Jeong Yun Park

Improving the Quality of Cancer Pain Management in an Academic Medical Center Emergency Department

The impact and outcomes of the implementation of a pain management guideline and pain assessment standard operating procedure (SOP) in a cancer-specific emergency department are evaluated in this article. After implementation of the SOP, the number of pain assessments conducted per patient during hospitalization increased, as did the percentage of patients who underwent a pain assessment at admission, within one hour after analgesic medication was administered, and at regular intervals.

Analysis of data on capecitabine-related adverse drug reactions from the Korean adverse event reporting system database

PURPOSE The purpose of this study was to evaluate the adverse drug reactions (ADRs) and serious adverse events associated with capecitabine use in Korean patients by analyzing data from a comprehensive national database of adverse events. METHOD Data from all reports concerning capecitabine (Anatomical Therapeutic Chemical code: L01BC06) generated between January 2011 and December 2014 were collected from the Korean Adverse Event Reporting System database (KAERS). RESULTS A total of 676 reports and 1069 capecitabine-related ADRs were identified. Ninety-nine cases (14.6%) were classified as serious adverse events. The most commonly reported capecitabine-related ADRs involved gastrointestinal system disorders (324, 30.3%), including diarrhea, nausea, vomiting, and stomatitis, followed by skin and appendage reactions (220, 20.6%), which included symptoms such as skin discoloration/disorder/dryness, itching, and rash. CONCLUSIONS Patients need to be educated about the common ADRs associated with capecitabine intake in a clinical setting. Patient characteristics must be considered when determining the capecitabine dosage and risk of ADRs, and nursing intervention is critical for preventing exacerbation of these ADRs.

Perception and Practice to Safely Manage Antineoplastic Agents among Parents of Children with Cancer

병동 간호사보다 유의하게 유방암이나 자녀의 선천적 눈 기형이나 직장암의 발생위험이 증가한다고 보고되고 있으며, 조산 발생률 과 저체중아 출산 비율 및 백혈구 내 DNA 손상이 높은 것으로 나 타났다. 항암제 약병의 개봉이나 약물 혼합, 약물 주사 등의 항암제 준비 와 투약, 폐기물 처리 과정에서 항암제에 노출될 위험이 있고, 호흡 기를 통한 흡인이나 피부 접촉, 경구 흡입에 의해 항암제 노출이 발 생될 수 있다. 따라서 의료기관마다 항암제안전관리 규정을 제정하 여 안전실무지침 이행을 강조하고 있으며, 안전이행을 위한 교육을 필수화하고 있다. 항암제를 경구 투약할 때 맨손으로 직접 항암제 를 만져서는 안되며, 경구약을 환자에게 전달할때에도 반드시 장갑 을 착용하고, 복용을 위해 임의로 가루로 부수거나 다른 약제와 혼 암환아 부모의 항암제 안전관리 인식과 실천 정도

Subjective Health Status, Mental Health, and Cancer Stigma in Long-term Cancer Survivors after Gastric Surgery

Purpose: The aim of this study was to explore the relationship among subjective health status, mental health, and cancer stigma of long-term cancer survivors after gastric surgery. Methods: In this cross-sectional study, 135 cancer survivors visiting the family medicine clinic of a tertiary hospital were surveyed. Data were collected from March 1 to May 31, 2017. Using the questionnaire, subjective health status, mental health, and cancer stigma were measured and analyzed. Results: The mean scores for subjective health status, stress, and cancer stigma were 80.16, 2.97 and 1.59 respectively. Anxiety and depression rates were 37.1% and 28.9% respectively. Cancer stigma was negatively correlated with subjective health status (r=-.18, p=.036) and positive association with anxiety (r=.23, p=.009), depression (r=.20, p=.023), and stress (r=.21, p=.017). Conclusion: In this study, long-term cancer survivors’ subjective health status, mental health, and cancer stigma were low and these variables were significantly associated. In order to improve the quality of life of long-term gastric cancer survivors, it is necessary to actively evaluate anxiety, depression, stress, and cancer stigma. The appropriate psychosocial care interventions developed through repeated research of survivors of long-term cancer should be continued.

Present Condition and Future Direction of Clinical Practicum for Oncology Advanced Practice Nursing Programs

Purpose: This study was conducted to identify the present conditions of clinical practicum through analyzing guidebooks used in education institutions for oncology advanced practice nursing programs and to discuss future directions. Methods: Ten of a total of 13 education institutions participated in this study and ten guidebooks were reviewed from June 1 to October 31, 2014. The standard curriculum developed by the Korean accreditation board of nursing education was used to analyze the present conditions and an analyzing frame was developed by a research team. Two coders independently recorded the data, agreement was 92% and all disagreements was concurrent after discussion. Results: Courses in the area of ‘advanced oncology nursing’ were most highly established and, courses in the area of ‘introduction of oncology nursing’ were least established. Some learning objectives were never dealt with and some learning objectives were over dealt with. The national cancer center was most used for practicum. Diverse homework and evaluation methods were used. Conclusion: Through analyzing clinical practicum guidebooks for oncology advanced practice nursing students, we found that balanced practicum courses are needed to improve the quality of oncology advanced practice nurse programs.