췌장암 환자의 증상 클러스터
Symptom Cluster in Patients with Pancreatic Cancer
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본 연구는 췌장암 환자가 질병과 치료과정에서 경험하는 여러 증상의 정도를 확인하고 증상 간의 상호 연관성으로 나타나는 증상 클러스터를 규명하는 서술적 연구로서 췌장암 환자의 삶의 질 향상을 위한 간호중재의 개발에 기초자료를 제공하고자 시도되었다. 연구 대상자는 S시와 D시에 소재하는 217명으로 하였으며, 자료 수집은 구조화된 설문지로 2012년 9월 1일부터 2013년 2월 28일까지 실시하였다. 자료 분석은 PASW 18.0 WIN로 분석하였다. 연구결과 제 1요인은 통증-피로 클러스터(pain-fatigue cluster), 제 2요인은 췌장장애 관련 클러스터(pancreas dysfunction related cluster), 제 3요인은 수면장애-체중감소-정서적 디스트레스-삶의 만족도 저하클러스터(sleep disturbance-weight loss-deterioration in QOL satisfaction cluster), 제 4요인은 위장관 장애-활동장애 클러스터(gastrointestinal-disable activity cluster)로 확인되었다. 모든 증상 클러스터 간의 상관관계가 매우 높은 것을 확인하였다. 따라서 췌장암 환자의 삶의 질 향상을 위해 4개의 증상 클러스터에 대한 중재의 개발이 필요하다.
Abstract
Purpose: The purpose of the study was to identify symptom cluster in pancreatic cancer patients and to determine correlation between them. A convenience sample of 217 patients recruited from the four hospitals in Korea were surveyed by the NCCN-FACT FHSL-18 and the FACT-H questionnaires. Factor analysis confirmed four symptom clusters which were named as follows: pain-fatigue cluster (Factor 1), pancreas dysfunction related cluster (Factor 2), sleep disturbance-weight loss-deterioration in QOL satisfaction cluster (Factor 3), and gastrointestinal-disable activity cluster (Factor 4). The inter-correlations among these four symptom clusters were high (r=.4-.81, p<.001). The results supported that pancreatic cancer patients were experiencing four symptom clusters which were interrelated to each other.
참고문헌 (30)
- Bang, Seung Min, "Surveilance and Early Diagnosis of Pancreatic Cancer. Review article", The Korean Journal of Pancreas and Biliary Tract, 20(1), pp.1~4 (2015)
- Barbara, H. M., "Statistical Methods for Health Care Research" (2005), Williams & Wilkins
- Butt, Z., "Development and Validation of a Symptom Index for Advanced Hepatobiliary and Pancreatic Cancers: the National Comprehensive Cancer Network Functional Assessment of Cancer Therapy (NCCN-FACT) Hepatobiliary-Pancreatic Symptom Index (NFHSI)", Cancer, 18(23), pp.5997~6004 (2012)[DOI]
- Beck, S. L., "Pain, Sleep Disturbance, and Fatigue in Patients with Cancer: Using a Mediation Model to Test a Symptom Cluster", Oncol Nurs Forumm, 32(3), pp.48~55 (2005)
- Campen, C. J., "Management Strategies in Pancreatic Cancer", Am J Health Syst Pharm, 68, pp.573~584 (2011)
- 조영덕, "췌장암의 증상 경감을 위한 보존요법", 대한소화기학회지, 51(2), pp.119~126 (2008), 대한소화기학회
- Clark, K. L., "Psychological Distress in Patients with Pancreatic Cancer -An Understudied Group", Psychooncology, 19(12), pp.1313~1320 (2010)
- Conroy, T., "Health-related Quality-of-life Assessment in Gastrointestinal Cancer: Are Results Relevant for Clinical Practice?", Curr Opin Oncol, 19(4), pp.401~406 (2007)
- Cho, Seon Mi, "Factor Affecting Symptom Cluster in Patients with Breast Cancer Receiving Chemotherapy", 석사, pp.2013
- 조명숙, "간세포암 환자의 증상군 분류와 타당도 검증", Journal of Korean Academy of Nursing, 39(5), pp.683~692 (2009), 한국간호과학회
- Choi, Chul. Min, "A Study on Quality of Life of Advanced Hepatobiliary and Pancreatic Cancer Patients Who Administered for Traditional Korean Cancer Treatment", 석사, pp.2008
- Do, Young Sook, "Symptom Cluster Quality of Life Sequential Chemotherapy in Ovarian Cancer Patients", 박사, pp.2015
- Dodd, M. J., "Occurrence of Symptom Clusters", J Natl Cancer Inst Monogr, 32, pp.76~78 (2004)
- Fox, S. W., "Symptom Clusters and Quality of Life in Survivors of Lung Cancer", Oncol Nurs Forum, 33(5), pp.931~936 (2006)
- "Functional Assessment of Chronic Illness Therapy" (2008)[URL]
- Gotay, C. C., "The Prognostic Significance of Patient-reported Outcomes in Cancer Clinical Trials", Clin Oncol, 26(8), pp.1355~1363 (2008)
- Gupta, D., "Predicting Survival in Advanced Pancreatic Cancer: The Role of Symptom Clusters", ASCO Gastrointestinal Cancers Symposium (2010)
- James, M. L., "Palliative Care from the Beginning of Treatment for Advanced Pancreatic Cancer. JOP. J Pancreas(Online). 11(2) : 154-157", JOP. J Pancreas (Online), 11(2), pp.154~157 (2010)
- 김수현, "유방암 환자의 증상 클러스터", 성인간호학회지, 21(6), pp.705~717 (2009), 성인간호학회
- 김경덕, "항암화학요법을 받고 있는 유방암 환자의 증상 클러스터와 삶의 질", 성인간호학회지, 23(5), pp.434~445 (2011), 성인간호학회
- 김희선, "소화기암 환자의 증상 클러스터와 활동수준, 불안, 우울 및 증상관련 지장성과의 관계 -위암, 직결장암, 간암을 중심으로-", Journal of The Korean Data Analysis Society, 15(5), pp.2571~2587 (2013), 한국자료분석학회
- 김경덕, "항암화학요법을 받는 췌장암 환자의 통증, 수면장애, 피로가 삶의 질에 미치는 영향", Asian Oncology Nursing, 12(2), pp.117~124 (2012), 대한종양간호학회[DOI]
- Kim, Han Na, "Symptom Experience, Symptom Management Strategies and Health-related Quality of Life in Patients with Pancreatic Cancer", 석사, pp.2013
- Koh, Dong Hee, "Pain Control, Nutritional and Emotional Support", The Korean Journal of Pancreas and Biliary Tract, 20(1), pp.22~26 (2015)
- 이선영, "게피티니브 치료를 받은 비소세포폐암 환자의 다발성 증상군 (Symptom Cluster)", Asian Oncology Nursing, 9(2), pp.77~85 (2009), 대한종양간호학회
- Miaskowski, C. 1., "Subgroups of Patients with Cancer with Different Symptom Experiences and Quality-of-life Outcomes: A Cluster Analysis", Oncol Nurs Forum, 33(5), pp.E79~E89 (2006)
- "National Cancer Statistics" (2015)[URL]
- Park, Bo Hyun, "Symptom Cluster and Quality of Life in Patients with Hematopoietic Stem Cell Transplantation", 석사, pp.2013
- Sun, V., "Symptom Concerns and Quality of Life in Hepatobiliary Cancers", Oncol Nurs Forum, 35(3), pp.E45~E52 (2008)
- Torgerson, S., "Supportive Care of the Patient with Advanced Pancreatic Cancer", Oncology (Williston Park), 27(3), pp.183~190 (2013)