Bahrami Masoud, Parnian Raziyeh, Samimi Mozhgan Alam
Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Department of Adult Health Nursing, Isfahan University of Medical Sciences, Isfahan, Iran.
Iran J Nurs Midwifery Res. 2012 Jul;17(5):338-42.
Cancer and its treatments have a significant effect on the Quality of Life (QoL) of people who suffer from cancer. Nursing consultation involving cancer survivors might be beneficial for other patients as they successfully managed and lived with cancer. But controversies still exist in the research findings as how nursing consultation involving cancer survivors might influence other cancer patients' QoL. Therefore, a research study was done to determine the effect of nursing consultation with the presence of cancer survivors on cancer patients' QoL.
The study was a quasi-experimental research using a pre-post test design, which was conducted in Sayyed- AL-Shohada Hospital affiliated to Isfahan University of Medical Sciences, Iran, in 2010. Twenty-two adult patients who suffered from acute leukemia who were receiving chemotherapy were selected. They participated in a nursing consultation group in which cancer survivors were actively engaged. The patients' QoL was assessed before, 1 week, and 1 month after the nursing consultation using the European Organization for Research and Treatment of Cancer Quality of Life Core-30 Version 3 (EORTC QLQ-C30-V3) questionnaire.
Comparing QoL mean scores of patients in the symptom, performance, and the general health status scales showed that there was not any significant change in the QoL scores before, 1 week, and 1 month after the consultation.
It seems that the nursing consultation with the presence of cancer survivors couldn't enhance patients' QoL, although it might prevent worsening the patients' QoL. Cancer has deleterious impacts on patients' QoL and nursing consultation may not improve QoL in a short period of time. It is recommended that the study be conducted with a larger sample, in a longer time and with a case-control design.
癌症及其治疗方法对癌症患者的生活质量有重大影响。涉及癌症幸存者的护理咨询可能对其他患者有益，因为他们成功地应对了癌症并与之共存。但关于涉及癌症幸存者的护理咨询如何影响其他癌症患者的生活质量，研究结果仍存在争议。因此，开展了一项研究以确定有癌症幸存者参与的护理咨询对癌症患者生活质量的影响。
该研究为准实验性研究，采用前后测试设计，于2010年在伊朗伊斯法罕医科大学附属赛义德 - 阿尔 - 肖哈达医院进行。选取了22名正在接受化疗的成年急性白血病患者。他们参加了一个有癌症幸存者积极参与的护理咨询小组。使用欧洲癌症研究与治疗组织生活质量核心问卷第30版第3版（EORTC QLQ - C30 - V3）在护理咨询前、咨询后1周和1个月对患者的生活质量进行评估。
比较患者在症状、功能和总体健康状况量表上的生活质量平均得分，发现咨询前、咨询后1周和1个月的生活质量得分没有显著变化。
似乎有癌症幸存者参与的护理咨询不能提高患者的生活质量，尽管它可能防止患者生活质量恶化。癌症对患者的生活质量有有害影响，护理咨询可能无法在短时间内改善生活质量。建议进行更大样本、更长时间且采用病例对照设计的研究。
