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Experiences of Patients and Their Families Receiving Medical Services Provided by Advanced Practice Nurses at Tertiary General Hospitals
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Mi-Kyeong Jeon, Su Jung Choi, Ji Eun Han, Eun Kyung Kwon, Jeong Hee Park, Jeong Hye Kim
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J Korean Acad Nurs 2024;54(4):594-606. Published online November 4, 2024
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DOI: https://doi.org/10.4040/jkan.24069
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 Abstract
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- Purpose
This study aimed to understand and describe the experiences of patients and their families who have received medical services from advanced practice nurses in tertiary general hospitals in Korea.
Methods
Data were collected through four focus group interviews with 20 patients and their families who had received medical services from advanced practice nurses for more than six months at four tertiary hospitals from November 29 to December 28, 2023. Verbatim transcripts were analyzed using qualitative content analysis.
Results
The four themes extracted from the experiences of patients and their families were as follows: unfamiliar medical personnel encountered during the treatment process, healthcare professionals who exhibited excellence, companions to light my way through the tunnel of illness, and an advanced practice nurse system that must be activated urgently.
Conclusion
The study’s findings indicate that patients and their families view the care provided by advanced practice nurses as excellent, reliable, and holistic. Research suggests that advanced practice nurses are valuable healthcare professionals in team-based care. The findings suggest that hospitals should utilize an advanced practice nurse system to improve patient outcomes and ensure the quality of care.
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Chemotherapy-related Cognitive Impairment and Quality of Life in People with Colon Cancer: The Mediating Effect of Psychological Distress
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Pok Ja Oh, Jeong Hye Kim
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J Korean Acad Nurs 2016;46(1):19-28. Published online February 29, 2016
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DOI: https://doi.org/10.4040/jkan.2016.46.1.19
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Abstract
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Purpose
The purpose of this study was to test the mediating effect of psychological distress in the relationship between chemotherapy related cognitive impairment (CRCI) and quality of life (QOL) in people with cancer.
Methods
A purposive sample of 130 patients undergoing chemotherapy was recruited for the cross-sectional survey design. Data were collected from November 2014 to June 2015. The instruments were K-MMSE (Korean Mini-Mental State Examination), Everyday Cognition (ECog), Hospital Anxiety Depression Scale (HADS), and Functional Assessment of Cancer Therapy-General (FACT-G). Data were analyzed using descriptive statistics, correlation, and multiple regression using Baron and Kenny steps for mediation.
Results
The mean score for objective cognitive function was 27.95 and 69.32 for perceived cognitive decline. Overall quality of life was 91.74. The mean score was 17.52 for psychological distress. The prevalence was 56.2% for anxiety and 63.1% for depression, and 20.0% for CRCI. There were significant correlations among the variables, objective cognitive function and self-reported cognitive decline, psychological distress, and quality of life. Psychological distress was directly affected by CRCI. (R2=29%). QOL was directly affected by CRCI. Psychological distress and CRCI effected QOL (R2=43%). Psychological distress had a partial mediating effect (β= -.56, p <.001) in the relationship between self-reported cognitive decline and quality of life (Sobel test: Z= -5.08, p <.001).
Conclusion
Based on the findings of this study, nursing intervention programs focusing on managing cognitive decline, and decreasing psychological distress are highly recommended to improve quality of life in cancer patients.
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Citations
Citations to this article as recorded by  - Disease Perception, Stigma, Distress, Physical Symptom Experience and Quality of Life in Colorectal Cancer Patients Undergoing Chemotherapy: A Cross-Sectional Study
Eun-Hee Lee, Dongwon Choi
Journal of Korean Academy of Fundamentals of Nursing.2024; 31(4): 494. CrossRef - Aldehyde dehydrogenase 2 polymorphism is associated with chemotherapy‐related cognitive impairment in patients with breast cancer who receive chemotherapy
Senbang Yao, Wen Li, Shaochun Liu, Yinlian Cai, Qianqian Zhang, Lingxue Tang, Sheng Yu, Yanyan Jing, Xiangxiang Yin, Huaidong Cheng
Cancer Medicine.2023; 12(5): 5209. CrossRef - Factors Associated with Self-reported Memory Problems of Adult Cancer Survivors Based on the Korea National Health and Nutrition Examination Survey 2019
Sangjin Ko
Journal of Health Informatics and Statistics.2023; 48(1): 51. CrossRef - Colon Cancer Survivorship in Patients Who Have Received Adjuvant Chemotherapy
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Jing Xu, Yuelan Yang, Die Hu
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Hyungran Lee, Younhee Jeong
Cancer Nursing.2023;[Epub] CrossRef - Symptom Experience, Social Support, and Quality of Life in Patients with Hematologic Malignancies Undergoing Chemotherapy
Ga Eun Kim, Ju-Eun Song, Mi-Ae You, Jin-Hee Park
Asian Oncology Nursing.2022; 22(1): 29. CrossRef - Effect of Ambulatory Chemotherapy (Portable Infusion Pump Use) Video Education on Knowledge, Self-efficacy and Anxiety of Colorectal Cancer Patients
Eun Hee Choi, Eun Young Park, Young A Park, You Hee Son, Myung Jin Jang
Asian Oncology Nursing.2022; 22(3): 193. CrossRef - A pilot retrospective study of comprehensive nursing care on psychological disorder in colorectal cancer undergoing chemotherapy
Zhou-Yi Zhang, Rui Wang, Li Zhang, Ming-Li Gu, Xiu-E Guan
Medicine.2022; 101(28): e29707. CrossRef - The Experience of Chemotherapy Related Cognitive Impairment in Patients with Cancer
Pok Ja Oh, Ji Hyun Kim
Asian Oncology Nursing.2022; 22(1): 1. CrossRef - The Mediating Effect of Depression on the Relationship between Cognitive Function and the Activities of Daily Living in Post-stroke Patient
Ji Eun Kim, Hwee Wee
Journal of Korean Academy of psychiatric and Mental Health Nursing.2021; 30(4): 309. CrossRef - A serial multiple mediator model of sense of coherence, coping strategies, depression, and quality of life among gynecologic cancer patients undergoing chemotherapy
Hee Sun Kim, Ju-Hee Nho, Joo-Hyun Nam
European Journal of Oncology Nursing.2021; 54: 102014. CrossRef - Impact of changes in perceived attentional function on postsurgical health-related quality of life in breast cancer patients awaiting adjuvant treatment
Mi Sook Jung, Moira A. Visovatti, Eun Hee Sohn, Hwa-Seung Yoo, Mijung Kim, Je Ryong Kim, Jin Sun Lee
Health and Quality of Life Outcomes.2020;[Epub] CrossRef - Factors influencing quality of life in patients with multiple myeloma
Hee-Young Kang, Eun-Young Choi
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Jin-Hee Park, Yong Sik Jung, Young-Mi Jung, Sun Hyoung Bae
Supportive Care in Cancer.2019; 27(7): 2707. CrossRef - A Longitudinal Path Analysis of Symptom, Fatigue and Quality of life in Patients with Colorectal Cancer during Chemotherapy
Eun Hee Kim, Soon Rim Suh
Journal of Health Informatics and Statistics.2018; 43(3): 200. CrossRef - Factors Affecting Cognitive Function in Patients with Stomach Cancer
Yeoung Ji Yu, Seung Hee Ahn, Yong Ae Cho, Eunjung Ryu, Eun-Ju Kim
Asian Oncology Nursing.2018; 18(4): 241. CrossRef - Serum lipid changes following the onset of depressive symptoms in postmenopausal women
Jane E. Persons, Jennifer G. Robinson, Martha E. Payne, Jess G. Fiedorowicz
Psychiatry Research.2017; 247: 282. CrossRef - Development of the Cognitive Function Scale for Breast Cancer Patients
Bok Yae Chung, Eun Hee Choi, Gyung Duck Kim, Kyung Hae Kim, Hye Sun Byun
Asian Oncology Nursing.2017; 17(1): 12. CrossRef
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Disturbance in ADL from Chemotherapy-induced Peripheral Neuropathy and Quality of Life in Cancer Patients: The Mediating Effect of Psychological Distress
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Kyung Yeon Kim, Seung Hee Lee, Jeong Hye Kim, Pok Ja Oh
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J Korean Acad Nurs 2015;45(5):661-670. Published online October 30, 2015
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DOI: https://doi.org/10.4040/jkan.2015.45.5.661
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Abstract
PDF
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Purpose
The purpose of this study was to examine the mediation of psychological distress in the relationship between disturbance in ADL from chemotherapy induced peripheral neuropathy and quality of life in order to provide a basis for planning nursing interventions to improve the quality of life in cancer patients.
Methods
A purposive sample of 130 patients treated with chemotherapy were recruited in the cross-sectional survey design. Data were collected using self-report questionnaires. The instruments were the Chemotherapy Induced Peripheral Neuropathy Assessment Tool (CIPNAT), Hospital Anxiety Depression Scale (HADS), and Functional Assessment of Cancer Therapy-General (FACT-G).
Results
The mean score for disturbance in ADL from chemotherapy induced peripheral neuropathy was 3.30. Overall quality of life was 2.48. The mean score was 1.04 for psychological distress. The prevalence was 35.4% for anxiety and 47.7% for depression. There were significant correlations among the three variables, disturbance in ADL from chemotherapy induced peripheral neuropathy, psychosocial distress, and quality of life. Psychosocial distress had a complete mediating effect (β= -.74, p <.001) in the relationship between disturbance in ADL from chemotherapy induced peripheral neuropathy and quality of life (Sobel test: Z= -6.11, p <.001).
Conclusion
Based on the findings of this study, nursing intervention programs focusing on disturbance of ADL management, and decrease of psychological distress are highly recommended to improve quality of life in cancer patients.
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Citations
Citations to this article as recorded by - Sex differences of the association between handgrip strength and health-related quality of life among patients with cancer
Jihye Kim, Yujin Kim, Jae Won Oh, San Lee
Scientific Reports.2024;[Epub] CrossRef - Development and Effects of a Mobile Application-based Self-Management Program for Chemotherapy-induced Peripheral Neuropathy in Colorectal Cancer Patients
Pok-Ja Oh, Jung Ran Lee
Korean Journal of Adult Nursing.2022; 34(3): 258. CrossRef - The impact of peripheral neuropathy symptoms, self-care ability, and disturbances to daily life on quality of life among gynecological cancer patients undergoing chemotherapy: a cross-sectional survey
Sohee Mun, Hyojung Park
Korean Journal of Women Health Nursing.2022; 28(4): 296. CrossRef - The mediation and interaction of depressive symptoms in activities of daily living and active aging in rural elderly: A cross-sectional survey
Xuelian Fu, Yinli Su, Chunyan Zeng, Liqiong Liu, Yang Guo, Yuanyuan Wu
Frontiers in Public Health.2022;[Epub] CrossRef - Changes in Chemotherapy-induced Peripheral Neuropathy, Sleep Quality, and Quality of Life following Chemotherapy in Stomach Cancer Patients: a Prospective Study
Pok Ja Oh, Jin Lee, Jeong Hye Kim
Asian Oncology Nursing.2020; 20(2): 72. CrossRef - Changes in chemotherapy-induced peripheral neuropathy, disturbance in activities of daily living, and depression following chemotherapy in patients with colorectal cancer: A prospective study
Pok-Ja Oh, Jung Ran Lee, Sook-Kyoung Kim, Jeong-Hye Kim
European Journal of Oncology Nursing.2020; 44: 101676. CrossRef - Effects of aroma self-foot reflexology on peripheral neuropathy, peripheral skin temperature, anxiety, and depression in gynaecologic cancer patients undergoing chemotherapy: A randomised controlled trial
Gie Ok Noh, Kyung Sook Park
European Journal of Oncology Nursing.2019; 42: 82. CrossRef - Oxaliplatin-induced Peripheral Neuropathy, Symptoms, Distress and Quality of Life among Korean Patients with Gastrointestinal Cancer
Hye Jeong Jung, Soo jung Ahn, Yoo Ri Yang, Kyoung A Kim, Sang Joon Shin, Min Kyu Jung, Sang Hui Chu
Asian Oncology Nursing.2019; 19(4): 204. CrossRef - Neuropathic symptoms, physical and emotional well-being, and quality of life at the end of life
Cindy Tofthagen, Constance Visovsky, Sara Dominic, Susan McMillan
Supportive Care in Cancer.2019; 27(9): 3357. CrossRef - Dolor neuropático en pacientes oncológicos en tratamiento con bortezomib
S. Expósito Vizcaíno, J. Casanova-Mollà, L. Escoda, S. Galán, J. Miró
Neurología.2018; 33(1): 28. CrossRef - Chemotherapy Induced Peripheral Neuropathy, Sleep and Quality of Life among Patients with Gastric Cancer Receiving Chemotherapy
Hyemi Kim, Hyojung Park
Journal of Korean Academy of Fundamentals of Nursing.2018; 25(3): 176. CrossRef - Neuropathic pain in cancer patients treated with bortezomib
S. Expósito Vizcaíno, J. Casanova-Mollà, L. Escoda, S. Galán, J. Miró
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Sevinç Kutlutürkan, Elif Sözeri Öztürk, Fatma Arıkan, Burcu Bayrak Kahraman, Keziban Özcan, Mürvet Artuk Uçar
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