한국간호과학회

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  • 학술지
  • JKAN(Journal of Korean Academy of Nursing)

JKAN(Journal of Korean Academy of Nursing)

년도별 ‘권’과 ‘호’를 선택해 주세요 (ISSN 1598-2874(38권 4호까지), ISSN 2005-3673(38권 5호부터)

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제목 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
저자 : Lim, Yeonjung · Lee, Haejung · Kim, Do Hyung · Kim, Yeong Dae 게시일 : 2020년 02월 페이지 : p66~p80
저자 Lim, Yeonjung · Lee, Haejung · Kim, Do Hyung · Kim, Yeong Dae 게시일 2020년 02월 페이지 p66~p80 인쇄
파일 66.pdf
키워드 Lung Neoplasms; Walking; Self Efficacy; Quality of Life
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 c2 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 (c2=13.53, p =.009), PA (c2=9.51, p =.049), functional status (c2=10.55, p =.032), and 6MWD (c2=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.