부인암 환자의 지지적 돌봄 요구
Supportive Care Needs of Patients with Gynecologic Cancer
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Purpose: The purpose of this study was to investigate the factors associated with the supportive care needs of gynecologic cancer patients, and to provide basic data for patient-centered care. Methods: The data were collected from 153 patients with ovarian/cervix/ uterine cancer in 2016. For the data collection, the Korean version of the Supportive Care Needs Scale-gyne and electronic charts were used. T-test, one-way ANOVA, and logistic regression were used to analyze the data. Results: The standardized scores for the supportive care needs of patients ranged from 19.45 to 35.66. The supportive care need in the psychological domain was the highest, followed by the emotional, physical, and information domains. The ten highest frequency items consisted of 5 items in information, 3 in psychological, 1 item each in the emotional and spiritual domain. Patients under 45 years old have more fear about treatment and disability, and uncertainty about their future. College graduates had higher needs for information about support groups and self-care. Patients with recurrence felt more bored and meaningless. Conclusion: Patients with gynecologic cancer have various supportive care needs according to their characteristics. In order to fulfil their needs, a more intensive and patient-centered individualized approach based on the patient’s characteristics should be introduced.
Abstract
Purpose: The purpose of this study was to investigate the factors associated with the supportive care needs of gynecologic cancer patients, and to provide basic data for patient-centered care. Methods: The data were collected from 153 patients with ovarian/cervix/ uterine cancer in 2016. For the data collection, the Korean version of the Supportive Care Needs Scale-gyne and electronic charts were used. T-test, one-way ANOVA, and logistic regression were used to analyze the data. Results: The standardized scores for the supportive care needs of patients ranged from 19.45 to 35.66. The supportive care need in the psychological domain was the highest, followed by the emotional, physical, and information domains. The ten highest frequency items consisted of 5 items in information, 3 in psychological, 1 item each in the emotional and spiritual domain. Patients under 45 years old have more fear about treatment and disability, and uncertainty about their future. College graduates had higher needs for information about support groups and self-care. Patients with recurrence felt more bored and meaningless. Conclusion: Patients with gynecologic cancer have various supportive care needs according to their characteristics. In order to fulfil their needs, a more intensive and patient-centered individualized approach based on the patient’s characteristics should be introduced.
참고문헌 (21)
- "Cancer incidence"[URL]
- "Development of cancer care quality assurance and cancer patients"[URL]
- Koldjeski D, "Ovarian cancer: early symptom patterns", Oncol Nurs Forum, 30, pp.927~933 (2003)[DOI]
- Kayl AE, "Side effect of chemotherapy and quality of life in ovarian and breast cancer patients", Curr Opin Obstet Gynecol, 18, pp.24~28 (2006)[DOI]
- 김은경, "부인암 환자의 건강증진행위, 스트레스 및 삶의 질", 재활간호학회지, 13(2), pp.114~122 (2010), 한국재활간호학회
- Definitions of supportive and palliative care: briefing paper 11, "National Council for Hospice and Specialist Palliative Care Services (GB)", National Council for Hospice and Specialist Palliative Care Services, ~ (2002)
- National Institute for Clinical Excellence (GB), "Guidance on cancer services: improving supportive and palliative care for adults with cancer:the manual", National Institute for Clinical Excellence, ~ (2004)
- Steele R, "Supportive care needs of women with gynecologic cancer", Cancer Nurs, 31, pp.284~291 (2008)[DOI]
- Fitch MI, "Identifying supportive care needs of women with ovarian cancer", Can Oncol Nurs J, 20, pp.66~74 (2010)[DOI]
- Ham YH, "Supportive care needs of patients with advanced lung cancer", pp.2009
- Yang EJ, "The supportive care need of elderly patients with progressive lung cancer in outpatient treatment", pp.2012
- 정아랑, "혈액암 환자의 지지적 간호 요구도 예측요인", 성인간호학회지, 23(5), pp.460~471 (2011), 한국성인간호학회
- Bonevski B, "Evaluation of an instrument to assess the needs of patients with cancer", Cancer, 88, pp.217~225 (2000)[DOI]
- Cho HJ, "How to improve length of consultation time", Hankyoreh. 2008 Feb 21, ~ (2008)
- Study on the supply and demand planning of the medical specialists manpower and the policy development of quality improvement for postgraduate training program, "Kim SR", Korea Health Industry Development Institute, ~ (2002)
- 이찬희, "진료과별 적정 외래 진료시간에 관한 연구", 보건행정학회지, 24(3), pp.254~260 (2014), 한국보건행정학회[DOI]
- Virtue SM, "Cancer-related concerns among women with a new diagnosis of gynecological cancer: an exploration of age group differences", Int J Gynecol Cancer, 24, pp.165~171 (2014)[DOI]
- Lee EK, "A study on the factors affecting the cancer patients", pp.2006
- Vaughan FE, "The inward arc: healing and wholeness in psychotherapy and spirituality" (1986), New Science Library
- Oh PJ, "A study of the correlation between spiritual well-being and quality of life in people with cancer", J Korean Acad Adult Nurs, 9, pp.189~198 (1997)
- Shin SS, "Sad female patient with cancer", JoongAng Ilbo. 2014 Apr 14, ~ (2014)