항암화학요법을 받은 대장암환자의 증상, 피로 및 삶의 질의 종단적 경로분석
A Longitudinal Path Analysis of Symptom, Fatigue and Quality of life in Patients with Colorectal Cancer during Chemotherapy
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Objectives: This study was examined to investigate the levels of symptom, fatigue and quality of life in patients with colorectal cancer during chemotherapy using FOLFOX, and to identify the fitness of a longitudinal path model of variables. Methods: The number of subjects were 31. Data were collected from February 15 to November 27, 2013. The measurements were taken five times in total. Data were analyzed with IBM SPSS 20.0 and LISREL 8.8 programs. Results: Symptom and fatigue increased significantly over the chemotherapy cycles and influenced on the symptom of the next chemotherapy cycle. Quality of life influenced on the quality of life of the next chemotherapy cycle. The longitudinal path model of symptom, fatigue and quality of life of subjects was a good fit with the model (Q=1.54, GFI=0.92, AGFI=0.88, RMSEA=0.05). Conclusions: The results of this study indicate that colorectal cancer patients’s symptoms, fatigue and quality of life can be changed over the chemotherapy cycle and can be influenced on symptoms, fatigue and quality of life of the next cycle. Thus there is a need to perform timely nursing interventions continuously, and to develop nursing intervention program to improve the symptoms, fatigue and quality of life of colorectal cancer patients during chemotherapy cycle.
Abstract
Objectives: This study was examined to investigate the levels of symptom, fatigue and quality of life in patients with colorectal cancer during chemotherapy using FOLFOX, and to identify the fitness of a longitudinal path model of variables. Methods: The number of subjects were 31. Data were collected from February 15 to November 27, 2013. The measurements were taken five times in total. Data were analyzed with IBM SPSS 20.0 and LISREL 8.8 programs. Results: Symptom and fatigue increased significantly over the chemotherapy cycles and influenced on the symptom of the next chemotherapy cycle. Quality of life influenced on the quality of life of the next chemotherapy cycle. The longitudinal path model of symptom, fatigue and quality of life of subjects was a good fit with the model (Q=1.54, GFI=0.92, AGFI=0.88, RMSEA=0.05). Conclusions: The results of this study indicate that colorectal cancer patients’s symptoms, fatigue and quality of life can be changed over the chemotherapy cycle and can be influenced on symptoms, fatigue and quality of life of the next cycle. Thus there is a need to perform timely nursing interventions continuously, and to develop nursing intervention program to improve the symptoms, fatigue and quality of life of colorectal cancer patients during chemotherapy cycle.
참고문헌 (29)
- Annual report of cancer statistics in Korean, "National Cancer Information Center", ~
- Stephenson LE, "Physical activity and diet behaviour in colorectal cancer patients receiving chemotherapy: association with quality of life", BMC gastroenterology, 9(60), pp.1~9 (2009)
- 이은옥, "위장암 환자의 삶의 질에 영향을 미치는 요인", Journal of Korean Academy of Nursing, 38(5), pp.649~655 (2008), 한국간호과학회
- Gotay CC, "The prognostic significance of patient-reported outcomes in cancer clinical trials", J Clin Oncol, 26, pp.1355~1363 (2008)
- 이길재, "근치적 절제술을 시행한 대장암 환자에서 복강경 수술과 개복수술의 중기 결과", Annals of Coloproctolgy, 24(5), pp.373~379 (2008), 대한대장항문학회
- 김정혜, "항암화학요법으로 인한 말초신경병증을 경험하는 대장암 환자의 삶의 질", Asian Oncology Nursing, 11(3), pp.254~262 (2011), 대한종양간호학회
- Byar KL, "Impact of adjuvant breast cancer chemotherapy of fatigue, other symptoms, and quality of life", Oncol Nurs Forum, 33(1), pp.E18~E26 (2006)
- Kwon YE, "The predictors of fatigue in cancer patients undergoing chemotherapy", Hanyang Nurs Res, 4(2), pp.97~105 (2000)
- 최경숙, "대장암 환자의 증상경험과 극복력이 삶의 질에 미치는 효과", Asian Oncology Nursing, 12(1), pp.61~68 (2012), 대한종양간호학회
- Contrim H, "Impact of colorectal cancer on patient and family: implication of care", Eur J Oncol Nurs, 12(3), pp.217~226 (2008)
- Piper BF, "The revised Piper Fatigue Scale: paychmetric evaluation in women with breast cancer", Oncol Nurs Forum, 25(4), pp.677~684 (1998)
- Mitchell SA, "Putting evidence into practice: evidence based interventions for fatigue during and follwoing cancer and its treatment", Clin J Oncol Nurs, 11(1), pp.9~113 (2007)
- 조화숙, "암환자의 신체활동과 피로", Asian Oncology Nursing, 10(1), pp.30~37 (2010), 대한종양간호학회
- 정지연, "항암화학요법을 받은 입원 암환자의 삶의 질에 영향을 미치는 요인", Asian Oncology Nursing, 12(1), pp.84~91 (2012), 대한종양간호학회
- 김민영, "항암화학요법 시행 초기 암환자의 증상 및 삶의 질 변화 양상", Journal of Korean Academy of Nursing, 39(3), pp.433~445 (2009), 한국간호과학회
- 오복자, "대장암환자의 항암화학요법 관련 인지손상과 삶의 질: 심리적 디스트레스(우울·불안)의 매개효과", Journal of Korean Academy of Nursing, 46(1), pp.19~28 (2016), 한국간호과학회
- 이은진, "대장암 환자의 활동수행능력과 극복력", Asian Oncology Nursing, 13(4), pp.273~279 (2013), 대한종양간호학회
- Kwon YE, "A study of the relationship between fatigue and quality of life in cancer patients undergoing chemotherapy", Korean J Adult Nurs, 11(4), pp.820~830 (1999)
- McCorkle R, "Development of a symptom distress scale", Cancer Nurs, 1(5), pp.373~378 (1978)
- 김선희, "항암화학요법을 받는 위암 환자의 피로 변화 양상과 관련요인", Asian Oncology Nursing, 10(1), pp.10~18 (2010), 대한종양간호학회
- Lee EH, "The relationship of fatigue and hope to psychosocial adjustment to breast cancer in Korean women receiving post-surgical follow-up treatment", pp.1998
- 이은현, "한국 암 특이형 삶의 질 측정도구(C-QOL) 개발 및 평가", Journal of Korean Academy of Nursing, 37(3), pp.324~333 (2007), 한국간호과학회
- 양영희, "방사선 치료를 받는 암환자의 피로, 삶의 질 및 신체 증상의 변화 양상", Journal of Korean Academy of Nursing, 33(5), pp.562~569 (2003), 한국간호과학회
- Baek YA, "The Correlation among symptoms, anxiety, depression and quality of life in patients with colorectal cancer undergoing chemotherapy", pp.2013
- Moon JM, "Menopause symptoms, fatigue and quality of life in postchemotherapy breast cancer survivors", pp.2009
- 김명애, "화학요법을 받는 일부 유방암 환자의 시간경과에 따른 피로도의 변화", 한국모자보건학회지, 7(1), pp.97~107 (2003), 한국모자보건학회
- 양영희, "위암환자의 항암 화학요법에 따른 피로와 삶의 질 변화 양상", Journal of Korean Academy of Nursing, 32(4), pp.482~491 (2002), 한국간호과학회
- Yoon JH, "Study of fatigue, resilience and quality of life in patients with colorectal cancer", pp.2013
- Kim GS, "Potential growth and structural equation modeling analysis model" (2009)
