Effect of Postsurgical Nurse-led Follow-ups on Quality of Life in Head-and-Neck Cancer Patients: A Pilot Randomized Controlled Trial

被引:2
作者
Khantwal, Garima [1 ]
Sharma, Suresh K. [1 ]
Rani, Ruchika [1 ]
Agarwal, S. P. [2 ]
机构
[1] All India Inst Med Sci, Dept Nursing, Rishikesh, Uttarakhand, India
[2] All India Inst Med Sci, Dept Surg Oncol, Rishikesh, Uttarakhand, India
关键词
Head-and-neck cancer; nurse-led post-surgical education program; quality of life; PSYCHOSOCIAL INTERVENTION;
D O I
10.4103/apjon.apjon-2112
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Objective: Burden of head-and-neck cancer is disproportionately bigger in India and can be regarded as "tip of iceberg" situation. Postoperatively, head-and-neck cancer patients report tremendous challenges conversely, affects quality of their life. Oncology nurses contribute significantly in supportive care issues encountered by patients in the postoperative period. However, there is a paucity of the literature on effect of nurse-led postsurgical education program on quality of life (QOL) of head-and-neck cancer patients. Methods: In this pilot randomized controlled, parallel group trial, 64 head-and-neck cancer patients; who were electively planned for surgery were randomized in experimental (n1 = 32) and control group (n2 = 32). In the experimental group, participants received structured nurse-led postsurgical education program through virtual mode and control group participants received standard of care. The QOL as an outcome variable was assessed through face-to-face interview at baseline on first postoperative day and postoperative day-4, 15, and 30 follow-ups by using standardized instruments, i.e., EORTC QLQ-C30 and H and N35 questionnaire. Results: The experimental group had a significant improvement in global health (P = 0.02), role functioning (P = 0.02), emotional functioning (P = 0.01), swallowing (P = 0.01), and opening mouth (P = 0.02). Postoperative pain and speech problems were most distressing symptoms in participants of both groups. Conclusions: The nurse-led postsurgical virtual education programme was found effective to improve the selected domains of QOL and may be used as an adjuvant intervention for head-and-neck cancer patients.
引用
收藏
页码:573 / 580
页数:8
相关论文
共 14 条
  • [11] Senchak Jordan J, 2019, Cancers Head Neck, V4, P2, DOI 10.1186/s41199-019-0041-4
  • [12] Shi Ru-Chun, 2015, Asian Pac J Cancer Prev, V16, P7117
  • [13] Assessment of Factors Affecting Quality of Life in Oral Squamous Cell Carcinoma Patients Using University of Washington Quality of Life Questionnaire[J]. Syed, Syed Abbas;Tariq, Muhammad Usman U.;Raheem, Ahmed;Saeed, Javeria;Hashmi, Syed S.;Karim, Musa;Nizam, Mazhar. CUREUS JOURNAL OF MEDICAL SCIENCE, 2019(01)
  • [14] Long-term effect of a nurse-led psychosocial intervention on health-related quality of life in patients with head and neck cancer: a randomised controlled trial[J]. van der Meulen, I. C.;May, A. M.;de Leeuw, J. R. J.;Koole, R.;Oosterom, M.;Hordijk, G-J;Ros, W. J. G. BRITISH JOURNAL OF CANCER, 2014(03)