내관 지압과 심상요법이 방사성요오드 치료를 받는 갑상선암 환자의 오심, 구토, 헛구역질 및 식욕부진에 미치는 효과

강미경(Kang, Mi Kyung),서은영(Suh, Eunyoung, E.) 대한종양간호학회 2013 Asian Oncology Nursing Vol.13 No.4

Purpose: The purpose of this study was to evaluate the effects of P6 acupressure and guided imagery on nausea, vomiting, retching, and anorexia of the patient with thyroid cancer who were undergoing high dose radio-active iodine therapy (HD-RAIT). Methods: Using a randomized control group pretest-posttest study design, the participants were randomly assigned into the control group (C), the experimental group I (E1, P6 acupressure only) and the experimental group II (E2, P6 acupressure and a guided imagery). The patients were recruited from December 2011 to June 2012 in a tertiary hospital in Seoul, South Korea. A total of 82 patients completed the study. The Korean version of the Rhodes INVR and the anorexia scale by Grant (1987) were used. Results: The levels of nausea, vomiting, retching, and anorexia were significantly different among the groups. The levels of nausea and retching especially showed significant group differences over time. Synergic effects of P6 acupressure with guided imagery had significant effects over separate P6 acupressure intervention. Conclusion: Non-pharmacological and nurse-provided P6 acupressure and guided imagery appeared to be effective and safe in reducing nausea, vomiting, retching, and anorexia of the patients with thyroid cancer underwent HD-RAIT.

유방암 환자의 치료 전 경험

서은영(Suh Eunyoung E),박연환(Park Yeon-Hwan),김성재(Kim Sungjae) 기본간호학회 2008 기본간호학회지 Vol.15 No.4

Purpose: To date most research related to patients with breast cancer has discriminately investigated the status within or after the treatment although the patients demand holistic nursing care from the time of diagnosis. Thus, the purpose of this study was to investigate the trajectory of breast cancer diagnosis and patients' experiences in the pre-treatment period. Method: This qualitative study used qualitative thematic analysis. Nineteen Korean women who were diagnosed with breast cancer within the last 6 month participated in the study. Individualized interviews were conducted with each participant in a cancer center in K city. The interviews were tape-recorded, transcribed, and analyzed using the thematic analysis process. Results: The overriding theme was “the scattered life in an unforeseen swirl”, which illustrates the participants' unexpected crisis with confusion and emotional distress. Two subthemes included “falling into an unavoidable journey”, and “staggering in a muddle with urgency”. The categories were “unexpected probability”, “nagging nodularity”, “ominous presentiment”, “emotional upheaval”, “bad thought intrusion”, and “a sense of urgency”. Conclusion: Patients in the pre-treatment period encountered utter emotional distress and a sense of urgency after being diagnosed breast cancer. Strategies to develop nursing care for patients in this period and nursing implications are discussed.

시뮬레이터와 표준화 환자를 이용한 간호 시뮬레이션 교육의 이론적 기틀 개발

서은영(Eunyoung, E. Suh) 한국간호교육학회 2012 한국간호교육학회지 Vol.18 No.2

Purpose: Incorporating simulation modalities into nursing education is known to be effective in enhancing education outcomes. Standardizing the nomenclature of simulation modalities and developing a comprehensive conceptual framework for guiding the development of simulation modules are mandated given the prevalence and disorganization of simulation education. This article, thus, was aimed to summarize literature and propose a conceptual framework for structuralizing simulation education in Korea. Methods: A comprehensive literature review on CINAHL, PubMed, RISS, KISS, DBpia and renowned Korean nursing journals was conducted including articles from 2002 to 2011. Results: The nomenclature of simulation modalities was clarified and summarized. Twenty-eight studies on the effects of simulation education were summarized in a table demonstrating the state of the science in simulation research. In addition, ‘a conceptual framework for three-dimensional nursing simulation education’ was proposed, described in detail, and diagramed. According to ‘the 3D simulation framework’, each three axes, i.e., the scope of practice, complexity, and student competency, has three phases in accomplishing a high level of competency. Conclusion: The proposed ‘3D simulation framework’ is hoped to be a theoretical guide in designing a clinical curriculum utilizing simulation and developing detailed simulation modules in clinical practicum courses.

유방암 환자들의 심리적 대처 과정

서은영(Eunyoung E. Suh) 대한스트레스학회 2008 스트레스硏究 Vol.16 No.4

본 연구는 국내 여성 암 발생률 1위인 유방암을 진단 받은 암환자들이 유방암이라는 스트레스에 심리적으로 대처해가는 과정을 탐구하기 위해 수행되었다. 질적 연구방법론의 하나인 근거이론 방법론을 사용하여 지방의 한 암 진료기관에 내원한 열일곱 명의 유방암 환자들을 대상으로 개인별 심층면담을 수행하였다. 녹음한 면담 내용은 녹취록으로 변환하여 순환적 분석기법을 이용하여 분석하였다. 도출된 중심 주제는 “지나가는 고통을 마음을 낮추어 받아들이고 견뎌냄”이라는 상황 특이적 이론으로 “마음을 비우고 물 흐르는 데로 살아감”과 “마음을 단단히 먹고 버텨냄” 등의 두 하부 주제를 포함하고 있다. 마음을 낮추고 유방암을 인생의 수많은 고통 중 하나로 받아들이며 공존하고자 하는 이 이론은 우리나라의 역사적, 사회문화적 특성을 바탕으로 한 사고 구조와 논리(cultural logics or reasoning)의 산물이라 하겠다. 본 연구를 통해 유방암의 진단과 치료는 문화적 특성에 상관없이 전 세계적으로 유사할지라도 그러한 경험이 개인에게 어떤 스트레스로 작용하여 대처하게 되는가의 차원은 그 개인이 속한 역사적, 사회문화적 맥락을 초월하여 생각할 수 없음을 알 수 있었다. More than 7,000 women are diagnosed with breast cancer each year in South Korea and many of them live long as cancer survivors. To date, no research has investigated Korean women’s coping process with breast cancer. This study thus was aimed to explore and describe the processes of coping with breast cancer among Korea women using a grounded theory methodology. Seventeen women aged between 30 and 63 with breast cancer who underwent cancer treatment in a rural cancer hospital participated in an individual face-to-face interview. All interviews were conducted in Korean, tape-recorded, transcribed, and analyzed according to the grounded methodology. Open coding, axial coding, and theoretical sampling of the categories were proceeded in data analysis. The overriding theme was “accepting and enduring the transient suffering with a lowered mind.” Two sub-themes were “clear one’s mind of distraction and live unboundedly as water flows down,” and “make up one’s mind to accepting reality.” The findings are mediated by Korean cultural concepts such as “lowering one’s mind” and “enduring life-suffering.” The findings highlight that a patient’ successful coping with breast cancer mandates the care provider’s culturally congruent awareness and understanding. (Korean J Str Res 2008;16:305∼315)

유방암 여성의 즉시 유방재건술에 따른 신체 변화와 신체상의 의미

안정희(Ahn, Jeonghee),서은영(Suh, Eunyoung E.) 한국간호과학회 2021 Journal of Korean Academy of Nursing Vol.51 No.2

Purpose: The purpose of this study was to explore the lived experience of body alteration and body image with regard to immediate breast reconstruction among women with breast cancer. Methods: Data were collected from July to December 2020 through individual in-depth interviews with 15 women who had undergone immediate breast reconstruction due to breast cancer. Verbatim transcripts were analyzed using Colaizzi’s phenomenological analysis. Results: The following four theme clusters emerged. First, “revalued meaning of breasts due to cancer” illustrated the fact that cancer removal surgery brought the participants to reconsider the meaning of their breasts. Second, “had no choice but breast reconstruction” demonstrated the participants’ decision-making process of not wanting to lose breasts. Third, “unsatisfied breasts despite reconstruction” portrayed the distress due to the unexpected surgical outcomes. Finally, “restarted everyday routines with the altered body” described the healing process of the participants by accepting their changed body. Conclusion: In Korea, where family-centeredness and fidelity are highly valued, women perceived their breasts not only as a symbol of femininity but as the mediator connecting the self to family. Despite the distress related to imperfect breasts, the participants were thankful for their reconstructed breasts. Breast reconstruction helped them return to daily life as the psychological trauma of breast cancer was healed. The participants rebuilt their body image by accepting their scarred new body. This may allow health professionals to provide constructive and culturally appropriate counseling in advance by providing insight into women’s perception of their body image with regard to breast reconstruction.

유방암 여성이 인식한 환자중심 간호의 질

강지영 ( Jiyoung Kang ),서은영 ( Eunyoung E Suh ) 서울대학교 간호과학연구소 2015 간호학의 지평 Vol.12 No.2

Purpose: This study aimed to investigate the quality of patient-centered nursing care (PCNC) among women with breast cancer at a cancer center in Seoul, Korea. Methods: In a cross-sectional survey design, 223 women with breast cancer were recruited from the oncology surgery unit. The Korean version of the oncology patients’ perceptions of the quality of nursing care scale, which is conceptualized in four sub-dimensions (individualization, proficiency, responsiveness, and coordination) was used for measurement. Data were analyzed using descriptive statistics and ANOVA. Results: The participants were all women, with a mean age of 51.3 years. The mean score of PCNC was high and significantly different from each other according to age group. Breast cancer women, who had mastectomy, were satisfied highly in terms of proficiency and responsiveness care, but less satisfied with individualization and coordination care than those of other women. Conclusion: The findings of this study show the quality of cancer nursing care, especially focusing on patient-centeredness, can be measured from the patients’perspective. The individualized and coordinated nursing care is considered to be the core of quality cancer care implying patient-centeredness. Based on the findings of this study, more research is necessary to explore the patients’ view of quality cancer care and to test the effects of PCNC within the context of comparative effectiveness.

위내시경 검사 목적에 따른 검사 전 불안 정도와 불안 경험: 혼합연구방법의 적용

조성희 ( Cho Sunghee ),서은영 ( Suh Eunyoung E. ) 서울대학교 간호과학연구소 2020 간호학의 지평 Vol.17 No.2

Purpose: This mixed method study aimed to investigate patients’ level of anxiety and their experience of this before undergoing esophagogastroduodenoscopy (EGD). Methods: A total of 125 patients answered a questionnaire assessing their pre-EGD level of anxiety, and a total of 17 patients participated in individual interviews regarding their experience of EGD-related anxiety. The SPSS Software program was used for survey data analysis and content analysis was used for qualitative data. Results: The mean anxiety score was 40.00±9.86 and the factors related to anxiety levels were being female (p<.001) and being a relatively young age (20-30 years old, p=.004). There were no significant differences shown in level of anxiety according to the purpose EGD was performed for: screening, diagnosis, or disease follow-up. In the qualitative analysis, however, patients who underwent a follow-up procedure as a result of stomach cancer exhibited more complicated feelings of anxiety and helplessness than others. For those who underwent EGD for diagnostic reasons, they worried about the test results and were concerned about possible life changes after diagnosis. Those for whom EGD was performed for screening purposes expressed concern only in the event of EGD complications. Conclusion: This study explored the nature of pre-EGD anxiety according to the purpose of the procedure. Nurses and doctors should be aware that patients undergoing EGD may have different levels and experiences of pre-procedure anxiety.

국내 중국 동포 여성들의 정기적 유방촬영술 수검 행위 예측요인

박금실(Piao, Jinshi),서은영(Suh, Eunyoung E.) 대한종양간호학회 2022 Asian Oncology Nursing Vol.22 No.1

Purpose: This study was performed to identify predictors of the regular mammography screening of Korean Chinese women in Korea. Methods: 244 Korean Chinese women living in Suwon and Seoul-Gyeonggi area participated in the survey. In this study, a total of six measurement tools were used, including knowledge about breast cancer and mammography, Eastern cultural views, and health belief model subfactors. Predictors of the regular mammography screening were analyzed by binary logistic regression analysis. Results: Only 48.77% of participants underwent regular mammography screening. Participants who underwent regular mammography screening had a longer period of stay (OR 1.1, 95% CI 1.02~1.17), had medical insurance (OR 24.38, 95% CI 2.78~213.55), had more knowledge (OR 1.2, 95% CI 1.04~1.39), subscribed to fewer Asian cultural views (OR 0.97, 95% CI 0.95~0.99), and confronted fewer barriers (OR 0.96, 95% CI 0.93~0.99) than those who did not. Conclusion: Regarding the mammography screening, it was found that for Korean-Chinese women, having insurance had a greater influence than cultural background. For Korean-Chinese women, insurance was linked to practical economic matters and this seems to have undoubtedly affected the conduct of mammography screening.

노인요양시설 입소자들의 의료적 요구에 대한 간호직 종사자들의 관리 경험

박민정(Park, Min-Jeong),서은영(Suh, Eunyoung, E.),이정면(Lee, Jung-Myen) 한국성인간호학회 2013 성인간호학회지 Vol.25 No.4

베이비붐세대의 성별에 따른 건강 관련 삶의 질과 영향요인

박민정(Park, Min-Jeong),서은영(Suh, E. Eunyoung),정미영(Chung, Mi Young) 한국성인간호학회 2015 성인간호학회지 Vol.27 No.3