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항암화학요법을 받는 암환자에게 적용한 전화상담이 디스트레스, 불안과 우울 및 치료관련 부작용 발생에 미치는 효과
옥오남(Ok, Oh Nam),남민선(Nam, Min Sun),이미선(Yi, Mi Sun),조선미(Cho, Seon Mi),김은지(Kim, Eun Ji),함윤희(Ham, Yun Hee),권인각(Kwon, In Gak) 대한종양간호학회 2017 Asian Oncology Nursing Vol.17 No.1
This study is aimed at identifying the effects of telephone counseling as nursing support on distress, anxiety, depression, and adverse events in cancer patients undergoing their first chemotherapy. Methods: This was a randomized controlled trial (pretestposttest design). A total of 70 patients who showed 4 or higher distress scores were selected from the screening process. Four patients dropped out; therefore, 66 patients participated in this research. Thirty-two and 34 patients were randomly assigned to the experimental and the control group, respectively. After a preliminary survey, telephone counseling support was given to the experimental group at three time points. The post survey was done before the second cycle of chemotherapy. Results: Regarding distress, both groups showed a statistically significant decrease in the scores: 3.4 for the experimental group and 1.8 for the control group (p=.002). Furthermore, the experimental group demonstrated a statistically significant decrease relative to the control group. Anxiety and depression showed no statistically significant difference between the two groups. Conclusion: This study concludes that nursing support through phone counseling is effective in decreasing distress in patients undergoing chemotherapy for the first time.
발반사요법이 항암화학요법 관련 말초신경병증, 증상 디스트레스, 불안 및 우울에 미치는 효과
이세영(Lee, Se Young),함윤희(Ham, Yun Hee),옥오남(Ok, Oh Nam),김은지(Kim, Eun Ji),권인각(Kwon, In Gak),황문숙(Hwang, Moon Sook),조명숙(Cho, Myung Sook) 대한종양간호학회 2012 Asian Oncology Nursing Vol.12 No.4
Purpose: This study was done to clarify the effects of foot reflexology on peripheral neuropathy, symptom distress, anxiety and depression in cancer patients treated with oxaliplatin. Methods: A quasi-experimental design was employed. Changes in the variables were evaluated to test the effects of foot reflexology. Participants were cancer patients treated with oxaliplatin (experimental group 14 and control group 17). Peripheral neuropathy, symptom distress, anxiety and depression were measured before and after reflexology. Data were collected from October, 2010 to April, 2011. χ²-test, Fisher’s exact test, t-test, Wilcoxon signed rank test and the Mann-Whitney U test were used to analyze the data. Results: The experimental group who received foot reflexology experienced less eripheral neuropathy and symptom distress than the control group. There was no difference in anxiety and depression between the experimental and control group. Conclusion: The foot reflexology program adopted in this study was found to be an effective method to reduce peripheral neuropathy and symptom distress. We recommend foot reflexology for patients with chemotherapy induced peripheral neuropathy.