Uçman Saykal Tuğba, Uysal Neşe
Department of Elderly Care, Harran University Vocational School of Health Service, Şanlıurfa, Turkey.
Department of Nursing, Amasya University Faculty of Health Sciences, Amasya, Turkey.
Florence Nightingale J Nurs. 2024 Feb 28;32(1):30-35. doi: 10.5152/FNJN.2024.22333.
One of the most common problems in individuals receiving neurotoxic chemotherapy is neuropathy. The study aimed to evaluate the peripheral neuropathy and the relationship between neuropathy, disability, and anxiety in patients receiving neurotoxic chemotherapy. The sample of the study consisted of individuals with cancer in the chemotherapy unit of a city hospital between March and July 2021. The study was conducted in 180 patients who underwent at least three cycles of neurotoxic chemotherapy and agreed to participate. The Introductory Information Form, Brief Disability Questionnaire, Beck Anxiety Inventory, and Common Terminology Criteria for Adverse Events were used to collect data. The prevalence of peripheral neuropathy in patients undergoing neurotoxic chemotherapy was 73.3% in this study. According to the severity of peripheral neuropathy, disability and anxiety scores of the patients showed a significant difference (p < .001). A positive, moderate significant correlation was determined between the scores for anxiety and disability. The variables affecting the neuropathy levels of individuals receiving chemotherapy were determined as marital status (odds ratio=0.239), number of cycles (odds ratio=0.125), and anxiety levels (odds ratio=1.076). The results of the present study indicated that the frequency of neuropathy was high and the severity of neuropathy was associated with anxiety and disability levels. According to the holistic approach, the physical and psychosocial effects of neuropathy should be evaluated.
接受神经毒性化疗的个体中最常见的问题之一是神经病变。该研究旨在评估接受神经毒性化疗患者的周围神经病变以及神经病变、残疾和焦虑之间的关系。研究样本包括2021年3月至7月在一家城市医院化疗科的癌症患者。该研究对180名接受了至少三个周期神经毒性化疗且同意参与的患者进行。使用基本信息表、简易残疾问卷、贝克焦虑量表和不良事件通用术语标准来收集数据。在本研究中,接受神经毒性化疗患者的周围神经病变患病率为73.3%。根据周围神经病变的严重程度,患者的残疾和焦虑评分显示出显著差异(p <.001)。焦虑和残疾评分之间确定存在正的、中度显著的相关性。确定影响接受化疗个体神经病变水平的变量为婚姻状况(比值比=0.239)、周期数(比值比=0.125)和焦虑水平(比值比=1.076)。本研究结果表明,神经病变的发生率很高,且神经病变的严重程度与焦虑和残疾水平相关。根据整体方法,应评估神经病变的身体和心理社会影响。