2.50
Hdl Handle:
http://hdl.handle.net/10755/158087
Type:
Presentation
Title:
Health Care Demands of Cancer Patients with Chemotherapy
Abstract:
Health Care Demands of Cancer Patients with Chemotherapy
Conference Sponsor:Western Institute of Nursing
Conference Year:2004
Author:Hsiao, Chao-Pin
P.I. Institution Name:University of Arizona, College of Nursing
Contact Address:1305 N Martin Ave, PO Box 210203, Tucson, AZ, 85721, USA
Co-Authors:Ida M. (Ki) Moore
Purpose: The main purpose of this longitudinal, descriptive, and correlation study was to explore health care demands at the time of and 7 to 10 days following discharge for cancer patients receiving chemotherapy, and to explore the factors related to their health care demands. Rationale: Cancer chemotherapy patients not only experience different symptom distress associated with their disease, but they also suffer multidimensional side effects from a variety of chemotherapy treatments. In order to provide a comprehensive discharge plan for cancer patients receiving chemotherapy, health care providers need to understand the health care demands experienced by cancer patients receiving chemotherapy. Method: The methodology of this study were longitudinal, descriptive, and correlation. Variables include demographic data, characteristics of illness, physical function status, symptom distress level, and the health care demands experienced by cancer patients receiving chemotherapy at the time of and 7 to 10 days following discharge. The participants of this study were 123 cancer patients, who were selected from a medical center in Taipei from January to May 2001. The inclusion criteria of this study were: 1). A diagnosis of cancer by physician, 2). Eighteen years of age and older, 3). No evidence of brain injury, fully conscious and responsive, 4). Able to communicate in Mandarin or Taiwanese. Structured questionnaires were given twice in face-to-face interviews. The questionnaires included the Karnofsky Performance Status scale (KPS), Symptom Distress Scale (SDS), and Supportive Care Needs Survey (SCNS). The KPS is a 0 to 100 score (0 to 10 level) scale, measuring the capability and physical function status of daily activities of cancer patients. The SDS includes physical and psychological symptom distress, using 1 to 5 Liker Scale from no distress to very severe distress. The SCNS is a 1 to 5 Liker Scale, which measures the meet, unmet, and the ranked unmet health care demands for cancer patients receiving chemotherapy. Results: 78.5% of health care demands were found to be unmet in the overall health care of cancer patients receiving chemotherapy at the time of discharge. Unmet health care demands of cancer patients receiving chemotherapy at the time of and 7 to 10 days following discharge were low to moderate level (µ=2.64, SD=0.65, Range=1.55~4.37). The most frequently unmet health care demands were: information on health care (µ =3.25, SD=0.74), physical and daily living care (µ =2.85, SD=0.94), resources or services (µ =2.84, SD=0.88), psychological support (µ =2.35, SD=0.83), medical care (µ =2.27, SD=0.72), and information on sexuality (µ =1.98, SD=1.00). The chemotherapy cancer patients at the time of discharge had a low level of symptom distress (µ =1.61, SD=0.32, Range=3.09~1.09). The three most often reported symptoms of distress were fatigue (µ =2.67,SD=0.93), change in appetite (µ =2.55,SD=0.82), and insomnia (µ =2.27,SD=0.92). Implication: The findings can serve as a reference for future research, and aid nurses in clinical practice to provide an individualistic, concrete and holistic discharge plan for cancer patients receiving chemotherapy. One recommendation is to provide a comprehensive discharge assessment and individual chemotherapy information education for cancer patients receiving chemotherapy at the time of discharge. In addition, a follow up evaluation of individual health care demands at 7 to 10 days after discharge can enhance the satisfaction of health care for cancer patients receiving chemotherapy.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleHealth Care Demands of Cancer Patients with Chemotherapyen_GB
dc.identifier.urihttp://hdl.handle.net/10755/158087-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Health Care Demands of Cancer Patients with Chemotherapy </td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Western Institute of Nursing</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Hsiao, Chao-Pin</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Arizona, College of Nursing</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">1305 N Martin Ave, PO Box 210203, Tucson, AZ, 85721, USA</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Ida M. (Ki) Moore</td></tr><tr><td colspan="2" class="item-abstract">Purpose: The main purpose of this longitudinal, descriptive, and correlation study was to explore health care demands at the time of and 7 to 10 days following discharge for cancer patients receiving chemotherapy, and to explore the factors related to their health care demands. Rationale: Cancer chemotherapy patients not only experience different symptom distress associated with their disease, but they also suffer multidimensional side effects from a variety of chemotherapy treatments. In order to provide a comprehensive discharge plan for cancer patients receiving chemotherapy, health care providers need to understand the health care demands experienced by cancer patients receiving chemotherapy. Method: The methodology of this study were longitudinal, descriptive, and correlation. Variables include demographic data, characteristics of illness, physical function status, symptom distress level, and the health care demands experienced by cancer patients receiving chemotherapy at the time of and 7 to 10 days following discharge. The participants of this study were 123 cancer patients, who were selected from a medical center in Taipei from January to May 2001. The inclusion criteria of this study were: 1). A diagnosis of cancer by physician, 2). Eighteen years of age and older, 3). No evidence of brain injury, fully conscious and responsive, 4). Able to communicate in Mandarin or Taiwanese. Structured questionnaires were given twice in face-to-face interviews. The questionnaires included the Karnofsky Performance Status scale (KPS), Symptom Distress Scale (SDS), and Supportive Care Needs Survey (SCNS). The KPS is a 0 to 100 score (0 to 10 level) scale, measuring the capability and physical function status of daily activities of cancer patients. The SDS includes physical and psychological symptom distress, using 1 to 5 Liker Scale from no distress to very severe distress. The SCNS is a 1 to 5 Liker Scale, which measures the meet, unmet, and the ranked unmet health care demands for cancer patients receiving chemotherapy. Results: 78.5% of health care demands were found to be unmet in the overall health care of cancer patients receiving chemotherapy at the time of discharge. Unmet health care demands of cancer patients receiving chemotherapy at the time of and 7 to 10 days following discharge were low to moderate level (&micro;=2.64, SD=0.65, Range=1.55~4.37). The most frequently unmet health care demands were: information on health care (&micro; =3.25, SD=0.74), physical and daily living care (&micro; =2.85, SD=0.94), resources or services (&micro; =2.84, SD=0.88), psychological support (&micro; =2.35, SD=0.83), medical care (&micro; =2.27, SD=0.72), and information on sexuality (&micro; =1.98, SD=1.00). The chemotherapy cancer patients at the time of discharge had a low level of symptom distress (&micro; =1.61, SD=0.32, Range=3.09~1.09). The three most often reported symptoms of distress were fatigue (&micro; =2.67,SD=0.93), change in appetite (&micro; =2.55,SD=0.82), and insomnia (&micro; =2.27,SD=0.92). Implication: The findings can serve as a reference for future research, and aid nurses in clinical practice to provide an individualistic, concrete and holistic discharge plan for cancer patients receiving chemotherapy. One recommendation is to provide a comprehensive discharge assessment and individual chemotherapy information education for cancer patients receiving chemotherapy at the time of discharge. In addition, a follow up evaluation of individual health care demands at 7 to 10 days after discharge can enhance the satisfaction of health care for cancer patients receiving chemotherapy.</td></tr></table>en_GB
dc.date.available2011-10-26T20:29:45Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T20:29:45Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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