소아청소년 암환자의 피로
Fatigue in Pediatric Patients with Cancer
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초록
본 연구는 소아청소년 암환자의 피로정도를 파악하고 그 관련요인을 알아봄으로써, 암 환아의 피로를 완화하기 위한 간호중재 개발의 기초자료를 제공하고자 실시하였다. 연구 결과 소아청소년 암환자는 암 자체와 치료과정에서 피로를 경험하며, 피로는 신체적, 정서적, 가족과 질병요인과 관련되어 있는 복합적인 현상이며, 일상활동 장애와 관련정도가가장 높은 것을 알 수 있었다. 그러므로 암 환아를 돌보는 건강관리자들은 환아의 피로와 그 관련요인에 관심을 가져야 하며,피로를 경감하고 예방하기 위해서는 신체적 활동능력을 유지하기 위한 간호중재 개발이 필요함을 제언한다.
Abstract
Purpose: This study was done to identify factors associated with fatigue in pediatric patients with cancer in order to develop nursing interventions for this population. Methods: The participants were 95 pediatric cancer patients admitted to a university medical center in Seoul, Korea, and 95 parents. The PedsQLTMMultidimensional Fatigue Scale developed by Varni (2002) was used to measure fatigue. Data were analyzed with the SAS program and t-test, analysis of variance (ANOVA), Pearson correlation coefficients, and multiple regression were used to identify the association of factors with fatigue. Results: The mean score for fatigue was 30.42 in the pediatric cancer patients and 34.77 in the parents. Fatigue was higher in patients living with a single parent, in patients whose father had a lower education and those patients with a fever. Pain, frequency and intensity of nausea and vomiting, depression, anxiety, and disruption of usual activity were positively associated with fatigue. The predictive factors for fatigue were disruption of usual activity, depression and living with or without parents. Conclusion: Pediatric patients with cancer experienced fatigue during their diagnosis and treatment. Of the multiple factors associated with fatigue, the association between disruption of usual activity and fatigue was the highest indicating a need to be concerned with this factor when providing interventions to alleviate fatigue.
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