Foltz A T, Gaines G, Gullatte M
Breast and Cervical Cancer Program, Office of Public Health, New Orleans, LA, USA.
Oncol Nurs Forum. 1996 May;23(4):679-83.
PURPOSE/OBJECTIVES: To increase knowledge of the incidence and severity of chemotherapy side effects, identify self-care actions and their effectiveness, and determine patients' acceptance of and ability to complete Nail's Self-Care Diary (SCD) (Nail, Jones, Greene, Schipper, & Jensen, 1991).
Descriptive, retrospective.
Single medical oncology unit in an urban, tertiary care, private institution.
59 adult patients with cancer who had received at least one prior cycle of chemotherapy as inpatients were asked to complete the study forms and agreed to participate.
Eligible and consenting patients completed the SCD, recalling side effects and self-care since their last hospitalization for chemotherapy, as well as patient demographic forms and evaluations of the SCD. Descriptive statistics were used in analysis.
More than 50% of the patients reported having alopecia, fatigue, nausea, taste changes, appetite loss, sleeping difficulties, and constipation during the posthospitalization period. Self-care actions were employed with variable effect. Taking medication was among the most effective self-care actions. The majority of patients found the SCD easy to complete.
Side effects noted by patients in this study were similar to those of other populations.
This study adds to the literature evaluating specific self-care actions practiced by patients. Nail's SCD was found to be useful in collecting data retrospectively and may serve as a basis for proactive patient teaching regarding side-effect management.
目的/目标：增加对化疗副作用发生率和严重程度的了解，确定自我护理行为及其效果，并评估患者对奈尔自我护理日记（SCD）（奈尔、琼斯、格林、希珀和詹森，1991年）的接受程度及完成能力。
描述性、回顾性研究。
一家城市三级护理私立机构中的单一医学肿瘤科室。
59名成年癌症患者，他们之前至少作为住院患者接受过一个周期的化疗，被要求填写研究表格并同意参与研究。
符合条件并同意参与的患者填写SCD，回忆自上次化疗住院以来的副作用和自我护理情况，同时填写患者人口统计学表格并对SCD进行评估。分析采用描述性统计方法。
超过5０%的患者报告在出院后出现脱发、疲劳、恶心、味觉改变、食欲减退、睡眠困难和便秘等症状。自我护理行为的效果各不相同。服药是最有效的自我护理行为之一。大多数患者认为SCD易于填写。
本研究中患者指出的副作用与其他人群的类似。
对护理实践 的启示：本研究补充了有关评估患者实施的特定自我护理行为的文献。发现奈尔的SCD在回顾性收集数据方面很有用，可作为针对副作用管理进行前瞻性患者教育的基础。
