항암화학요법을 받는 혈액종양환자의 치료목적에 따른 지지적 간호요구도
Supportive Care Requirement in Accordance with the Therapeutic Purposes of Hematologic Malignancies Undergoing Chemotherapy
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Objectives: This study was performed to investigate the supportive care needs in accordance with therapeutic purposes of blood cancer patients. Methods: The study was conducted among 100 subjects treated as hematologic malignancies during 2016 in Daegu. The questionnaires included various disease-specific characteristics including Supportive Care Needs Survey-long form 59. We analyzed data using descriptive statistics, t-test, ANOVA and ANCOVA. Results: Of 6 domains in Supportive care needs survey (SCNS), the psychological domain showed the highest score followed by the patient care and support domain and the physical and daily living domain. The supportive care needs had a significant relationship with therapeutic purposes of blood cancer patients. The health system and information domain of supportive care needs was the highest in the patients who had been taking remission induction chemotherapy, while psychological domain was the highest in those who had been taking chemotherapy about consolidation therapy or relapse, and physical and daily living domain was the highest in the patients who had been taking chemotherapy before bone marrow transplantation. Conclusions: The patients with hematologic malignancy showed a distinct difference of supportive care needs depending on their therapeutic purposes. Patients’ supportive care needs with hematologic malignancy should be assessed and used to provide patient-centered care.
Abstract
Objectives: This study was performed to investigate the supportive care needs in accordance with therapeutic purposes of blood cancer patients. Methods: The study was conducted among 100 subjects treated as hematologic malignancies during 2016 in Daegu. The questionnaires included various disease-specific characteristics including Supportive Care Needs Survey-long form 59. We analyzed data using descriptive statistics, t-test, ANOVA and ANCOVA. Results: Of 6 domains in Supportive care needs survey (SCNS), the psychological domain showed the highest score followed by the patient care and support domain and the physical and daily living domain. The supportive care needs had a significant relationship with therapeutic purposes of blood cancer patients. The health system and information domain of supportive care needs was the highest in the patients who had been taking remission induction chemotherapy, while psychological domain was the highest in those who had been taking chemotherapy about consolidation therapy or relapse, and physical and daily living domain was the highest in the patients who had been taking chemotherapy before bone marrow transplantation. Conclusions: The patients with hematologic malignancy showed a distinct difference of supportive care needs depending on their therapeutic purposes. Patients’ supportive care needs with hematologic malignancy should be assessed and used to provide patient-centered care.
참고문헌 (30)
- The Korean Society of Hematology, "Hematology" (2011), Panmuneducation
- "NIH senior health"[URL]
- "Annual report of cancer statistics in Korea"[URL]
- Johnsen AT, "Health related quality of life in a nationally representative sample of haematological patients", Eur J Haematology, 83(2), pp.139~148 (2009)
- Redaelli A, "Short and long-term effects of acute myeloid leukemia on patient health-related quality of life", Cancer Treatt Rev, 30(1), pp.103~117 (2004)
- 손혜경, "항암 화학요법을 받는 혈액종양 환자의 피로와 우울의 관계", Asian Oncology Nursing, 7(1), pp.14~25 (2007), 대한종양간호학회
- 정아랑, "혈액암 환자의 지지적 간호 요구도 예측요인", 성인간호학회지, 23(5), pp.460~471 (2011), 한국성인간호학회
- DeMarinis V, "Health psychology and distress after haematopoietic stem cell transplantation", Eur J Cancer Care, 18(1), pp.57~63 (2009)
- Howell DA, "Haematological malignancy: are patients appropriately referred for specialist palliative and hospice care? A systematic review and meta-analysis of published data", Palliat Med, 25(6), pp.630~641 (2011)
- 송병은, "조혈모세포 이식환자의 삶의 질", Asian Oncology Nursing, 8(1), pp.40~49 (2008), 대한종양간호학회
- 복지나, "조혈모세포이식 환자의 삶의 질과 가족 부담감", Asian Oncology Nursing, 5(2), pp.136~145 (2005), 대한종양간호학회
- Fincham L, "Supportive care: experiences of cancer patients", Eur J Oncol Nurs, 9(3), pp.258~268 (2005)
- Boyes AW, "Prevalence and correlates of the unmet supportive care needs of individuals diagnosed with a haematological malignancy", Acta Oncol, 54(4), pp.507~514 (2015)
- Molassiotis A, "Unmet supportive care needs, psychological well being and quality of life in patients living with multiple myeloma and their partners", Psychooncology, 20(1), pp.88~97 (2011)
- Hjermstad MJ, "The CARES SF used for prospective assessment of health related quality of life after stem cell transplantation", Psychooncology, 12(8), pp.803~813 (2003)
- Lobb EA, "When the safety net of treatment has been removed: patients’ unmet needs at the completion of treatment for haematological malignancies", Patient Educ Couns, 77(1), pp.103~108 (2009)
- Swash B, "Unmet psychosocial needs in haematological cancer: a systematic review", Support Care Cancer, 22(4), pp.1131~1141 (2014)
- Puts M, "A pilot study on frailty, health and functioning in older newly-diagnosed cancer patients, what have we learned?", J Geriatr Oncol, 2(4), pp.246~252 (2011)
- Hodgkinson K, "The development and evaluation of a measure to assess cancer survivors’ unmet supportive care needs: the CaSUN (Cancer Survivors’Unmet Needs measure)", Psychooncology, 16(9), pp.796~804 (2007)
- Harrison JD, "What are the unmet supportive care needs of people with cancer? A systematic review", Support Care Cancer, 17(8), pp.1117~1128 (2009)
- Minstrell M, "Supportive care of rural women with breast cancer in Tasmania, Australia:changing needs over time", Psychooncology, 17(1), pp.58~65 (2008)
- Bonevski B, "Evaluation of an instrument to assess the needs of patients with cancer", Cancer, 88(1), pp.217~225 (2000)
- Ham YH, "Supportive care needs of patients with advanced lung cancer", pp.2009
- Supportive care needs survey:a guide to administration, scoring and analysis, "McElduff P", Centre for Health Research & Psycho-oncology, ~ (2004)
- 황숙연, "유방암 환자의 욕구에 관한 연구", 대한외과학회지, 67(04), pp.265~273 (2004), 대한외과학회
- Kim S, "Quality of life and sexuality in cancer patients", J Nurs Query, 16(2), pp.79~91 (2007)
- Boyes A, "Supportive care needs survey, supplement 2: Reference data for cancer survivors 5–9 months postdiagnosis", Centre for Health Research & Psycho-Oncology, ~ (2010)
- The development and evaluation of an instrument to assess the adverse effect of cytotoxic chemotherapy, "Brown V", NHS Executive South East Research Project Grant Cheme, ~ (2001)
- Mishel MH, "Uncertainty in illness", J Nurs Scholarsh, 20(4), pp.225~232 (1988)
- 강영아, "조혈모세포이식 병동에 관한 문화기술지: 환자를 중심으로", Asian Oncology Nursing, 9(1), pp.31~42 (2009), 대한종양간호학회