항암화학요법을 받는 부인암 환자의 종단적 건강문제 변화양상 분석
Longitudinal Study on the Profiles of Symptom Distress and Functional Status in Gynecologic Cancer Patients Receiving Chemotherapy
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Abstract
Purpose: This study aimed to explore changes in symptom distress and functional status in gynecologic cancer patients during the entire treatment cycles of chemotherapy. Methods: A prospective and longitudinal study with repeated measures was designed. Symptom Distress Scale and Karnofsky Performance Status Index were included in a daily log developed for self-administration. A total of 39 patients with a mean age of 48.4 years participated. Results: The levels of symptom distress and functional status changed significantly over the six cycles. Symptom distress kept increasing until its peak at the fourth cycle, while the functional status scored lowest at the first cycle, then it improved as the cycle repeated. In each cycle, symptom distress was marked higher during the first 6 days accompanying poor functional status. However, both changes did not recover completely until the end of each cycle. Conclusion: Nursing assessment and intervention need to be provided based on these changing patterns to help cancer patients cope and adjust successfully during the long treatment period. Further studies are needed to examine the impact of the major symptoms on psychological responses, quality of life, and outcomes of the cancer treatments.
참고문헌 (25)
- "A study on the effect of cold therapy on nausea, vomiting, and oral intake by anti cancer chemotherapy. Unpublished master's thesis" (1996), Hanyang University
- "Correlates of fatigue during and following adjuvant chemotherapy: A pilot study", 27(9), pp.1443~1448 (2000)
- "The effects of agents used for mouth care in cancer patients receiving chemotherapy. Unpublished master's thesis" (1991), Yonsei University
- "Temporal differences in coping, mood, and stress with chemotherapy", 22(4), pp.266~276 (1999)
- "A study on the anorexia abd diet patterns in cancer chemotherapy patients. Unpublished master's thesis" (1995), Seoul National University
- "Oral discomfort in gynecological cancer patients undergoing chemotherapy" (1994), Unpublished master's thesis Yonsei University
- "Symptom clusters and their effect on the functional status of patients with cancer.", 28(3), pp.465~470 (2001)
- "Breast cancer treatment-related patterns in side effects, psychological and perceived health status", 24(9), pp.1575~1583 (1997)
- "Psychosocial and functional status of breast cancer patients: The influence diagnosis and treatment choice", 16(3), pp.222~229 (1993)
- "Natural course of inoperable lung cancer", 64, pp.309~312 (1973)
- "Quality of life in patients receiving radiation therapy for non-small cell lung", 28(5), pp.807~813 (2001)
- "Factors that influence the therapeutic response in cancer" (1977), Plenum Press
- "Statistical database" (2002)
- "Development of Symptom Distress Scale", pp.373~378 (1978)
- "Patterns of mucositis and pain in patients receiving preparative chemotherapy and bone marrow transplantation", pp.1493~1502 (1993)
- "The effects of mouth care with sterile normal saline on chemotherapy-induced stomatitis", 25(1), pp.5~16 (1995)
- "Fatigue in patients receiving chemotherapy Patterns of change", 21(1), pp.17~30 (1998)
- "Effectiveness of structured nursing assessment of symptoms distress in lung cancer", 25(6), pp.1041~1048 (1998)
- "The pattern of change of discomfort based on the lapse of time After chemotherapy for gynecologic cancer patient", 3(2), pp.55~88 (2000)
- "An exploratory study on factors related to fatigue among chemotherapy patients" (1992), Seoul National University
- "Efficacy of progressive muscle relaxation training in reducing nausea and vomiting anxiety and symptom distress of cancer chemotherapy"
- "A study on the depression and symptom distress of cancer patients", pp.287~298 (1994)
- "An exploratory study on factors related to depression and symptom distress of cancer patients" (1986), Unpublished master's thesis Seoul National University
- "A narrative study of alopecia", 26(9), pp.1463~1468 (1999)
- "A narrative study of alopecia", 26(9), pp.1463~1468 (1999)
