Princess Margaret Cancer Centre, 610 University Ave, Toronto, Ontario M5G 2M9, Canada.
Princess Margaret Cancer Centre, 610 University Ave, Toronto, Ontario M5G 2M9, Canada; Ontario Health, Cancer Care Ontario, 620 University Ave, Toronto, Ontario M5G 2L7, Canada; University of Toronto, 27 King's College Circle, Toronto, Ontario M5S 1A1, Canada.
Gynecol Oncol. 2021 Jan;160(1):234-243. doi: 10.1016/j.ygyno.2020.10.007. Epub 2020 Oct 17.
The objective was to evaluate the effects of a pre-chemotherapy education class on chemotherapy-naïve patients diagnosed with gynecologic cancer and their informal caregivers.
A prospective cohort study was conducted at a cancer centre in Toronto, Canada. All women diagnosed with gynecologic cancer, who were scheduled to receive chemotherapy treatment, and their caregivers were invited to attend the GyneChemo class, newly introduced as the centre's standard of care. Consenting attendees were asked to complete pre-and post-class survey measures assessing anxiety, self-efficacy, information needs, preparedness to begin chemotherapy treatment, and satisfaction with the class.
Between September 2014 to September 2016, 642 individuals attended the GyneChemo class. 75 patients and 64 caregivers completed both pre- and post-class measures. Over 80% of participants agreed that the class was beneficial, specific to their needs, and administered in an appropriate setting. Significant increases in patient and caregiver self-efficacy (p < 0.001) and preparedness to begin chemotherapy treatment (p < 0.001) were found following class completion. Significant differences in patient's anxiety scores were found, with patients who reported an annual household income of <$25,000 experiencing increased anxiety (MD = +5.33) and patients reporting an income of $25,000-$75,000 reporting decreased anxiety (MD = -4.75) following class completion (p = 0.034). No significant difference in the average pre-post caregiver anxiety score (p = 0.207) was found.
This educational model provides patients and informal caregivers with information specific to their chemotherapy regimen and disease site. Integrating pre-treatment education into cancer care has the potential to improve the survivorship experience by increasing self-efficacy, treatment preparedness, and psychological well-being.
评估化疗前教育课程对初诊妇科癌症患者及其非专业照护者的影响。
在加拿大多伦多的一家癌症中心进行了前瞻性队列研究。所有初诊妇科癌症、计划接受化疗的女性及其照护者均受邀参加新引入的中心常规护理的 GyneChemo 课程。同意参加的参与者被要求在课前和课后完成评估焦虑、自我效能、信息需求、开始化疗治疗的准备情况以及对课程满意度的调查。
2014 年 9 月至 2016 年 9 月期间，共有 642 人参加了 GyneChemo 课程。75 名患者和 64 名照护者完成了课前和课后的测量。超过 80%的参与者认为课程对他们有帮助，符合他们的需求，并在适当的环境下进行。课程结束后，患者和照护者的自我效能（p<0.001）和开始化疗治疗的准备情况（p<0.001）显著提高。患者的焦虑评分也存在显著差异，年收入<25000 加元的患者焦虑程度增加（MD=+5.33），年收入 25000-75000 加元的患者焦虑程度降低（MD=-4.75）（p=0.034）。课程结束后，照护者的平均焦虑评分无显著差异（p=0.207）。
这种教育模式为患者及其非专业照护者提供了特定于他们化疗方案和疾病部位的信息。将治疗前教育纳入癌症护理中，有可能通过提高自我效能、治疗准备和心理健康，改善生存体验。
