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NTIS 바로가기Journal of Korean biological nursing science, v.22 no.2, 2020년, pp.102 - 110
박효선 (가천대학교 간호대학) , 신나연 (차의과학대학교 분당차병원 간호국)
Purpose: The purpose of the study was to identify the comparison with the different methods of acupressure treatment in breast cancer patients undergoing chemotherapy. Methods: This study was a single group pretest-posttest design. Thirty patients age 30-65 scheduled for chemotherapy were included. ...
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핵심어 | 질문 | 논문에서 추출한 답변 |
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항암화학요법을 받고 있는 유방암 환자의 오심, 구토와 식욕 부진의 정도를 파악하고 수지를 이용한 내관 지압과 손목 밴드를 이용한 내관 지압 방법에 따른 항암화학요법을 받는 유방암 환자의 오심, 구토와 식욕 부진 감소의 효과를 비교하기 위해 실시한 본 연구의 연구 대상 선정 기준은? | 1) 연구 참여에 동의한 자 2) 20세 이상 65세 이하의 성인 여성 3) 유방암 2기 이상의 대상자 4) 유방 절제술 후 Doxorubicin과 Cyclophosphamide의 보조항암화학요법(adjuvant chemotherapy)치료를 처음 받는 대상자 | |
유방암의 치료 방법으로는 어떤 것들이 있는가? | 유방암의 치료 방법으로는 외과적 수술과 방사선 요법, 항암화학 요법이 있는데 유방암 환자들은 대부분 수술 후 혈액과 림프선을 통해 분열이 빠른 세포를 더 잘 파괴하여 암의 치료에 효과적인 항암 화학요법을 받고 있다[3]. 특히 유방암 환자에게 사용하는 Doxorubi-cin과 Cyclophosphamide 항암제는 오심 구토가 중증 이상으로 심하고 이 약물로 인해 환자는 60% 이상에서 오심, 구토가 나타나며 영양 상태 악화와 탈수 감염 등의 문제를 나타내고 있으며[4], 이와 같은 문제로 항암화학요법 스케줄을 연기하거나 용량을 줄이기도 하며 중도에 치료를 중단하기도 하는 사례가 발생하기도 한다[5]. | |
국내 전체 암 중 유방암 발생률은 어떻게 증가하고 있는가? | 우리나라 생활 방식이 서구화 되면서 유방암 발생률은 전체 암 중에서 2011년에는 6%, 2016년 9.5%로 점점 증가하고 있고 유방암이 여성암 중 갑상선암 다음으로 2위를 차지하고 있다[1]. 우리나라의 유방암은 40-50대에 발생빈도가 높으며 서구여성에 비교해 10년이나 젊은 40대에 호발하고 있어[2] 발병의 위험성이 매우 높아지고 있는 추세이다. |
Ministry of Health and Welfare. Annual Report of Cancer Statistics in Korea in 2018 [Internet]. Sejong: Ministry of Health and Welfare. 2019 [cited 2019 April 1]. Available from:http://www.ncc.re.kr/index.jsp.
Noh YH, Kim YG, Kim JH, Choi HS, Lee SJ, Kim JS, et al. Factors associated with metastatic breast cancer in patients who show long-term stable disease status. Journal of Breast Disease. 2017;5(1):1-7. https://doi.org/10.14449/jbd.2017.5.1.1
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Suh EE. The effects of P6 acupressure and nurse provided counseling on chemotherapy-induced nausea and vomiting in patients with breast cancer. Oncology Nursing Forum. 2012;39(1):E1-9. https://doi.org/10.1188/12.ONF.E1-E9
Xie J, Chen LH, Ning ZY, Zhang CY, Chen H, Chen Z, et al. Effect of transcutaneous electrical acupoint stimulation combined with palonosetron on chemotherapy induced nausea and vomiting: a single-blind, randomized, controlled trial. Chinese Journal of Cancer. 2017;36(1):6. https://doi.org/10.1186/s40880-016-0176-1
Hughes JG, Russell W, Breckons M, Richardson J, Lloyd-Williams M, Molassiotis A. 'Until the trial is complete you can't really say whether it helped you or not, can you?': Exploring cancer patients' perceptions of taking part in a trial of acupressure wristbands. BMC Complementary and Alternative Medicine. 2013;13(1):260-278. https://doi.org/10.1186/1472-6882-13-260.
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Seong YS, Cho EY, Lee YS, Yang HL, Lee HJ. Effects of Nei-Guan acupressure on chemotherapy-related nausea, vomiting, and anorexia in patients with lung cancer. Journal of East West Nursing Research. 2010;16(1):1-10.
Shin HS, Lee SB, Ryu KH. Effect of Nei-Guan acupressure on nausea, vomiting and anorexia in gynecological cancer patients receiving chemotherapy. Journal of East West Nursing Research. 2009;15(1):26-33.
Yuliar TP, Susanah S, Nurhidayah I. Effect of Nei Guan acupressure point as adjuvant therapy on highly emetogenic chemotherapy-induced nausea-vomiting in school-age children with cancer. Jurnal Keperawatan Padjadjaran. 2019;7(1):67-76. https://doi.org/ 10.24198/jkp.v7i1.657
Taspinar A, Sirin A. Effect of acupressure on chemotherapy-induced nausea and vomiting in gynecologic cancer patients in Turkey. European Journal of Oncology Nursing. 2010;14(1):49-54. https://doi.org/10.1016/j.ejon.2009.07.006
Genc F, Tan M. The effect of acupressure application on chemotherapy-induced nausea, vomiting, and anxiety in patients with breast cancer. Palliative & Supportive Care. 2015;13(2):275-284. https://doi.org/10.1017/S1478951514000248
Molassiotis A, Stricker CT, Eaby B, Velders L, Coventry PA. Understanding the concept of chemotherapy related nausea: the patient experience. European Journal of Cancer Care.2008;17(5):444-453. https://doi.org/10.1111/j.1365-2354.2007.00872.x
Einhorn LH, Rapoport B, Navari RM, Herrstedt J, Brames MJ. 2016 updated MASCC/ESMO consensus recommendations: prevention of nausea and vomiting following multiple-day chemotherapy, high-dose chemotherapy, and breakthrough nausea and vomiting. Support Care Cancer. 2017;25(1):303-308. https://doi.org/10.1007/s00520-016-3449-y
Catala-Lopez F, Hutton B, Driver JA, Ridao M, Valderas JM, Genova-Maleras R, et al. Anorexia nervosa and cancer: a protocol for a systematic review and meta-analysis of observational studies. Systematic Reviews. 2017;6(1):137. https://doi.org/10.1186/s13643-017-0540-5.
Rhodes VA, McDaniel RW. The index of nausea, vomiting and retching: a new format of the index of nausea and vomiting. Oncology Nursing Forum. 1999; 26(5):889-894.
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Choi ES, Kim GS. A study on the anorexia and diet patterns in cancer chemotherapy patients. Journal of Korean Academy of Fundamentals of Nursing. 1995;2(1):19-35.
Bridge P, Chakraborti PR, Tomas G, Filkins L, Fleet AJ. Pilot study investigating efficacy of acupressure wristbands for reduction of radiotherapy-induced nausea. Journal of Radiotherapy in Practice. 2003;3(4):205-212. https://doi.org/10.1017/S1460396903000566
Filshie J, White A. Medical acupuncture-a western scientific approach. 1st ed. Edinburgh: Churchill Livingstone; 1998. p. 137-150.
Matsuo N, Morita T, Matsuda Y, Okamoto K, Matsumoto Y, Kaneishi K, et al. Predictors of responses to corticosteroids for anorexia in advanced cancer patients: a multicenter prospective observational study. Supportive Care in Cancer. 2017;25(1):41-50. https://doi.org/10.1007/s00520-016-3383-z
Song KH. Management of chemotherapy induced nausea and vomiting. The Korean Journal of Medicine. 2012;82(5):532-536. https://doi.org/10.3904/kjm.2012.82.5.532
Miao J, Liu X, Wu C, Kong H, Xie W, Liu K. Effects of acupressure on chemotherapy-induced nausea and vomiting-a systematic review with meta-analyses and trial sequential analysis of randomized controlled trials. International Journal of Nursing Studies. 2017;70:27-37. https://doi.org/10.1016/j.ijnurstu.2017.02.014
Lee EJ, Frazier SK. The efficacy of acupressure for symptom management: a systematic review. Journal of Pain and Symptom Management. 2011;42(4):589-603. https://doi.org/10.1016/j.jpainsymman.2011.01.007
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