항암화학요법을 받는 암환자에게 적용한 전화상담이 디스트레스, 불안과 우울 및 치료관련 부작용 발생에 미치는 효과
Effects of Telephone Counseling Support on Distress, Anxiety, Depression, and Adverse Events in Cancer Patients Receiving Chemotherapy
1
조회
0
다운로드
8
인용
0
참고문헌
키워드
초록
Purpose: This study is aimed at identifying the effects of telephone counseling as nursing support on distress, anxiety, depression, and adverse events in cancer patients undergoing their first chemotherapy. Methods: This was a randomized controlled trial (pretestposttest design). A total of 70 patients who showed 4 or higher distress scores were selected from the screening process. Four patients dropped out; therefore, 66 patients participated in this research. Thirty-two and 34 patients were randomly assigned to the experimental and the control group, respectively. After a preliminary survey, telephone counseling support was given to the experimental group at three time points. The post survey was done before the second cycle of chemotherapy. Results: Regarding distress, both groups showed a statistically significant decrease in the scores: 3.4 for the experimental group and 1.8 for the control group (p=.002). Furthermore, the experimental group demonstrated a statistically significant decrease relative to the control group. Anxiety and depression showed no statistically significant difference between the two groups. Conclusion: This study concludes that nursing support through phone counseling is effective in decreasing distress in patients undergoing chemotherapy for the first time.
Abstract
Purpose: This study is aimed at identifying the effects of telephone counseling as nursing support on distress, anxiety, depression, and adverse events in cancer patients undergoing their first chemotherapy. Methods: This was a randomized controlled trial (pretestposttest design). A total of 70 patients who showed 4 or higher distress scores were selected from the screening process. Four patients dropped out; therefore, 66 patients participated in this research. Thirty-two and 34 patients were randomly assigned to the experimental and the control group, respectively. After a preliminary survey, telephone counseling support was given to the experimental group at three time points. The post survey was done before the second cycle of chemotherapy. Results: Regarding distress, both groups showed a statistically significant decrease in the scores: 3.4 for the experimental group and 1.8 for the control group (p=.002). Furthermore, the experimental group demonstrated a statistically significant decrease relative to the control group. Anxiety and depression showed no statistically significant difference between the two groups. Conclusion: This study concludes that nursing support through phone counseling is effective in decreasing distress in patients undergoing chemotherapy for the first time.
참고문헌 (26)
- 박영숙, "퇴원 후 전화상담중재가 부인암환자의 지각된 건강상태, 심리적 안녕과 간호만족도에 미치는 효과", 한국간호교육학회지, 14(2), pp.294~304 (2008), 한국간호교육학회
- Yarbro CH, "Cancer nursing:principles and practice" (2000), Jones and Bartlett
- Berger AM, "Correlates of fatigue during and following adjuvant breast cancer chemotherapy: a pilot study", Oncol Nurs Forum, 27, pp.1443~1448 (2000)
- Byar KL, "Impact of adjuvant breast cancer chemotherapy on fatigue, other symptoms, and quality of life", Oncol Nurs Forum, 33, pp.E18~E26 (2006)
- Paraska K, "Cognitive dysfunction following adjuvant chemotherapy for breast cancer: two case studies", Oncol Nurs Forum, 30, pp.473~478 (2003)
- 정재원, "항암화학요법을 받는 부인암 환자의 종단적 건강문제 변화양상 분석", 여성건강간호학회지, 12(1), pp.53~60 (2006), 한국여성건강간호학회
- Greer S, "Psychological intervention. The gap between research and practice", Acta Oncol, 41, pp.238~243 (2002)
- Grabsch B, "Psychological morbidity and quality of life in women with advanced breast cancer: a cross-sectional survey", Palliat Support Care, 4, pp.47~56 (2006)
- Galway K, "Psychosocial interventions to improve quality of life and emotional wellbeing for recently diagnosed cancer patients", Cochrane Database Syst Rev, 11, pp.CD007064~ (2012)
- 전수연, "유방암 환자에서의 디스트레스의 유병률 및 디스트레스가 삶의 질에 미치는 영향", 정신신체의학, 18(2), pp.72~81 (2010), 한국정신신체의학회
- "NCCN clinical practice guidelines in oncology" (2013)[URL]
- Knowles G, "Developing and piloting a nurse-led model of follow-up in the multidisciplinary management of colorectal cancer", Eur J Oncol Nurs, 11, pp.212~223 (2007)
- Twomey C, "Telephone contacts with a cancer nurse specialist", Nurs Stand, 15, pp.35~38 (2000)
- Lee HY, "Effect of Individualized teaching and telephone counseling on self-care behavior among patients with hematologic cancer", pp.2000
- 장옥점, "전화추후관리가 항암요법을 받는 암환자의 자가간호수행 및 가족원 역할스트레스에 미치는 효과", 기본간호학회지, 13(1), pp.50~59 (2006), 기본간호학회
- Cohen J, "Statistical power analysis for the behavioral sciences" (1988), Lawrence Erlbaum Associates
- Miller WR, "Ten things that motivational interviewing is not", Behav Cogn Psychother, 37, pp.129~140 (2009)
- Sarna L, "Quality of life and health status of dyads of women with lung cancer and family members", Oncol Nurs Forum, 33, pp.1109~1116 (2006)
- Zigmond AS, "The hospital anxiety and depression scale", Acta Psychiatr Scand, 67, pp.361~370 (1983)
- Oh SM, "A study on the standardization of the hospital anxiety and depression scale for Koreans: a comparison of normal, depressed and anxious groups", J Korean Neuropsychiatr Assoc, 38, pp.289~296 (1999)
- "Common terminology criteria for adverse events: v.4.0"[URL]
- 김민영, "항암화학요법 시행 초기 암환자의 증상 및 삶의 질 변화 양상", Journal of Korean Academy of Nursing, 39(3), pp.433~445 (2009), 한국간호과학회
- 최소은, "조혈모세포이식을 받은 환자의 불안*", Asian Oncology Nursing, 6(1), pp.37~46 (2006), 대한종양간호학회
- 김조자, "유방암 환자의 스트레스 대응능력 증진을 위한 심리사회적 중재 효과", Journal of Korean Academy of Nursing, 36(1), pp.169~178 (2006), 한국간호과학회
- 이명선, "치료 중인 암 환자들의 심리사회적 어려움에 관한 포커스 그룹 연구", 성인간호학회지, 22(1), pp.19~30 (2010), 한국성인간호학회
- 서순 림.이원기, "재가 암 환자의 증상관리를 위한 심리교육 중재효과", Asian Oncology Nursing, 3(1), pp.56~65 (2003), 대한종양간호학회