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논문KCI 등재

대장암 환자 가족의 암 염려 감소를 위한 간호 교육 프로그램

Development and Evaluation of a Nursing Educational Program to Reduce Cancer Worry of Colorectal Cancer Patients’ Family Members

이소영|전명희|최경숙
대한종양간호학회 (Korean Oncology Nursing Society)|2015.06|Asian Oncology Nursing|제15권 제2호|pp. 97-105

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참고문헌

키워드

가족지식KnowledgeFamily간호교육Nursing Education대장암조기암 검진Early Detection of CancerColonic Neoplasms
주제분류간호학

초록

Purpose: This study was to develop and evaluate the clinical utility of a nursing educational program to reduce the cancer worry of colorectal cancer patients' family members (RCW-FM) in Korea. Methods: The RCW-FM was developed based on several preliminary studies: an ethnographic and two quantitative studies to understand the educational needs among Korean colorectal cancer patients and their families. A one week clinical genetic educational course for clinical cancer nurses was implemented, and the RCW-FM led by cancer genetic nurses was constructed. A one group pretest-posttest design was implicated to evaluate the change of the family members’ knowledge about colorectal cancer (KCR) and the level of the reduction of cancer worry (CWR). Results: The mean score for KCR significantly increased from 11.75±1.28 to 13.87±1.13 (p<.05). The mean score of CWR was 4.25±.89. Conclusion: This new RCW-FM is a satisfactory educational program for reducing the cancer worry of the colorectal patients’ family members. But it needs to provide more practical, specific information including a long term perspective, tailored specifically for what Korean families want to know. It should also incorporate the preventive guidelines recommended for high risk hereditary or familial colorectal cancer.

Abstract

Purpose: This study was to develop and evaluate the clinical utility of a nursing educational program to reduce the cancer worry of colorectal cancer patients' family members (RCW-FM) in Korea. Methods: The RCW-FM was developed based on several preliminary studies: an ethnographic and two quantitative studies to understand the educational needs among Korean colorectal cancer patients and their families. A one week clinical genetic educational course for clinical cancer nurses was implemented, and the RCW-FM led by cancer genetic nurses was constructed. A one group pretest-posttest design was implicated to evaluate the change of the family members’ knowledge about colorectal cancer (KCR) and the level of the reduction of cancer worry (CWR). Results: The mean score for KCR significantly increased from 11.75±1.28 to 13.87±1.13 (p<.05). The mean score of CWR was 4.25±.89. Conclusion: This new RCW-FM is a satisfactory educational program for reducing the cancer worry of the colorectal patients’ family members. But it needs to provide more practical, specific information including a long term perspective, tailored specifically for what Korean families want to know. It should also incorporate the preventive guidelines recommended for high risk hereditary or familial colorectal cancer.

참고문헌 (29)

  1. Annual report of cancer statistics in Korea, 2012, "Ministry of Health & Welfare", Korea Cancer Center Registry, ~ (2014)
  2. National Cancer Institut, "Genetics of colorectal cancer (PDQ®)", National Institute of Health, ~ (2015)
  3. Johns L, "A systematic review and meta-analysis of familial colorectal cancer risk", Am J Gastroenterol, 96(10), pp.2992~3003 (2001)
  4. 김덕우, "유전성 대장암", 대한의학유전학회지, 7(1), pp.24~36 (2010), 대한의학유전학회
  5. Jasperson K, "Hereditary and familial colon cancer", Gastroenterology, 138(6), pp.2044~2058 (2010)
  6. Patel S, "Familial colon cancer syndromes : an update of a rapidly evolving field", Curr Gastroenterol Rep, 14(5), pp.428~438 (2012)
  7. Mandel J, "Reducing mortality from colorectal cancer by screening for fecal occult blood", N Engl J Med, 328(19), pp.1365~1371 (1993)
  8. Early cancer detection make it possible to reduce 90% of the cancer incidence rate, "Ministry of Health & Welfare", Korea Cancer Center Registry, ~ (2014)
  9. "Cancer screening"[URL]
  10. Risk factor of cancer incidence and motality in Korea, "National Cancer Information Center", National Cancer Information Center, ~ (2013)
  11. 최경숙, "가족력을 지닌 대장암 환자와 가족의 암 염려 경험", Asian Oncology Nursing, 13(4), pp.313~321 (2013), 대한종양간호학회
  12. Mullens A, "Coping after cancer : risk perceptions, worry, and health behaviors among colorectal cancer survivors", Psycho-oncology, 13(6), pp.367~376 (2004)
  13. Wang J, "The influence of culture and cancer worry on colon cancer screening among older Chinese-American women", Ethn Dis, 16(2), pp.404~411 (2006)
  14. McBride C, "Understanding the role of cancer worry in creating a"teaching a moment" : for multiple risk factor reduction", Soc Sci & Medicine, 66(3), pp.790~800 (2008)
  15. Custers J, "The cancer worry scale: detecting fear of recurrence in breast cancer survivors", Cancer Nurs, 37(1), pp.E44~E50 (2014)
  16. 최경숙, "대장암 환자의 증상경험과 극복력이 삶의 질에 미치는 효과", Asian Oncology Nursing, 12(1), pp.61~68 (2012), 대한종양간호학회
  17. 최경숙, "국내 간호사의 유전성 대장암 지식정도", Asian Oncology Nursing, 11(2), pp.147~154 (2011), 대한종양간호학회
  18. Bellizzi AM, "Colorectal cancer due to deficiency in DNA mismatch repair function : a review", Adv Anat Pathol, 16(6), pp.405~417 (2009)
  19. Francisco D, "Adherence to colorectal cancer and polyps screening recommendations among Filipino-Americans", Gastroenterol Nurs, 37(6), pp.384~390 (2014)
  20. Gladstone G, "What’s the use of worrying? Its function and its dysfunction", Aust NZ J Psychiatry, 37(3), pp.347~354 (2003)
  21. David B. Portnoy, "Effects of false-positive cancer screenings and cancer worry on risk-reducing surgery among BRCA1", 2 carriers., 2015, pp.34(7), 709~717[DOI]
  22. Bleiker E, "genetic counseling for colorectal cancer: Worries and psychological distress in the pre-test phase: A prospective, multicenter study", Psycho-oncology, 13(8), pp.S76~S77 (2004)
  23. Cameron L, "Communication strategies for enhancing understanding of the behavioral implications of genetic and biomarker tests for disease risk : the role of coherence", J Behav Med, 35(3), pp.286~298 (2012)
  24. 장은지, "일부 지역 중학생의 사회적 지지와 학급응집력이 건강관련 삶의 질에 미치는 영향", 농촌의학.지역보건, 39(4), pp.230~239 (2014), 한국농촌의학.지역보건학회[DOI]
  25. 최경숙, "국내 간호사의 유전성 유방암에 대한 지식정도 조사연구", 한국간호교육학회지, 12(2), pp.272~179 (2006), 한국간호교육학회
  26. "Nursing school of educating advanced nurse practitioner in Korea"[URL]
  27. "What is a provivor?"[URL]
  28. "What can i do to reduce my risk of colorectal cancer?"[URL]
  29. 전명희, "블로그를 통해 본 산전 기형아 검사와 양수검사에 대한 질문과 댓글 분석", 한국콘텐츠학회 논문지, 15(3), pp.252~264 (2015), 한국콘텐츠학회[DOI]

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