Trends of Studies Published in Asian Oncology Nursing, 2011~2014

Soo Hyun Kim; Min Young Kim; Sun-Hee Kim; Hye Kyung Kim; Insook Lee; Jiyeon Lee; Yun Hee Ham; Eunjung Ryu

doi:10.5388/aon.2015.15.2.114

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Kim, Kim, Kim, Kim, Lee, Lee, Ham, and Ryu: Trends of Studies Published in Asian Oncology Nursing, 2011~2014

Review Article

Asian Oncology Nursing 2015; 15(2): 114-122.

Published online: 30 June 2015

DOI: https://doi.org/10.5388/aon.2015.15.2.114

Trends of Studies Published in Asian Oncology Nursing, 2011~2014

Soo Hyun Kim¹, Min Young Kim², Sun-Hee Kim³, Hye Kyung Kim⁴, Insook Lee⁵, Jiyeon Lee⁶, Yun Hee Ham⁷, Eunjung Ryu⁸

¹Department of Nursing, Inha University, Incheon, Korea.

²College of Nursing, Jeju National University, Jeju, Korea.

³Seoul Women's College of Nursing, Seoul, Korea.

⁴Catholic University of Korea Seoul St. Mary's Hospital, Seoul, Korea.

⁵Department of Nursing, Changwon National University, Changwon, Korea.

⁶Eulji University, College of Nursing, Daejeon, Korea.

⁷Samsung Medical Center, Seoul, Korea.

⁸Department of Nursing, Chung-Ang University, Seoul, Korea.

Address reprint requests to: Lee, Insook. Department of Nursing, Changwon National University, 20 Changwon daehak-ro, Uichang-gu, Changwon 641-773, Korea. Tel: +82-55-213-3574, Fax: +82-55-213-3579, dobest75@changwon.ac.kr

Received 8 June 2015 Revised 26 June 2015 Accepted 26 June 2015

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

The purpose of this study was to analyze and identify recent trends of published research in Asian Oncology Nursing (AON).

Methods

A total of 140 studies were analyzed using a tool developed by the researchers, focusing on research design, research subject, research themes, and type of interventions and outcome variables of experimental studies.

Results

AON lacked studies which were supported by research funds (27.9%), or used an experimental study design (10.0%). In particular, there were only 2 studies (1.4%) conducted with randomized controlled trials (RCT). Research subjects were various, including patients with cancer, family care givers, healthy population, and oncology nurses. Based on a framework of cancer control continuum, most studies addressed issues of the treatment phase, whereas few studies addressed issues of diagnosis, survivorship, or the end-of-life (EOL) phase. Regarding research themes, psychosocial nursing including quality of life, anxiety, and depression was most frequently reported. In the experimental studies, an education program was most frequently applied and psycho-social-spiritual variables and symptoms were most frequently used to evaluate the effects of the intervention.

Conclusion

The results suggest that further expansion of RCT and studies regarding diagnosis, survivorship, and EOL phases are needed. Also, our findings may contribute toward the development of a Korean oncology nursing research agenda.

Keywords: Oncology Nursing, Nursing Research, Trends

Figures and Tables

Table 1

Research Design (N=140)

Variables	Categories		n (%)
Quantitative research	Experimental design	Randomized controlled trial	2 (1.4)
		Nonequivalent control group pre/post design	11 (7.9)
		One group pre/post design	1(0.7)
		Subtotal	14 (10.0)
	Non-experimental design	Correlational	47 (33.6)
		Descriptive	43 (30.7)
		Case-control	1 (0.7)
		Case report	1 (0.7)
		Methodological research	4 (2.8)
		Subtotal	96 (68.6)
	Subtotal		110 (78.6)
Qualitative research	Grounded theory		2 (1.4)
	Phenomenological research		5 (3.6)
	Hermeneutic approach		0 (0.0)
	Ethnography		4 (2.9)
	Content analysis		2 (1.4)
	Narrative study		1 (0.7)
	Subtotal		14 (10.0)
Review	Meta-analysis		5 (3.6)
	Systematic review		3 (2.1)
	Non-systematic review		8 (5.8)
	Subtotal		16 (11.4)
Total			140 (100.0)

Table 2

Research Subjects (N=140)

Variables	n (%)	Categories	Sub-categories	n (%)
Cancer patients	85 (60.7)	Developmental stage	Adults	81 (95.2)
			Children/adolescents	2 (2.4)
			Adults & children/adolescents	2 (2.4)
		Type of cancer	Stomach	4 (4.7)
			Colorectal	13 (15.3)
			Breast	25 (29.4)
			Thyroid	3 (3.5)
			Leukemia	2 (2.4)
			Mixed	32 (37.6)
			Others	6 (7.1)
		Treatment phase	Pre treatment	1 (1.2)
			During treatment	44 (51.8)
			Post treatment	17 (20.0)
			Across treatment	15 (17.6)
			Unclear	8 (9.4)
		Type of treatment (n = 44)	Chemotherapy	15 (34.1)
			Surgery	5 (11.4)
			Radiation therapy	4 (9.1)
			HSCT	2 (4.5)
			Radioactive iodine therapy	1 (2.3)
			Mixed	12 (27.2)
			Unclear	5 (11.4)
Non-cancer patients	27 (19.3)	Healthy population		12 (44.4)
		Nurses		9 (33.3)
		Family		5 (18.5)
		Nurses & doctors		1 (3.8)
Mixed	9 (6.4)	Patients and healthy population		3 (33.4)
		Patients and their family		2 (22.2)
		Patients and nurses and/or doctors		2 (22.2)
		Patients, family and/or nurses and doctors		2 (22.2)
Articles	17 (12.1)
Instruments	2 (1.5)
Total	140 (100.0)

HSCT=Hematopoietic stem cell transplantation.

Table 3

Research Theme of Studies Performed in Cancer Patients (N=85)

Disease trajectory	Theme^*		n %
Diagnosis	Patient counseling/Decision making		0	0.0
	Psychosocial care	Self-efficacy	1	0.5
		Adaptation	1	0.5
		Disease experience	2	1.0
		Patient's perception	1	0.5
	Subtotal		5	2.5
Treatment	Treatment adherence	Medication	3	1.5
		Nutrition	3	1.5
		Procedure	1	0.5
		Subtotal	7	3.5
	Symptom management	Pain	15	7.6
		Fatigue	8	4.1
		Cognitive dysfunction	6	3.1
		Insomnia	5	2.5
		Peripheral neuropathy	4	2.0
		Nausea/vomiting	3	1.5
		Multiple symptoms	3	1.5
		Appetite loss	2	1.0
		Mucositis	2	1.0
		Others	3	1.5
		Subtotal	51	25.8
	Psychosocial care	Quality of life	17	8.7
		Depression	16	8.1
		Anxiety	13	6.6
		Distress	4	2.0
		Social support	4	2.0
		Resilience	4	2.0
		Self-efficacy	3	1.5
		Adaptation	3	1.5
		Spirituality	2	1.0
		Others	6	3.1
		Subtotal	72	36.5
	Health promotion	Exercise	3	1.5
		Diet	2	1.0
		Smoking cessation	0	0.0
		Comprehensive approach	1	1.0
		Subtotal	6	3.0
	Others		7	3.5
	Subtotal		143	72.3
Survivorship	Symptom management	Sexual dysfunction	2	1.1
		Fatigue	1	0.5
		Cognitive dysfunction	1	0.5
		Pain	1	0.5
		Peripheral neuropathy	1	0.5
		Others	2	1.0
		Subtotal	8	4.1
	Psychosocial care	Quality of life	7	3.5
		Distress	6	3.1
		Resilience	3	1.5
		Adaptation	2	1.0
		Depression	2	1.0
		Anxiety	2	1.0
		Social support	2	1.0
		Others	4	2.0
		Subtotal	28	14.1
	Health promotion	Exercise	1	0.5
		Diet	1	0.5
		Smoking cessation	0	0.0
		Comprehensive approach	3	1.0
		Subtotal	5	2.5
	Rehabilitation		0	0.0
	Second cancer screening		0	0.0
	Others		4	2.0
	Subtotal		45	22.7
End-of-life care	Palliative care		3	1.5
	Spiritual nursing		0	0.0
	Hospice		2	1.0
	Subtotal		5	2.5
Total			198	100.0

^*Multiple responses.

Table 4

Research Theme in Studies Performed in Non-cancer Patients (N=27)

Theme^*		n	(%)
Disease-related	Cancer prevention/health promotion	9	(26.4)
	Early detection	5	(14.7)
	Genetic test/counseling	2	(5.8)
	Others	2	(5.8)
	Subtotal	18	(52.7)
Care-related	Caring for family caregivers	4	(11.7)
	Continuum of care	3	(8.8)
	Access of care	0	(0.0)
	Informatics	0	(0.0)
	Quality improvement	4	(8.8)
	Subtotal	11	(32.3)
Nursing career- related	Satisfaction	1	(3.0)
	Job experience	1	(3.0)
	Care costs	1	(3.0)
	Adaptation	1	(3.0)
	Clinical reasoning	1	(3.0)
	Subtotal	5	(15.0)
Total		34	(100.0)

^*Multiple responses.

Table 5

Characteristics of the Experimental Researches (N=14)

Characteristics	Categories	n	(%)	Name of intervention/variables
Type of intervention	Psychoeducation	5	(35.7)	Comprehensive education program (2), Education of pre-operation (1), Education of pain management (1), Education of HPV (1)
	Psycho-social-spiritual	4	(28.6)	Horticultural therapy (1), Logotherapy (1), Music therapy (1), Self-efficacy promotion program (1)
	Lifestyle intervention	0	(0.0)
	Symptom management	1	(7.1)	Oral care (1)
	Complementary alternative	4	(28.6)	Back massage (1), Foot reflexology (1), Laughter therapy (1), P6 accupressure and Guided imagery (1)
Total		14	(100.0)
Outcome variables^*	Psycho-social-spiritual	14	(38.9)	Anxiety (5), Depression (3), Quality of life (2), Self-efficacy (2), Adaptation (1), Meaning of life (1),
	Symptoms	13	(36.1)	Pain (7), Fatigue (2), Nausea/Vomiting (2), Comfort of oral cavity (1), Insomnia (1), Mucositis (1), Peripheral neuropathy (1), Symptom distress (1)
	Physiologic	3	(8.3)	Cortisol (1), Gas out and Ileus (1), Wound Infection (1),
	Behavioral	2	(5.6)	Self-care activity (2)
	Others	4	(11.1)	Knowledge (2), L-tube insertion (1), Re-admission (1)
Total		36	(100.0)

^*Multiple responses.

Notes

This paper was supported by research funds of Korean Oncology Nursing Society in 2014.

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