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배가령,조주희,전서희 한국직업건강간호학회 2019 한국직업건강간호학회지 Vol.28 No.2
Purpose: Cancer patients are at a higher risk of being unemployed or facing difficulty in returning to work (RTW) than individuals without health concerns. The aim of this study is to identify and describe interventions developed specifically to assist cancer patients to RTW after treatment. Methods: A comprehensive search was conducted from September to October 2018 in different international databases: PubMed, Medline, and Embase. Studies using qualitative, quantitative, or mixed designs were included if they satisfied the following criteria: (a) described an intervention to assist cancer patients to RTW during or after treatment; (b) conducted on patients aged 18 and over and diagnosed with cancer; (c) written in English; (d) published in peer-reviewed journals. Results: Fourteen studies met the inclusion criteria. Counseling with physical activity intervention, behavioral training to reduce fatigue, and multi-disciplinary rehabilitation programs were found to be effective. Conclusion: Interventions adopting a multidisciplinary approach were effective for RTW in cancer patients. This literature review emphasizes the need for more tailored interventions based on survivors’ needs and characteristics in the RTW field.
온라인 커뮤니티 게시글의 네트워크 분석을 통한 암환자 직장복귀 경험 연구
배가령,권선영,조주희 대한종양간호학회 2019 Asian Oncology Nursing Vol.19 No.1
Purpose: The objective of this study was to identify needs and barriers that cancer patients experience with returning to work (RTW)by analyzing posts of the patients on the Internet. Methods: Posts of online communities of the cancer patients related to RTW werecollected using key words from Jan. 2004 to Dec. 2017. PFNet and NodeXL were utilized to visualize intellectual interchanges of thekeywords. Additional content analysis of the posts was then conducted to specify informational needs related to RTW. Results: Therewere 996 posts and 6394 responses related to RTW. A total of 163 and 129 keywords were found for posts and responses respectively. Posts were categorized into four groups by network analysis: 1) cancer diagnosis and treatment; 2) changing working status after cancerdiagnosis; 3) concerns about RTW during cancer treatment; 4) balance of work and life after cancer. Responses were grouped intosimilar themes but most of them were empathetic or encouraging messages. Conclusion: Cancer patients posted various concernsand needs in relation to RTW on the online communities. At the same time, they expressed difficulties to obtain information and resourcesabout RTW both on and off line. Further studies would be necessary to develop appropriate intervention for helping cancerpatients to return to work.
배가령 대한의료커뮤니케이션학회 2022 의료커뮤니케이션 Vol.17 No.2
Purpose : This study aimed to develop a program that promotes posttraumatic growth (PTG) in young breast cancer survivors returning to work and measure its feasibility. Methods : This study was conducted at a university-based cancer center in Seoul, Republic of Korea. After a literature review, in-depth interviews, and network analysis of the online community, a 4-weekgroup-based education program was developed. The program consisted of post-cancer life, exercise, nutritional, psychological, and esthetic management. The primary outcome was PTG, and secondaryoutcomes were rumination, distress, and thinking about returning to work. Results : Fifteen young breast cancer survivors working at the time of cancer diagnosis participated in the program. The mean age of the participants was 41.80 ± 5.03 years and the time since diagnosis was14.07 ± 15.90 months. There were significant differences in the total PTG and PTG sub-item scores in relation to others, personal strengths, and anxiety (p<0.05). Confidence in returning to work was alsosignificantly different (p<0.05). Conclusion : PTG promotion programs will be effective in helping young breast cancer survivors to return to work. Further studies involving a larger sample and a longer follow-up period are required.
림프부종을 가진 여성 암 환자의 희망, 자가간호역량과 삶의 질의 관계
배가령,임영순,노기옥,손유정,서한길 대한종양간호학회 2017 Asian Oncology Nursing Vol.17 No.4
Purpose: The purpose of this study was to investigate the relationships among hope, self-care agency and quality of life of female oncology patients with lymphedema. Methods: From May 2014 to April 2016, questionnaire responses of 102 patients diagnosed with secondary lymphedema were collected. The data of 100 patients were analysed using the IBM SPSS Statistics 21.0 program. Results: There was a statistically significant correlation between hope and self-care agency. Self-care agency increased when participants had higher hope (r=.44, p<.001). Moreover, participants with higher Physical Component Summary (PCS) scores also had higher Mental Component Summary (MCS) scores (r=.77, p<.001). Conclusion: Educational programs and organized support for improving hope and PCS are needed to increase self-care agency and MCS of female cancer patients with secondary lymphedema.
배가령,유지수 대한종양간호학회 2023 Asian Oncology Nursing Vol.23 No.2
Purpose: Cancer survivors and family caregivers may experience a vague sense of fear or worry about the possibility of recurrence. The family caregivers of cancer survivors experience numerous psychological hardships because, depending on the patient’s state, they must play various roles and accompany the patient through a series of events. Accordingly, this study aimed to investigate the nature and structure of the experiences of family caregivers of cancer survivors in relation to the fear of cancer recurrence. Additionally, it sought to obtain the central meanings associated with these experiences. Methods: We recruited four adult family caregivers of patients who were diagnosed with cancer between February and October 2020. The caregiver participants voluntarily agreed to participate in the study. To analyze their experiences regarding fear of cancer recurrence, we collected data using the qualitative case study and by conducting individual in-depth interviews. Results: Family caregivers’ experiences comprised four themes (“Standing at the edge of a cliff,” “Ambushed by worries,” “Anxiety I never want to experience again,” and “Making efforts to relieve anxiety”) and 11 subthemes. Conclusion: Family caregivers of cancer survivors experience daily psychological hardships owing to fear of cancer recurrence. It is important to identify the unmet needs of family caregivers and provide practical and professional nursing interventions.
온라인 커뮤니티 분석을 통한 유방암 생존자의 직업 관련 경험 연구
배가령(Bae, Ka Ryeong),권선영(Kwon, Sun Young) 대한종양간호학회 2016 Asian Oncology Nursing Vol.16 No.4
Purpose: This study attempted to examine those who experienced working after breast cancer diagnosis or job retention after time-off or resignation. Methods: Data collection and analysis were conducted using the biggest community website which contains articles written and discussed by breast cancer survivors. We used semantic network analysis to identify context of various keywords from collected 1,186 articles. After refining, we analyzed 212 keywords. Data were analyzed using two methodological approaches, ‘network analysis and data visualization’ (NodeXl & PFnet). Results: As a result, 6 groups were classified; ‘conflict between breast cancer and job’, ‘difficulty of working and treatment parallel’, ‘breast cancer management while working’, ‘busy and hard life but showing gratitude’, ‘my body needs’, and ‘my heart needs’. We found that even though they had difficulties of working and treatment at the same time, they were thankful for their life. and they also reprogrammed their mind for more positive thinking through exercise for the health management and establishing a good eating habit. Conclusion: This paper will argue that we need to identify the experiences of cancer survivors. This allows the growth of the improvement working environment, the direction of policy, and the concern and understanding of nurses to needs of breast canner patients was definitely needed.