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논문KCI 등재

부인암 여성의 증상 클러스터(Symptom Cluster)

Symptom Clusters in Women with Gynecologic Cancer

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참고문헌

키워드

주제분류간호학

초록

Abstract

Purpose: Women with gynecologic cancer often experience various physical and psychological symptoms relating to the cancer and its treatment. The purpose of this study was to identify symptom clusters. Method: A survey was conducted on 184 women with diagnoses of cervical, ovarian or endometrial cancer. Fifty symptoms were assessed for prevalence, severity and interference, and symptom clusters were identified. Cluster analysis was done using SPSS version 12.0. Results: Fatigue was identified as the most prevalent symptom (81.52%), lack of vaginal lubrication (2.26) as the most severe symptom, and lack of vaginal lubrication as the most interfering one (2.15). Identified six clusters were: Anorexia-pain cluster (loss of appetite, taste change, weight loss, appearance change, alopecia, weakness, pain), Fatigue cluster (lack of concentration, lack of memory, fatigue, dry mouth), Urinary-bowel distress cluster (urinary difficulty, constipation), Abdominal discomfort cluster (lower abdominal pain, abdominal pain, bloating), Emotional distress (sadness, anxiety-worry, nervousness, restlessness), and Menopausal cluster (sweating, hot flush, fever). Conclusion: The result of this study provides fundamental data to health care professionals in developing interventions for effective symptom management for women with gynecologic cancer by understanding identified 6 symptom clusters.

참고문헌 (24)

  1. 김용옥, "자궁 경부암 환자의 방사선 치료 후 성생활 변화", 석사, pp.1991
  2. 송현주, "간헐적 자가도뇨법을 이용한 방광훈련프로그램이 광범위 자궁절제술 환자의 배뇨장애에 미치는 효과", 석사, pp.1998
  3. 이숙희, "자궁경부암 여성의 삶의 적응에 관한 근거이론적 접근", 여성건강간호학회지, 10(1), pp.32~41 (2004)
  4. 이인숙, "부인암 치료를 받은 기혼여성들의 우울,불안,배우자 지지", 한국보건의료학회지, 17(1), pp.58~68 (2003)
  5. Anderson,B.L., "Sexual difficulties for women following cancer treatment", In Women with Cancer, ~ (1986)
  6. Barsevick,A.M., "Symptom cluster research: Conceptual, design, measurement, and analysis issues", J Pain Symptom Manage, 31(1), pp.85~95 (2006)
  7. Beck,S., "Using a mediation model to test a symptom cluster, pain, sleep, disturbance, and fatigue in cancer patients", Oncol Nurs Forum, 37(4)통권 : 37, pp.44~55 (2005)
  8. Bender,C.M., "Symptom clusters in breast canser across 3 phases of the disease", Cancer Nurs, 28(3), pp.219~225 (2005)
  9. Chen,M.L., "Symptom cluster in cancer patients", Support Care Cancer, ~ (2006)
  10. Dodd,M.J., "Symptom clusters and their effect on the functional status of patients with cancer", Oncol Nurs Forum, 28통권 : 28, pp.465~470 (2001)
  11. Francoeur,R.B., "The relationship of cancer symptom clusters to depressive affect in the initial phase of palliative radiation", J Pain Symptom Manage, 29(2), pp.130~155 (2005)
  12. Gaston-Johansson,F., "Fatigue, pain, and depression in pre-autotransplant breast cancer patient", Cancer Pract, 7(5), pp.240~247 (1999)
  13. Gift,A.G., "Symptom clusters in elderly patients with lung cancer", Oncol Nurs Forum, 31(2)통권 : 31, pp.203~210 (2004)
  14. Gift,A.G., "A cluster of symptoms over time in patients with lung cancer", Nurs Res, 52(6), pp.393~400 (2003)
  15. Given,B., "Physical functioning of elderly cancer patient prior to diagnosis and following initial treatment", Nurs Res, 50(4), pp.222~232 (2001)
  16. Irvine,D., "The prevalence and correlates of fatigue in patients receiving treatment with chemotherapy and radiotherapy. A comparison with the fatigue experienced by healthy individuals", Cancer Nurs, 17(5), pp.367~378 (1994)
  17. Kim,H.J., "Symptom clusters concept analysis and clinical limplications for cancer nursing", Cancer Nurs, 28(4), pp.270~282 (2005)
  18. Koldjeski,D., "Ovarian cancer: Early Symptom patterns", Oncol Nurs Forum, 30(6), pp.927~933 (2003)
  19. Maughan,K., "The effect of clinical nurse specialist in gynecological oncology on quality of life and sexuality", J Clin Nurs, 10, pp.221~229 (2001)
  20. Portenoy,R.K., "The memorial symptom assessment scale; an instrument for the evaluation of symptom prevalence, characteristics and distress", Eur J Cancer, 30A(9), pp.1326~1336 (1994)
  21. Sarna,L., "Effective of structured nursing assessment of symptom distress in advanced cancer", Oncol Nurs Forum, 25(6), pp.1041~1048 (1998)
  22. Tabano,M., "Symptoms affecting quality of life in women with gynecologic cancer", Seminars in Oncology Nursing, 18(3), pp.223~230 (2002)
  23. Walsh,D., "Symptom clustering in advanced cancer", Support Care Cancer, 14, pp.831~836 (2006)
  24. Yun,Y.H., "Validation study of the Korean version of the M.D. Anderson symptom inventory", J Pain Symptom Manage, 31(4), pp.345~351 (2006)

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