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이압요법이 항암화학요법을 받은 유방암 환자의 피로 및 우울에 미치는 효과

Effect of Auricular Acupressure on Fatigue and Depression in Patients Undergoing Chemotherapy for Breast Cancer

  • 강미애 (순천제일대학교 간호학과)
  • Kang, Mi-Ae (Department of Nursing, Jeil College of Suncheon)
  • 투고 : 2018.10.11
  • 심사 : 2018.12.20
  • 발행 : 2018.12.31

초록

Objectives: This study aimed to investigate the effects of auricular acupressure on fatigue and depression among patients undergoing chemotherapy for breast cancer. Methods: A nonequivalent control group nonsynchronized design was employed. Data were collected from December 2017 to May 2018, in the cancer center at a hospital located in B city. The experimental group received auricular acupressure four times a day, for 5 days, followed by a 2-day rest period. The control group received routine nursing care. The data were analyzed with independent t-tests, using the SPSS 21.0 program. Results: The level of fatigue and depression was lower in the experimental group as compared to that in the control group(t=5.29, p<.001; t=2.21, p=.038, respectively). However, depression scores increased post-intervention in the experimental group, as compared to the pre-intervention scores. Conclusions: The findings confirmed that auricular acupressure decreased fatigue however, depression scores increased post-intervention in the experimental group, as compared to the pre-intervention.

키워드

참고문헌

  1. http://www.cancer.go.kr/mbs/cancer/subview.jsp?id=cancer_040102000000
  2. Y.S. Tae, M.Y. Kim(2011), Relationships between family support, perceived health status, and self-esteem in korean women with breast cancer, Asian Oncology Nursing, Vol.11(1);41-48.
  3. S,H. Wang, G.P. He, P.L. Jiang, L.L. Tang, X.M. Feng, C. Zeng, G.F. Wang(2013), Relationship between cancer-related fatigue and personality in patients with breast cancer after chemotherapy, Psycho-Oncology, 22(10);2386-2390.
  4. H.J. Kim, S.H. Kim, H.K. Lee, S.E. Oh(2014), Factors affecting symptom experiences of breast cancer patients: based on the theory of unpleasant symptoms, Asian Oncology Nursing, Vol.14(1);7-14. https://doi.org/10.5388/aon.2014.14.1.7
  5. E. Patterson, Y.W. Erin, S. Sidani(2013), Nonpharmacological nursing interventions for the management of patient fatigue: a literature review. Journal of Clinical Nursing, Vol.22(Issue 19-20);2668-2678. https://doi.org/10.1111/jocn.12211
  6. K.S. Jeong, J,E. Heo, Y.S. Tae(2014), Influence of spiritual health and fatigue on depression in breast cancer patients, Asian Oncology Nursing, Vol.14(2);51-57. https://doi.org/10.5388/aon.2014.14.2.51
  7. H.S. Byun, G.D. Kim(2012), Impacts of fatigue, pain, anxiety, and depression on the quality of life in patients with breast cancer, Asian Oncology Nursing, Vol.12(1);27-34. https://doi.org/10.5388/aon.2012.12.1.27
  8. H.Y. Choi, Y.J. Yi(2013), Effects of music therapy on anxiety, depression and fatigue in cancer patients undergoing intensity modulated radiotherapy, Asian Oncology Nursing, Vol.13(4);175-183. https://doi.org/10.5388/aon.2013.13.4.175
  9. S.Y. Kang(2015), The effect of mindfulness meditation based group art therapy on the depression, anxiety and quality of life in patients with breast cancer, Clinical Arts Therapy Studies, Vol.5(1);53-70.
  10. Y.G. Kim, S.H. Lee, Y.H. Kim, J.O. Eum, Y.R. Yim, T.G. Ha, C.S. Shin(2015), The influence of forest activity intervention on anxiety, depression, profile of mood states(POMS) and hope of cancer patients, The Korea Institute of Forest Recreation Welfare, Vol.19(1);65-74. https://doi.org/10.34272/forest.2015.19.1.007
  11. M.Y. Cho, J.Y. Park, C.E. Lee, S.K. Song, S.H. Lee, E.S. Byun, J.Y. Kim, O.S. Park, S.H. Kim, Y.L. Kang, H.S. Young, H.K. Lee, H.J. Choi(2012), The effect of a video exercise program on cancer-related fatigue, physical function and emotional status in patients with cancer during chemotherapy, The Korean Journal of Clinical Nursing Research, Vol.18(3);368-380.
  12. T. Oleson(2013), Auriculotherapy manual: Chinese and Western systems of ear acupuncture, 4th ed. Los Angeles: Elsevier Health Sciences, pp.10-130
  13. M.G. Shin(2010), Clinical traditional herbology, Seoul: Yeonglimsa Pub, pp.538-539.
  14. C.G. Kim, J.A. Kim, M.J. Wang, U.J. Cheon(2012), Application of complementary and alternative therapies, 1st ed. Seoul: Sohwa pub, pp.157-158.
  15. J.O. Lee, S.J. Kim, J.S. Kim, Y.H. Park(2010), Ear Acupressure therapy, Seoul: Korea-China self healing power association pub, pp.18-32.
  16. C.H. Yeh, L.C. Chien, W.C. Lin, D.H. Bovbjerg, G.J van Londen(2016), Pilot randomized controlled trial of auricular point acupressure to manage symptom clusters of pain, fatigue, and disturbed sleep in breast cancer patients, Cancer Nursing, Vol.39(5);402-410. https://doi.org/10.1097/NCC.0000000000000303
  17. K.H. Kim(2006), Development of fatigue scale for cancer patients[dissertation], Busan:Kosin University, pp.1-84.
  18. S.M. Oh, K.J. Min, D.B. Park(1999), A Study on the Standardization of the Hospital Anxiety and Depression Scale for Koreans: A Comparison of Normal, Depressed and Anxious Groups, Journal of Korean Neuropsychiatric Association, Vol.38(2);289-296.
  19. S.C. Lan, Y.E. Lin, S.C. Chen, Y.F. Lin, Y.J. Wang(2015), Effects of acupressure on fatigue and dpression in hepatocellular carcinoma patients treated with transcatheter arterial chemoembolization: a quasi-experimental study, Evidence-based & Alternative Medicine, Vol.2015;1-10.
  20. W.R. Tang, W.J. Chen, C.T. Yu, Y.C. Chang, C.M. Chen, C.H. Wang, S.H. Yang(2014), Effects of acupressure on fatigue of lung cancer patients undergoing chemotherapy: an experimental pilot study, Complementary Therapies in Medicine, Vol.22(4);581-591. https://doi.org/10.1016/j.ctim.2014.05.006
  21. W.M. Ling, L.Y. Lui, W.K. So, K. Chan(2014), Effects of acupuncture and acupressure on cancer-related fatigue: a systematic review, Oncology Nursing Forum, Vol.41(6);581-592. https://doi.org/10.1188/14.ONF.581-592
  22. B. Zhang, J.N. Dong, P. Sun, C. Feng, Y.C. Liu(2017), Effect of therapeutic care for treating fatigue in patients with breast cancer receiving chemotherapy, omplementary Therapies in Medicine, Vol.96(33);1-5.
  23. S.W. Kim, S.Y. Kim, J.M. Kim, M.H. Park, J.H. Yoon, I.S. J.S. Yoon(2009), Use of antidepressants in patients with breast cancer, Korean Journal of Psychopharmacology, Vol.20(2);63-77.
  24. M.A. Kang, Y.K. Kim, J.S. Shin, H.N. Yeo(2015), Effects of semen sinapsis albae acupressure on fatigue and sleep related chemotherapy in patients with breast cancer, Journal of Korean Clinical Nursing Research, Vol.21(2);180-187.

피인용 문헌

  1. 이압요법이 항암화학요법을 받는 유방암 환자의 불안 및 수면에 미치는 효과 vol.13, pp.3, 2019, https://doi.org/10.12811/kshsm.2019.13.3.081
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