Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Effects of a Cognitive-Behavioral Nursing Intervention on Anxiety and Depression in Women with Breast Cancer undergoing Radiotherapy

인지행동간호중재가 방사선 치료 중인 유방암 여성의 불안과 우울에 미치는 효과

  • Published : 2009.04.28
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Abstract

Purpose: The purpose of this study was to analyze the effects of a cognitive-behavioral nursing intervention on anxiety and depression of patients with breast cancer undergoing radiotherapy. Methods: A nonequivalent control group design was used for the study. The research participants were patients with breast cancer (N=71; experimental group=35, comparison group=36) who received radiotherapy at P university hospital. The experimental group received a 6-week cognitivebehavioral nursing intervention (2 hr/week), which included nursing counseling, education about treatment choices for breast cancer and possible side effects and management strategies during radiotherapy, and rehabilitation exercise. Results: Following the intervention, the experimental group showed significantly lower levels of anxiety (Experimental group=$34.60{\pm}6.35$, Comparison group=$44.63{\pm}9.93$, t=3.552, p<.001) and depression (Experimental group=$10.20{\pm}6.61$, Comparison group=$17.81{\pm}10.85$, t=3.542, p<.001) than the comparison group. Conclusion: The findings from this study showed that cognitive-behavioral counseling applied by nurses is very effective to reduce anxiety and depression among patients with breast cancer. Therefore, providing nursing counseling to broader spectrum of patients with cancer should be considered. Further research would warrant future clinical application of nursing counseling.

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References

  1. Chae, Y. R. (2002). Effect of treadmill walking exercise on quality of life in patients with breast cancer. Daebul University Bulletin, 8, 193-206
  2. Chung, B. Y. (1991). Adjustment process of women with breast cancer. Unpublished doctoral dissertation, Yonsei University, Seoul
  3. Ellis, A. (1962). Reason and emotion in psychotherapy. Secaucus, NJ: Citadel
  4. Hahn, H. M., Yum, T. H., Shin, Y. W., Dim, K. H., Yoon, K. J., & Chung, K. J. (1986). A standardization study of Beck Depression Inventory in Korea. Journal of The Korean Neuropsychiatric Association, 25, 487-500
  5. Kim, H. J. (2004). Effects of foot-reflex-massage on anxiety and fatigue of cancer patients undergoing radiation therapy. Unpublished master's thesis, Kosin University, Busan
  6. Kim, J. M. (2000). The effect of hand massage on the anxiety of the hysterectomy patients in immediately prior to surgery. Journal of Korean Academy of Nursing, 30, 476-487
  7. Kim, J. N. (2005). The efficacy of an integrated group psychotherapy for breast cancer patients on the quality of life and immune function. The Korean Journal of Clinical Psychology, 25, 639-655
  8. Kim, J. T., & Shin, D. K. (1978). A study based on the standardization of the STAI for Korea. The New Medical Journal, 21, 69-75
  9. Kim, K. B. (2002). The effect of auricular acupressure therapy on anxiety of cancer patient. Journal of Korean Academy of Nursing, 32, 888-896
  10. Kim, M. J. (1994). A survey on changes in quality of life of patients who received radiation therapy after surgery for breast cancer. Journal of Korean Academy of Nursing, 24, 652-665
  11. Kim, S. H. (2003). Effects of hand massage on the anxiety, sleeping satisfaction and pain of hysterectomy patients. Unpublished master's thesis, Ewha Womans University, Seoul
  12. Kim, T. H. (2004). Effect of foot-reflex-massage on preoperative anxiety, depression and sleep satisfaction of the patients with breast tumor. Unpublished master's thesis, Chungnam National University, Daejeon
  13. Kim, Y. S. (2006). Effect of the information education of I131 treatment on the anxiety and immune response of thyroid cancer patients. Unpublished doctoral dissertation, Pusan National University, Busan
  14. Kim, Y. W., Yang, C. K., Choe, B. M., & Hahn, H. M. (1996). A study of depression in cancer patients on radiotherapy. Journal of Korean Neuropsychiatric Association, 35, 260-267
  15. Koh, K. B., & Kim, S. T. (1988). Coping strategy of cancer patients. Journal of Korean Neuropsychiatric Association, 27, 140-148
  16. Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal and coping. New York, NY: Springer Publish Company
  17. Lee, C. Y., & Oh, D. W. (1990). Level of anxiety and depression of the hospitalized cancer patients. Journal of Korean Neuropsychiatric Association, 29, 178-188
  18. Lee, J. H. (2006). Counseling psychology. Seoul: Pakyoungsa
  19. Lee, W. M. (2006). A study of the depression and the quality of life in patients with breast cancer. Unpublished master's thesis, Wonkwang University, Iksan
  20. National Cancer Center. (2008, November 13). Korean cancer statistics. Retrieved December 1, 2008, from http://www.cancer. go.kr/cms/statics/incidence/index.html
  21. Oberst, M. T., Hughes, S. H., Chang, A. S., & McCubbin, M. A. (1991). Self-care burden, stress appraisal, and mood among persons receiving radiotherapy. Cancer Nursing, 14, 71-78
  22. Oh, E. H. (2003). Effect of guided imagery program on patients depression and anxiety receiving cancer chemotherapy. Unpublished master's thesis, Keimyung University, Daegu
  23. Park, K. A. (1997). Rational emotive behavior therapy. Seoul: Hakjisa
  24. Peck, A., & Boland, J. (1977). Emotional reactions to radiation treatment. Cancer, 40, 180-184 https://doi.org/10.1002/1097-0142(197707)40:1<180::AID-CNCR2820400129>3.0.CO;2-5
  25. Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measuremen, 1, 385-401 https://doi.org/10.1177/014662167700100306
  26. Rehse, B., & Pukrop, R. (2003). Effects of psychosocial interventions on quality of life in adult cancer patients: Meta-analysis of 37 published controlled outcome studies. Patient Education and Counseling, 50, 179-186 https://doi.org/10.1016/S0738-3991(02)00149-0
  27. Spielberger, C. D. (1972). Anxiety: Current trends in theory and research. New York, NY: Academic Press
  28. Yang, Y. H. (2003). Trajectory of fatigue, quality of life and physical symptoms in cancer patients receiving radiotherapy. Journal of Korean Academy of Nursing, 33, 562-569
  29. Yeo, K. E., & Chung, Y. S. (1995). Cognitive-behavior modification: An integrative approach. Seoul: Yangseowon

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