Journal of Korean Clinical Nursing Research (임상간호연구)

Hospital Nurses Association (병원간호사회)
권호 표지
DOI QR코드

DOI QR Code

Effects of Individual Education for Cancer Patients and Their Family about Chemotherapy on the Self­-Care Knowledge, Self­-Care Performance, Family Support, and Anxiety

항암화학요법에 관한 가족참여 개별교육이 암환자의 자가간호 지식, 자가간호 수행, 가족지지 및 불안에 미치는 효과

  • Ko, Suk Mi (Department of Nursing, Kyung Hee University Medical Center) ;
  • Seong, Mi Hyeon (Department of Nursing, Graduate School, Kyung Hee University) ;
  • Cho, Young Mi (Department of Nursing, Graduate School, Kyung Hee University) ;
  • Sok, Sohyune (College of Nursing Science, Kyung Hee University)
  • Received : 2017.11.29
  • Accepted : 2018.02.20
  • Published : 2018.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The study was to examine the effects of the individual education about chemotherapy for cancer patients as well as their family who are receiving the first chemotherapy on self-care knowledge, self-care performance, family support, and anxiety level. Methods: A non-equivalent control group was used in this interventional study. A total of 50 patients with cancer aged above 19 in the K university hospital, Seoul, Korea, participated in the study (Experimental group: n=25, Control group: n=25). The education about chemotherapy was offered one week after hospital discharge, which was followed by telephone counseling Data were analyzed by the SPSS/WIN 20.0 program using percentage, frequency, mean, standard deviation, $x^2$ test, and independent t-test. Results: The experimental group showed a significantly better self-care knowledge (t=4.094, p<.001), self-care performance (t=3.532, p=001), family support (t=2.170, p=.035), and anxiety control (t=4.780, p<.001) than the control group. Conclusion: The findings suggest that the individual education should be considered for cancer patients and their family in the clinical fields.

Keywords

References

  1. Statistics Korea. Statistics of cause of death [Internet]. Daejon: Statistics Korea; 2016[cited 2016 September 30]. Available from: http://kosis.kr/statisticsList/statisticsListIndex.do?menuId =M_01_01&vwcd=MT_ZTITLE&parmTabId=M_01_01&par entId=D.1;D1.2;D11.3;#D11.3.
  2. Lee YR, Kwon IS. The relationship between infection prevention behaviors and barriers among cancer patients undergoing chemotherapy. Journal of Korean Oncology Nursing. 2007;7(2):150-161.
  3. Williams SA, Schreier AM. The role of education in managing fatigue, anxiety, and sleep disorders in women undergoing chemotherapy for breast cancer. Applied Nursing Research. 2005;18(3):138-147. https://doi.org/10.1016/j.apnr.2004.08.005
  4. Kwak MK, Kim EJ, Lee ER, Kwon IG, Hwang MS. Characteristics and quality of life in patients with chemotherapy-induced peripheral neuropathy. Journal of Korean Oncology Nursing. 2010;10(2):231-239. https://doi.org/10.5388/jkon.2010.10.2.231
  5. Eilers J, Epstein JB. Assessment and measurement of oral mucositis. Seminars in Oncology Nursing. 2004;20(1):22-29. https://doi.org/10.1053/j.soncn.2003.10.005
  6. Kim YJ, Seo NS. Effects of progressive muscle relaxation on nausea, vomiting, fatigue, anxiety, and depression in cancer patients undergoing chemotherapy. Journal of Korean Oncology Nursing. 2010;10(2):171-179. https://doi.org/10.5388/jkon.2010.10.2.171
  7. Oh PJ. Correlation between mental adjustment to cancer and anxiety. Journal of Korean Oncology Nursing. 2009;9(1):23-30.
  8. Garcia S. The effects of education on anxiety levels in patients receiving chemotherapy for the first time: an integrative review. Clinical Journal of Oncology Nursing. 2014;18(5):516-521. https://doi.org/10.1188/14.cjon.18-05ap
  9. Cho HM, Yoo EK. Effects of depression, family support on resilience in patients with gynecological cancer. Journal of Wellness. 2015;10(4):183-195.
  10. Cho OH, Yoo YS. Psychosocial adjustment, marital intimacy and family support of post-mastectomy patients. Journal of Korean Oncology Nursing. 2009;9(2):129-135.
  11. Orem DE, Taylor SG, McLaughlin Renpenning K. Nursing: concepts of practice. 6th. ed. St. Louis, MO: Mosby; 2001.
  12. Park JH, Choi HK. The effects of education for hemodialysis patients with a family caregiver on self-care practice and blood biochemical parameters. Journal of the Korean Data & Information Science Society. 2016;27(2):487-498. https://doi.org/10.7465/jkdi.2016.27.2.487
  13. Fillion L, Cook S, Veillette AM, Aubin M, de Serres M, Rainville F, et al. Professional navigation framework: Elaboration and validation in a canadian context. Oncology Nursing Forum. 2012;39(1):E58-69. https://doi.org/10.1188/12.onf.e58-e69
  14. Kim EM, Kim HJ, Kim SJ, Kim BK. Understanding on chemotherapy and self-care in cancer patients after an individual education. Journal of Korean Oncology Nursing. 2010;10(2): 163-170. https://doi.org/10.5388/jkon.2010.10.2.163
  15. Min SH. Effect of family participation in lung cancer patient education on self-care knowledge, family support and self-care behavior-focusing on chemotherapy patients. [master's thesis]. Incheon: Inha University; 2008. p. 1-81.
  16. van den Arend IJ, Stolk RP, Rutten GE, Schrijvers GJ. Education integrated into structured general practice care for Type 2 diabetic patients results in sustained improvement of disease knowledge and self-care. Diabetic Medicine. 2000;17 (3):190-197. https://doi.org/10.1046/j.1464-5491.2000.00232.x
  17. Hughes L, Whittlesea C, Luscombe D. Patients' knowledge and perceptions of the side-effects of OTC medication. Journal of Clinical Pharmacy and Therapeutics. 2002;27(4):243-248. https://doi.org/10.1046/j.1365-2710.2002.00416.x
  18. Polat U, Arpaci A, Demir S, Erdal S, Yalcin S. Evaluation of quality of life and anxiety and depression levels in patients receiving chemotherapy for colorectal cancer: impact of patient education before treatment initiation. Journal of Gastrointestinal Oncology. 2014;5(4):270-275. https://doi.org/10.3978/j.issn.2078-6891.2014.034
  19. Kim KH, Chung BY, Kim KD, Byen HS. Perceived family support and quality of life in patients with cancer. Journal of Korean Oncology Nursing. 2009;9(1):52-59.
  20. Lee SW, LEE EO, Heo DS, Noh KH, Kim HS, Kim SR, et al. The study on the medical and nursing service needs of the terminal cancer patients and their caregivers. Journal of Korean Academy of Nursing. 1998;28(4):958-969. https://doi.org/10.4040/jkan.1998.28.4.958
  21. Kim TY. The effect of reaction management education on knowledge and self care in cancer patient undergoing chemotherapy. [master's thesis]. Jeonju: Chonbuk National University; 2007. p. 1-85.
  22. Oh BJ, Lee EO, Tae YS, Eom DC. Effects of a program to promoto Self-efficacy and hope on the self-care behaviors and the quality of life in patinets with leukemia. Journal of Korean Academy of Nursing. 1997;27(3):627-638. https://doi.org/10.4040/jnas.1997.27.3.627
  23. Tae YS. A study on the correlation between perceived social support and depression of the cancer patients. [master's thesis]. Seoul: Ewha Womans University; 1985. p. 1-67.
  24. Sarason IG, Spielberger CD. Stress and anxiety. New York: Wiley; 1975. p. 115-143.
  25. Kim JT, Shin DG. A study based on the standardization of the STAI for Korea. The New Medical Journal. 1978;21(11):69-75.
  26. Dodd MJ. Measuring informational intervention for chemotherapy knowledge and self-care behavior. Research in Nursing & Health. 1984;7(1):43-50. https://doi.org/10.1002/nur.4770070108
  27. Kim SJ, Jung HM. Effects of family-participated cardiac rehabilitation program on self-efficacy, health behavior compliance, and family support of patients with percutaneous coronary intervention. Journal of Korean Clinical Nursing Research. 2015;21(2):143-153. https://doi.org/10.22650/JKCNR.2015.21.2.143
  28. Hwang HJ, Lee EN. Effects of spousal support and self-efficacy on adherent behavior among patients with percutaneous coronary intervention. Journal of Korean Critical Care Nursing. 2012;5(1):34-43.