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Pre- and Post-Transplant Nutritional Assessment in Patients Undergoing Allogeneic Hematopoietic Stem Cell Transplantation.

Mi Young PARK ; Jeong Yun PARK

Asian Oncology Nursing.2012;12(1):110-116. doi:10.5388/aon.2012.12.1.110

PURPOSE: This study was performed to identify the pre-and post-transplant nutritional assessment for patients undergoing allogeneic hematopoietic stem cell transplantation (HSCT). METHODS: The subjects of this study were 25 patients undergoing allogeneic HSCT. The data collection was performed from January 31st to March 31st, 2011. The Patient-Generated Subjective Global Assessment (PG-SGA), anthropometrics and biochemical test were collected from the time they entered the isolation unit until they left. RESULTS: Pre-transplant nutritional assessment status indicated moderate malnutrition which scored 7.32+/-1.68 in PG-SGA. There were 22 patients (88.0%) with moderate malnutrition and 3 patients (12.0%) with severe malnutrition. Post-transplant nutritional assessment indicated severe malnutrition status which scored 11.92+/-3.26 in PG-SGA. Pre-and post-transplant nutritional assessment displayed significant differences (p<.001) in PG-SGA score. Hematopoietic stem cell transplantation led to a deterioration of patients' nutritional status. Pre-transplant patients were already in malnutrition status and patients undergoing allogeneic HSCT were at risk for malnutrition. CONCLUSION: Pre- and post-transplant patients were categorized as having undernutritional and malnutritional status. Pre-transplant nutrition status impacted on post-transplant nutritional status. Health care personnel should pay attention to patient's nutrition status when undergoing allogeneic HSCT with appropriate nutritional assessment tools.
Data Collection ; Delivery of Health Care ; Hematopoietic Stem Cell Transplantation ; Hematopoietic Stem Cells ; Humans ; Malnutrition ; Nutrition Assessment ; Nutritional Status

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The Lived Experience of the Burnout of Nurses Working in Oncology Wards.

Young Sook LEE ; Young Sook TAE

Asian Oncology Nursing.2012;12(1):100-109. doi:10.5388/aon.2012.12.1.100

PURPOSE: This study was done to understand the meanings and nature of experiences of the burnout of nurses working in oncology wards. METHODS: The hermeneutic phenomenology developed by van-Manen was used. The period for data collection was from November, 2006 to May, 2007. This study took place in 3 university hospitals in B & U cities. Nine nurses working in oncology wards participated. Data collection was done through individual in-depth interviews. RESULTS: The eight most common themes demonstrated by participants from this study were 'being fed up with endless demands', 'collapsing in front of deaths', 'gasping for breath due to overwhelming tasks', 'uncontrollable suffering of body', 'gradually loosing self-esteem', 'frustration from the work world', 'beleaguered relationships', and 'desire to escape'. CONCLUSION: The results of this study indicate that there is a need to develop a preventive burnout program for nurses working in oncology wards.
Data Collection ; Hospitals, University ; Hypogonadism ; Mitochondrial Diseases ; Oncology Service, Hospital ; Ophthalmoplegia ; Stress, Psychological

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Relationships between Stress, Ways of Coping and Burnout of Family Caregivers of Cancer Patients.

Min Joo HONG ; Young Sook TAE ; Mi Young NOH

Asian Oncology Nursing.2012;12(1):92-99. doi:10.5388/aon.2012.12.1.92

PURPOSE: The study was to examine the relationships between stress, ways of coping and burnout among family caregivers of cancer patients. METHODS: Data were collected by self-reported questionnaires from 207 family caregivers of cancer patients at one university hospital and one general hospital in Busan, Korea. The instruments included a Stress Scale, a Ways of Coping Scale and a Burnout Scale. The collected data were analyzed using frequency, percentage, t-test, ANOVA, Scheffe's test, and Pearson's correlation coefficients with the SPSS WIN 19.0 program. RESULTS: Stress was found to have significant relationships with age, relation to the patient, education, monthly income, degree of care-giving, financial burden and activities of daily living of patient. In active coping, there were significant differences according to education and religion. Passive coping was significantly related to gender. In burnout, there were significant differences according to age, relation to the patient, education, occupational status, monthly income, degree of care-giving, financial burden and activities of daily living of patient. Stress and burnout showed a positive correlation, while there was a negative correlation between burnout and active coping. CONCLUSION: These results suggest that promoting active coping would better support family caregivers of cancer patients in managing burnout effectively.
Activities of Daily Living ; Caregivers ; Employment ; Hospitals, General ; Humans ; Korea ; Surveys and Questionnaires

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Ji Yeon JEONG ; Hyang Sook SO ; Ji Eun HONG ; Myeong Jeong CHAE ; Geunhye HAN

Asian Oncology Nursing.2012;12(1):84-91. doi:10.5388/aon.2012.12.1.84

PURPOSE: The purpose of this study was to identify relationships between quality of sleep, symptom cluster, depression, environmental disorder, and quality of life among hospitalized cancer patients. METHODS: The subjects were 114 patients who underwent chemotherapy for colon cancer, gastric cancer, gynecologic cancer and breast cancer. They were recruited from the cancer center of a university hospital. Data were collected from August 4th to 30th, 2011. The questionnaires included the Korean sleep scale A (quality of sleep), MDASI-K (symptom cluster), the environmental sleep disturbing scale, Zung's depression scale, and the Korean version of EORTC QLQ-C30. The collected data was analyzed by t-test, ANOVA, multiple regression analysis using the SPSS 19.0 program. RESULTS: Functional QOL was negatively associated with symptom QOL (r=-.798, p<.001). Symptom cluster, depression, & spouse (46.3%) were the most powerful predictors for functional QOL (46.3%) and symptom QOL (53.4%). CONCLUSION: It is evident that oncology nurses need to evaluate two dimensions of quality of life for cancer patients, for example, functional and symptom QOL. We recommend nurses develop specific protocols for relieving physical symptoms and alleviating depression, and furthermore test the effectiveness of them.
Breast Neoplasms ; Colonic Neoplasms ; Depression ; Humans ; Quality of Life ; Spouses ; Stomach Neoplasms ; Surveys and Questionnaires

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Pain Management in Cancer Patients Who Are Registered in Public Health Centers.

So Young CHOI ; Kyung Oh CHANG ; Myoung Nam PARK ; Eunjung RYU

Asian Oncology Nursing.2012;12(1):77-83. doi:10.5388/aon.2012.12.1.77

PURPOSE: This study was designed to describe outcomes of pain management, to identify pain intensity, pain management and barriers to pain management, and to test correlation among the variables in cancer patients who are registered in public health centers. METHODS: By using a descriptive survey design, 3 instruments were used to collect data: the Numeric Rating Scale for pain, the Barriers Questionnaire-Korean version, and a one-item self-report tool about patient satisfaction. A sample of 190 patients with cancer was recruited from a public health center. RESULTS: The mean rating for pain during the past 24 hr was mild and the mean score of barriers to pain management was 3.20. Patients were satisfied with pain management but they also had concerns it. A negative correlation was found among pain severity, pain relief and satisfaction of pain management. However, there was not significant correlation between the patient-related barriers to pain management and other variables. CONCLUSION: These results suggest that the intervention for cancer patients should focus not only on patient-related barriers to pain management, but also address health-care system related barriers.
Delivery of Health Care ; Humans ; Pain Management ; Patient Satisfaction ; Public Health

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The Effect of Back Massage on Degree of Pain, State Anxiety and Quality of Sleep of Postoperative Patients with Gastrectomy.

Mi Suk HAN ; Kang Yi LEE

Asian Oncology Nursing.2012;12(1):69-76. doi:10.5388/aon.2012.12.1.69

PURPOSE: Most of postoperative patients experience pain, state anxiety and sleep disturbance. These problems negatively influence the recovery of postoperative patients. So alleviating these problems has been one of the nurses' central roles. The purpose of this study was to examine the effects of back massage on pain, state anxiety and quality of sleep of postoperative gastrectomy patients. METHODS: A non-synchronized non-equivalent control group pre and post-test design was used. The research instruments used in this study were the Numerical Rating Scale (NRS) for pain, the State-Anxiety Inventory (STAI) for anxiety and the Verran and Synder-Halpern scale for quality of sleep. The subjects were patients admitted to a university hospital located in D city. Twenty-nine patients in the experimental group had a 10 min manual back massage stimulation for 5 days from the 1st day to the 5th day after their operation, and 25 patients in the control group did not. RESULTS: The degree of pain was significantly reduced according to post operation day and quality of sleep was significantly increased. However state anxiety was not significantly reduced. CONCLUSION: Back massage is a partially effective nursing intervention for postoperative patients with gastrectomy who experience pain and sleep disturbance.
Anxiety ; Benzeneacetamides ; Gastrectomy ; Humans ; Massage ; Piperidones

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The Effect of Symptom Experience and Resilience on Quality of Life in Patients with Colorectal Cancers.

Kyung Sook CHOI ; Jung Ae PARK ; Joohyun LEE

Asian Oncology Nursing.2012;12(1):61-68. doi:10.5388/aon.2012.12.1.61

PURPOSE: This study aimed to investigate the influence of resilience and symptom experience on quality of life. METHODS: Seventy five patients in an active treatment stage were recruited from 2 hospitals between October and December 2010. A survey including perceived health status, physical functional status, the symptom experience index, resilience, and the functional assessment of cancer therapy-colorectal (FACT-C) was completed. RESULTS: The level of FACT-C was 86.61 (+/-18.91), which was higher than for patients with colostomy, but lower than for patients in a rehabilitation stage. Participants without physical functional limitations showed higher level of both resilience and quality of life. Participants with bad health status showed a lower level of both resilience and quality of life and higher level of symptom experience. The quality of life was related to the level of resilience (beta=.373), symptom experience (beta=-.292), and perceived health status (beta=-3.961). CONCLUSION: Proactive nursing approaches to manage symptoms and to improve perceived health status would enhance the quality of life of colorectal cancer patients. Furthermore, various strategies to strengthen the level of resilience should be developed.
Colorectal Neoplasms ; Colostomy ; Humans ; Quality of Life ; Resilience, Psychological

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Relationships between Knowledge about Early Detection, Cancer Risk Perception and Cancer Screening Tests in the General Public Aged 40 and Over.

Young Hee YANG

Asian Oncology Nursing.2012;12(1):52-60. doi:10.5388/aon.2012.12.1.52

PURPOSE: This study is to determine knowledge about early detection and risk perception of cancer according to taking cancer screening tests in the general population. METHODS: The participants were 151 people aged 40 yr or older. A questionnaire consisted of knowledge about early detection (warning signs, cancer screening methods, general knowledge for early detection), cancer risk perception and history of cancer screening during past 2 yr. RESULTS: The percentages of correct answers were 64.7% in knowledge about warning signs, 73.7% in knowledge of cancer screening tests and 80.1% in general knowledge for early detection. Participants had the highest knowledge about screening methods for stomach cancer and the lowest for liver and colon cancer. The level of risk perception was medium. The participants who participated in cancer screening showed lower risk perception than those who did not. There was no significant relationship between knowledge and performance of cancer screening. The primary reason for not participating in cancer screening was patient's perception of their own health. CONCLUSION: These results suggest that cancer risk perception can affect the performance of cancer screening and we need to study how to handle this problem. Additionally screening programs should focus on liver cancer and colon cancer.
Aged ; Colonic Neoplasms ; Early Detection of Cancer ; Humans ; Liver ; Liver Neoplasms ; Mass Screening ; Middle Aged ; Stomach Neoplasms ; Surveys and Questionnaires

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Relationships between Knowledge, Attitude and Preventive Health Behavior about Cancer in University Students.

Ick Jee KIM ; Sang Hee KIM

Asian Oncology Nursing.2012;12(1):44-51. doi:10.5388/aon.2012.12.1.44

PURPOSE: The study was to identify the relationships between levels of knowledge, attitude and preventive health behavior about cancer in university students. METHODS: The data were analyzed with the SPSS/WIN 18.0 program. The participants of this study were 200 university students. Three kinds of instruments were used for this study, questionnaires about cancer-related knowledge, attitude and preventive health behavior from Suh et al. (1998). RESULTS: The mean score for knowledge about cancer was 14.33+/-5.32, the mean score of attitude toward cancer was 31.76+/-3.75 and the mean score of preventive behavior for cancer was 57.20+/-8.48. There was slightly positive correlation between knowledge of cancer and attitude toward cancer. There was positive correlation between the attitude toward cancer and preventive health behavior for cancer. CONCLUSION: It is necessary to consider the related factors for the development and implementation of systematic education programs that can encourage and promote preventive health behavior for cancer among university students.
Health Behavior ; Humans ; Surveys and Questionnaires

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The Effects of a Comprehensive Education Program on Knowledge, Self-Efficacy, and Coping Style among Newly Diagnosed Patients with Breast Cancer.

Keon Suk LEE ; Ran LEE ; Dong Mi KIM ; Soo Hyun KIM

Asian Oncology Nursing.2012;12(1):35-43. doi:10.5388/aon.2012.12.1.35

PURPOSE: The purpose of the study was to identify the effect of a comprehensive education program on knowledge, self-efficacy for self-management, and coping style among newly diagnosed patients with breast cancer. METHODS: This study used a one group pretest-posttest design. Data were collected from April to September, 2010 at a cancer-specific hospital in Goyang, Korea. One hundred forty three women received a comprehensive education program consisting of 3 sessions composed of 8 themes was conducted by several experts (nurses, doctors, dietitians and clinical psychologists) for 3.5 hours a day for 3 days (1 day before and 2 days after the operation). RESULTS: This study showed that knowledge and self-efficacy for self-management significantly increased after education (p<.001). In terms of coping style, however, only the subscale, 'anxious preoccupation', significantly improved (p=.001) among 5 subscales of coping style after education. CONCLUSION: A comprehensive education program for newly diagnosed patients with breast cancer was effective for increasing the knowledge and self-efficacy for self-management of breast cancer, in addition to decreasing the coping style of 'anxious preoccupation'. However, it did not improve other coping style. Therefore, other strategies for improving coping style are needed.
Adaptation, Psychological ; Breast ; Breast Neoplasms ; Female ; Humans ; Korea ; Self Care ; Surveys and Questionnaires

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