위암 환자의 근치적 위절제술 후 시기 별 체중, 불안, 우울 및 삶의 질의 변화
Postoperative Changes in Body Weight, Anxiety, Depression, and Quality of Life after Radical Gastrectomy among Patients with Gastric Cancer
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Purpose: The purpose of this study was to identify the changes in body weight, anxiety, depression, and quality of life in patients duringa one month period following a radical gastrectomy. Methods: Data were collected from 30 patients with gastric cancer from July2, 2012 through December 31, 2012, at C University Hospital, Gwangju, South Korea. The body weight, anxiety, depression, and qualityof life (QoL) of the patients were measured using structured questionnaires the day before surgery, day 7 postoperative, and 1month postoperative. Results: There were significant changes in the average body weight and the general health status/QoL, the functionality,and the symptoms of general QoL, and the functionality and the symptoms of specific QoL during the postoperative 1month period (χ2=52.47-7.68, p<.001-.022). Conclusion: Oncology nurses should assess the nutritive conditions of gastrectomy patientscarefully to avoid malnutrition during the postoperative 1 month period. Also, as the general and specific quality of life changesduring the postoperative 1 month period, adequate support and sufficient attention should be provided to these patients to minimizethe negative influence on quality of life, and to assist them in recovery to the preoperative state.
Abstract
Purpose: The purpose of this study was to identify the changes in body weight, anxiety, depression, and quality of life in patients duringa one month period following a radical gastrectomy. Methods: Data were collected from 30 patients with gastric cancer from July2, 2012 through December 31, 2012, at C University Hospital, Gwangju, South Korea. The body weight, anxiety, depression, and qualityof life (QoL) of the patients were measured using structured questionnaires the day before surgery, day 7 postoperative, and 1month postoperative. Results: There were significant changes in the average body weight and the general health status/QoL, the functionality,and the symptoms of general QoL, and the functionality and the symptoms of specific QoL during the postoperative 1month period (χ2=52.47-7.68, p<.001-.022). Conclusion: Oncology nurses should assess the nutritive conditions of gastrectomy patientscarefully to avoid malnutrition during the postoperative 1 month period. Also, as the general and specific quality of life changesduring the postoperative 1 month period, adequate support and sufficient attention should be provided to these patients to minimizethe negative influence on quality of life, and to assist them in recovery to the preoperative state.
참고문헌 (29)
- "National Cancer Information Center"[URL]
- Ohtsu A, "Current status and future prospects of chemotherapy for metastatic gastric cancer : A review", Gastric Cancer, 8, pp.95~102 (2005)
- Shim BY, "Relationship between posttraumatic growth and quality of life in stomach cancer patients", 박사, pp.2012
- Bae SH, "Treatment of gastric cancer: Overview of surgical treatment", Dongguk J Med, 10, pp.104~110 (2003)
- Mok E, "Effects of music on patient anxiety", AORN J, 77(2), pp.396~410 (2003)
- Tavoli A, "Anxiety and depression in patient with gastrointestinal cancer: Dose knowledge of cancer diagnosis matter", BMC Gastroenterol, 7, pp.28~ (2007)
- Shim EJ, "Anxiety, helplessness", hopelessness and ‘desire for hastened death’ in Korean cancer patients, 2011, pp.20, 395~402
- Deshields TL, "The persistence of symptom burden: Symptom experience and quality of life of cancer patients across one year", Support Care Cancer, 22, pp.1089~1096 (2014)
- 이정민, "위암 수술 후 조기회복을 위한 임상진료 지침서의 활용이 가능한가?", Journal of Gastric Cancer, 9(1), pp.18~25 (2009), 대한위암학회
- Lee HM, "A study of the quality of life after curative surgery for gastric cancer", ASTR, 60, pp.405~412 (2001)
- 전양환, "위암 수술 환자에서의 삶의 질", Journal of Gastric Cancer, 4(1), pp.27~31 (2004), 대한위암학회
- 김동원, "복강경 보조 원위 위 절제 환자의 장기적인 '삶의 질' 평가", Journal of Gastric Cancer, 7(4), pp.213~218 (2007), 대한위암학회
- 이승수, "위암 수술 후 장기생존자에서 위 절제 범위에 따른 삶의 질", Journal of Gastric Cancer, 10(1), pp.34~39 (2010), 대한위암학회
- 박영옥, "위암환자의 위절제술 후 영양상태 및 섭취량 변화", 대한지역사회영양학회지, 17(1), pp.101~108 (2012), 대한지역사회영양학회
- 공호련, "Changes of Quality of Life after Gastric Cancer Surgery", Journal of Gastric Cancer, 12(3), pp.194~200 (2012), 대한위암학회
- 위은숙, "위암 환자의 고통, 불안, 우울 및 영적 요구", Asian Oncology Nursing, 12(4), pp.314~322 (2012), 대한종양간호학회
- Koh KB, "Comparison of stress perception and depression between gastric cancer and gastritis patients", Korean J Psychosom Med, 2, pp.88~97 (1994)
- 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 depressed scale for Koreans", J Korean Neuropsychiatric Assoc, 38, pp.289~296 (1999)
- Fayers P, "Quality of life research within the EORTC the EORTC QLO-C30", Europe J Cancer, 38, pp.125~133 (2002)
- Lee JH, "Quality of life for the gastric cancer patients after gastrectomy: Reliability and validity study of the Korean version of the EORTC QLQ C-30 and gastric cancer module", 박사, pp.2003
- Yu EJ, "Assessment of nutritional status for gastrectomy of gastric cancer patients", 박사, pp.2007
- Wu HS, "Symptom burden and quality of life in survivorship: A review of the literature", Cancer Nurs (2014)
- 서경수, "위전절제술 후 재건술식에 따른 환자의 영양상태와 삶의 질 비교", Journal of Gastric Cancer, 7(4), pp.219~227 (2007), 대한위암학회
- Mishel MH, "The measurement of uncertainty in Illness", Nurs Res, 30(5), pp.259~263 (1981)
- 김정혜, "항암화학요법으로 인한 말초신경병증을 경험하는 대장암 환자의 삶의 질", Asian Oncology Nursing, 11(3), pp.254~262 (2011), 대한종양간호학회
- Hong JS, "Prevalence of anxiety and depression and their risk factors in Chinese cancer patients", Support Care Cancer, 22, pp.453~459 (2014)
- 이승수, "Quality of Life of Long-Term Survivors after a Distal Subtotal Gastrectomy", Cancer Research and Treatment, 42(3), pp.130~134 (2010), 대한암학회
- 김정혜, "항암화학요법을 받는 위암 환자의 우울과 영향요인", 성인간호학회지, 24(6), pp.588~596 (2012), 성인간호학회