Effects of the systematic nursing instruction on the knowledge of treatments and symptom distress for the patients with ovarian cancer as receiving chemotherapy
Date Issued
2009
Date
2009
Author(s)
Lin, Shu-Erh
Abstract
Introduction: Ovarian cancer has the leading mortality rate for women. It is also the hardest cancer to perform early diagnosis, for example, approximately 70% of all ovarian cancer patients are diagnosed with late stages upon discovery. The treatment for ovarian cancer includes not only surgery, but also multiple courses of chemotherapy. However, chemotherapy often causes severe side effects including biological and psychological events; thus, it is the nursing staffs’ job to assist patients in strengthening their self-attendance abilities to relieve discomfort caused by chemotherapy and to complete treatments. The goal of this research is to explore the influences of systematic nursing instruction on patients’ cognition and symptom coping on treatments.ethod: This research adopted quasi- experimental design and was performed a pretest and posttests. 18 patients with the stage I to III ovarian cancer who received chemotherapy for the first time or received chemotherapy post-surgery at a medical center in north Taiwan from September 2008 to February 2009 were enrolled in the study. The performance of this systematic nursing instruction was evaluated by a structural questionnaire including demographics, cognition of the chemotherapy, questionnaire of attitude and behavior and symptom distress scale table. The SPSS/Window13.0 statistical software was used to analyze data and test hypothesis. The main outcome were demonstrated by percentages, means, and standard deviations; as well as, the differences between systematic nursing instruction and usual care/baseline were evaluated by Nonparametric analysis.esults: 1. Patients’ cognition is different among at pre-chemotherapy, usual care and the systematic nursing instruction. 2. The systematic nursing instruction improves patients’ cognitive degree of understanding, importance and execution in receiving chemotherapy. 3. Associated factors in cognition in first chemotherapy are revealed that the younger patients are, the better cognition they have; as well as, the higher education level is, the better the execution is. 4. Symptom distress resulting from first or second chemotherapy for the ovary cancer are nil or mild. 5. Even though there is no statistically significant relation between symptoms distress and age / stage of cancer / category of chemotherapy, there is negative relation to age.. There is no statistically significant association between patients’ cognition and symptom distress; however, it is revealed that patients with better cognition have less symptom distress.
Subjects
Ovarian cancer
chemotherapy
symptom distress
systematic nursing instruction
SDGs
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