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진단 직후 유방암환자의 디스트레스 관리를 위한 심리교육프로그램의 효과

 Psychoeducational Approach to Distress Management of Newly Diagnosed Patients with Breast Cancer

Journal of Korean Academy of Nursing 2018년 48권 6호 p.669 ~ 678
KMID : 0806120180480060669
박진희 ( Park Jin-Hee ) - 아주대학교 간호대학

전미선 ( Chun Mi-Son ) - 아주대학교 의과대학 방사선종양학과
정용식 ( Jung Yong-Sik ) - 아주대학교 의과대학 외과
배선형 ( Bae Sun-Hyoung ) - 아주대학교 간호대학
정영미 ( Jung Young-Mi ) - 청주대학교 보건의료과학대학 간호학과

Abstract

"Purpose: The purpose of this study was to examine the effects of integrated psychoeducational program for distress management of newly diagnosed patients with breast cancer.

Methods: A quasi-experimental trial was conducted. The participants consisted of 47 female patients with breast cancer assigned to an intervention group (n=25) and control group (n=22). The intervention group participated in integrated psychoeducational program, consisting of individual face-to-face education and telephone-delivered health-coaching sessions. Data were collected at three time points: pre-intervention (T1), post-intervention (T2), and 6-month follow-up (T3). Study instruments were Distress thermometer, Supportive Care Needs Survey Short Form 34 and Functional Assessment of Cancer Therapy-Breast.

Results: Compared with the control group, breast cancer patients in the intervention group reported lower distress and supportive care needs than the control group. The intervention group reported higher quality of life (QOL) overall and higher emotional well-being than the control group.

Conclusion: These findings indicate that the integrated psychoeducational program is an effective intervention for reducing distress and supportive care needs and increasing QOL of newly diagnosed patients with breast cancer. Oncology nurses need to provide psychoeducational intervention to support patients with breast cancer in managing their distress and helping them adjust to their life.
KeyWords

Breast Neoplasms, Psychological Stress, Self-Management, Quality of Life, Psychosocial Support Systems
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SCI(E) MEDLINE 학술진흥재단(KCI) KoreaMed