires including scales of cognitive impairment, physical status, fatigue, quality of life, emotional status, sleeping, family support, and menopausal symptoms. Statistical Package for Social Sciences was used for statistical analyses. RESULTS: Breast cancer patients receiving chemotherapy appeared to show a high level of cognitive impairment. Among demographic characteristics, the effects of economic status and family type on cognitive impairment were found to be statistically significant. Among disease related characteristics, the effect of duration of chemotherapy on cognitive impairment was statistically significant. Menopausal symptoms were positively associated with cognitive impairment. The model including postmenopausal symptoms and caregiver type explained about 66% of variability in cognitive impairment. CONCLUSION: These findings highlight the importance of contextual factors in understanding cognitive impairment in breast cancer patients receiving chemotherapy and can be used to develop appropriate, effective nursing interventions.
Breast ; Breast Neoplasms ; Caregivers ; Fatigue ; Humans ; Quality of Life ; Self-Help Groups ; Social Sciences ; Weights and Measures ; Surveys and Questionnaires

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Influencing Factors on Medication Adherence in Colorectal Cancer Patients Receiving Oral Chemotherapy.

Jeong Hye KIM

Asian Oncology Nursing.2012;12(3):213-220. doi:10.5388/aon.2012.12.3.213

PURPOSE: The purpose of this study was to identify factors that influence medication adherence in colorectal cancer patients receiving oral chemotherapy. METHODS: One hundred and nine colorectal cancer patients receiving oral chemotherapy were recruited in the cross-sectional survey design. A survey including medication adherence, knowledge about chemotherapy, self-efficacy, depression and symptom experience were completed. RESULTS: The level of medication adherence was 7.38+/-.80. Medication adherence showed significant differences according to perceived health status and combination of IV chemotherapy. Medication adherence was significant correlated with self-efficacy, depression and symptom experience. On stepwise regression analysis, the most important factors related to the medication adherence were symptom experience, perceived health status and combination of IV chemotherapy. These variables explained 17% of medication adherence. CONCLUSION: The level of medication adherence in colorectal cancer patients receiving oral chemotherapy was relatively high. It is important to develop nursing intervention for medication adherence in colorectal cancer patients that focus on symptom experience and to consider about perceived health status and combination of IV chemotherapy.
Colorectal Neoplasms ; Cross-Sectional Studies ; Depression ; Humans ; Medication Adherence ; Surveys and Questionnaires

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The Effects and Variances of the Critical Pathway of Laparoscopic Colon Resection in Colon Cancer Patients.

Hye Jeong JUNG ; Mona CHOI ; So Sun KIM ; Nam Kyu KIM ; Kang Young LEE

Asian Oncology Nursing.2012;12(3):204-212. doi:10.5388/aon.2012.12.3.204

PURPOSE: To investigate the effectiveness and variance of a critical pathway (CP) for laparoscopic colon resection in colon cancer patients, and nurses'satisfaction with the CP. METHODS: A CP for laparoscopic colon resection was applied to the CP-group that included 50 patients, who underwent elective colon resection between March and May, 2011. The non-CP group included 51 patients who had the same operation without the CP applied from March to May, 2010. RESULTS: The means of length of hospital stay were 11.7 and 7.3 days (p<.001) and the lengths of postoperative hospital stay were 8.6 and 5.1 days (p<.001) in the non-CP group and CP group, respectively. There was no significant difference between two groups for total healthcare costs, pain score, complications, or emergency room visits within 30 days after discharge. By examining variances of the CP, there were 162 variances and the most frequent cause was patient's condition. Nurses'satisfaction with the use of CP was favorable and the mean score of satisfaction was 3.76 on the 5 point Likert scale. CONCLUSION: There are clear benefits to use of CP, resulting in standardized and effective patient care. In conclusion, analysis of variance data can assist in evaluating and revising CP for optimal care and reducing variances.
Analysis of Variance ; Colon ; Colonic Neoplasms ; Critical Pathways ; Emergencies ; Health Care Costs ; Humans ; Length of Stay ; Patient Care

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Effectiveness of Physical Exercise in Patients Undergoing Allogeneic Hematopoietic Stem Cell Transplantation.

Su Jin LIM ; So Young LEE ; Euigeum OH

Asian Oncology Nursing.2012;12(3):195-203. doi:10.5388/aon.2012.12.3.195

PURPOSE: To summarize and review the methodological quality of the evidence from trials examining the effectiveness of physical exercise in patients undergoing allogeneic hematopoietic stem cell transplantation (Allo-HSCT). METHODS: Six randomized clinical trials (RCTs) were identified, reviewed for substantive results, and assessed for methodological quality. RESULTS: Six trials met all methodological criteria on the modified Jadad score above 3 out of 5 points. Failure to blind the outcome assessor, and failure to describe the method of blinding of outcome assessor appropriately were the most prevalent methodological shortcomings. Various exercise modalities have been applied, differing in content, frequency, intensity, and duration. Positive results have been observed in part for a diverse set of outcomes, including physical and psychological performance. CONCLUSION: The trials reviewed in this study were of moderate methodological quality. They suggest that exercise in patients undergoing Allo-HSCT may be safe and feasible, and in part patients benefit from increased physical performance both during and after transplantation. Future RCTs should use larger samples, appropriate comparison groups, and a standard of outcome measures, and examine what kind of exercise intervention (aerobic vs. resistance vs. combined) is the most effective for Allo-HSCT patients. It would be necessary to define contraindication for exercise to guarantee its safety.
Exercise ; Exercise Therapy ; Hematopoietic Stem Cell Transplantation ; Hematopoietic Stem Cells ; Humans ; Outcome Assessment (Health Care) ; Quality of Life ; Transplants

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Effects of Symptom Severity and Symptom Interference on Sleep Disturbance in Cancer Patients.

Kyunghee KIM ; Da Hye PARK ; Darlee PARK ; Eunjung RYU

Asian Oncology Nursing.2012;12(4):339-346. doi:10.5388/aon.2012.12.4.339

PURPOSE: The purpose of this study was conducted to identify the impact of Symptom Severity and Symptom Interference on Sleep Disturbance among cancer patients. METHODS: This study was conducted from October 8th to October 25th, 2012. One hundred eight cancer patients were recruited from S city in Korea. The instruments used in this study were the Symptom Severity, Symptom Interference and the Sleep Disturbance scales for patients with cancer. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients and multiple regression with the SPSS/WIN 20.0 program. RESULTS: The Sleep Disturbance for cancer patients showed a significant relationship with Symptom Interference and cancer stage. The significant factors influencing Sleep Disturbance were Symptom Severity and Symptom Interference. They explained 40.5% of the variance in stage IV. CONCLUSION: Patients with cancer experienced Symptom Severity and Symptom Interference which led to a negative effect on Sleep Disturbance. The results suggest that intervention programs to reduce Symptom Severity, Symptom Interference could improve Sleep Disturbance for cancer patients.
Humans ; Korea ; Sleep Wake Disorders ; Weights and Measures

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Comparison of Perception of the Neutropenic Diet between Nurses and Patients.

Mi Ae KIM ; Ihn Sook JEONG

Asian Oncology Nursing.2012;12(4):331-338. doi:10.5388/aon.2012.12.4.331

PURPOSE: This descriptive study aimed to compare the perception of the acceptable foods for the neutropenic diet between nurses and patients by food type. METHODS: The participants were 225 nurses working at chemotherapy wards and 71 patients in chemotherapy treatment. Data were collected with a self-administered questionnaire from January 2 to February 24, 2012, and analyzed with SPSS 12.0 program using descriptive statistics and the chi2-test. RESULTS: Eighty-eight point eight percent of nurses and 76.1% of cancer patients thought the patients needed the neutropenic diets. The most important decisional criteria to determine dietary restriction was neutrophil count for nurses and food type for patients. The two groups showed significantly different allowance to raw fruits and raw vegetables, sterilized canned juice, fried vegetables, yogurt, uncooked tofu, salted fish, cooked fish, cooked shellfish, uncooked grain powder, jellified food, home-made bread/cookies, nuts including peanuts, instant coffee or tea and tea brewed. In general, patients were more permissive about the neutropenic diet than nurses. CONCLUSION: It is recommended to consider patients' preference as well as nurses' professional knowledge and publish standardized clinical diet guidelines for neutropenic patients with collaboration between nurses and patient representatives.
Arachis ; Edible Grain ; Coffee ; Cooperative Behavior ; Diet* ; Drug Therapy ; Fruit ; Humans ; Neutropenia ; Neutrophils ; Nuts ; Patient Advocacy ; Shellfish ; Soy Foods ; Tea ; Vegetables ; Yogurt

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Associated Factors with Pin-fixing & Pin removal Pain among Patients Undergoing Gamma Knife Radiosurgery.

So Young BAEK ; Ja Yun CHOI

Asian Oncology Nursing.2012;12(4):323-330. doi:10.5388/aon.2012.12.4.323

PURPOSE: Gamma knife radiosurgery (GKR) requires frame positioning because the treatment target should be as close as possible to the center of the frame. The purpose of this study was to identify the level of pin-fixing (PFP) and removal pain (PRP), and the associated factors with the pain undergoing GKR. METHODS: A total of 116 patients who underwent GKR for their brain tumor were recruited from C University hospital located in H city, J province. The level of pain was measured by the 10 cm VAS. RESULTS: The level of PFP and PRP were 6.36 and 3.26 points, respectively. Step-wise multiple regressions found that the group who have not perceived numbness after applying 5% EMLA cream was the highest associated factor with PFP, following the time from lidocaine injection to pin-fixation, which explained 21% of total variance of the level of PFP. On the other hand, a group who did not perceive numbness after applying 10% lidocaine spray was the highest factor with PRP, among female patients, which explained 27% of total variance of the level of PRP. CONCLUSION: Both of PFP and PRP of the stereotactic frame were moderate so that nurses should consider diverse strategies to reduce pain among patients undergoing gamma knife radiosurgery.
Brain Neoplasms ; Female ; Hand ; Humans ; Hypesthesia ; Lidocaine ; Precipitating Factors ; Radiosurgery*

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