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Original Article
Effects of a Cognitive-Behavioral Nursing Intervention on Anxiety and Depression in Women with Breast Cancer undergoing Radiotherapy
Myung-Sook Yoo, Haejung Lee, Jung-A Yoon
Journal of Korean Academy of Nursing 2009;39(2):157-165.
DOI: https://doi.org/10.4040/jkan.2009.39.2.157
Published online: April 28, 2009

1Nurse, Pusan National University Hospital, Busan, Korea.

2Associate Professor, College of Nursing, Pusan National University, Yangsan, Korea.

Address reprint requests to: Lee, Haejung. College of Nursing, Pusan National University, Beomeo-ri, Mulgeum-eup, Yangsan 626-770, Korea. Tel: 82-51-510-8344, Fax: 82-51-510-8308, haejung@pusan.ac.kr
• Received: August 26, 2008   • Accepted: February 11, 2009

Copyright © 2009 Korean Society of Nursing Science

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  • Purpose
    The purpose of this study was to analyze the effects of a cognitive-behavioral nursing intervention on anxiety and depression of patients with breast cancer undergoing radiotherapy.
  • Methods
    A nonequivalent control group design was used for the study. The research participants were patients with breast cancer (N=71; experimental group=35, comparison group=36) who received radiotherapy at P university hospital. The experimental group received a 6-week cognitive-behavioral nursing intervention (2 hr/week), which included nursing counseling, education about treatment choices for breast cancer and possible side effects and management strategies during radiotherapy, and rehabilitation exercise.
  • Results
    Following the intervention, the experimental group showed significantly lower levels of anxiety (Experimental group=34.60±6.35, Comparison group=44.63±9.93, t=3.552, p<.001) and depression (Experimental group=10.20±6.61, Comparison group=17.81±10.85, t=3.542, p<.001) than the comparison group.
  • Conclusion
    The findings from this study showed that cognitive-behavioral counseling applied by nurses is very effective to reduce anxiety and depression among patients with breast cancer. Therefore, providing nursing counseling to broader spectrum of patients with cancer should be considered. Further research would warrant future clinical application of nursing counseling.
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Figure 1
Theoretical framework modified from Lazarus and Folkman's stress model.
jkan-39-157-g001.jpg
Table 1
Contents and Organization of Cognitive Behavior-Nursing Counseling
jkan-39-157-i001.jpg

*Rehabilitation exercise consists of progressive relaxation therapy (10 min) and upper body flexibility exercise (30 min).

Table 2
General Characteristics of the Participants
jkan-39-157-i002.jpg

Exp=experimental group; Com=comparison group.

Table 3
Disease related Characteristics of the Participants
jkan-39-157-i003.jpg

Exp=experimental group; Com=comparison group.

Table 4
Effects of Cognitive-Behavioral Nursing Counseling on Study Variables (N=71)
jkan-39-157-i004.jpg

Exp=experimental group; Com=comparison group; Pre=pretest; Post=posttest.

Figure & Data

REFERENCES

    Citations

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      Effects of a Cognitive-Behavioral Nursing Intervention on Anxiety and Depression in Women with Breast Cancer undergoing Radiotherapy
      J Korean Acad Nurs. 2009;39(2):157-165.   Published online April 28, 2009
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    Effects of a Cognitive-Behavioral Nursing Intervention on Anxiety and Depression in Women with Breast Cancer undergoing Radiotherapy
    Image
    Figure 1 Theoretical framework modified from Lazarus and Folkman's stress model.
    Effects of a Cognitive-Behavioral Nursing Intervention on Anxiety and Depression in Women with Breast Cancer undergoing Radiotherapy

    Contents and Organization of Cognitive Behavior-Nursing Counseling

    *Rehabilitation exercise consists of progressive relaxation therapy (10 min) and upper body flexibility exercise (30 min).

    General Characteristics of the Participants

    Exp=experimental group; Com=comparison group.

    Disease related Characteristics of the Participants

    Exp=experimental group; Com=comparison group.

    Effects of Cognitive-Behavioral Nursing Counseling on Study Variables (N=71)

    Exp=experimental group; Com=comparison group; Pre=pretest; Post=posttest.

    Table 1 Contents and Organization of Cognitive Behavior-Nursing Counseling

    *Rehabilitation exercise consists of progressive relaxation therapy (10 min) and upper body flexibility exercise (30 min).

    Table 2 General Characteristics of the Participants

    Exp=experimental group; Com=comparison group.

    Table 3 Disease related Characteristics of the Participants

    Exp=experimental group; Com=comparison group.

    Table 4 Effects of Cognitive-Behavioral Nursing Counseling on Study Variables (N=71)

    Exp=experimental group; Com=comparison group; Pre=pretest; Post=posttest.


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