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황문숙 ( Hwang Moon-Sook ) - 성균관대학교 삼성서울병원 임상부
노기옥 ( Noh Gie-Ok ) - 삼성서울병원 암센터
송현주 ( Song Hyun-Joo ) - 삼성서울병원 암센터
전나미 ( Jeon Na-Mi ) - 삼성서울병원 간호부
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Abstract
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Purpose: This study was designed to evaluate the effect of home care nursing intervention with parenteral hydration and IV anti-emetic therapy on distress, nutritional status, anxiety, depression and QOL in gynecologic cancer patients who were undergoing combination chemotherapy.
Methods: Quasi-experimental design was used to test the intervention. Changes of result variables were measured to evaluate effects of the intervention. variables consisted of serum lab results(auto analytic equipment for lab), symptom distress Scale(McCorkle & Young, 1978; Song et al., 2000), nutritional status(body weight, circumference of upper arm, serum protein, serum albumin, oral intake per day), anxiety(Spielberger, 1972; Kim & Shin, 1978), depression(Zung, 1965; Kim, 1995) and QOL(Padilla et al., 1983; Lee & Jo, 1996). Subjects were selected among gynecologic cancer patients(EG 15 patients and CG 15 patients) by convenient sampling. Data collection was done from June to Nov. in 2000. Data were analyzed by Chi-test and Mann-whitney U test using SPSS Win 10.0.
Result: Hypothesis 1, the EG receiving this intervention equals to lab test(Hb & ANC, GOT & GPT, BUN & Cr) the CG, was supported(u=69.50 p=.074; u=94.50, p= .455; u= 89.50, p= .339; u=106.50, p= .803; u=75.00, p= .119; u=97.50, p= .523). Hypothesis 2, the EG has less symptom distress than the CG, was also supported(u=43.50, p= .004). Hypothesis 3, the EG has higher nutritional status than the CG, was partially supported on daily oral intake (u=59.00, p= .025). Hypothesis 4, the EG has less anxiety than the CG, was rejected(u=86.50, p= .280). Hypothesis 5, the EG has less depression than the CG, was rejected(u=203.50, p= .228). and the last hypothesis 6, the EG has higher QOL than the CG was supported (u=51.50, p= .011).
Conclusion: Home care nursing intervention undergone in this study was found to be effective to reduce patients’ symptom distress and to improve their oral intake and QOL.
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KeyWords
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부인암, 복합항암화학요법, 가정간호, 불편감, 영양상태, 불안, 우울, 삶의 질
Home care nursing, Gynecologic cancer patients, Combination chemotherapy, Symptom distress, Nutritional status, Anxiety, Depression, QOL
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원문 및 링크아웃 정보
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등재저널 정보
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