Journal of Korean Academy of Nursing

Review Articles

Effects of Dignity Interventions on Psychosocial and Existential Distress in Terminally ill Patients: A Meta-analysis: Pok Ja Oh, Sung-Rae Shin; J Korean Acad Nurs 2014;44(5):471-483. Published online October 31, 2014; DOI: https://doi.org/10.4040/jkan.2014.44.5.471

Purpose

This study was done to evaluate the effects of dignity interventions on depression, anxiety and meaning of life in terminally ill patients.

Methods

PubMed, Cochrane Library CENTRAL, EMBASE, CINAHL and several Korean databases were searched. The main search strategy combined terms indicating dignity intervention, presence of terminal illness and study design. Methodological quality was assessed using Cochrane's Risk of Bias for randomized studies and Risk of Bias Assessment tool for non randomized studies. Data were analyzed by the RevMan 5.2.11 program of Cochrane Library.

Results

Twelve clinical trials met the inclusion criteria with a total of 878 participants. Dignity intervention was conducted for a mean of 2.2 weeks, 2.8 sessions and an average of 48.7 minutes per session. Effect sizes were heterogeneous and subgroup analysis was done. Dignity interventions had a significant effect on depression (ES=-1.05, p<.001, I²=15%) and anxiety (ES=-1.01, p<.001, I²=0). For meaning of life, dignity interventions were effective (ES=-1.64, p=.005) and effect sizes were still heterogeneous.

Conclusion

Results support findings that dignity interventions can assist terminal ill patients in reducing emotional distress and improving meaning of life. Further well-designed dignity studies will lead to better understanding of the effects of treatments on spiritual well-being.

Citations

Citations to this article as recorded by

Effects of meaning in life and individual characteristics on dignity in patients with advanced cancer in China: a cross-sectional study
Xiaocheng Liu, Zhili Liu, Qinqin Cheng, Nuo Xu, Hui Liu, Wenjuan Ying
Supportive Care in Cancer.2021; 29(5): 2319. CrossRef
Effectiveness of dignity therapy for patients with advanced cancer: A systematic review and meta‐analysis of 10 randomized controlled trials
Yanfei Li, Xiuxia Li, Liangying Hou, Liujiao Cao, Guanghua Liu, Kehu Yang
Depression and Anxiety.2020; 37(3): 234. CrossRef
Mechanisms Behind Religiosity and Spirituality’s Effect on Mental Health, Quality of Life and Well-Being
Mario Fernando Prieto Peres, Helder H. Kamei, Patricia R. Tobo, Giancarlo Lucchetti
Journal of Religion and Health.2018; 57(5): 1842. CrossRef

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Effects of Psychosocial Interventions on Cortisol and Immune Parameters in Patients with Cancer: A Meta-analysis: Pok Ja Oh, Eun-su Jang; J Korean Acad Nurs 2014;44(4):446-457. Published online August 29, 2014; DOI: https://doi.org/10.4040/jkan.2014.44.4.446

Abstract PDF

Purpose

This study was done to evaluate the effects of psychosocial interventions on cortisol and immune response in adult patients with cancer.

Methods

MEDLINE via PubMed, Cochrane Library CENTRAL, EMBASE, CINAHL and domestic electronic databases were searched. Twenty controlled trials (11 randomized and 9 non-randomized trials) met the inclusion criteria with a total of 862 participants. Methodological quality was assessed using the Cochrane's Risk of Bias for randomized studies and the Risk of Bias Assessment tool for non randomized studies. Data were analyzed using the RevMan 5.2.11 program of Cochrane library.

Results

Overall, study quality was moderate to high. The weighted average effect size across studies was -0.32 (95% CI [-0.56, -0.07], p=.010, I²=45%) for cortisol concentration, -0.62 (95%CI [-0.96,-0.29], p<.001, I²=0%) for T lymphocyte (CD3) and -0.45 (95%CI [-0.74, -0.16], p=.003, I²=0%) for Th lymphocyte (CD4) numbers. Psychosocial interventions were not effective for Tc lymphocyte (CD4), NK cell, monocyte, and cytokine response.

Conclusion

Although these results provide only small evidence of successful immune modulation, they support the conclusion that psychosocial interventions can assist cancer patients in reducing emotional distress and improving immune response.

Citations

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Depression and Cancer (literature review)
A. N. Blinkov
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Meta-analysis of psychosocial interventions on survival time in patients with cancer
P.J. Oh, S.R. Shin, H.S. Ahn, H.J. Kim
Psychology & Health.2016; 31(4): 396. CrossRef
Cognitive Behavioral Therapy for Primary Insomnia: A Meta-analysis
Ji-Hyun Kim, Pok-Ja Oh
Journal of the Korea Academia-Industrial cooperation Society.2016; 17(9): 407. CrossRef
Chemotherapy-related Cognitive Impairment and Quality of Life in People with Colon Cancer: The Mediating Effect of Psychological Distress
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Journal of Korean Academy of Nursing.2016; 46(1): 19. CrossRef
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Korean Journal of Adult Nursing.2016; 28(1): 13. CrossRef
The Effect of a Community-Based Self-Management Program for Patients at Thyroid Cancer-Diagnosis Stage : a Pilot Study
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Journal of Korean Public Health Nursing.2015; 29(3): 582. CrossRef
Effects of Dignity Interventions on Psychosocial and Existential Distress in Terminally ill Patients: A Meta-analysis
Pok Ja Oh, Sung-Rae Shin
Journal of Korean Academy of Nursing.2014; 44(5): 471. CrossRef

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Original Articles

Meta- analysis of Psychosocial Interventions to Reduce Pain in Patients with Cancer: Pok Ja Oh, Suk Jung Han; J Korean Acad Nurs 2013;43(5):658-668. Published online October 15, 2013; DOI: https://doi.org/10.4040/jkan.2013.43.5.658

Abstract PDF

Abstract Purpose

The purpose of this study was to investigate the effects of psychosocial interventions on pain in cancer patients.

Methods

Eight studies published between 1980 and 2012 in Korean and ten studies published between 2002 and 2012 in English met the inclusion criteria with a total of 1539 participants. Methodological quality assessed by Cochrane's Risk of Bias for randomized studies and Risk of Bias Assessment tool for non randomized studies. The data were analyzed by the RevMan 5.2 program of Cochrane library.

Results

Overall, study quality was moderate to high. Effect sizes were heterogeneous and subgroup analysis was done. Cognitive behavioral therapy (CBT) were effective for pain (ES= -0.35; 95% CI= -0.56, -0.13). Pain education studies measured with NRS and VAS were effective for pain (ES= -0.77; 95% CI= -1.01, -0.52). Publication bias was not detected.

Conclusion

This study support the use of psychosocial interventions administered to cancer patients for their pain management. However, more well-designed studies are needed.

Citations

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Good Nursing Experience of Patients with Cancer in a Korean Cancer Hospital
Eunyoung E. Suh, Hye Jin Yoo, Jeong Hee Hong, In Gak Kwon, Hyunju Song
Journal of Korean Critical Care Nursing.2020; 13(3): 51. CrossRef
Managing Cancer Pain, Monitoring for Cancer Recurrence, and Mitigating Risk of Opioid Use Disorders: A Team-Based, Interdisciplinary Approach to Cancer Survivorship
Eric R. Goodlev, Sandra Discala, Beth D. Darnall, Molly Hanson, Alison Petok, Michael Silverman
Journal of Palliative Medicine.2019; 22(11): 1308. CrossRef
Effects of Psychoeducational Intervention for Cancer Survivors: A Systematic Review and Meta-Analysis
Jin-Hee Park, Sun Hyoung Bae
Journal of Korean Academy of Nursing.2017; 47(2): 143. CrossRef
The Methodological Quality of Systematic Reviews and Meta-Analyses on the Effectiveness of Non-pharmacological Cancer Pain Management
Youngshin Song, Minhye Oh, Seyeon Park, Myouyun Park, Kyoungok Kim, Ukyoung Lee, Myonghwa Park
Pain Management Nursing.2015; 16(5): 781. CrossRef
Setting a Health Policy Research Agenda for Controlling Cancer Burden in Korea
Sung-In Jang, Kyoung-Hee Cho, Sun Jung Kim, Kwang-Sig Lee, Eun-Cheol Park
Cancer Research and Treatment.2014; 47(2): 149. CrossRef

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Meta-Analysis of Spiritual Intervention Studies on Biological, Psychological, and Spiritual Outcomes: Pok-Ja Oh, Young-Hyun Kim; J Korean Acad Nurs 2012;42(6):833-842. Published online December 31, 2012; DOI: https://doi.org/10.4040/jkan.2012.42.6.833

Abstract PDF

Purpose

The purpose of this study was to evaluate the effectiveness of spiritual intervention studies by examining biological, psychological, and spiritual outcomes.

Methods

From electronic databases 2522 studies were retrieved, of which 21 studies met the inclusion criteria. These studies had 1411 participants. Two authors independently extracted data from the selected studies and assessed the methodological quality. The data were analyzed using the RevMan 5.1 program of the Cochrane library.

Results

Overall effect size of spiritual intervention on spiritual and psychological (depression and anxiety) outcomes were moderate (d=-0.65 to d=-0.76, p<.001). The effects on biological outcomes (pain and functional status) ranged from -0.51 to -0.39, respectively. No publication bias was detected as evaluated by a funnel plot. Spiritual intervention had a moderate effect on psychological and spiritual outcomes and a smaller effect on biological outcomes.

Conclusion

The results of this study suggest that spiritual intervention can relieve depression and anxiety. Further randomized controlled trials studies are needed to evaluate the effects of spiritual intervention on biological outcomes.

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Nader Salari, Mohsen Kazeminia, Alireza Abdi, Amir Abdolmaleki, Nasrin Abdoli, Masoud Mohammadi, Shamarina Shohaimi
Current Psychology.2023; 42(12): 9943. CrossRef
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Rongna Wang, Xiaoyan Zheng, Xixi Su, Xiuyu Huang, Huangju Liu, Yulai Guo, Ji Gao
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The Effects of Spiritual Well-being on Self-care Practices in People Undergoing Hemodialysis: The Mediating Effect of Hope
Bu Kyung Kim, Pok-Ja Oh
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Abriendo nuevas puertas: Relevancia clínica de integrar la religión y la espiritualidad en la disciplina de la psicología
Orlando M. Pagan-Torres Ponce
Revista Puertorriqueña de Psicologia.2022; 33(2): 258. CrossRef
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Won-Hee Jun, Kyung-Sook Cha, Kee-Lyong Lee
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Juliane Piasseschi de Bernardin Gonçalves, Giancarlo Lucchetti, Paulo Rossi Menezes, Homero Vallada, Gianni Virgili
PLOS ONE.2017; 12(10): e0186539. CrossRef
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Development and Effectiveness of Expressive Writing Program for Women with Breast Cancer in Korea: Eun Young Park, Mungsun Yi; J Korean Acad Nurs 2012;42(2):269-279. Published online April 30, 2012; DOI: https://doi.org/10.4040/jkan.2012.42.2.269

Abstract PDF

Purpose

To develop a expressive writing program for women with breast cancer and to identify its effects on stress physical symptom, cancer symptom, anxiety, depression, and QOL.

Methods

A non-equivalent control pre-post design was used. Participants were recruited from self-help groups in six hospitals and were assigned to the experimental group (29) or control group (29). Data were collected before, after, and at four weeks after the intervention program. Changes in the variables were evaluated to test effects of the developed program, using χ²-test, Fisher's exact test, repeated measures ANOVA, and paired t-test.

Results

The expressive writing program was developed for women with breast cancer based on Pennebaker's expressive writing. Significant differences were found between the two groups for stress related to physical symptoms (p<.00) and quality of life (p=.024). No significant differences were found in cancer symptoms, anxiety, or depression between the two groups.

Conclusion

The results indicate that the expressive writing program designed to express cancer-related deep thoughts and emotions helps in decreasing physical symptoms and improving QOL. Further studies are needed to identify the effect on emotions such as anxiety and depression for women with breast cancer with above average levels of anxiety and depression.

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Psychological Medicine.2023; 53(4): 1527. CrossRef
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The Analysis of Intervention Studies for Patients with Metabolic Syndrome: Eui Geum Oh, Soo Hyun Kim, Sa Sang Hyun, Myung Sook Kang, So Youn Bang; Journal of Korean Academy of Nursing 2007;37(1):72-80. Published online February 28, 2007; DOI: https://doi.org/10.4040/jkan.2007.37.1.72

Abstract PDF

Purpose

This study was to analyze the trend of research on intervention for patients with metabolic syndrome.

Method

Using Pubmed, Medline, and CINAHL search engines, a randomized controlled trial(RCT) researching titles such as “metabolic syndrome”, “intervention”, “lifestyle modification”, or “community-based” were collected. A total of 16 researches were analyzed based on the guidelines of the National Cholesterol Education Program-Adult Treatment Panel(NCEP-ATP III).

Results

1) The total period of the intervention was from 12 to 24 weeks, the frequency was 3 to 5 times per week, and the duration of each session was from 45 to 60 minutes. The types of intervention included exercise, diet, and medication. Among these types, diet was performed most frequently. 2) The outcomes of the intervention was measured with physical aspects such as anthropometric measures, body composition, or biological markers. No studies have evaluated psychosocial outcomes such as quality of life. 3) In terms of effectiveness of the intervention, anthropometric indicators, body composition, or serological markers showed positive effects, whereas results on endothelial or urine indicators were inconsistent.

Conclusion

Methodological research developing comprehensive therapeutic lifestyle modification programs and intervention studies are needed for patients with metabolic syndrome. In addition, effects should be evaluated with multidimensional perspectives.

Citations

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Routine Screening and Consultation Facilitate Improvement of Metabolic Syndrome
Nan-He Yoon, Seunghyun Yoo, Hyekyeong Kim, Yoonjung Han
Journal of Korean Medical Science.2015; 30(8): 1092. CrossRef
Effectiveness of lifestyle interventions to prevent diabetes and cardiovascular diseases in a health promoting hospital
Hyekyeong Kim, Eunhee Nah
Korean Journal of Health Education and Promotion.2015; 32(4): 37. CrossRef

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