본문 바로가기
KERD
논문KCI 등재

항암화학요법 폐암 환자의 증상경험과 기능상태간의 관계에 미치는 영양상태의 매개효과

Mediated Effects of Nutritional Status on the Relationship between Symptom Experience and Functional Status in Patients with Lung Cancer undergoing Chemotherapy

0

조회

0

다운로드

2

인용

0

참고문헌

키워드

주제분류간호학

초록

Purpose: This study was conducted to explore the mediating effect of nutritional status in the relationship between symptom experience and functional status among in patients with lung cancer undergoing chemotherapy. Methods: Subject (N=139) were lung cancer patients visiting the D hospital in B city. Data collection was conducted from May 2016 to February 2017. Seven nutritional status measurement tools, 22 symptom experience tools, and 15 EORTC QLQ-C30 functional scales were used to measure nutritional, symptom, nd functional levels. The collected data were analyzed by SPSS / WIN 21.0 using descriptive analysis, Pearson correlation, 3-step regression analysis of Baron and Kenny, and Sobel test. Results: There was a significant positive correlation between symptom experience and nutritional status, a significant negative correlation between symptom experience and functional status, and significant negative correlation between nutritional status and functional status. Symptom experience had direct effect and indirect effects on functional status through nutritional status. Conclusion: For enhancing functional status in lung cancer patients, it is necessary to develop nursing intervention programs to palliate symptoms and improve nutritional status.

Abstract

Purpose: This study was conducted to explore the mediating effect of nutritional status in the relationship between symptom experience and functional status among in patients with lung cancer undergoing chemotherapy. Methods: Subject (N=139) were lung cancer patients visiting the D hospital in B city. Data collection was conducted from May 2016 to February 2017. Seven nutritional status measurement tools, 22 symptom experience tools, and 15 EORTC QLQ-C30 functional scales were used to measure nutritional, symptom, nd functional levels. The collected data were analyzed by SPSS / WIN 21.0 using descriptive analysis, Pearson correlation, 3-step regression analysis of Baron and Kenny, and Sobel test. Results: There was a significant positive correlation between symptom experience and nutritional status, a significant negative correlation between symptom experience and functional status, and significant negative correlation between nutritional status and functional status. Symptom experience had direct effect and indirect effects on functional status through nutritional status. Conclusion: For enhancing functional status in lung cancer patients, it is necessary to develop nursing intervention programs to palliate symptoms and improve nutritional status.

참고문헌 (30)

  1. Frank Baker, "Adult cancer survivors: How are they faring?", Cancer, 104(S11), pp.2565~2576 (2005), Wiley-Blackwell[DOI]
  2. Bark, S. M., "Related factors on quality of life in patients with lung cancer", master, pp.2011
  3. Reuben M. Baron, "The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations.", Journal of Personality and Social Psychology, 51(6), pp.1173~1182 (1986), American Psychological Association (APA)[DOI]
  4. Rafael Barrera, "Nutritional Support in Cancer Patients", Journal of Parenteral and Enteral Nutrition, 26(5_suppl), pp.S63~S71 (2016), Wiley-Blackwell[DOI]
  5. J Bauer, "Use of the scored Patient-Generated Subjective Global Assessment (PG-SGA) as a nutrition assessment tool in patients with cancer", European Journal of Clinical Nutrition, 56(8), pp.779~785 (2002), Springer Nature[DOI]
  6. 변미숙, "항암화학요법을 받는 암환자의 에너지섭취량과 피로", Journal of korean biological nursing science, 14(4), pp.258~267 (2012), 기초간호학회[DOI]
  7. Choi, S., "Effects of symptom clusters and depression on the quality of life in patients with advanced lung cancer", European Journal of Cancer Care (2016)[DOI]
  8. Charles S. Cleeland, "Assessing symptom distress in cancer patients", Cancer, 89(7), pp.1634~1646 (2000), Wiley-Blackwell[DOI]
  9. Degner, L., "Symptom distress in newly diagnosed ambulatory cancer patients and as a predictor of survival in lung cancer", Journal of Pain and Symptom Management, 10, pp.423~431 (1995)
  10. Fayers, P. M., "EORTC-C30 Scoring Manual" (2001), EORTC
  11. Clare Faul, "A phase I", II study of hypofractionated whole abdominal radiation therapy in patients with chemoresistant ovarian carcinoma: Karnofsky score determines treatment outcome, 2000, pp.47(3), 749~754[DOI]
  12. 김효진, "유방암 환자의 증상경험 영향요인: 불쾌증상이론을 중심으로", Asian Oncology Nursing, 14(1), pp.7~14 (2014), 대한종양간호학회
  13. Kim, J. H., "The effect of nutritional status on clinical course and quality of life in cancer patients", Korean Society for Parenteral and Enteral Nutrition, 2011, pp.64~ (2011)
  14. Kim, K. S., "Relationships among Activity status, anxiety, depression, social support, symptom experience, and functional status in lung cancer patients based on the theory of unpleasant symptoms", Perspective in Nursing Science, 10, pp.87~96 (2013)
  15. Ko, Y. H., "The 11th symposium of KSPEN: 3-4; analysis of relationship between carcinoma, nutritional status, clinical course and quality of life in cancer patients", Korean Society for Parenteral and Enteral Nutrition, 2012, pp.101~ (2012)
  16. 이현응, "국내외 HRD 연구의 매개효과 분석 방법에 대한 고찰", HRD연구, 16(3), pp.225~249 (2014), 한국인력개발학회
  17. 이정림, "비소세포 폐암 환자의 삶의 질 구조모형", 박사, 간호학과 간호학전공, pp.2013
  18. T. R. Mendoza, "Measuring the Symptom Burden of Lung Cancer: The Validity and Utility of the Lung Cancer Module of the M. D. Anderson Symptom Inventory", The Oncologist, 16(2), pp.217~227 (2011), Alphamed Press[DOI]
  19. "Cancer in statistics" (2015)[URL]
  20. K A Nelson, "The cancer anorexia-cachexia syndrome.", Journal of Clinical Oncology, 12(1), pp.213~225 (1994), American Society of Clinical Oncology (ASCO)[DOI]
  21. 노주희, "항암화학요법을 받는 부인암 환자의 영양장애, 우울 정도와 삶의 질과의 관계", 여성건강간호학회지, 20(2), pp.117~125 (2014), 한국여성건강간호학회
  22. 오의금, "폐암 환자의 기능상태에 관한 연구", 성인간호학회지, 14(4), pp.491~500 (2002), 한국성인간호학회
  23. Faith D. Ottery, "Definition of standardized nutritional assessment and interventional pathways in oncology", Nutrition, 12(1), pp.S15~S19 (1996), Elsevier BV[DOI]
  24. Paula Ravasco, "Aspects of taste and compliance in patients with cancer", European Journal of Oncology Nursing, 9, pp.S84~S91 (2005), Elsevier BV[DOI]
  25. Pierre Senesse, "Nutritional support during oncologic treatment of patients with gastrointestinal cancer: Who could benefit?", Cancer Treatment Reviews, 34(6), pp.568~575 (2008), Elsevier BV[DOI]
  26. Dandan Wang, "Symptom clusters and quality of life in China patients with lung cancer undergoing chemotherapy", African Health Sciences, 14(1), pp.49~55 (2014), African Journals Online (AJOL)[DOI]
  27. Ira B. Wilson, "Linking Clinical Variables With Health-Related Quality of Life", JAMA, 273(1), pp.59~65 (1995), American Medical Association (AMA)[DOI]
  28. Yu, J. Y., "Symptom experience and physical activity as predictors of resilience among patients with advanced lung cancer", master, pp.2016
  29. Y.H. Yun, "Validation of the Korean version of the EORTC QLQ-C30", Quality of Life Research, 13(4), pp.863~868 (2004), Springer Nature[DOI]
  30. Ting Zhou, "Differences in Symptom Burden Among Cancer Patients With Different Stages of Cachexia", Journal of Pain and Symptom Management, 53(5), pp.919~926 (2017), Elsevier BV[DOI]

관련 논문AI추천

이 간행물의 다른 논문 (8건)