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Research Papers

Development and Evaluation of an App-Based Self-Management Program for Exercise Practice of Breast Cancer Survivors: A Non-Randomized Controlled Trial: Maeng, Suyoun , Yu, Jungok; J Korean Acad Nurs 2024;54(2):250-265. Published online May 31, 2024; DOI: https://doi.org/10.4040/jkan.23119

Abstract PDF

Purpose
This study aimed to develop an app-based self-management program based on the transtheoretical model (TTM) for breast cancer survivors’ exercise practice, as well as to investigate the program’s effects on the stage of change for exercise, exercise self-efficacy, exercise decisional balance, exercise amount, and body composition.
Methods
This non-randomized controlled study included 52 participants (26 in each of the experimental and control groups, respectively). An app-based self-management program based on the TTM was conducted with the experimental group for a 12-week period. The program comprised three components: individual coaching for each stage of change for exercise based on TTM, amount of exercise and body composition monitoring, and online self-help meetings.
Results
Compared with the control group, the experimental group had significantly higher stages of change for exercise (p < .001), exercise self-efficacy (p < .001), exercise decisional balance (p = .002), exercise amount (p < .001), and body composition (body weight [p = .006], body mass index [p = .005], and body fat percentage [p = .010]) immediately and four weeks after the intervention.
Conclusion
An appbased self-management program based on the TTM improves exercise behaviors in breast cancer survivors and provides physical benefits.

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Effects of a mobile health coaching intervention on symptom experience, self-management, and quality of life in breast cancer survivors: A quasi-experimental study
Jin-Hee Park, Sun Hyoung Bae, Yong Sik Jung, Min Hee Hur, Ji Young Kim, Su Jin Jung
Medicine.2025; 104(12): e41894. CrossRef

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The Experience of Gynecologic Cancer in Young Women: A Qualitative Study: Kim, Sung-Jin , Shin, Hyunjeong; J Korean Acad Nurs 2023;53(1):115-128. Published online February 28, 2023; DOI: https://doi.org/10.4040/jkan.22119

Abstract PDF

Purpose
This study aimed to understand the experiences of women under 40 years of age with gynecologic cancer.
Methods
Semi-structured individual in-depth interviews were conducted with 14 Korean female patients aged 21~39 years with gynecologic cancer. The data were analyzed using Corbin and Strauss' grounded theory approach, including open coding, context analysis, and integrating categories.
Results
Grounded theory analysis revealed nine categories and a core category of ‘the journey to find my life after losing the life as a typical woman.’ The categories that emerged as the conditions are ‘Unwelcomed guest, cancer,’ ‘Completely devastated life as an ordinary woman,’ ‘Uncertain future,’ ‘Losing my physical characteristics as a woman,’ and ‘Life tied with treatments.’ The actions/interactions were ‘Decrease of interpersonal relationships,’ ‘A lonely battle to overcome alone,’ and ‘The power to overcome hardships.’ The consequence was ‘Live my own life.’ Conclusion: This study contributes to the development of a substantive theory of the experience of gynecologic cancer in young women, which has been on the rise in recent years. The study’s results are expected to be used as a basis for providing nursing care to help young women with gynecologic cancer adapt to their disease.

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Factors Influencing Oncofertility in Gynecological Cancer Patients: Application of Mixed Methods Study
Minji Kim, Juyoung Ha
Journal of Korean Academy of Nursing.2024; 54(3): 418. CrossRef

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Effects of the Advanced Practice Nurse-Led Psychoeducational Program for Colorectal Cancer Survivors: Kim, Hye Kyung , Yoo, Yang-Sook; J Korean Acad Nurs 2022;52(3):245-260. Published online June 30, 2022; DOI: https://doi.org/10.4040/jkan.21207

Abstract PDF

Purpose
This study aimed to investigate the effects of an advanced practice nurse-led psychoeducational program on distress, anxiety, depression, coping with cancer (CWC), health promotion behavior (HPB), and quality of life (QOL) among colorectal cancer survivors.
Methods
This study was designed as a quasi-experimental study with a non-equivalent control group pretest-posttest. The participants were survivors of colorectal cancer who underwent follow-up care. There were 39 survivors: 19 in the experimental group and 20 in the control group. The experimental group performed a psychoeducational program for 120 minutes per session, once a week for a total of six weeks, while the control group received routine education and counseling. Distress, anxiety, depression, CWC, HPB, and QOL were investigated before, immediately after, and 4 weeks after the intervention. The data were analyzed with SPSS/WIN ver. 24.0, using repeated measures ANOVA.
Results
There were significant interactions between time and group for distress and anxiety. In addition, CWC interacted with the total of CWC and interpersonal coping, and QOL interacted with the total of QOL and functional status. However, there were no significant differences in the depression or HPB scores.
Conclusion
Based on the results of this study, we expect that this program can be used as an effective intervention for colorectal cancer survivors.

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Effectiveness of a mobile-based return to work program for decent return to work, fatigue, stress, and quality of working life among cancer survivors
Kisook Kim, Hyohyeon Yoon
Journal of Cancer Survivorship.2025; 19(2): 713. CrossRef
Elevating Elderly Cancer Care: A Systematic Review of Advanced Practice Nursing’s Role in Senior Oncology Patients’ Quality of Life
Cristian-David Useche-Guerrero, María-de-los-Ángeles Merino-Godoy, Eva-María Barroso-Márquez, Emilia Isabel Martins Teixeira da Costa, Rafaela Camacho Bejarano, Francisco-Javier Gago-Valiente, Rizal Angelo Grande
Journal of Nursing Management.2024;[Epub] CrossRef
Effects of Psycho-education Interventions on Colorectal Cancer Patients: A systematic review and meta-analysis
XiaoYing Zhang, HuangQin Liu, LiYing Lin, Huimin Xiao
Journal of Cancer Education.2023; 38(5): 1413. CrossRef
How should the healthcare system support cancer survivors? Survivors’ and health professionals’ expectations and perception on comprehensive cancer survivorship care in Korea: a qualitative study
Su Jung Lee, Dal-Lae Jin, Young Ae Kim, Hyun-Ju Seo, Seok-Jun Yoon
BMC Cancer.2023;[Epub] CrossRef
Cancer Survivorship Care and Roles of Oncology Nurses
Eun Young Park
Asian Oncology Nursing.2022; 22(3): 121. CrossRef

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The Development of a Tool for Assessment of Spiritual Distress in Cancer Patients: Kim, Jin Sook , Ko, Il-Sun , Koh, Su Jin; J Korean Acad Nurs 2022;52(1):52-65. Published online February 28, 2022; DOI: https://doi.org/10.4040/jkan.21120

Abstract PDF

Purpose
This study was conducted to develop a scale to measure spiritual distress in cancer patients.
Methods
A total of 69 preliminary items for the spiritaul distress assessment tool (SDAT) were compiled, based on a literature review, selection of empirically relevant items through concept analysis of hybrid models, confirmation of content validity by experts, cognitive interviews, and a pretest. Self-administered questionnaires were collected between April 1 and July 31, 2018, from 225 cancer patients at four medical institutions and one nursing home. The data were analyzed using item analysis, exploratory factor analysis, convergent and discriminant validity, and Pearson correlation for criterion validity. Reliability was tested by Cronbash’s α coefficient.
Results
The final version of the SDAT consisted of 20 items. Five-factors, loss of peace, burden of family, avoidance of confronting death, guilt and remorse, regret for not being able to apololgize and forgive were extracted, and showed 62.8% of total variance. The factors were confirmed through convergent and discriminant validity. Criterion validity was confirmed by functional assessment chronic illness therapy spiritual well-being scale 12 (FACIT-Sp12). The overall Cronbach’s α was .91, and the coefficients of each subscale ranged from .78~.83.
Conclusion
The SDAT for cancer patients is valid and reliable. It is suggested that the tool can be used to measure spiritual distress in cancer patients.

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Validity and reliability of the integrated palliative care outcome scale (IPOS) in Korea: a multicenter study of terminally ill cancer patients
So-Jung Park, Yujin Park, Mira Han, Sun-Hyun Kim, In Cheol Hwang, Go-un Woo, Yoo Jeong Lee, Young Sung Kim, Hyun Jung Jho, Yoon Jung Chang
BMC Palliative Care.2024;[Epub] CrossRef
Family caregivers’ perceived value of caring for older patient: A hybrid model of concept analysis
Seon-Hye Heo, Hye-Ryoung Kim
Journal of Korean Gerontological Nursing.2023; 25(2): 152. CrossRef
Spiritual Distress in Patients with Dyspnea: A Review of Measurement Tools
Leah McCann Klug
Illness, Crisis & Loss.2023; 31(4): 736. CrossRef

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The Lived Experience of Body Alteration and Body Image with Regard to Immediate Breast Reconstruction among Women with Breast Cancer: Ahn, Jeonghee , Suh, Eunyoung E.; J Korean Acad Nurs 2021;51(2):245-259. Published online April 30, 2021; DOI: https://doi.org/10.4040/jkan.21028

Abstract PDF

Purpose
The purpose of this study was to explore the lived experience of body alteration and body image with regard to immediate breast reconstruction among women with breast cancer.
Methods
Data were collected from July to December 2020 through individual in-depth interviews with 15 women who had undergone immediate breast reconstruction due to breast cancer. Verbatim transcripts were analyzed using Colaizzi’s phenomenological analysis.
Results
The following four theme clusters emerged. First, “revalued meaning of breasts due to cancer” illustrated the fact that cancer removal surgery brought the participants to reconsider the meaning of their breasts. Second, “had no choice but breast reconstruction” demonstrated the participants’ decision-making process of not wanting to lose breasts. Third, “unsatisfied breasts despite reconstruction” portrayed the distress due to the unexpected surgical outcomes. Finally, “restarted everyday routines with the altered body” described the healing process of the participants by accepting their changed body.
Conclusion
In Korea, where family-centeredness and fidelity are highly valued, women perceived their breasts not only as a symbol of femininity but as the mediator connecting the self to family. Despite the distress related to imperfect breasts, the participants were thankful for their reconstructed breasts. Breast reconstruction helped them return to daily life as the psychological trauma of breast cancer was healed. The participants rebuilt their body image by accepting their scarred new body. This may allow health professionals to provide constructive and culturally appropriate counseling in advance by providing insight into women’s perception of their body image with regard to breast reconstruction.

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Min-Jeung Shim, Song-Yi Lee, Oh-Sun Ha
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Jeonghee Ahn, Eunyoung E. Suh
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Influence of body image on quality of life in breast cancer patients undergoing breast reconstruction: Mediating of self‐esteem
Yunhee Jang, Mihyeon Seong, Sohyune Sok
Journal of Clinical Nursing.2023; 32(17-18): 6366. CrossRef
Body acceptance in women with breast cancer: A concept analysis using a hybrid model
Jeonghee Ahn, Eunyoung E. Suh
European Journal of Oncology Nursing.2023; 62: 102269. CrossRef
A systematic review and meta-analysis on the prepectoral single-stage breast reconstruction
Jiameng Liu, Xiaobin Zheng, Shunguo Lin, Hui Han, Chunsen Xu
Supportive Care in Cancer.2022; 30(7): 5659. CrossRef

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Original Articles

Applying Extended Theory of Planned Behavior for Lung Cancer Patients Undergone Pulmonary Resection: Effects on Self-Efficacy for Exercise, Physical Activities, Physical Function, and Quality of Life: Yeonjung Lim, Haejung Lee, Do Hyung Kim, Yeong Dae Kim; J Korean Acad Nurs 2020;50(1):66-80. Published online January 31, 2020; DOI: https://doi.org/10.4040/jkan.2020.50.1.66

Abstract PDF

Abstract Purpose:

This study aims to examine the effects of nursing interventions based on the Extended Theory of Planned Behavior (ETPB) regarding self-efficacy for exercise (SEE), physical activity (PA), physical function (PF), and quality of life (QOL) in patients with lung cancer who have undergone pulmonary resection.

Methods:

This quasi-experimental study was conducted between July 2015 and June 2018 in two university-affiliated hospitals. The intervention included pre-operative patient education, goal setting (action and coping planning), and feedback (behavior intention and perceived behavioral control). The intervention group (IG) (n=51) received nursing interventions from the day before surgery to 12 months after lung resection, while the comparison group (CG) (n=36) received usual care. SEE, PA, PF (dyspnea, functional status, and 6-minute walking distance [6MWD]), and QOL were measured before surgery and at one, three, six, and 12 months after surgery. Data were analyzed using the χ² test, Fisher’s exact test, Mann-Whitney U test, t-test, and generalized estimation equations (GEE).

Results:

There were significant differences between the two groups regarding SEE (χ²=13.53, p=.009), PA (χ²=9.51, p=.049), functional status (χ²=10.55, p=.032), and 6MWD (χ²=15.62, p=.004). Although there were no time or group effects, the QOL mental component (Z=-2.78, p=.005) of the IG was higher than that of the CG one month after surgery. Interventions did not affect dyspnea or the QOL physical component.

Conclusion

The intervention of this study was effective in improving SEE, PA, functional status, and 6MWD of lung cancer patients after lung resection. Further extended investigations that utilize ETPB are warranted to confirm these results.

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[Retracted] Dynamic Changes and Influencing Factors for the Quality of Life in Nursing Care after Lung Cancer Resection
Shuzhen Hu, Aihong Fang, Mohammad Farukh Hashmi
Contrast Media & Molecular Imaging.2022;[Epub] CrossRef
Study on influence factors of public participation willingness in substation project based on integrated TPB-NAM model
Xin Ma, Junpeng Li, Fuli Guo, Caocao Cui, Tengfei Chen, Fan Xv, Wenbin Wang
Frontiers in Psychology.2022;[Epub] CrossRef

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Incidence of Colon Cancer Related to Cigarette Smoking and Alcohol Consumption in Adults with Metabolic Syndrome: Prospective Cohort Study: Ahra Jo, Heeyoung Oh; J Korean Acad Nurs 2019;49(6):713-723. Published online December 30, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.6.713

Abstract PDF

Purpose

The purpose of this study was to identify the impact of cigarette smoking and alcohol consumption on the incidence of colon cancer in adults with metabolic syndrome.

Methods

This study employed a longitudinal study design and utilized secondary data drawn from the Korean Genome and Epidemiology Study (KoGES). The data of a sample of 2,327 adults with metabolic syndrome tracked every two years from 2001 to 2014 were used in this study. Statistical data analyses of the frequency, number of cases per 100,000 person-years, log-rank test, Kaplan-Meier curve, and Cox's proportional hazards regression were performed using IBM SPSS statistics version 24.

Results

During the observation period, the number of colon cancer cases was 46, and the total person-years were 252,444. The incidence of colon cancer was higher in current, over 10 pack-year smokers when compared to non-smokers (hazard ratio=3.38, 95% confidence interval=1.09~8.42).

Conclusion

Excessive and long-term smoking should be avoided to prevent colon cancer, especially in adults with metabolic syndrome, since it might exacerbate the risk factors of colon cancer. Particularly, health professionals need to provide individualized smoking cessation interventions to those at high risk of colon cancer.

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Genetic correlation, and causal relationships between 3 solid cancer types and human traits
Claudia Cava, Ehsan Nazemalhosseini Mojarad, Isabella Castiglioni
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Ribosomal Protein L9 Maintains Stemness of Colorectal Cancer via an ID-1 Dependent Mechanism
Eun-Hye Jeon, So-Young Park, Keon Uk Park, Yun-Han Lee
Journal of Cancer Prevention.2024; 29(2): 25. CrossRef
Unhealthy lifestyle factors and the risk of colorectal cancer: a Mendelian randomization study
Xingyuan Li, Zewen Chang, Jiaqi Wang, Ke Ding, Shengqi Pan, Hanqing Hu, Qingchao Tang
Scientific Reports.2024;[Epub] CrossRef
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RPL27 contributes to colorectal cancer proliferation and stemness via PLK1 signaling
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International Journal of Oncology.2023;[Epub] CrossRef
Time to Diagnosis and Treatment of Diabetes Mellitus among Korean Adults with Hyperglycemia: Using a Community-Based Cohort Study
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International Journal of Environmental Research and Public Health.2022; 19(19): 12090. CrossRef
Effects of Nutritious Meal Combined with Online Publicity and Education on Postoperative Nutrition and Psychological State in Patients with Low Rectal Cancer After Colostomy
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Burden of Cancer Due to Cigarette Smoking and Alcohol Consumption in Korea
Yoon-Sun Jung, Seok-Jun Yoon
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Qi Gao, Caifeng Zhang, Zhichao Dong, Yan Guo, Li Zhang, Sudipta Roy
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The Effects of Utilizing Smartphone Application Peer Support on Health Behavior and Body Mass Index among Breast Cancer Survivors: Gaeun Park, Haejung Lee, Hyun Yul Kim; J Korean Acad Nurs 2019;49(5):550-561. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.5.550

Abstract PDF

Abstract Purpose

This study aimed to identify the effects of utilizing Smartphone Application Peer Support (SAPS) on health behavior and body mass index (BMI) among overweight or obese breast cancer survivors (BCS).

Methods

A nonequivalent control group with a non-synchronized design was utilized and 36 participants (experimental group 14, control group 22) were recruited from August 2017 to September 2018. Participants were 40~65 years old, overweight or obese, had completed primary cancer treatment within the 12 months prior to the study, and had not done regular exercise during the last 6 months. The 3-month SAPS consisted of exercise and diet education (once p/2 weeks), peer support (once p/week), and self-monitoring using smartphone applications (5 times p/week). All participants underwent assessments at baseline, right after SAPS, and at 3 months after SAPS. Data were analyzed using repeated measures ANOVA.

Results

At the completion of SAPS significant differences were found between groups in motivation for exercise (t=-3.24, p=.005), physical activity (t=-4.15, p<.001), total calorie intake (t=3.42, p=.002), calories from fat (t=-3.01, p=.005), intake of vegetables (t=-2.83, p=.008), and BMI (t=5.21, p<.001). Significant differences in BMI (t=4.13, p<.001) remained up to 3 months after SAPS completion. No significant differences was shown between groups in self-efficacy for exercise, either immediately after or 3 months after SAPS.

Conclusion

The SAPS has the potential to improve motivation for exercise, health behavior, and BMI of BCS. However, special efforts are required to encourage participants to complete the intervention and maintain long-term effects for future trials.

Citations

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Development and Evaluation of an App-Based Self-Management Program for Exercise Practice of Breast Cancer Survivors: A Non-Randomized Controlled Trial
Suyoun Maeng, Jungok Yu
Journal of Korean Academy of Nursing.2024; 54(2): 250. CrossRef
Effects of an integrated lifestyle intervention for overweight and obese breast cancer survivors: A quasi-experimental study
Su Jin Seo, Ju-Hee Nho
European Journal of Oncology Nursing.2024; 73: 102714. CrossRef
User evaluation of a mobile education application for the management of metabolic syndrome among cancer survivors
Ji-Su Kim, Minhae Kim, Yeji Seo
European Journal of Oncology Nursing.2023; 63: 102276. CrossRef
Effectiveness of Digital Health on the Quality of Life of Long-Term Breast Cancer Survivors: A Systematic Review
Gustavo Adolfo Pimentel-Parra, M. Nelia Soto-Ruiz, Leticia San Martín-Rodríguez, Paula Escalada-Hernández, Cristina García-Vivar
Seminars in Oncology Nursing.2023; 39(4): 151418. CrossRef
Effectiveness of a virtual reality application‐based education programme on patient safety management for nursing students: A pre‐test–post‐test study
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Nursing Open.2023; 10(12): 7622. CrossRef
Effects of smart-care services program for breast cancer survivors
Bok Yae Chung, Sung Jung Hong
The Journal of Korean Academic Society of Nursing Education.2021; 27(2): 95. CrossRef
The development of a lifestyle modification mobile application, “Health for You” for overweight and obese breast cancer survivors in Korea
Su-Jin Seo, Ju-Hee Nho, Youngsam Park
Korean Journal of Women Health Nursing.2021; 27(3): 243. CrossRef
Peer‐supported lifestyle interventions on body weight, energy intake, and physical activity in adults: A systematic review and meta‐analysis
Siew Lim, Wai Kit Lee, Andy Tan, Mingling Chen, Chau Thien Tay, Surbhi Sood, Stephanie Pirotta, Lisa J. Moran, Meena Daivadanam, Ljoudmila Busija, Helen Skouteris, Mamaru A. Awoke, Briony Hill
Obesity Reviews.2021;[Epub] CrossRef
Application and evaluation of mobile nutrition management service for breast cancer patients
Ji Hee Choi, Seon-Joo Park, Hee Kwon, Hae-Jeung Lee
Journal of Nutrition and Health.2020; 53(1): 83. CrossRef

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A Structural Model for Chemotherapy Related Cognitive Impairment and Quality of Life in Breast Cancer Patients: Jung Ran Lee, Pok Ja Oh; J Korean Acad Nurs 2019;49(4):375-385. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.4.375

Abstract PDF

Abstract Purpose

This study aimed to develop and test a structural model for chemotherapy-related cognitive impairment of breast cancer patients based on a literature review and Hess and Insel's chemotherapy-related cognitive change model.

Methods

The Participants consisted of 250 patients who were ≥19 years of age. The assessment tools included the Menopause Rating Scale, Symptom Experience Scale, Hospital Anxiety and Depression Scale, Everyday Cognition, and Functional Assessment of Cancer Therapy-Breast Cancer. Data were analyzed using the SPSS 21.0 and AMOS 21.0 programs.

Results

The modified model was a good fit for the data. The model fit indices were χ ²=423.18 (p<.001), χ ²/df=3.38, CFI=.91, NFI=.91, TLI=.89, SRMR=.05, RMSEA=.09, and AIC=515.18. Chemotherapy-related cognitive impairment was directly influenced by menopausal symptoms (β=.38, p=.002), depression and anxiety (β=.25, p=.002), and symptom experiences (β=.19, p=.012). These predictors explained 47.7% of the variance in chemotherapy-related cognitive impairment. Depression and anxiety mediated the relations among menopausal symptoms, symptom experiences, and with chemotherapy related cognitive impairment. Depression and anxiety (β=-.51, p=.001), symptom experiences (β=-.27, p=.001), menopausal symptoms (β=-.22, p=.008), and chemotherapy-related cognitive impairment (β=-.15, p=.024) had direct effects on the quality of life and these variables explained 91.3%.

Conclusion

These results suggest that chemotherapy-related toxicity is highly associated with cognitive decline and quality of life in women with breast cancer. Depression and anxiety increased vulnerability to cognitive impairment after chemotherapy. Nursing intervention is needed to relieve chemotherapy-related toxicity and psychological factor as well as cognitive decline for quality of life in patients undergoing chemotherapy.

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Analysis of Breast Cancer Nursing Education Content and Educational needs for Breast Cancer Patient Nursing Perceived by Nurses
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Minji Kim, Juyoung Ha
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Nan Wu, Ze Luan, Zijun Zhou, He Wang, Shiyuan Du, Yulu Chen, Xinxin Wang, Jiong Li, Xin Peng
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The Influence of Rehabilitation on Quality of Life in Breast Cancer Survivors: A Clinical Study
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Experiences of Ego Integrity Recovery in Elderly Cancer Patients: Grounded Theory Approach: Han-Gyo Choi, Hye-Ah Yeom; J Korean Acad Nurs 2019;49(3):349-360. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.3.349

Abstract PDF

Abstract Purpose

This study was conducted to derive a substantive theory on lived experiences of elderly cancer patients.

Methods

The data were collected from February to March 2018 through in-depth personal interviews with 14 elderly cancer patients. The collected data were analyzed based on Corbin and Strauss's grounded theory.

Results

The core category was “the journey to find balance in daily lives as a cancer patient by recovering disturbed ego integrity.” The core phenomenon was “shattered by suffering from cancer,” and the causal conditions were “physical change” and “limitations in daily life.” The contextual conditions were “decreased self-esteem,” “feelings of guilt toward the family,” and the sense of “economic burden.” The participants’ action and interaction strategies were “maintaining or avoiding social relations,” “seeking meaning of the illness,” “falling into despair,” and “strengthening the willingness to battle the cancer.” The intervening conditions were “support from health care providers and family,” “dissatisfaction with health care providers,” “spiritual help from religion,” and “the improvement or worsening of health conditions.” The consequences were “having a new insight for life,” “living positively along with cancer illness,” and “the loss of willingness to live.” A summary of the series of processes includes the “crisis stage,” “reorganizing stage,” and the “ego integration stage.”

Conclusion

This study explored the holistic process of ego integrity impairment and the recovery experience of elderly cancer patients. This study is expected to be used as a basis for the development of nursing interventions that can support patients when coping with all stages of their cancer illness trajectory.

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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

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Effects of Mobile Navigation Program in Colorectal Cancer Patients based on Uncertainty Theory: Kyengjin Kim, Wanju Park; J Korean Acad Nurs 2019;49(3):274-285. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.3.274

Abstract PDF

Abstract Purpose

This study aimed to examine the effects of a mobile navigation program on uncertainty, resilience, and growth through uncertainty in colorectal cancer patients.

Methods

To verify the effectiveness of the mobile navigation program, 61 participants diagnosed with colorectal cancer undergoing surgery were selected. A nonequivalent control group nonsynchronized design was used to evaluate the program. Uncertainty was measured using the Korean version of the Uncertainty in Illness Scale, resilience was measured using the Korean version of the Connor-Davidson Resilience Scale, and growth through uncertainty was measured using the Growth through Uncertainty Scale.

Results

Compared with the control group, patients in the mobile navigation program group showed significant differences in scores for uncertainty (F=7.22, p=.009) and resilience (F=4.31, p=.042), but not for growth through uncertainty (F=2.76, p=.102).

Conclusion

These results suggest that the mobile navigation program has positive effects on decreasing uncertainty and increasing resilience among colorectal cancer patients. The mobile navigation program could play a significant role in assisting colorectal cancer patients in regard to the continuity and usability of the program.

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Family Surrogates' Decision Regret and Psychological Stress about End-of-Life Cancer Treatments: Path Analysis: Su Hyun Kim; J Korean Acad Nurs 2018;48(5):578-587. Published online October 31, 2018; DOI: https://doi.org/10.4040/jkan.2018.48.5.578

Abstract PDF

Purpose

This study aimed to understand the mechanisms of decision regret and stress of family surrogates' end-of-life decision making using an exploratory path model. In particular, the research identified the direct effects of perceptions of uncertainty and effective decisions on decision regret and stress, and examined the indirect effects of being informed, having clear values, and being supported for decision regret and the stress of end-of-life decision making through the mediating variables of perceptions of uncertainty and effective decisions.

Methods

Data were collected from 102 family surrogates who had participated in end-of-life decision making for patients with terminal cancer in a tertiary hospital.

Results

Perception of effective decisions was a significant direct predictor of decision regret, and uncertainty was a significant predictor of stress among the participants. Being informed, having clear values, and being supported had a significant indirect influence on decision regret through the perception of effective decisions among family surrogates. However, only having clear values had a significant indirect influence on stress through the perception of uncertainty. The model explained 63.0% of decision regret and 20.0% of stress among the participants and showed a good fit with the data, χ²=12.40 (df=8, p=.134), TLI=.97, and RMSEA=.07.

Conclusion

Nurses can support family surrogates in end-oflife decision-making processes to decrease their decision regret by providing information about end-of-life care choices, clarifying personal values, and supporting the decision-making process, and to relieve their stress by facilitating the clarification of personal values.

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Fur-Hsing Wen, Chia-Hsun Hsieh, Ming-Mo Hou, Po-Jung Su, Wen-Chi Shen, Wen-Chi Chou, Jen-Shi Chen, Wen-Cheng Chang, Siew Tzuh Tang
Journal of Pain and Symptom Management.2023; 66(1): 44. CrossRef
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Psychosocial Adjustment in Korean Colorectal Cancer Survivors: Hyejin Sun, Jia Lee; J Korean Acad Nurs 2018;48(5):545-553. Published online October 31, 2018; DOI: https://doi.org/10.4040/jkan.2018.48.5.545

Abstract PDF

Purpose

The increasing survival rate of colorectal cancer demands various nursing interventions and continuous care for patients to adapt to their psychosocial daily lives. The purpose of this study was to identify factors associated with psychosocial adjustment in colorectal cancer survivors.

Methods

A cross-sectional descriptive study with face-to-face interviews was conducted of 156 colorectal cancer survivors after surgery visiting an outpatient cancer clinic at a tertiary hospital in S city, Korea. Posttraumatic growth, health-promoting behavior, length of treatment, difficulty in activities of daily living, and having a stoma were entered into the linear regression model.

Results

The strongest factor influencing the level of psychosocial adjustment was health-promoting behavior (β=.33, p<.001), followed by difficulty in activities of daily living (β=-.24, p=.001), posttraumatic growth (β=.20, p=.004), and having a stoma (β=-.19, p=.004).

Conclusion

Nursing interventions for psychosocial adjustment in colorectal cancer survivors need to include the contents for posttraumatic growth, as well as health-promoting behavior, and activities of daily living.

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Elif Budak Ertürk, Hacer Ari, Çiğdem Üstündağ, Esra Yilmaz, Ülkü Topdemir
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Psychosocial adjustment and influencing factors in patients with newly diagnosed colorectal cancer: A latent profile analysis
Chen Yuan, Jingyue Xie, Lu Cui, Qianqian Du, Xinxin Li, Xiaoxuan Wang, Jianfei Liu, Xiaodan Wu, Meifen Zhang
European Journal of Oncology Nursing.2025; 75: 102818. CrossRef
Correlated factors of posttraumatic growth in patients with colorectal cancer: A systematic review and meta-analysis
Dingyuan Wei, Xue Wang, Mengxing Wang, Jiayan Wang, Fangping Chen, Luyang Jin, Xuemei Xian
International Journal of Nursing Sciences.2025; 12(1): 96. CrossRef
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Carol Stott, Julia Kittscha, Lisa Graaf, Ian Whiteley, Colleen Mendes, Deb Day, Brenda Christiansen, Jill Fairhall, Jenny Duggan, Joan Walsh, Karen Cole, Mark Murtagh, Greg Fairbrother
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Seul Gi Lee, Sung Reul Kim
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The Relationship Between Stress, Disability Acceptance, and Quality of Life of People With Physical Disabilities in South Korea: Focused on the Psychosocial Adaptation Model
Hyun-Ju Ju, Uibin Lee, Yein Kim, Debra A. Harley
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‘That gave me a lot of comfort, that he would ask my opinion about how we wanted to talk about this’: A qualitative analysis of clinical communication experiences of ostomy patients
Braidyn S Lazenby, Ashley Guidry, Erin E Donovan, René Dailey, Srinivas Joga Ivatury
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Yuan Liao, Xuelan Liu, Xinyu Wu, Chun Li, Yu Li
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Posttraumatic growth in colorectal cancer survivors: A systematic review
Zhiming Wang, Xuan Chen, Junrui Zhou, Alice Yuen Loke, Qiuping Li
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Adjustment to an Ostomy
Julia Kittscha, Greg Fairbrother, Vida Bliokas, Val Wilson
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Effects of the Advanced Practice Nurse-Led Psychoeducational Program for Colorectal Cancer Survivors
Hye Kyung Kim, Yang-Sook Yoo
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Wenjie Zou, Yiheng Zhang, Lizhen Gong, Meng Zhang, Xiaoyu Wu, Jingyue Xie, Meifen Zhang
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Moderating Effect of Posttraumatic Growth on the Relationship Between Social Support and Quality of Life in Colorectal Cancer Patients With Ostomies
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Wen Zeng, Shaomei Shang, Qian Fang, Shan He, Juan Li, Yuanrong Yao
BMC Nursing.2021;[Epub] CrossRef

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Psychoeducational Approach to Distress Management of Newly Diagnosed Patients with Breast Cancer: Jin-Hee Park, Mison Chun, Yong Sik Jung, Sun Hyoung Bae, Young-Mi Jung; J Korean Acad Nurs 2018;48(6):669-678. Published online January 15, 2018; DOI: https://doi.org/10.4040/jkan.2018.48.6.669

Abstract PDF

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.

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Young-Hee Je, Kyoung-Ah Kang
Asian Oncology Nursing.2025; 25(1): 1. CrossRef
Psychological Distress and Influencing Factors in Newly Diagnosed Patients with Breast Cancer: A Cross-Sectional Study
Jin-Hee Park, Yong Sik Jung, Min Hee Hur, Yu Jin Jeong
Korean Journal of Adult Nursing.2024; 36(4): 311. CrossRef
Effects of Psychosocial Interventions for Patients with Breast Cancer: A Meta-analysis
Kyu-Sic Hwang, Kuy-Haeng Lee, Chan-Mo Yang, Hye-Jin Lee, Sang-Yeol Lee
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The development of a lifestyle modification mobile application, “Health for You” for overweight and obese breast cancer survivors in Korea
Su-Jin Seo, Ju-Hee Nho, Youngsam Park
Korean Journal of Women Health Nursing.2021; 27(3): 243. CrossRef
Development and Effect of the Integrated Health Promotion Program for Cancer Survivors Living at Home
Hee Sang Yoon, Eun A Hwang
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Songül Kamışlı, Bahar Gökler
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Integration of longitudinal psychoeducation programmes during the phases of diagnosis, management and survivorship of breast cancer patients: A narrative review
Athena Michaelides, Constantina Constantinou
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Kavitha Konnakkaparambil Ramakrishnan, Sreekumar Damodaran
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Mediating and Moderating Factors of Adherence to Nutrition and Physical Activity Guidelines, Breastfeeding Experience, and Spousal Support on the Relationship between Stress and Quality of Life in Breast Cancer Survivors
Nam Mi Kang, Won-Ho Hahn, Suyeon Park, Jung Eun Lee, Young Bum Yoo, Chung Ja Ryoo
International Journal of Environmental Research and Public Health.2020; 17(20): 7532. CrossRef
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Ji Yea Lee, Yeonsoo Jang, Sanghee Kim, Woo Jin Hyung
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Tetiana Odynets, Yuriy Briskin, Valentina Todorova
Integrative Cancer Therapies.2019;[Epub] CrossRef

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Reliability and Validity of the Korean Version of the Coping and Adaptation Processing Scale–Short-Form in Cancer Patients: Chi Eun Song, Hye Young Kim, Hyang Sook So, Hyun Kyung Kim; J Korean Acad Nurs 2018;48(3):375-388. Published online January 15, 2018; DOI: https://doi.org/10.4040/jkan.2018.48.3.375

Abstract PDF

Abstract Purpose

This study was conducted to assess the reliability and validity of the Korean version of the Coping and Adaptation Processing Scale-Short-Form in patients with cancer.

Methods

The original scale was translated into Korean using Brislin's translation model. The Korean Short-Form and the Functional Assessment Cancer Therapy-General were administered to 164 Korean patients with cancer using convenience sampling method. The collected data were analyzed using SPSS 23.0 and AMOS 23.0. Construct validity, criterion validity, test-retest reliability, and internal consistency reliability of the Korean Coping and Adaptation Processing Scale-Short-Form were evaluated.

Results

Exploratory factor analysis supported the construct validity with a four-factor solution that explained 60.6% of the total variance. Factor loadings of the 15 items on the four subscales ranged .52~.86. The four-subscale model was validated by confirmatory factor analysis (Normed χ ²=1.38 (p=.013), GFI=.92, SRMR=.02, RMSEA=.05, TLI=.94, and CFI=.95), and criterion validity was demonstrated with the Functional Assessment Cancer Therapy-General. Cronbach's alpha for internal consistency of the total scale was .83 and ranged .68~.81 for all subscales, demonstrating sufficient test-retest reliability.

Conclusion

The Korean version showed satisfactory construct and criterion validity, as well as internal consistency and test-retest reliability.

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Ju Sun Cho, Sook Jung Kang
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Haikal Anuar Adnan, Zarinah Arshat, Nurul Saidatus Shaja’ah Ahmad Shahril
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No Eul Kang, Hye Young Kim, Ji Young Kim, Sung Reul Kim
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Psychometric Testing of the Chinese Version of the Coping and Adaptation Processing Scale-Short Form in Adults With Chronic Illness
Xiyi Wang, Leiwen Tang, Doris Howell, Jing Shao, Ruolin Qiu, Qi Zhang, Zhihong Ye
Frontiers in Psychology.2020;[Epub] CrossRef
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Symptom Distress and Coping in Young Korean Breast Cancer Survivors: The Mediating Effects of Social Support and Resilience: Ji Hyun Lee, Hye Young Kim; J Korean Acad Nurs 2018;48(2):241-253. Published online January 15, 2018; DOI: https://doi.org/10.4040/jkan.2018.48.2.241

Abstract PDF

Abstract Purpose

The purpose of this study was to test the mediating effect of social support and resilience on the relationship between symptom distress and coping in young Korean breast cancer survivors.

Methods

A purposive sample of 209 young breast-cancer survivors (mean age 39.9) was recruited for a cross-sectional survey, and the data were collected between June and October 2015. The instruments used in this study were the Memorial Symptom Assessment Scale-Short Form, the Multidimensional Scale of Perceived Social Support, 10-item Connor-Davidson Resilience Scale, and Cancer Coping Questionnaire. The collected data were then analyzed using the SPSS 23.0 and AMOS 23.0 programs.

Results

Symptom distress was found to have a significant indirect effect on coping (beta=-.32, p=.002), but not a significant direct effect (beta=.06, p=.577). Additionally, based on the values obtained for the squared multiple correlation, symptom distress, social support, and resilience were found to explain 46.4% of the total variance of coping.

Conclusion

Based on the results of this study, it can be suggested that in order to enhance young breast cancer survivors’ ability to cope with the distress they commonly feel, intervention methods that strengthen resilience and provide social support should be developed and made available to them.

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Hye Young Min, Yoonjung Kim, Hae Jeong An
European Journal of Oncology Nursing.2025; 75: 102837. CrossRef
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Meixuan Song, Qiuyao He, Juan Yang, Jinyu Zhang
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Impact of Uncertainty on the Quality of Life of Young Breast Cancer Patients: Focusing on Mediating Effect of Marital Intimacy: Yeong Kyong Oh, Seon Young Hwang; J Korean Acad Nurs 2018;48(1):50-58. Published online January 15, 2018; DOI: https://doi.org/10.4040/jkan.2018.48.1.50

Abstract PDF

Abstract Purpose

The purpose of this study was to examine the mediating effect of marital intimacy on the impact of uncertainty on the quality of life (QoL) of young breast cancer patients.

Methods

This study used a pathway analysis with 154 young breast cancer cases in their early diagnosis stage at a medical center in Korea. Data were collected from November 2016 to February 2017 and analyzed using correlation analysis and pathway analysis.

Results

Uncertainty, marital intimacy, and 4 sub-scales of QoL showed a significant correlation. Marital intimacy was directly affected by uncertainty (b=-.39, p=.013) and 4 sub-scales of QoL were also affected by uncertainty. Among the 4 sub-scales of QoL, physical well-being (PWB) (b=.17, p=.026), social well-being (SWB) (b=.49, p=.010), and functional well-being (FWB) (b=.38, p=.009) were affected by marital intimacy but emotional well-being (EWB) was not affected by it. The mediating effect of marital intimacy on the impact of uncertainty on QoL was confirmed. Marital intimacy showed a significant indirect effect on PWB (b=-.07, p=.024), SWB (b=-.19, p=.008), and FWB (b=-.15, p=.005), and it means that marital intimacy has a partial mediating effect on the impact of uncertainty on PWB, SWB, and FWB.

Conclusion

Effects of uncertainty on QoL was mediated by marital intimacy of young breast cancer patients in their early diagnosis stage. It suggests that marital intimacy needs to be considered in providing nursing intervention for young breast cancer patients.

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Review Article

Effects of Psychoeducational Intervention for Cancer Survivors: A Systematic Review and Meta-Analysis: Jin-Hee Park, Sun Hyoung Bae; J Korean Acad Nurs 2017;47(2):143-163. Published online April 28, 2017; DOI: https://doi.org/10.4040/jkan.2017.47.2.143

Abstract PDF Supplementary Material

Purpose

This study was a systematic review and meta-analysis designed to investigate effects of psychoeducational intervention for cancer survivors.

Methods

Ten databases were searched. Two reviewers independently performed the selection of the studies, data extraction and assessment. The risk of bias was assessed using Cochrane Collaboration's tool. To estimate the effect size, meta-analysis of the studies was performed using Comprehensive Meta-Analysis and RevMan programs.

Results

Of 18,781 publications identified, 35 met inclusion criteria, and 25 studies were used to estimate effect size of psychoeducational intervention. Effect sizes (standardized mean difference [SMD]) were heterogeneous and random effects models were used in the analyses. Psychoeducational intervention was effective for quality of life (n=2,410, ES=0.23; 95% CI: 0.09~0.37), coping and self-efficacy (n=179, ES=0.68; 95% CI: 0.26~1.11), anxiety (n=1,786, ES=-0.26; 95% CI: -0.37~-0.15), depression (n=1,910, ES=-0.28; 95% CI: -0.37~-0.18), and psychological distress (n=2,242, ES=-0.31; 95% CI: -0.46~-0.17). Subgroup analysis showed that counseling was the most effective intervention for quality of life, and behavioral therapy was an effective intervention for all positive and negative outcomes. Publication bias was not detected except for psychological distress.

Conclusion

Psychoeducational intervention appears to be effective in improving quality of life and coping and self-efficacy, and it is effective in reducing psychological symptoms in cancer survivors. Behavioral therapy, especially, is commonly effective in improving psychosocial outcomes. However, low-quality evidence, variability in the designs of existing studies, and publication bias suggest that additional high-quality trials should be conducted in the future.

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Original Articles

An Analytical Review on Fatigue of Cancer Patients: Yun Jung Lee, Dal Sook Kim; Journal of Korean Academy of Nursing 2002;32(6):897-905. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2002.32.6.897

Abstract PDF

PURPOSE: The purpose of this study was to discuss and address the state of the knowledge development and the nature of knowledge regarding fatigue. METHOD: This study analyzed the 63 fatigue related articles published from 1990 to 2001. The analysis schema was 'Alternative linkages among philosophy, theory, and method for nursing science' (Kim, 1993). RESULT: The 63 articles had been studied only within 5 types among all 96 types of linkages. Most of the articles (59 among 63 articles) had been studied within scientific realism and deductive logic. Fifty-three articles among 59 articles were the type of explanatory and predictive theory, grasping reality by the etic method on the controlled setting. CONCLUSION: This study suggests more development of knowledge regarding fatigue with various logics, especially with discovery logic such as inductive and retroductive or methods in multiple designs on various subjects under various philosophy needed for nursing practice.

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In-soo Kwon, Yeong-mi Seo, Ji-youn Kim
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Hyunsook Shin, Kyung-Mi Sung, Seok Hee Jeong, Dae-Ran Kim
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The Longitudinal Study on the Calorie and Protein Intakes and Food Choices in Gastrectomy Patients who Receiving Adjuvant Chemotherapy: Myung Hee Jun, Soo Gyung Wang; Journal of Korean Academy of Nursing 2002;32(2):206-218. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2002.32.2.206

Abstract PDF

This study was conducted to investigate nutrient and food choices in gastric cancer patients receiving Cisplatin after surgery. Ten patients were followed from the fist day of the first cycle to the last date of the 6th the cycle of the chemotherapy. The subjects kept daily self record of dietary intake and the period of nausea/vomiting during 6 cycles. Using Computer Aided Nutritional Analysis Program, the degree of Calorie, carbohydrate, protein, fat and fluid intakes according the chemotherapy period. The reseacher developed food intake rating scale, and then three dietitians analysed the oral intakes according to the type of foods. As the results of this study, during the chemotherapy cancer patients are intakes much fewer calorie, protein and fluids than recommended dietary allowance. Oral intake was worsen as treatment proceed. During the chemotherapy periods most of the patients choose fruits, vegitables, steam rice, porridge, yogurt and the beam soup to overcome nausea and vomiting. In order to promote oral intake for chemotherapy patients, the researcher strongly suggest that indiviual food preform should be considered.

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Trends in Nursing Research on Cancer Patients Nutrition in Korea
Su-Ol Kim
Asian Oncology Nursing.2016; 16(1): 1. CrossRef
Energy Intake and Fatigue in Patients Receiving Chemotherapy
Mi Suk Byun, Na Hyun Kim
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Effects of a Comprehensive Rehabilitation Program for Mastectomy Patients: Ok Hee Cho; Journal of Korean Academy of Nursing 2004;34(5):809-819. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2004.34.5.809

Abstract PDF

Purpose

The purpose of this study was to investigate the effect of a comprehensive rehabilitation program on physical function, immune response, fatigue and quality of life in mastectomy patients.

Method

The subjects included fifty-five patients with breast cancer (27 in the control group and 28 in the experimental group). The subjects in the experimental group participated in a comprehensive rehabilitation program for10 weeks, which was composed of 1 session of education, 2 sessions of stress management, 2 sessions of exercise, and 1 session of peer support group activity per week.

Result

The results revealed anincrease in shoulder extension, abduction, external rotation, and internal rotation of the affectedupper extremity, and in shoulder extension and abduction of the healthy upper extremity. Also an increase in quality of life and a decrease in fatigue were significantly higher in the experimental group than the control group. However, the results revealed that the natural killer cell ratio of the experimental group increased but there was no significant difference from that of the control group.

Conclusion

The 10-week comprehensive rehabilitation program showed a large affirmative effect on physical function, fatigue and quality of life of breast cancer patients after a mastectomy.

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Kyung-Hye Hwang, Ok-Hee Cho, Yang-Sook Yoo
Clinical Nursing Research.2016; 25(2): 192. CrossRef
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Jong Hee Han
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Ji Jeong Kim, Yun A Shin, Min Hwa Suk
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Reliability and Validity of the Korean Version of the Cancer Stigma Scale: Hyang Sook So, Myeong Jeong Chae, Hye Young Kim; J Korean Acad Nurs 2017;47(1):121-132. Published online February 28, 2017; DOI: https://doi.org/10.4040/jkan.2017.47.1.121

Abstract PDF

Purpose

In this study the reliability and validity of the Korean version of the Cancer Stigma Scale (KCSS) was evaluated.

Methods

The KCSS was formed through translation and modification of Cataldo Lung Cancer Stigma Scale. The KCSS, Psychological Symptom Inventory (PSI), and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 (EORTC QLQ-C30) were administered to 247 men and women diagnosed with one of the five major cancers. Construct validity, item convergent and discriminant validity, concurrent validity, known-group validity, and internal consistency reliability of the KCSS were evaluated.

Results

Exploratory factor analysis supported the construct validity with a six-factor solution; that explained 65.7% of the total variance. The six-factor model was validated by confirmatory factor analysis (Q (χ²/df)= 2.28, GFI=.84, AGFI=.81, NFI=.80, TLI=.86, RMR=.03, and RMSEA=.07). Concurrent validity was demonstrated with the QLQ-C30 (global: r=-.44; functional: r=-.19; symptom: r=.42). The KCSS had known-group validity. Cronbach's alpha coefficient for the 24 items was .89.

Conclusion

The results of this study suggest that the 24-item KCSS has relatively acceptable reliability and validity and can be used in clinical research to assess cancer stigma and its impacts on health-related quality of life in Korean cancer patients.

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Haneul Lee, Eun Young Park, Kwang-Hi Park
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Hyewon Lim, Hyunmi Son, Gyumin Han, Taehwa Kim
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Assessment tools for stigma in breast cancer patients based on COSMIN guidelines: a systematic review
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Eun-Hee Lee, Dongwon Choi
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Sevtap Savas, Mercy Winsor, Eric Y. Tenkorang, Charlene Simmonds, Teri Stuckless
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Sunwha Cho, Eunjung Ryu
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No Eul Kang, Hye Young Kim, Ji Young Kim, Sung Reul Kim
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Kyung Mi Yang, Myeong Jeong Chae, Hyang Sook So
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The Relationships among Chemotherapy-Induced Nausea and Vomiting (CINV), Non-Pharmacological Coping Methods, and Nutritional Status in Patients with Gynecologic Cancer: Haerim Lee, Smi Choi-Kwon; J Korean Acad Nurs 2017;47(6):731-743. Published online January 15, 2017; DOI: https://doi.org/10.4040/jkan.2017.47.6.731

Abstract PDF

Abstract Purpose

Chemotherapy-induced nausea and vomiting (CINV) can cause severe malnutrition. However, relationships between CINV levels, nonpharmacological coping methods, and nutritional status of female cancer patients have rarely been investigated. Therefore, this study aimed to analyze their relationships in gynecologic cancer patients.

Methods

Participants receiving a highly and moderately emetogenic chemotherapy were recruited. The level of CINV was assessed using a numeric rating scale. Coping methods were determined using multiple-choice self-report questionnaires and categorized into seven types for statistical analysis. Nutritional status was evaluated using biochemical and anthropometric parameters.

Results

Among all the 485 patients, 200 eligible inpatients were included. Despite the administration of prophylactic antiemetics, 157 patients (78.5%) still experienced CINV, and several used nonmedically recommended coping methods, such as just enduring the symptom or rejecting food intake. A total of 181 patients (90.5%) had nutritional disorders. Although the level of CINV was indirectly related to the occurrence of nutritional disorders, patients who rejected food (b=1.57, p=.023) and did not use physical measures (b= -1.23, p=.041) as coping methods were under the high risk of nutritional disorders.

Conclusion

Korean gynecologic cancer patients had high levels of CINV and were at high risk of nutritional disorders, which may be related to the use of nonscientific coping methods, possibly due to cultural backgrounds and lack of proper nutritional program. Therefore, developing a culturally appropriate educational program for the cancer patients with CINV is urgently needed.

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Decision Making Experience on Breast Reconstruction for Women with Breast Cancer: Myungsun Yi, Woo Joung Joung, Eun Young Park, Eun Jin Kwon, Haejin Kim, Ji Young Seo; J Korean Acad Nurs 2016;46(6):894-904. Published online December 30, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.6.894

Abstract PDF

Purpose

The purpose of this study was to explore decision making experiences of Korean women with breast cancer who underwent breast reconstruction with/after a mastectomy.

Methods

Data were collected during 2015-2016 through individual in-depth interviews with 10 women who had both mastectomy and breast reconstruction, and analyzed using phenomenological method to identify essential themes on experiences of making a decision to have breast reconstruction.

Results

Five theme clusters emerged. First, “expected loss of sexuality and discovery of autonomy” illustrates various aims of breast reconstruction. Second, “holding tight to the reputation of doctors amid uncertainty” specifies the importance of a trust relationship with their physician despite a lack of information. Third, “family members to step back in position” describes support or opposition from family members in the decision making process. Fourth, “bewilderment due to the paradox of appearance-oriented views” illustrates paradoxical environment, resulting in confusion and anger. Lastly, “decision to be made quickly with limited time to oneself” describes the crazy whirling process of decision making.

Conclusion

Findings highlight aims, worries, barriers, and facilitators that women with breast cancer experience when making a decision about breast reconstruction. Deciding on breast reconstruction was not only a burden for women in a state of shock with a diagnosis of breast cancer, but also an opportunity to decide to integrate their body, femininity, and self which might be wounded from a mastectomy. These findings will help oncology professionals provide effective educational counselling before the operation to promote higher satisfaction after the operation.

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Yunhee Jang, Mihyeon Seong, Sohyune Sok
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Shu Yang, Lin Yu, Chunmiao Zhang, Mengmeng Xu, Qi Tian, Xuan Cui, Yantong Liu, Shuanghan Yu, Minglu Cao, Wei Zhang
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“Struggling to Accept the New Breast as Part of My Body” – The Challenge of Immediate Breast Reconstruction in Women With Breast Cancer
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Factors Influencing Quality of Life Among Breast Cancer Patients Following Immediate Breast Reconstruction
A Young Kim, Jeong Hye Kim
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Operation Experiences of Women with Breast Cancer
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Kristopher Lamore, Cécile Flahault, Léonor Fasse, Aurélie Untas
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Breast reconstruction statistics in Korea from the Big Data Hub of the Health Insurance Review and Assessment Service
Jae-Won Kim, Jun-Ho Lee, Tae-Gon Kim, Yong-Ha Kim, Kyu Jin Chung
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Frequency, Intensity and Daily Life Distress of Urinary Dysfunction in Women with Cervical Cancer after Radical Hysterectomy: Nami Chun, Gie Ok Noh, Hyun Ju Song, Sang Hee Kim; J Korean Acad Nurs 2016;46(3):400-408. Published online June 30, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.3.400

Abstract PDF

Purpose

This study was done to identify frequency, intensity of urinary dysfunction and daily life distress in women after a radical hysterectomy for cervical cancer.

Methods

One hundred and fifty seven women who had undergone a radical hysterectomy and one hundred and sixty five women as healthy controls completed questionnaires on intensity of urinary dysfunction and daily life distress caused by urinary dysfunction.

Results

Women with cervical cancer showed higher frequency of urinary dysfunction than healthy controls. Major urinary dysfunction for women with cervical cancer in order of frequency were night-time incontinence (odds ratio=10.39, p<.001), difficulty in starting urination, weak urine stream and sense of incomplete emptying of bladder. The highest score on intensity was difficulty in starting urination, followed by urgency, weak urine stream, daytime frequency and sense of incomplete emptying. Night-time incontinence was the urinary symptom causing the most daily life distress for cervical cancer women followed by difficulty in starting urination, urgency, sense of incomplete emptying, and night-time frequency.

Conclusion

Results suggest that nurses should address the potential postoperative urinary complications and develop long term interventions to decrease urinary dysfunction and daily life distress for women who have had a radical hysterectomy for cervical cancer.

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The Structural Equation Model on Resilience of Breast Cancer Patients Receiving Chemotherapy: Jeong Ha Yang, Ok Soo Kim; J Korean Acad Nurs 2016;46(3):327-337. Published online June 30, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.3.327

Abstract PDF

Purpose

The purpose of this study was to construct and test a structural equation model on resilience of breast cancer patients receiving chemotherapy.

Methods

Participants were 204 patients with breast cancer who received chemotherapy treatment. They participated in a structured interview, which included social support, depression, symptom experience, self-efficacy, hope, resilience, and infection prevention behaviors. Data were analyzed using SPSS/WIN 20.0 and AMOS 18.0.

Results

Lower depression (γ=-.33, p=.020) and symptom experience (γ=-.31, p=.012) and higher self-efficacy (γ=.32, p=.005) and hope (γ=.48, p=.016) were influenced by higher social support. Greater resilience was influenced by lower symptom experience (β=-.18, p=.016), higher self-efficacy (β=.49, p=.023), and higher hope (β=.46, p=.012), and these predictors explained 66.7% of variance in resilience. Greater resilience (β=.54, p=.009) made an impact on greater infection prevention behaviors. Resilience mediated the relations of symptom experience (β=-.10 p=.013), self-efficacy (β=.27, p=.006) and hope (β=.25, p=.009) with infection prevention behaviors. These predictors explained 24.9% of variance in infection prevention behaviors.

Conclusion

The findings of the study suggest that breast cancer patientsw ith greater resilience who are receiving chemotherapy participate in increased infection prevention behaviors. Further research should be conducted to seek intervention strategies that improve breast cancer patients' resilience.

Citations

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Effects of Telephone-based Self-care Intervention for Gynecologic Cancer Patients Receiving Chemotherapy: A Quasi-Experimental Study
Boyeon Lee, Hyojung Park
Journal of Korean Academy of Fundamentals of Nursing.2023; 30(2): 216. CrossRef
Adaptación a la enfermedad, resiliencia y optimismo en mujeres con cáncer de mama
Marlen Simancas Fernández, Carla Zapata Rueda, Gonzalo Galván Patrignani, Jose Carlos Celedón Rivero, Juan Hernández Padilla
Revista Colombiana de Psiquiatría.2023; 52(4): 280. CrossRef
Adaptation to the disease, resilience and optimism in woman with breast cancer
Marlen Simancas Fernández, Carla Zapata Rueda, Gonzalo Galván Patrignani, Jose Carlos Celedón Rivero, Juan Hernández Padilla
Revista Colombiana de Psiquiatría (English ed.).2023; 52(4): 280. CrossRef
Positive personal resources and psychological distress during the COVID-19 pandemic: resilience, optimism, hope, courage, trait mindfulness, and self-efficacy in breast cancer patients and survivors
Francesca Chiesi, Deborah Vizza, Moira Valente, Rosy Bruno, Chloe Lau, Maria Rosita Campagna, Melania Lo Iacono, Francesco Bruno
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A menopausal transition model based on transition theory
Jisoon Kim, Sukhee Ahn
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Jie Zhang, Yizhen Yin, Anni Wang, Hui Li, Juan Li, Silan Yang, Yuchen Wu, Jingping Zhang
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Mediator Roles of Social Support and Hope in the Relationship Between Body Image Distress and Resilience in Breast Cancer Patients Undergoing Treatment: A Modeling Analysis
Hsin-Tien Hsu, Chiung-Hui Juan, Jyu-Lin Chen, Hsiu-Fen Hsieh
Frontiers in Psychology.2021;[Epub] CrossRef
Structure Equation Modeling for Resilience in Patients with Breast Cancer
Dong Rim Hyun, So Yeun Jun, Chang Wan Jun, Sue Kyung Sohn
Korean Journal of Adult Nursing.2021; 33(2): 87. CrossRef
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Yoon Jung Shin, Eui Geum Oh
European Journal of Oncology Nursing.2021; 53: 101977. CrossRef
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Xiaoting Wu, Haibo Xu, Xiaomin Zhang, Shiyu Han, Liuna Ge, Xiaohui Li, Xinqiong Zhang
Cancer Nursing.2021; 44(1): 79. CrossRef
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Journal of Clinical Nursing.2020; 29(21-22): 4020. CrossRef
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No Eul Kang, Hye Young Kim, Ji Young Kim, Sung Reul Kim
Journal of Clinical Nursing.2020; 29(21-22): 4368. CrossRef
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Caixia Li, Huijuan Lu, Wei Qin, Xiaorong Li, Jingxian Yu, Fang Fang
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Shin-Young Lee, Haeok Lee, Jacqueline Fawcett, Jeong-Hwan Park
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Scott E. Wilks, Wanda R. Spurlock, Sandra C. Brown, Bettina C. Teegen, Jennifer R. Geiger
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Jong Kyung Lee, Ji Yeong Yun
Korean Journal of Adult Nursing.2018; 30(4): 385. CrossRef
Effects of a Group Coaching Program on Depression, Anxiety and Hope in Women with Breast Cancer Undergoing Chemotherapy
So Ryoung Seong, Moon-kyung Cho, Jeeyoon Kim, Yeo Ok Kim
Asian Oncology Nursing.2017; 17(3): 188. CrossRef

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A Study on the Knowledge Structure of Cancer Survivors based on Social Network Analysis: Sun Young Kwon, Ka Ryeong Bae; J Korean Acad Nurs 2016;46(1):50-58. Published online February 29, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.1.50

Abstract PDF

Purpose

The purpose of this study was to identify the knowledge structure of cancer survivors.

Methods

For data, 1099 articles were collected, with 365 keywords as a Noun phrase extracted from the articles and standardized for analyzing. Co-occurrence matrix were generated via a cosine similarity measure, and then the network analysis and visualization using PFNet and NodeXL were applied to visualize intellectual interchanges among keywords.

Results

According to the result of the content analysis and the cluster analysis of author keywords from cancer survivors articles, keywords such as 'quality of life', 'breast neoplasms', 'cancer survivors', 'neoplasms', 'exercise' had a high degree centrality. The 9 most important research topics concerning cancer survivors were 'cancer-related symptoms and nursing', 'cancer treatment-related issues', 'late effects', 'psychosocial issues', 'healthy living managements', 'social supports', 'palliative cares', 'research methodology', and 'research participants'.

Conclusion

Through this study, the knowledge structure of cancer survivors was identified. The 9 topics identified in this study can provide useful research direction for the development of nursing in cancer survivor research areas. The Network analysis used in this study will be useful for identifying the knowledge structure and identifying general views and current cancer survivor research trends.

Citations

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Danbee Kang, Ka Ryeong Bae, Yeojin Ahn, Nayeon Kim, Seok Jin Nam, Jeong Eon Lee, Se Kyung Lee, Young Mog Shim, Dong Hyun Sinn, Seung Yeop Oh, Mison Chun, Jaesung Heo, Juhee Cho
Cancer Research and Treatment.2023; 55(2): 419. CrossRef
Web-Based Research Trends on Child and Adolescent Cancer Survivors Over the Last 5 Years: Text Network Analysis and Topic Modeling Study
Hyun-Yong Kim, Kyung-Ah Kang, Suk-Jung Han, Jiyoung Chun
Journal of Medical Internet Research.2022; 24(2): e32309. CrossRef
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JongHwi Song, SooYeun Yoo, JunRyul Yang, SangKyun Yun, YunHee Shin, Girish C. Melkani
PLOS ONE.2022; 17(8): e0273570. CrossRef
An Overview of Cognitive Reserve in Aging Based on Keyword Network Analysis
Jihyun Kim, Mi So Kim
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Analysis of research on metabolic syndrome in cancer survivors using topic modeling and social network analysis
Ji-Su Kim, Hyejin Kim, Eunkyung Lee, Yeji Seo
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Eun Young Kim, Sung Ok Chang
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Research Topics and Trends in Interprofessional Education in Nursing
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Social Determinants of Health of Multicultural Adolescents in South Korea: An Integrated Literature Review (2018~2020)
Youlim Kim, Hyeonkyeong Lee, Hyeyeon Lee, Mikyung Lee, Sookyung Kim, Kennedy Diema Konlan
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Kisook Kim, Seung Gyeong Jang, Ki-Seong Lee
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Sun Joo Park, Na Ri Shin, Seung Hye Kim, Su Bin Park, Chul Eung Kim
Journal of Korean Neuropsychiatric Association.2020; 59(1): 72. CrossRef
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Kisook Kim, Ki-Seong Lee
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Chan Sook Park
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Jung Eun Choi, Mi So Kim
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Eun-Jun Park, Youngji Kim, Chan Sook Park
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Mikyung Moon
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Tae Wha Lee, Kwang-Ok Park, GyeongAe Seomun, Miyoung Kim, Jee-In Hwang, Soyoung Yu, Seok Hee Jeong, Min Jung, Mikyung Moon
Journal of Korean Academy of Nursing Administration.2017; 23(1): 101. CrossRef
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Jung-Hee Han, Young-Hee Yom
Journal of Korean Gerontological Nursing.2017; 19(2): 69. CrossRef

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Development and Validation of the Empowerment Scale for Woman with Breast Cancer: Sun Hwa Shin, Hyojung Park; J Korean Acad Nurs 2015;45(4):613-624. Published online August 31, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.4.613

Abstract PDF

Purpose

The purpose of this study was to develop a scale to evaluate empowerment in woman with breast cancer and to examine the validity and reliability of the scale.

Methods

The development process for the initial items included a literature review, interviews, and construction of a conceptual framework. The identified items were evaluated for content validity by experts, resulting in 3 factors and 48 preliminary items. Participants were 319 women with breast cancer recruited to test reliability and validity of the preliminary scale. Data were analyzed using item analysis, confirmatory factor analysis, criterion related validity, internal consistency and test-retest reliability.

Results

The final scale consisted of 30 items and 3 factors. Factors, including 'intrapersonal factor' (14 items), 'interactional factor' (8 items), and 'behavioral factor' (8 items), were drawn up after confirmatory factor analysis. Goodness of fit of the final research model was very appropriate as shown by χ²/df=1.86, TLI=.90, CFI=.92, SRMR=.06, and RMSEA=.05. Criterion validity was evaluated by total correlation with the Cancer Empowerment Questionnaire .78. Cronbach's alpha for total items was .93 and test-retest reliability was .69.

Conclusion

Findings from this study indicate that the scale can be used in the development of nursing interventions to promote the empowerment of women having breast cancer.

Citations

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Effect of depression and empowerment on medication adherence in patients with breast cancer: a descriptive survey
Sookyung Jeong, Eun Jeong Kim
BMC Nursing.2025;[Epub] CrossRef
Patient Empowerment in Cancer Care
Soo Hyun Kim, Yu Hyeon Choe, Da Hye Kim
Cancer Nursing.2024; 47(6): 471. CrossRef
Development and Evaluation of Health Empowerment Scale for North Korean Women Defectors
Semi Lim, Younhee Kang
Journal of Korean Academy of Nursing.2022; 52(1): 80. CrossRef
Reliability and Validity of the Korean Version of the Health Care Empowerment Questionnaire (K-HCEQ)
Semi Lim, Kyungmi Lee
Journal of Korean Academy of Fundamentals of Nursing.2022; 29(2): 131. CrossRef
Effects of a partnership‐based, needs‐tailored self‐management support intervention for post‐treatment breast cancer survivors: A randomized controlled trial
Soo Hyun Kim, Yu Hyeon Choe, Young Up Cho, Seho Park, Moon Hee Lee
Psycho-Oncology.2022; 31(3): 460. CrossRef
Concept Analysis of the Empowerment of Patients With Coronary Artery Disease Using a Hybrid Model
Jiyoung Kim, Nayeon Shin
Advances in Nursing Science.2022; 45(1): E31. CrossRef
Application of empowerment education in health education for cancer patients
Yan PENG, Lin HAN, Fang-Fang AN, Li LI, Yue-Li HOU
Journal of Integrative Nursing.2021; 3(1): 46. CrossRef
Development and evaluation of the Coronary Artery Disease Empowerment Scale (CADES) in Korea
Jiyoung Kim, Nayeon Shin, Kyungmi Lee
Clinical Nursing Research.2021; 30(8): 1241. CrossRef
Design of a randomized controlled trial of a partnership-based, needs-tailored self-management support intervention for post-treatment breast cancer survivors
Soo Hyun Kim, Yu Hyeon Choe, Ah Reum Han, Gwui Jeong Yeon, Gyeong Hee Lee, Bo Gyeong Lee, Young Up Cho, Seho Park, Moon Hee Lee
BMC Cancer.2020;[Epub] CrossRef
Reliability and Validity of the Clinical Competency Scale for Nursing Students
Bo Young Kim, Myeong Jeong Chae, Yun Ok Choi
Journal of Korean Academy of Community Health Nursing.2018; 29(2): 220. CrossRef
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HyunSoo Oh, SunYoung Han, SooHyun Kim, WhaSook Seo
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Patient empowerment: a systematic review of questionnaires measuring empowerment in cancer patients
Nanna Bjerg Eskildsen, Clara Ruebner Joergensen, Thora Grothe Thomsen, Lone Ross, Susanne Malchau Dietz, Mogens Groenvold, Anna Thit Johnsen
Acta Oncologica.2017; 56(2): 156. CrossRef

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Prevalence and Characteristics of Chemotherapy-related Cognitive Impairment in Patients with Breast Cancer: Jin-Hee Park, Sun Hyoung Bae, Yong-Sik Jung, Young-Mi Jung; J Korean Acad Nurs 2015;45(1):118-128. Published online February 27, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.1.118

Abstract PDF

Purpose

Evidence suggests that some patients with breast cancer experience cognitive difficulties following chemotherapy. This longitudinal study was done to examine the prevalence of cognitive impairment and trajectory of cognitive function over time in women with breast cancer, who received adjuvant chemotherapy.

Methods

Participants were 137 patients with breast cancer. They completed neuropsychological tests and the Functional Assessment of Cancer Therapy-Cognitive Function before adjuvant therapy (pretest), toward the end of adjuvant therapy (posttest), and 6 months after the completion of adjuvant therapy (follow-up test). Of the patients, 91 were treated with adjuvant chemotherapy and 46 patients who did not receive chemotherapy made up the comparison group. A reliable-change index and repeated-measure ANOVA were used for statistical analyses.

Results

At the posttest point, over 30% of patients showed complex cognitive impairment and reported greater difficulty in subjective cognitive function. At the follow-up test point, 22.0% of patients exhibited complex cognitive impairment and 30.8% of patients complained of subjective cognitive impairment. Repeated-measure ANOVA showed significant decreases after receiving chemotherapy followed by small improvements 6 months after the completion of chemotherapy in cognitive domains of change for attention and concentration, memory, executive function, and subjective cognitive function.

Conclusion

These results suggest that chemotherapy in patients with breast cancer may be associated with objective and subjective cognitive impairments. Further studies are needed to explore the potential risk factors and predictor of chemotherapy-related cognitive changes. Also nursing interventions for prevention and intervention of cognitive impairments should be developed and tested.

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Impact of nonpharmacological interventions on cognitive impairment in women with breast cancer: A systematic review and meta-analysis
Jin-Hee Park, Su Jin Jung, Lena J. Lee, Junghyun Rhu, Sun Hyoung Bae
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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
Brain network deficits in breast cancer patients after early neoadjuvant chemotherapy: A longitudinal MRI study
Jing Yang, Yongchun Deng, Daihong Liu, Yong Tan, Meng Lin, Xiaoyu Zhou, Jing Zhang, Hong Yu, Yixin Hu, Yu Tang, Shixi Jiang, Jiuquan Zhang
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Frailty and its associated factors among older adults with cancer undergoing chemotherapy as outpatients: A cross-sectional study
Misun Jeon, Hyoeun Jang, Arum Lim, Sanghee Kim
European Journal of Oncology Nursing.2022; 60: 102192. 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
Distinct sleep disturbance and cognitive dysfunction profiles in oncology outpatients receiving chemotherapy
Vivian Huang, Lynda Mackin, Kord M. Kober, Steven M. Paul, Bruce A. Cooper, Yvette P. Conley, Marilyn J. Hammer, Jon D. Levine, Christine Miaskowski
Supportive Care in Cancer.2022; 30(11): 9243. CrossRef
Measurement, outcomes and interventions of cognitive function after breast cancer treatment: A narrative review
Miaomiao Jia, Xiaojun Zhang, Liyuan Wei, Jinnan Gao
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Josipa Petric, Bahara Sadri, Phillipa van Essen, Nicola Ruth Dean
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Fenshan Zheng, Peiying Cao, Jie Zhou, Chunyu Li, John Norris
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Pok-Ja Oh, Sun Mi Moon
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Yoonjung Kim, Sook Jung Kang
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Margaret F. Bedillion, Emily B. Ansell, Gwendolyn A. Thomas
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Pok Ja Oh, Jung Ran Lee, Hyun Ah Kim
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Camila Vasconcelos Carnaúba Lima, Raner Miguel Ferreira Póvoa
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Chemotherapy-induced prospective memory impairment in breast cancer patients with different hormone receptor expression
Wen Li, Chen Gan, Yue Lv, Shanghu Wang, Huaidong Cheng
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Han Xuan, Chen Gan, Wen Li, Zhonglian Huang, Longsheng Wang, Qianqian Jia, Zhendong Chen, Huaidong Cheng
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Pok Ja Oh, Jeong Hye Kim
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Hye-Yoon Lee, Jung-Eun Kim, Mikyung Kim, Joo-Hee Kim
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Effects of a Progressive Walking Program on Physical Activity, Exercise Tolerance, Recovery, and Post-Operative Complications in Patients with a Lung Resection: Inah Kim, Haejung Lee; J Korean Acad Nurs 2014;44(4):381-390. Published online August 15, 2014; DOI: https://doi.org/10.4040/jkan.2014.44.4.381

Abstract PDF

Abstract Purpose

The purpose of this study was to identify the effects of a Progressive Walking program (PW) on physical activity, exercise tolerance, recovery, and post-operative complications for patients with a lung resection.

Methods

A nonequivalent control group non-synchronized design was utilized and 37 participants with a lung resection (22 for control group, 15 for experimental group) were recruited at A university hospital from December 2012 to August 2013. The PW consisted of preoperative education, goal setting, and feedback, provided to the experimental group, and usual care to the control group. Data were analyzed using the SPSS WIN 18.0.

Results

A higher proportion of patients in the experimental group showed adequate levels of physical activity (p= .001), shorter period of chest tube retention (≤ 7 days; p= .011), and shorter stay in the hospital (≤ 10 days; p= .036) than patients in the control group. Patients in the experimental group reported longer 6-minute walking distance (p= .032) and lower levels of dyspnea (p= .049) than patients in the control group. The PW did not influence the occurrence of pulmonary complications.

Conclusion

The findings of this study suggest that the PW could be a useful strategy for improving patients’ post-operative health and reducing cost after lung resection.

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