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The Effects of Logotherapy on Meaning of Life of Early Adolescents with Cancer.

Shin Jeong KIM ; Kyung Ah KANG ; Sun Jeong PARK ; Myung Nam LEE ; Young Hee KIM

Asian Oncology Nursing.2013;13(1):49-57. doi:10.5388/aon.2013.13.1.49

PURPOSE: To evaluate the effects of a logotherapy program entitled 'Finding treasures in my mind' for early adolescents with cancer. METHODS: A nonequivalent control group, non-synchronized design was conducted with a convenience sample of 22 early adolescents with cancer. The experimental group (n=12) participated in the 'Finding treasures in my mind' program which consisted of five-day sessions for one week. The control group (n=10) received the usual nursing care. The effects were measured using meaning of life (MOL) for early adolescents. The collected data were analyzed using Fisher's exact test, t-test, and content analysis. RESULTS: There was a significant difference in MOL for early adolescents (t=3.20, p=.005) between the experimental and control groups. The main results of content analysis were having goals and hope, recovering health, returning to school life, and loving relationships with family. CONCLUSION: Logotherapy is effective in improving the meaning of life of early adolescents with cancer. This education program based on logotherapy can be used as an important nursing intervention in a cancer nursing care setting.
Adolescent ; Humans ; Love ; Nursing Care ; Psychotherapy ; Quality of Life

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Parenting Stress and Information Needs at the End of Treatment after Complete Remission of Leukemia.

Yang Sook YOO ; Kyung Hye HWANG ; Ok Hee CHO ; Sun Hee CHOI

Asian Oncology Nursing.2013;13(1):43-48. doi:10.5388/aon.2013.13.1.43

PURPOSE: This study has attempted to comparatively analyze the parenting stress that parents of a child with leukemia and their information needs at the end of treatment after complete remission (CR) of leukemia. METHODS: For data collection, a structured questionnaire survey on parenting stress and information needs was conducted using parents of children with leukemia visiting the Blood & Marrow Transplantation Center at C University Hospital in Seoul from August to December 2011. A total of 100 parents were examined. RESULTS: The parents of children under treatment after CR had greater parenting stress than parents of children whose treatment was finished. The parents of children whose treatment was finished had greater information needs than the parents of children whose treatment was ongoing. The differences had no statistical significance. In both groups, information needs about patients' growth development and school adjustment was high. CONCLUSION: This study confirms that it is necessary to add information about daily life management, child's growth development, sociopsychological adaptation, school adjustment, and support of family, to the current symptom care-centered education program.
Bone Marrow ; Child ; Data Collection ; Humans ; Leukemia ; Needs Assessment ; Parenting ; Parents ; Transplants ; Surveys and Questionnaires

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Health Care Utilization in Women with Cervical Cancer and Cervical Intraepithelial Neoplasia.

Hee Sun KANG ; Hanju LEE

Asian Oncology Nursing.2013;13(1):37-42. doi:10.5388/aon.2013.13.1.37

PURPOSE: The purpose of this study was to investigate the health care utilization in Korean women with cervical cancer and cervical intraepithelial neoplasia (CIN). METHODS: This is a retrospective study. Data were collected using the insurance coverage data-base of Health Insurance Review and Assessment Service (HIRA) from January 1, 2006 to December 31, 2010. Women who were treated for cervical cancer and cervical intraepithelial were included in this study. The data were analyzed using descriptive statistics. RESULTS: In 2006, women treated for cervical cancer and CIN were 27,109 and 18,794, respectively. The number constantly increased from 2006 to 2010. In particular, the prevalence among women with cervical cancer aged 80 years or over was found to increase. Claims for health care services increased. CONCLUSION: Even though new cases of cervical cancer in Korea is decreasing, the number of women being treated and the costs are constantly increasing. Cervical cancer patients are at an increased risk of negative health outcomes. Therefore, screening for cervical cancer should be enforced to promptly treat women with abnormal Pap tests and thus minimize the risks. Every effort should be made to increase awareness about the importance of Human Papilloma Vaccination and regular screening on a personal as well as community and governmental levels.
Aged ; Cervical Intraepithelial Neoplasia ; Delivery of Health Care ; Female ; Humans ; Insurance Coverage ; Insurance, Health ; Korea ; Mass Screening ; Papilloma ; Prevalence ; Retrospective Studies ; Uterine Cervical Neoplasms ; Vaccination ; Surveys and Questionnaires

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Predictors Associated with Repeated Papanicolaou Smear for Cervical Cancer Screening.

Eun Joo LEE ; Jeong Sook PARK

Asian Oncology Nursing.2013;13(1):28-36. doi:10.5388/aon.2013.13.1.28

PURPOSE: The purpose of this study was to identify predictors of repeated Papanicolaou (Pap) smears in women older than 30 years being offered free national cervical cancer screening. METHODS: Data were collected using self-administered questionnaires from October 15 to November 30, 2012. Data were analyzed using t-test, chi-square test and multiple logistic regression. This study was to investigate the association of general factors, health status, risk factors of cervical cancer, and health beliefs associated with repeated Pap smeasr. RESULTS: The rate of repeated Pap smear was 23.5%. Factors that influence repeated Pap smear included breast cancer screening (OR=2.16, 95% CI=1.037-4.491) and perceived sensitivity (OR=1.49, 95% CI=1.008-2.192). CONCLUSION: The results of this study suggest that to increase the rate of repeated Pap smear tests, education and promotion should be carried out together, considering the relationship between cervical and breast cancer. Also, health education should emphasize perceptivity and sensibility for the incidence of cervical cancer.
Breast Neoplasms ; Female ; Health Education ; Humans ; Incidence ; Logistic Models ; Mass Screening ; Risk Factors ; Uterine Cervical Neoplasms ; Vaginal Smears ; Surveys and Questionnaires

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Husbands' Caring Experiences for Women with Breast Cancer in Korea.

Eun Jin KWON ; Myungsun YI

Asian Oncology Nursing.2013;13(1):18-27. doi:10.5388/aon.2013.13.1.18

PURPOSE: The purpose of the study was to describe the caring experiences of husbands for women with breast cancer in Korea. METHODS: The data were collected by individual in-depth interviews with seven participants during 2010-2012. Transcribed data were analyzed using Colaizzi's phenomenological analysis. RESULTS: A total of 10 theme clusters were derived from the analysis: Hidden fear of world without wife; Responsibility with guilt for breast cancer; Desperate search for treatment information; Becoming active companion of treatment itinerary; Comfort for wife's hair loss with sympathy; Multitasks undertaken at one time; Gain and loss by coming out publically; Wife-oriented open communication; New alternative sexual life; Everyday life matured by hardship. CONCLUSION: The results of the study can help oncology professionals in developing couple counseling programs by providing insights of the husbands' experiences of caring for women with breast cancer.
Breast ; Breast Neoplasms ; Caregivers ; Counseling ; Female ; Friends ; Guilt ; Hair ; Humans ; Korea ; Qualitative Research ; Spouses

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Comparison of Climacteric Symptoms and Cognitive Impairment in Breast Cancer Survivors and Healthy Women.

Gyung Duck KIM ; Bok Yae CHUNG ; Kyung Hae KIM ; Hye Sun BYUN ; Eun Hee CHOI

Asian Oncology Nursing.2013;13(1):11-17. doi:10.5388/aon.2013.13.1.11

PURPOSE: This study was to compare climacteric symptoms and cognitive impairment in breast cancer survivors (n=51) and healthy women (n=51). METHODS: This study was conducted from January 4th, 2012 to February 16th, 2012. We individually matched healthy women to breast cancer survivors based on age and education, and assessed a questionnaire regarding climacteric symptoms and cognitive impairment. Data were analyzed by using chi2, t-test, and Pearson correlation with the SPSS/Win 12.0 program. RESULTS: The average score for the climacteric symptoms (19.71) was significantly different (t=-2.78, p=.006) to the average for the breast cancer survivors (15.53). The average cognitive impairment score for the breast cancer survivors (86.37) was significantly different (t=-2.45, p=.016) to the average score for the healthy women (67.92). The climacteric symptoms score showed a significant relationship with cognitive impairment. CONCLUSION: These results support that adjuvant chemotherapy and anti-hormone therapy are associated with climacteric symptoms and adverse cognitive effects in breast cancer survivors.
Breast ; Breast Neoplasms ; Chemotherapy, Adjuvant ; Climacteric ; Female ; Humans ; Survivors ; Surveys and Questionnaires

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A Meta-analysis of Intervention on Depression in Cancer Patients.

Eun Hee JANG ; Kyung Sook CHOI ; Soo Jin KWON

Asian Oncology Nursing.2013;13(1):1-10. doi:10.5388/aon.2013.13.1.1

PURPOSE: The purpose of this study was to analyze the characteristics and effect size of the intervention study applied to the depression of the cancer patient. METHODS: A total of 749 studies published from 1990 to 2011 were searched through the search databases and among them, 35 examples satisfied the inclusion criteria. Three independent researchers implemented the methodological qualitative evaluation. The data were analyzed using meta-analysis. RESULTS: For the depression of the cancer patient, 19 various interventions were applied. The size of the intervention effect that can be analyzed in terms of effect size came out as OR of the laugh therapy 8.122 (p=.073), OR of the music therapy 4.418 (p=.014), OR of the integrated therapy 4.418 (p=.015). CONCLUSION: This study suggests that the music therapy and integrated therapy is effective to the depression of cancer patients. Furthermore, in order to check the effects of intervention, we should need to include more randomized controlled studies and various intervention studies.
Depression ; Evaluation Studies as Topic ; Humans ; Clinical Trial ; Music Therapy ; Porphyrins

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Nursing Intervention for a Delayed Gastric Emptying after Pylorus-preserving Gastrectomy for Early Gastric Cancer.

Deok Hee KIM ; Eunsook CHOI

Asian Oncology Nursing.2017;17(4):263-269. doi:10.5388/aon.2017.17.4.263

PURPOSE: The purpose of this case report is to describe the surgical procedure of pylorus preserving gastrectomy and treatment methods, and the nursing process for postoperative complications namely delayed gastric emptying. METHODS: This case study describes the treatment methods and nursing process for a patient who visited the emergency room because of delayed gastric emptying after a pylorus preserving gastrectomy. RESULTS: The symptoms of this patient were resolved by botox-injection, none per oral, total parenteral nutrition, nutrition education after diagnosis by using abdominal x-ray, gastric emptying study, upper gastrointestinal series, and esophagogastroduodenoscopy. CONCLUSION: According to the result of this case study, nurses should be informed about delayed gastric emptying and how to apply the correct nursing process to the patient.
Diagnosis ; Education ; Emergency Service, Hospital ; Endoscopy, Digestive System ; Gastrectomy* ; Gastric Emptying* ; Humans ; Nursing Process ; Nursing* ; Parenteral Nutrition, Total ; Postgastrectomy Syndromes ; Postoperative Complications ; Pylorus ; Stomach Neoplasms*

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Nurses' Awareness of Psychological Distress and Delirium in Cancer Patients and Job Stress.

Mi Ae PARK ; Eunsook CHOI

Asian Oncology Nursing.2017;17(4):252-262. doi:10.5388/aon.2017.17.4.252

PURPOSE: The purpose of this study was to investigate nurses' awareness of psychological distress and delirium in cancer patients and job stress. METHODS: The participants were 256 nurses in a cancer general hospital. The nurses' awareness of psychological distress and delirium was investigated using a self-report questionnaire (1–4 scale) developed by the researcher. Psychological distress was measured by depression, anxiety, and insomnia. Job stress was measured using the Korean version of the Expanded Nursing Stress Scale (1–4 scale). RESULTS: The analysis of 9 questionnaires about nurses' awareness was divided into two factors: nurses' competence and importance. Nurses' competence results were 2.06 (depression), 2.17 (anxiety), 2.29 (insomnia), and 2.41 (delirium). Importance results were 3.23 (depression), 3.20 (anxiety), 3.15 (insomnia), and 3.37 (delirium). Most nurses have experienced nursing psychological distress and delirium in cancer patients, but only about a quarter have received the relevant education. Job stress was 2.52 and in subcategories, work load received the highest score 2.92. CONCLUSION: Nurses recognize that psychological distress and delirium in cancer patients are very important, but they are less aware of their competence. Therefore, it is suggested to develop an educational program to improve nurses' competence when dealing with psychological distress and delirium.
Anxiety ; Delirium* ; Depression ; Education ; Hospitals, General ; Humans ; Mental Competency ; Nursing ; Sleep Initiation and Maintenance Disorders

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Triage and Length of Stay in a Cancer Center Emergency Department.

Bok Hee HA ; Jeong Yun PARK

Asian Oncology Nursing.2017;17(4):246-251. doi:10.5388/aon.2017.17.4.246

PURPOSE: The purpose of this study was to identify the triage and length of stay of cancer patients who visited an emergency department in a cancer center. METHODS: Aretrospective descriptive study design was used. Data were collected from medical records of patients who visited an emergency room from March 7 to June 30, 2016. Data were analyzed using descriptive statistics and Kruskal-Walis tests. RESULTS: In total, 2,699 cancer patients visited the emergency room excluding cases with insufficient records. The mean age was 58.7±18.7 years, and males were 47.0% and 56.0%, respectively. In triage, 184 (6.8%) were ‘emergency’ patients, 823 (30.5%) were ‘urgent’, and 1,692 (62.7%) were the most ‘non-emergency’ patients. The average stay of length in the emergency room was 5.79±7.69 hours. CONCLUSION: These findings show that development of triage tool and communication system with staff are needed to reduce overcrowding and length of stay of the emergency department.
Emergencies* ; Emergency Service, Hospital* ; Humans ; Length of Stay* ; Male ; Medical Records ; Triage*

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