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给予接受化疗患者结构化信息对症状控制的影响。

Effect on symptom control of structured information given to patients receiving chemotherapy.

作者信息

Mollaoğlu Mukadder, Erdoğan Gülyeter

机构信息

Cumhuriyet University, Health Sciences Faculty, 58140 Sivas, Turkey.

Erciyes University, Mehmet Kemal Dedeman Oncology Hospital, Hematology-Oncology Unit, Erciyes, Turkey.

出版信息

Eur J Oncol Nurs. 2014 Feb;18(1):78-84. doi: 10.1016/j.ejon.2013.07.006. Epub 2013 Oct 4.

DOI:10.1016/j.ejon.2013.07.006
PMID:24095215
Abstract

PURPOSE

The performance of a planned education model in patients receiving chemotherapy can alleviate the side effects of chemotherapy and thus can increase the quality of the patients' lives. In accordance with this view, this study was conducted with the purpose of examining the effect of planned education given to patients receiving chemotherapy on their symptom control.

METHODS

The study was quasi-experimental. A sample of 120 patients participated, of which 60 were in the experimental group (EG) and 60 were in the control group (CG). A patient data form and the chemotherapy symptom assessment scale (C-SAS) were used in order to collect the data. Median, Mann-Whitney U test and Wilcoxon signed rank test were used to analyze the data.

RESULTS

There were statistically significant decreases in the frequencies of the following symptoms: nausea, vomiting, constipation, pain, infectious signs, problems of mouth and throat, problems of skin and nails, appetite changes, weight loss or weight gain, feeling distressed/anxious, feeling pessimistic and unhappy, unusual fatigue, difficulty sleeping. Also, there were statistically significant decreases in the severity of eleven symptoms and on the discomfort levels of nine symptoms.

CONCLUSION

In the study, the planned education provided by the health-care providers had a positive effect on the symptom control of patients receiving chemotherapy.

摘要

目的

在接受化疗的患者中实施计划好的教育模式可减轻化疗的副作用,从而提高患者的生活质量。基于这一观点,本研究旨在探讨对接受化疗的患者进行计划教育对其症状控制的影响。

方法

本研究为准实验性研究。120名患者参与其中,60名在实验组(EG),60名在对照组(CG)。使用患者数据表和化疗症状评估量表(C-SAS)收集数据。采用中位数、曼-惠特尼U检验和威尔科克森符号秩检验分析数据。

结果

以下症状的发生频率有统计学意义的降低:恶心、呕吐、便秘、疼痛、感染迹象、口腔和咽喉问题、皮肤和指甲问题、食欲改变、体重减轻或增加、感到苦恼/焦虑、感到悲观和不开心、异常疲劳、睡眠困难。此外,11种症状的严重程度以及9种症状的不适程度有统计学意义的降低。

结论

在本研究中,医护人员提供的计划教育对接受化疗患者的症状控制有积极影响。

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