A Nursing Intervention for Reducing Symptom Burden During Chemotherapy

被引：34

作者：

Coolbrandt, Annemarie ^{[1
]}

Wildiers, Hans ^{[2
]}

Laenen, Annouschka ^{[3
]}

Aertgeerts, Bert ^{[4
]}

de Casterle, Bernadette Dierckx ^{[5
]}

van Achterberg, Theo ^{[5
]}

Milisen, Koen ^{[5
]}

机构：

[1] Univ Hosp Leuven, Dept Oncol Nursing, Leuven, Belgium

[2] Univ Hosp Leuven, Dept Gen Med Oncol, Leuven, Belgium

[3] Katholieke Univ Leuven, Leuven Biostat & Stat Bioinformat Ctr, Leuven, Belgium

[4] Katholieke Univ Leuven, Acad Ctr Gen Practice, Dept Publ Hlth & Primary Care, Leuven, Belgium

[5] Katholieke Univ Leuven, Acad Ctr Nursing & Midwifery, Dept Publ Hlth & Primary Care, Leuven, Belgium

来源：

ONCOLOGY NURSING FORUM | 2018年 / 45卷 / 01期

关键词：

chemotherapy; nursing intervention; self-management; symptom management; COMMON TERMINOLOGY CRITERIA; RANDOMIZED CONTROLLED-TRIAL; CANCER-RELATED FATIGUE; QUALITY-OF-LIFE; SELF-MANAGEMENT; ONCOLOGY OUTPATIENTS; BASE-LINE; CARE; EFFICACY; SUPPORT;

D O I：

10.1188/18.ONF.115-128

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

OBJECTIVES: To evaluate the efficacy of an individually tailored nursing intervention for reducing chemotherapy-related symptom distress in adult patients with cancer. SAMPLE & SETTING: A control group (n = 71) received usual care and an intervention group (n = 72) received usual care and the CHEMO-SUPPORT intervention, all at the University Hospitals of Leuven in Belgium. METHODS & VARIABLES: The intervention effect was evaluated by measuring the difference in outcomes between the two groups. The primary outcome. overall symptom distress. and other symptom-related outcomes were self-reported at the start of treatment (baseline) and at 3, 6, and 12 weeks. RESULTS: The CHEMO-SUPPORT intervention showed significantly less worsening of overall symptom distress and severity. Self-efficacy and outcome expectations (measured at six weeks) were significantly higher in the intervention group. Self-care (measured at 12 weeks) was statistically similar between the two groups. The results emphasize the importance of nurses in coaching patients to adequately self-manage their symptoms at home. IMPLICATIONS FOR NURSING: Providing goal-directed self-management support using motivational interviewing as well as tailoring are promising areas for reducing chemotherapy-related symptom distress.

引用

页码：115 / 128

页数：14

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