Department of Community Health Nursing, Manipal College of Nursing, Manipal Academy Higher Education, Manipal, Karnataka, India.
Department of Child Health Nursing, Manipal College of Nursing, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Asian Pac J Cancer Prev. 2023 Feb 1;24(2):587-596. doi: 10.31557/APJCP.2023.24.2.587.
Managing the symptoms of cancer patients is challenging for health care providers and interventions individually designed are required to improve the quality of life (QOL) of cancer patients.
to assess the efficacy of symptom management intervention on symptom reduction and the QOL of cancer patients.
A Quasi-experimental study using pre and post-test design was conducted among 200 cancer patients selected by a convenient sampling technique from the selected cancer hospitals. The intervention group received symptom management intervention and the control group received routine clinical care. The data were collected from individuals who had been diagnosed with breast/head and neck cancer and were in the third or fourth stages of cancer, using symptom assessment and Functional Assessment of Cancer Therapy (FACT) QOL tool. After the pre-test, symptom management intervention was provided, and a post-test was conducted at one month and three months after the intervention.
The mean age was 50.93 years among the participants. Fifty-two percent and 68% of them were in stage IV cancer in the intervention group and control group respectively. The mean QOL score of head and Neck cancers in the intervention group increased from 20.76 (1.82) to 97.03 (3.33) and the mean scores of QOL of breast cancer patients in the intervention group increased from 22.44 (2.92) to 94.39 (8.30). Repeated measure ANOVA showed that the intervention program was effective in enhancing symptom reduction and QOL among cancer patients (Head and Neck cancers F(1.3, 114) =391.62, p< 0.001 and Breast cancer F (1, 75) =177.41.41, p=.001).
Nurses play a vital role in providing care to cancer patients and improving their quality of life since nurses are more involved in care.
管理癌症患者的症状对医疗保健提供者来说是具有挑战性的，需要单独设计干预措施来提高癌症患者的生活质量（QOL）。
评估症状管理干预对减轻癌症患者症状和提高生活质量的疗效。
采用准实验研究，使用前后测试设计，在选定的癌症医院通过方便抽样技术选择了 200 名癌症患者。干预组接受症状管理干预，对照组接受常规临床护理。使用症状评估和癌症治疗功能评估（FACT）QOL 工具，从被诊断为乳腺癌/头颈部癌症且处于癌症第三或第四阶段的个体中收集数据。在预测试后，提供症状管理干预，并在干预后一个月和三个月进行后测试。
参与者的平均年龄为 50.93 岁。干预组和对照组分别有 52%和 68%的患者处于第四期癌症。干预组头颈部癌症的 QOL 平均得分从 20.76（1.82）增加到 97.03（3.33），干预组乳腺癌患者的 QOL 平均得分从 22.44（2.92）增加到 94.39（8.30）。重复测量方差分析表明，干预方案对减轻癌症患者的症状和提高其生活质量有效（头颈部癌症 F(1.3, 114) =391.62，p<0.001；乳腺癌 F(1, 75) =177.41.41，p=.001）。
护士在为癌症患者提供护理和提高其生活质量方面发挥着至关重要的作用，因为护士更参与护理。
