Kinnane N, Thompson L
Department of Medical Oncology & Clinical Haematology, Monash Medical Centre, Moorabbin Campus, Centre Road, East Bentleigh, Victoria, Australia.
Eur J Cancer Care (Engl). 2008 Jul;17(4):328-39. doi: 10.1111/j.1365-2354.2007.00846.x.
Preparing cancer patients and their families for chemotherapy treatment is difficult. The challenge lies in finding ways to promote self-care and improve their ability to recall instructions. The aim of this study was to evaluate the usefulness of an educational video with regard to patients' ability to recall and report side effects of treatment. Patients referred for adjuvant chemotherapy for breast and colorectal cancer were randomized to receive standard pre-chemotherapy education or standard education plus addition of a video. Patients completed a base line questionnaire assessing existing knowledge and another questionnaire prior to the second chemotherapy cycle evaluating recall of information. Patients who watched the video were asked to assess the video after six cycles of chemotherapy. Telephone calls to the department reporting symptoms were monitored for both groups. The video group demonstrated trends towards higher recall in information concerning fever, mouth problems, low red cell count and prevention of constipation. They more commonly telephoned reporting medical problems of nausea, vomiting and signs of infection compared with the standard group. In summary, our study demonstrated inclusion of video to standard chemotherapy education improves retention of information regarding management of predictable chemotherapy side effects and reporting of treatment-related symptoms.
让癌症患者及其家属为化疗治疗做好准备并非易事。挑战在于找到促进自我护理并提高他们记住医嘱能力的方法。本研究的目的是评估一部教育视频对于患者记住并报告治疗副作用能力的效用。被转诊接受乳腺癌和结直肠癌辅助化疗的患者被随机分为两组，一组接受标准的化疗前教育，另一组接受标准教育并外加一部视频。患者在化疗前完成一份评估现有知识的基线问卷，并在第二个化疗周期前完成另一份评估信息记忆情况的问卷。观看视频的患者在六个化疗周期后被要求对视频进行评估。两组患者向科室报告症状的电话记录均受到监测。视频组在关于发热、口腔问题、低红细胞计数和便秘预防的信息记忆方面呈现出更高的趋势。与标准组相比，他们更常打电话报告恶心、呕吐和感染迹象等医疗问题。总之，我们的研究表明，在标准化疗教育中加入视频可提高患者对可预测化疗副作用管理信息的记忆以及对治疗相关症状的报告。
