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Gemcitabine 투여환자의 혈관통 실태와 임상요인에 따른 혈관통 차이
성소령(Seong, So Ryoung),이남주(Lee, Namju),이미진(Lee, Mi Jin),장현아(Jang, Hyun Ah),송민주(Song, Min Ju),박세정(Park, Se Jung),김지윤(Kim, Jeeyoon),류백렬(Ryoo, Baek-Yeo) 대한종양간호학회 2013 Asian Oncology Nursing Vol.13 No.4
Purpose: This study was performed to examine vascular pain due to gemcitabine and according to clinical factors. Methods: The survey was performed with 525 cancer patients visiting chemotherapy infusion room in one general hospital. The data were collected via self-reported questionnaire, researchers observation, and reviewing medical records. Data were analyzed descriptive statistics, ttest, Kruskal-Wallis test, Tukey test using ranks, Jonckheere-Terpstra test, and Spearman correlation analysis were used. Results: The mean scores of the intensity and onset time of vascular pain were 3.06±2.16 and 8.13±13.13 min, and each other were negative correlaton. Degree of intensity of vascular pain had a significant difference on gender (p=.003), age (p=.004), weight (p=.019), Body mass index (BMI) (p=.005), Body surface area (BSA) (p=.030), infusion time (p<.001), dose (p=.027), dose per minute (p<.001), the number of administered gemcitabine (p=.005), combination chemotherapeutic drug (p=.013) and tumor type (p=.002). Degree of onset time of vascular pain had a significant difference on infusion time (p=.044), combination chemotherapy (p=.001) and injection site (p=.001). Conclusion: Patients administrated gemcitabine were experiencing various vascular pain, and vascular pain had a difference on clinical factors. Therefore, oncology nurses should be considered significant clinical factors to implement effective interventions to patients administered gemcitabine.
그룹코칭 프로그램이 항암화학요법을 받는 유방암 환자의 우울, 불안, 희망에 미치는 효과
성소령(Seong, So Ryoung),조문경(Cho, Moon-kyung),김지윤(Kim, Jeeyoon),김여옥(Kim, Yeo Ok) 대한종양간호학회 2017 Asian Oncology Nursing Vol.17 No.3
Purpose: The purpose of this study was to examine the effect of a group coaching program(GCP) on depression, anxiety, and hope in women breast cancer patients undergoing chemotherapy. Methods: A total of 152 patients were enrolled and randomly assigned to an experimental group receiving the GCP (N=76) and an untreated control group (N=76). Data collection consisted of three measurements of depression, anxiety, and hope (pre, post, and 3weeks later). The intervention was a one-time GCP consisting of 5 subparts for 30~40 minutes for a group of 3~4 people, conducted by a single nurse. Results: The scores of depression, anxiety, and hope changed significantly over time (p〈.001, p〈.001, p〈.001). Depression, anxiety, and hope changes were significantly different between the experimental and control groups (p〈.001, p〈.001, p〈.001). There was a difference in depression, anxiety, and hope among the groups according to the implementation of the GCP (p〈.001, p〈.001, p〈.001). In the experimental group, depression, anxiety, and hope level were significantly different between the pre- and post-test (p〈.001), pre- and 3weeks later-test(p〈.001), but not in the control group. Conclusion: The GCP for women breast cancer patients receiving chemotherapy was effective in reducing depression and anxiety, and increasing hope.