말초삽입형 중심정맥관을 가진 암 환자의 불편감과 영향 요인

이미선,김임령,최은경,이세영,곽미경,조주희,안진석,권인각 대한종양간호학회 2017 Asian Oncology Nursing Vol.17 No.4

Purpose: This study aimed to assess the discomfort and factors influencing the discomfort of cancer patients with peripherally inserted central catheters (PICC). Methods: A cross-sectional survey was conducted at a tertiary university-based hospital in Seoul in 2013. Subjects were eligible if patients were diagnosed with cancer and four weeks had passed since the PICC was inserted. Anxiety was assessed using the Hospital Anxiety and Depression Scale (HADS) and discomfort was assessed with 8 questions developed through qualitative interviews and a literature review. Questions were about pain, interruption of daily activity or leisure, satisfaction, usefulness and feelings towards the PICC. Results: Total 111 patients participated in the study. Over 75% of patients reported annoyance with PICC line. There was low positive correlation between discomfort due to PICC and anxiety. In anxious patients, patients discomfort was significantly higher than that of non-anxious patients. Significant factors influencing discomfort were gender, age, education level, PICC complications and anxiety. Conclusion: Patient engagement in selecting the type of catheter and individualized care considering the level of anxiety and patient demographics might help to reduce discomfort in cancer patients.

Validation of the Korean Version of the Quality of Life–Cancer Survivors (QOL-CS-K) Questionnaire in Lymphoma Survivors

조주희,강단비,김임령,김원석,Betty Ferrell,김석진 대한암학회 2018 Cancer Research and Treatment Vol.50 No.1

Purpose The objective of this study was to validate the Korean version of the Quality of Life–Cancer Survivors (QOL-CS-K) in a sample of lymphoma survivors. Materials and Methods We conducted a cross-sectional survey of lymphoma survivors who had survived for at least 24 months since diagnosis. Participants were recruited at the outpatient clinics and at a hospital event in a tertiary hospital in Seoul, Korea. Survivors were asked to complete the QOLCS- K and the European Organization for Research and Treatment of Cancer Quality of Life Core Questionnaire (EORTC QLQ-C30) questionnaires. To determine test-retest reliability, a second questionnaire was sent to participants who completed the first questionnaire adequately. Exploratory factor analysis and Pearson’s correlations were used for evaluating reliability and validity of the QOL-CS-K. Results Among 257 survivors, 245 (95.3%) completed all questionnaires and had no missing data. The mean age of study participants was 52.2 years, 54.9% were men, and the mean time since diagnosis was 4.0±1.6 years. The Cronbach’s # for the overall QOL-CS-K was 0.90, and the # coefficients for each subscale ranged from 0.73 to 0.83. The test and retest reliability was 0.88. Moderate correlations were found between comparable subscales of the QOL-CS-K and subscales of the EORTC QLQ-C30 (r=0.51-0.55) except for the spiritual well-being subscale of the QOL-CS-K, which did not correlate with any of the EORTC QLQC30 subscales (–0.08 to 0.16). Conclusion The QOL-CS-K is a reliable and valid scale for measuring the QOL in long-term lymphoma survivors.

Health-Related Quality of Life in Non-Hodgkin Lymphoma Survivors: A Prospective Cohort Study

강단비,조주희,김임령,김미경,김원석,김석진 대한암학회 2018 Cancer Research and Treatment Vol.50 No.4

Purpose We evaluated health-related quality of life (HRQOL) in long-term survivors of indolent and aggressive non-Hodgkin lymphoma (NHL). Materials and Methods The HRQOL was assessed by the European Organization for Research and Treatment of Cancer Quality-of-Life Questionnaire Core 30 (EORTC QLQ-C30) at diagnosis in NHL patients between 2008 and 2011, and follow-up evaluation was conducted from June 2014 to February 2015 using EORTC QLQ-C30 and the quality of life in cancer survivors (QOL-CS) questionnaire. We used linear mixed models to compare changes in HRQOL between indolent and aggressive NHL over time. Results The HRQOL of long-term survivors with aggressive NHL improved to the similar level of indolent NHL during the follow-up survey. However, survivors of NHL were found to fear the probability of relapse and second malignancy, and the degree of fear was not different between survivors with aggressive stage I/II or III/IV NHL (p > 0.05). Furthermore, a half of survivors reported impaired sense of psychosocial well-being regardless of aggressiveness and stage during follow-up survey. More than 65% of survivors thought they did not receive sufficient support from others, and patients who had financial difficulties at diagnosis were more frequently associated with suffering from insufficient support. Impaired physical and cognitive functioning at diagnosis was significantly associated with lack of life purpose in long-term survivors. Conclusion The HRQOL of aggressive NHL survivors improved to a similar level to that of indolent NHL. However, the majority of survivors still had fear of relapse, and psychosocial well-being remained unmet needs.

간호중재기반 암환자 맞춤형 직장복귀 지원 프로그램 개발 및 효과 평가: 다기관 무작위대조군 실험설계

배가령,강단비,안여진,김임령,이아영,조주희 한국간호과학회 2020 한국간호과학회 학술대회 Vol.2020 No.10

머신러닝을 활용한 암 관련 의료 기사 데이터의 적절성 분석

박준영(Junyoung Park),이민식(Minsik Lee),김임령(Imryung Kim),윤정희(Junghee Yoon),조주희(Juhee Cho),조준동(Jundong Cho) 한국HCI학회 2016 한국HCI학회 학술대회 Vol.2016 No.1

국내 암 발생 및 사망자 수가 꾸준히 증가하는 가운데, 환자들은 자신의 치료에 도움이 되는 정보를 찾기 위해 여러 매체들을 통해 정보를 수용한다. 이러한 니즈에 맞춰 언론 매체의 암 관련 의료 기사의 수 및 그 영향력이 증가하고 있다. 하지만, 일부 기사들은 과학적 근거가 불충분하거나 약의 효능을 과장하였으며, 특정 병원 및 의약품의 홍보성 기사들 또한 증가하고 있다. 이러한 기사들은 환자들에게 잘못된 정보를 제공하는 등의 문제를 발생하게 된다. 올바른 정보를 제공하기 위해 각 병원에서는 의료진이 직접 기사의 적절성을 판단하여 기사를 분류하지만, 해당 병원에 내방하거나 홈페이지에 접속하여 확인해야 하는 등 일반 환자들이 적절성이 검증된 정보를 얻는데 어려움이 있다. 본 연구는 2014 년 한해 동안 발행된 암 관련 의료 기사 데이터와 의료진에 의해 적절성 판단 후 게재된 서울 모 종합병원에서 제공하는 기사와의 관계를 분석하여, 기존의 글자수를 통해 기사의 적절성을 판단하는 방법에서 더 나아가 단어의 빈도 및 연관성을 통해 기사의 적절성을 판단하고 예측하는 시스템을 제안하고자 한다. While national cancer incidence and death toll steadily increased, patients are receiving information through several media to find information that will help in their treatment. The number of cancer-related medical articles in the media to meet these needs and its influence has increased. However, some articles have insufficient scientific evidence and exaggerate drug’s effectiveness and there is also increasing in articles to promote a particular hospital or medicines. These articles cause problems to provide wrong information to the patients. In hospitals, doctors classify articles in order to provide the correct information to their patients but, people do not visit hospital have difficulty to obtain the information classified by doctors. This study is to analyze the appropriateness of cancer-related medical articles published during the year 2014, we propose a system for classifying an article that provides right information to the patient.

암을 처음 진단받은 환자를 위한 신환 네비게이션 프로그램 개발 및 효과 평가

권인각,홍진영,김혜정,백혜진,김성,남석진,김임령,김애란 병원간호사회 2012 임상간호연구 Vol.18 No.1

Purpose: The purposes of this study were to develop a navigation program for newly diagnosed cancer patients and to evaluate its effects. Methods: The navigation program was based upon Professional Navigation Framework. Patients were asked to complete self-administered questionnaires on satisfaction, distress, anxiety and depression for evaluating the program. Results: The navigation program consisted of facilitating two concepts: continuity of care and empowerment of patients. Information-education package, telephone counseling and navigator's phone number were provided to the newly diagnosed cancer patients for care continuity. Self-care diary and emotional support by telephone counseling were provided to the patients for empowerment of patients. A total of 163 patients - 78 control and 85 experimental participants - were included in the study. The mean scores of satisfaction, distress, anxiety and depression had no statistical differences between the two groups after program implementation. In patients with longer waiting days, the experimental group with the navigation program showed higher relational continuity than the control group after program implementation(p =.023). In patients with longer waiting days or with higher distress, satisfaction of relational continuity was improved after program implementation in the experimental group. Conclusion: The navigation program in this study has applied the concept of patient navigation into oncology clinical setting in Korea. Navigation program can play a significant role in assisting patients navigating across the care continuum.