유방암환자 대상 국내 간호중재 연구 분석
Analysis of Nursing Intervention Studies on Patients with Breast Cancer in Korea
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참고문헌
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초록
본 연구는 2000년 이후 2010년까지 국내에서 이루어진 유방암환자 대상 간호중재 프로그램의 연구 경향과 중재 효과에 대해 파악하고자 하였다. 한국교육학술정보원, 한국정보과학회, 대한간호협회, 한국간호과학회 등의 자료 검색 시스템을 이용하여 간호중재 논문 32편을 선정하였으며 분석결과는 아래와 같다. 간호중재는 단순중재와 복합중재가 유사하게 수행되었으며 운동, 림프마사지, 이완, 지지, 심리사회적 요법, 교육, 상담, 요가, 자가 지지, 외래 관리, 가족 참여, 인지 행동, 상호 목표 설정 등 매우 다양한 간호 중재 방법들이 사용되었다. 중재 빈도는 대부분 1주일에 1회 정도로 수행되었으며 중재 기간은 2주에서 12주까지 매우 다양하였다. 중재 시간 또한 20분-2시간까지 매우 다양하였으나, 대부분 적어도 1시간 이상은 수행된 것으로 나타났다.
Abstract
Purpose: This study was performed to systematically review the recently published nursing intervention studies. Methods: The literature was identified through the Korean Education and Research Information Service (KERIS), the Korean Information Service System (KISS), and National Assembly Library websites. Key words such as breast cancer, nursing, and intervention were used. The factors analyzed are as follows: 1) the characteristics of studies and study populations, 2) the classification of interventions, 3) outcome indicators and their effects, and 4) effective interventions. Results: Thirty two studies were included. Seventeen studies used a single intervention such as aerobic dance, TaiChi, foot massage, aromatherapy, or a stress-reduction method. Fifteen studies used combined interventions, including education, exercise, counseling, support, yoga or meditation. The data on 47 outcome indicators and their effects were segregated into psycho/spiritual outcomes, stress coping, physical outcomes, cardiorespiratory function, symptom management,arm and shoulder functions, fatigue, and quality of life. Some interventions had positive effects on stress, fatigue, and functions of shoulder. Conclusion: Various interventions are available for breast cancer patients, and some have had positive effects. However, more studies are required to develop evidence-based practice guidelines for nursing interventions.
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