Oxaliplatin을 투여 받는 대장암 환자의 우울, 불안, 사회적지지, 항암제 지식수준이 말초신경병증에 미치는 영향
The Influences of Depression, Anxiety, Social Support and Knowledge of Anticancer Drugs on the Chemotherapy-induced Peripheral Neuropathy among Colorectal Cancer Patients Receiving Oxaliplatin
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Purpose: The purpose of this study was to identify factors influencing chemotherapy-induced peripheral neuropathy among colorectal cancer patients receiving oxaliplatin. Methods: A total of 132 patients hospitalized for chemotherapy were surveyed at K University Hospital in Seoul, Korea. This study was a descriptive causal relationship study using a self-report questionnaire survey method. Correlation and multiple regression analysis between the factors were performed using SPSS 18.0. Results: The regression model was significant (F=31.64, p<.001), which meaned that the experience of chemotherapy-induced peripheral neuropathy among the participants was statistically significant. The factors influencing the chemotherapy-induced peripheral neuropathy were depression (β=.34, p<.001), followed by anxiety (β=.32, p<.001), medical staff support (β=-.17, p=.037) and the level of knowledge of anticancer drugs (β=-.16, p=.045). The explanatory power of these factors on the chemotherapy-induced peripheral neuropathy of colorectal cancer patients was 69%. Conclusion: The factors influencing the chemotherapy-induced peripheral neuropathy of colorectal cancer patients receiving oxaliplatin were identified as depression, anxiety, level of knowledge of anticancer drugs and medical staff support.
Abstract
Purpose: The purpose of this study was to identify factors influencing chemotherapy-induced peripheral neuropathy among colorectal cancer patients receiving oxaliplatin. Methods: A total of 132 patients hospitalized for chemotherapy were surveyed at K University Hospital in Seoul, Korea. This study was a descriptive causal relationship study using a self-report questionnaire survey method. Correlation and multiple regression analysis between the factors were performed using SPSS 18.0. Results: The regression model was significant (F=31.64, p<.001), which meaned that the experience of chemotherapy-induced peripheral neuropathy among the participants was statistically significant. The factors influencing the chemotherapy-induced peripheral neuropathy were depression (β=.34, p<.001), followed by anxiety (β=.32, p<.001), medical staff support (β=-.17, p=.037) and the level of knowledge of anticancer drugs (β=-.16, p=.045). The explanatory power of these factors on the chemotherapy-induced peripheral neuropathy of colorectal cancer patients was 69%. Conclusion: The factors influencing the chemotherapy-induced peripheral neuropathy of colorectal cancer patients receiving oxaliplatin were identified as depression, anxiety, level of knowledge of anticancer drugs and medical staff support.
참고문헌 (29)
- Armstrong, T., "Chemotherapy- induced peripheral neuropathy", Oncology Nursing Forum, 32(2), pp.305~311 (2005)[DOI]
- Ashing-Giwa, K. T, "Understanding the breast cancer experience of women: A qualitative study of African American, Asian American, Latina and Caucasian cancer survivors", Psycho-Oncology, 13(6), pp.408~428 (2004)[DOI]
- Baek, Y. A., "The correlation among symptoms, anxiety, depression and quality of life in patients with colorectal cancer undergoing chemotherapy", 석사, pp.2013
- 변혜선, "유방암 환자의 피로, 통증, 불안, 우울이 삶의 질에 미치는 영향", Asian Oncology Nursing, 12(1), pp.27~34 (2012), 대한종양간호학회[DOI]
- Capuron, L., "Cytokines and depression: The need for a new paradigm", Brain, Behavior, and Immunity, 17(Suppl 1), pp.S119~S124 (2003)[DOI]
- 전미선, "자궁경부암환자의 삶의 질에 영향을 미치는 치료관련 및 심리사회적 요인", Radiation oncology journal, 23(4), pp.201~210 (2005), 대한방사선종양학회
- 정복례, "방사선 치료를 받는 유방암 환자의 증상경험, 정서상태 및 사회적지지", Asian Oncology Nursing, 6(2), pp.172~180 (2006), 대한종양간호학회
- De Gramont, A., "Leucovorin and fluorouracil with or without oxaliplatin as first-line treatment in advanced colorectal cancer", Journal of Clinical Oncology, 18(16), pp.2938~2947 (2000)
- Grahn, G., "Learning to cope and living with cancer. Learning-needs assessment in cancer patient education", Scandinavian Journal of Caring Sciences, 4(4), pp.173~181 (1990)[DOI]
- 곽미경(Kwak, Mi Kyong), "항암화학요법으로 인한 암환자의 말초신경병증 관련 특성과 삶의 질", Asian Oncology Nursing, 10(2), pp.231~239 (2010), 대한종양간호학회[DOI]
- Landmark, B. T., "Breast cancer and experiences of social support", Scandinavian Journal of Caring Sciences, 16(3), pp.216~223 (2002)[DOI]
- Lauer, P., "Learning needs of cancer patients : A comparison of nurse and patient perceptions", Nursing Research, 31(1), pp.11~16 (1982)
- Lee, H. S., "A study of neuropathy and difficulty of daily living of patients treated FOLFOX after colectomy", 석사, pp.2010
- Lee, Y. J., "A correlational study on uncertainty, coping and depression of cancer patients", Journal of Korean Academy of Nursing, 31(2), pp.244~256 (2001)
- Lenz, E. R., "Collaborative development of middle-range nursing theories : Toward a theory of unpleasant symptoms", Advances in Nursing Science, 17(3), pp.1~13 (1995)
- Oh, S. M., "A study on the standardization of the hospital anxiety and depression scale for Koreans : A comparison of normal, depressed and anxious groups", Journal of the Korean Neuropsychiatric Association, 38(2), pp.289~296 (1999)
- 박애령, "진행성 또는 전이성 위암 환자에 있어서 Oxaliplatin 투여로 인한 말초신경통증 분석", 한국임상약학회지, 19(1), pp.18~22 (2009), 한국임상약학회
- 박효미, "장루 보유한 대장직장암 환자의 삶의 질 영향요인", 임상간호연구, 12(2), pp.123~131 (2006), 병원간호사회
- Rhiner, M., "A structured nondrug intervention program for cancer pain", Cancer Practice, 1(2), pp.137~143 (1993)
- 서미숙, "부인암환자의 항암치료에 대한 지식정도 및 교육요구도", Journal of Korean Academy of Nursing, 36(6), pp.942~949 (2006), 한국간호과학회
- Simpson, M. F., "Patients' experiences of completing treatment for colorectal cancer in a scottish district general hospital", European Journal of Cancer Care, 15(2), pp.172~182 (2006)[DOI]
- Annual report on the cause of death statistics, "Statistics Korea", Statistics Korea, ~ (2011)
- Tae, Y. S., "A study on the correlation between perceived social support and depression of the cancer patients", 석사, pp.1985
- Tofthagen, C., "Falls in persons with chemotherapy-induced peripheral neuropathy", Support Care Cancer, 20(3), pp.583~589 (2012)[DOI]
- Visovsky, C., "Putting evidence into practice : Evidence-based interventions for chemotherapy-induced peripheral neuropathy", Clinical Journal of Oncology Nursing, 11(6), pp.901~913 (2007)[DOI]
- Wickham, R., "Chemotherapy-induced peripheral neuropathy : A review and implications for oncology nursing practice", Clinical Journal of Oncology Nursing, 11(3), pp.361~376 (2007)[DOI]
- Wiseman, L. R., "Oxaliplatin : A review of its use in the management of metastatic colorectal cancer", Drugs and Aging, 14(6), pp.459~475 (1999)
- Yoon, W. K., "Evaluation of chemotherapy induced peripheral neuropathy by platinum drugs", 석사, pp.2011
- Zigmond, A. S., "The hospital anxiety and depression scale", Acta Psychiatrica Scandinavica, 67(6), pp.361~370 (1983)[DOI]
