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      • KCI등재
      • KCI등재후보

        방사선치료 종료시기 암환자의 영양상태, 식욕상태 및 삶의 질에 관한 조사연구

        소향숙,정경애,노영희 전남대학교 간호과학연구소 1997 Nursing and Health Issues(NHI) Vol.2 No.1

        This study was conducted to identify nutritional status, appetite status, and the score of quality of life of 42 cancer patients who completed executive cycles of radiotherapy on chest or pelvic area. The data were gathered from April 1 to December 30, 1996 through questionnaires of anorexia, quality of life and the anthropometric and biochemical measures such as weight, triceps skinfold thickness, mid-arm circumference, mid-arm muscle circumference, albumin, total Iymphocyte count, and hemoglobin. The data were analyzed by t-test, ANOVA, two-way ANOVA, and multiple regression analysis. The results were summarized as follows : 1. There were no significant differences in all nutritional status by age. 2. As for the anthropometric measures, significant differences were found by gender in TSF, MAC, & handgrip(t =-7.41, p =.0000; t =-2.56, p =.0142; t =6.38, p =.0000); TSF and MAC were higher in female than in male, and the reverse was handgrip. As for the biochemical measures, significant differences were found by gender in hemoglobin & total lymphocyte count((t =4.46, p =.0001; t =2.26, p =.0295). Hemoglobin and total Iymphocyte count in male were higher than those in female. 3. As for the anthropometric and biochemical measures, significant differences were found by cancer site in TSF, MAC, handgrip, albumin, and hemoglobin(t =-4.26, p =.0001; t =-3.33, p =.0019; t =3.73, p =.0006; t =-2.42, p =.0204; t =2.39, p =.0216). TSF, MAC, & albumin level in pelvic area were higher than those in chest area, handgrip and hemoglobin in chest area were higher than those in pelvic area. 4. Total lymphocyte count differed significantly by total radiation dosage(t =-2.15, p =.0373); TLC of patients receiving over 6,000 rads was higher than that of patients receiving under 6,000 rads. 5. Appetite score differed significantly by types of treatment and total radiation dosage(t =3.11 , p =.0036; t =-2.53, p =.0155); appetite score was higher in patients receiving irradiation only than in patients receiving operation & irradiation and was higher in patients receiving over 6,000 rads than under 6,000 rads. 6. The relationships of nutritional status, appetite status, and quality of life were as follows. Significant correaltions were observed between body weight, MAC, MAMC, & hemoglobin(r =.69, p =.0001; r =.68, p =.0001; r =.53, p=.0003); TSF was significantly related with MAC, handgrip, hemoglobin(r =.58, p =.0001; r =-.65, p =.0001; r =-.32, p =.04); MAC was significantly related with MAMC(r =.78, p =.0001); MAMC with hemoglobin(r =.47, p =.0017); handgrip with hemoglobin & TLC(r =.34, p =.0271; r =.30, p =.0559); and hemoglobin with TLC(r =.42, p =.0063). 7. There were no significant relation with appetite score by variables of the nutritional status. Significant correlation was observed between quality of life and appetite score(r =-.49, p =.0014). Predictor which explained score of quality of life was only appetite status. which was 24.43%(,9 =-.7559. F=11.96. p=.0014).

      • KCI등재
      • KCI등재

        Reliability and Validity of the Korean Version of the Cancer Stigma Scale

        소향숙,김혜영,채명정 한국간호과학회 2017 Journal of Korean Academy of Nursing Vol.47 No.1

        Purpose: In this study the reliability and validity of the Korean version of the Cancer Stigma Scale (KCSS) was evaluated. Methods: The KCSS wasformed through translation and modification of Cataldo Lung Cancer Stigma Scale. The KCSS, Psychological Symptom Inventory (PSI), and EuropeanOrganization for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 (EORTC QLQ-C30) were administered to 247men and women diagnosed with one of the five major cancers. Construct validity, item convergent and discriminant validity, concurrent validity,known-group validity, and internal consistency reliability of the KCSS were evaluated. Results: Exploratory factor analysis supported the constructvalidity with a six-factor solution; that explained 65.7% of the total variance. The six-factor model was validated by confirmatory factor analysis(Q (c 2/df)= 2.28, GFI=.84, AGFI=.81, NFI=.80, TLI=.86, RMR=.03, and RMSEA=.07). Concurrent validity was demonstrated with the QLQ-C30(global: r =-.44; functional: r =-.19; symptom: r =.42). The KCSS had known-group validity. Cronbach’s alpha coefficient for the 24 items was .89. Conclusion: The results of this study suggest that the 24-item KCSS has relatively acceptable reliability and validity and can be used in clinical researchto assess cancer stigma and its impacts on health-related quality of life in Korean cancer patients.

      • KCI등재후보

        항암화학요법 관련 오심과 구토 완화를 위한 비약물요법에 관한 연구동향

        소향숙,최자윤,조인숙,김영재,김지영,김애숙,김옥미,김춘심,김현오,설영애,안정옥,이애리,이영자 성인간호학회 2003 성인간호학회지 Vol.15 No.3

        Purpose: Purposes of this study were to understand the current trends on complementary therapy in relieving chemotherapy-induced nausea and vomiting and to suggest the future research direction. Method: Subjects were selected on CINAHL, MEDLINE, Korean Academy Data Base from 1980 to 2001 which used nausea, vomiting, chemotherapy and complementary therapy as key words in experimental studies. Eight korean articles and twenty-one international articles were analyzed in terms of general characteristics, research methods, and types of complementary therapy. Data were analyzed by using descriptive statistical methods. Result: Since 2000, researchers have more actively used complementary therapy. In subject characteristics, mean age was 35.5 years old, 45% of the researchers were performed with high level of incidence of chemotherapy induced vomiting, 14% of them set limit of consecutive cycle during research, and 65% of them did not comment the selecting criteria of sample. About 60% of them were designed post-test only control group: 35% used INV by Rhodes, 31% used Likert scale, and 24% used VAS for dependent variable. Muscle relaxation therapy was mostly applied for relief of nausea and vomiting. Conclusion: Further studies will be needed to control extrinsic variables affecting nausea and vomiting in research design and to accumulate evidence with studies applying various complementary therapies.

      • KCI등재후보

        5대 암 예방과 조기발견에 관한 지식, 태도 및 실천도 조사

        소향숙,서남숙,노영희 전남대학교 간호과학연구소 2000 Nursing and Health Issues(NHI) Vol.5 No.1

        The purpose of this study was to investigate the level of knowledge, attitude and practice of health behavior about five major cancer in Korea and to identify correlations with each factors The subjects for this study were 520 persons in Kwang-ju city and its adjacent county. The subjects were recruited between the twenty and sixty-five years old age. The instruments were three types of questionnaires about knowledge, attitude, and practice of health behavior for prevention and early detection of cancer that had been developed by Suh, Soon Rim et. al(1998). The data were analyzed by using the SAS program and included descriptive statistics, t-test ANOVa. and Person' s correlation coefficient. The results of this study were as follows: 1. The differences of the score of knowledge according to sex, age, and education level were statistically significant (t=-5,72, p=.000; F=6.33 , p =.000; F=7.83 , p=.000). The score of knowledge of female was higher than that of male. The score of knowledge of the thirties was higher in stomach and breast cancer, and that of the forties was higher in lung, liver and cervix cancer than those of others. The score of knowledge of college and over was higher than those of the others in stomach, lung, and breast cancer. 2. The attitude about cancer in general perspectives and early detection were not relatively positive. Male had more positive attitude than female in general perspectives (t=3.56 , p=.004). The twenties had more positive attitude than the others in total score (F=4.78 , p=.003). The group of college and over had more positive attitude than the others in total score (F=3.47, p=.020). 3. The score of health behavior practice for cancer prevention was relatively moderate. Male performed more preventive health behaviors than female(t=4.87, p=.000), and the twenties performed more preventive health behaviors than the others(F=9.74, p=.000). 4. The score of health behavior practice was positively correlated with the score of attitude(r=0.446 , p=.000). The results of this survey could be used to develop the educational program as a basic data that facilitate change of client’s belief and attitude. To provide the useful information to client about cancer prevention and early detection, nurses should be recognized client’s knowledge, attitude and practice of health behavior.

      • 一部 農村 看護計劃을 위한 母子 健康 實態 調査

        蘇香淑 순천청암대학 1981 論文集-順川看護專門大學 Vol.7 No.-

        This survey is an attempt to obtain basic data on the maternal and child health for community health nursing practice. Housewives of 230 household at Daedae, Sinsuk villages,Inan Dong, Sunshun City, Chonnam were surveyed from May 1 to June 20, 1981. The results are summarized as follows: 1. The average age of subjects is 41.8 years and 85.7% of the group is primary school graduates or uneducated. The average age at marriage of subjects is 20.2 years, which shows the tendency of early marriage. Those who last give birth to children after 35 years of age stand at 40.5%, which shows that there are high risks in maternal and child health because of the old age of pregnant women. 2. The average pregnancies are 5.7 times, the average live births are 4.5 times and the average number of living children is 4.2. According to the difference of the number, it can be said that the need of ante-natal and post-partal care and child health care is urgent. 3. Wastage of pregnancy is 205 per 1000 child births and 72.7% si due to induced abortion. It is considered that wastage of pregnancy will be lowered when the loss of maternal and child health is prevented through the distribution of family planning. 4. Those who experienced the loss of children are 23.5% of the total. Since causes of death are diseases that can be prevented, health education including vaccination appears to urgently needed. 5. Women of 30-40 years of age have a tendency of more experiences of induced abortion and 65.5% get the knowledge of induced abortion through friends or neighbours. Among the reasons of induced abortion 68.8% is due to unwanredness of babies. The danger of maternal health in induced abortion stands at 34.5% and 14.9% feel guilty after abortion . Considering those results, it seend that the loss of maternal and child health can be prevented through the sound knowledge of induced abortions. 6. 97.4% of women delivered at home,17.4% received ante-natal care and 76.1% used unstrilized scissors when cutting unbilical cords. It can be pointed that the need of ante-natal care and education for awareness of asepic technique at delivery is urgect. 7. More than 12 months of breast feeding stands at 68.7% and weaning within 12 months stands at 48.7%. Since the appropriate weaning period is not kept, the education of infant-nutrition and weaning is necessary. 8. Less than one week of post-patal care stands at 57.4% and those have post-patal complication stands at 46.1%, which shows poor post-patal care. 9. Only 20.4% practice family planning and the use of IUD, tuballigation and oral pills ranged in order 46.8%, 21.3% and 17% respectively. Among reasons to give up ever used contraceptive methods, side-effects stands at 52.4%. Therefore the development of convenient contraceptive method without side-effects and the guidance of method of its exact practice will raise the rate of contraception practice.

      • KCI등재후보

        에어로빅 댄스가 유방절제술을 받은 여성들의 신체 기능력에 미치는 효과: 예비조사

        소향숙,김인숙,김혜영 전남대학교 간호과학연구소 2001 Nursing and Health Issues(NHI) Vol.6 No.1

        This study was conducted to evaluate the effects of aerobic dance on physical functionning of women with mastectomy. The study was single group pre- & post-test pre-experimental design and the data were collected from eight samples who had completed adjuvant therapy in C University Hospital from October, 1999 to Jan., 2000. The aerobic dance program was composed of flexibility, warm-up, main, and cool-down exercise and was performed 3 times weekly for eight weeks, 45~60 mlnutes per session. The tools for physical functionning used in the study were systolic pressure in rest & exercise, range of motion of shoulder joint in affected side, flexibility, the period of exercise that was taken for target heart rate, and the degree of hand grip. The data were analyzed with Wilcoxon signed rank test by SAS program. The results were as follows: The hypotheses that after carring out aerobic dance program on women with mastectomy, the physical functionning would be improved compared to before the program was supported except for the degree of hand-grip. The systolic pressures of post-test were significantly lower than those of pre-test at rest and during exercise(p=0.012; p=0.042); ranges of motion of shoulder joint in affected side, ie, the degrees of flexion , abduction, internal & external rotation of post-test were higher than those of pre-test(p=0.012); degrees of flexibility of post-test were higher than those of pre-test(p=0.011); the period of exercise that was taken for target heart rate of post-test was longer than that of pre-test(p=0.012). The results suggest that the aerobic dance program for women with mastectomy can improve and recover their general physical functionnings.

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