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三成分医疗保健管理项目HEWCOT对接受化疗的结直肠癌患者的疗效评估

Evaluation of the Efficacy of the Three-Component Health Care Management Program HEWCOT in Colorectal Cancer Patients Receiving Chemotherapy.

作者信息

Avci Iknur Aydin, Altay Birsen, Cavusoglu Figen, Cal Ayse, Mumcu Nuran, Eren Dilek Celik, Oz Ozge, Altin Alaattin, Karaoglanoglu Ozden, Buberci Ayse

机构信息

Faculty of Health Sciences, Ondokuz Mayıs University, Samsun, Turkey.

Samsun Education and Research Hospital Radiation Oncology Clinic, Samsun, Turkey.

出版信息

J Cancer Educ. 2020 Apr;35(2):274-283. doi: 10.1007/s13187-018-1461-2.

DOI:10.1007/s13187-018-1461-2
PMID:30604384
Abstract

This study was performed to evaluate effects of education, home visits, web, and phone counseling on chemotherapy symptoms and anxiety in patients with colorectal cancer receiving chemotherapy. This pretest-posttest, quasi-experimental study was conducted in a chemotherapy unit of a hospital between February 2014 and October 2015. Due to dropouts from the study, was completed on 51 participants in the control group and 31 participants in the experimental group. The experimental group was offered a program that includes home visit, nursing education, web counseling, and tele-counseling (HEWCOT), developed by the researchers, to control symptoms and to reduce anxiety. The experimental group less frequently experienced constipation, pain, pricking and numbness in hands and feet, skin and nail problems, ocular problems, weakness, headache, mouth and throat problems, anxiety, and restlessness than the control group. The experimental group had less severe infection symptoms, hair loss, and mouth and throat problems after the interventions than the control group. In this study, the patients followed at home and provided web counseling and tele-counseling experienced less frequently chemotherapy symptoms.

摘要

本研究旨在评估教育、家访、网络及电话咨询对接受化疗的结直肠癌患者化疗症状及焦虑的影响。这项前后测准实验研究于2014年2月至2015年10月在一家医院的化疗科进行。由于研究中的脱落情况,最终完成研究的对照组有51名参与者,实验组有31名参与者。实验组接受了研究人员制定的包括家访、护理教育、网络咨询和电话咨询(HEWCOT)的项目,以控制症状并减轻焦虑。与对照组相比,实验组较少出现便秘、疼痛、手脚刺痛和麻木、皮肤和指甲问题、眼部问题、虚弱、头痛、口腔和咽喉问题、焦虑及烦躁不安。干预后,实验组的感染症状、脱发以及口腔和咽喉问题比对照组轻。在本研究中,接受居家随访并获得网络咨询和电话咨询的患者化疗症状出现频率较低。

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