USING THE COPE INTERVENTION TO IMPROVE PATIENT SYMPTOM DISTRESS AND QUALITY OF LIFE: A CLINICAL TRIAL

2.50
Hdl Handle:
http://hdl.handle.net/10755/165291
Category:
Abstract
Type:
Presentation
Title:
USING THE COPE INTERVENTION TO IMPROVE PATIENT SYMPTOM DISTRESS AND QUALITY OF LIFE: A CLINICAL TRIAL
Author(s):
McMillan, Susan; Small, Brent; Weitzner, Michael; Haley, William; Schonwetter, Ronald
Author Details:
Susan McMillan, PhD, ARNP, FAAN, University of South Florida, College of Nursing, Tampa, Florida, USA; Brent Small, PhD; Michael Weitzner, MD; William Haley, PhD; Ronald Schonwetter, MD
Abstract:
Hospice family caregivers must be prepared to accurately report the patient's condition and to provide the needed care. Without this preparation, the patient may have uncontrolled symptoms and patient quality of life may suffer. To test an intervention for hospice family caregivers that was designed to help them master the skills needed to better assess and manage symptoms experienced by cancer patients, thus decreasing symptom distress and enhancing patient quality of life. The stress-process model was used for the larger clinical trial with patient symptoms as the caregiver stressors. This paper presents only patient data. A three group comparative design with repeated measures was used. The study was conducted in large hospice that provides primarily homecare. 328 patients with advanced cancer were randomly divided into three groups, a control group receiving standard care (Group I), a group receiving standard care plus support visits (Group II), and a group receiving standard care plus the experimental intervention (Group III). Group III received training in COPE (Creativity, Optimism, Planning, Expert Information) to assist with symptom management. Group II received Supportive Visits on the same schedule as Group III to control for the effects of researcher time and attention. The interventions were offered in three visits. Instruments included the Pain Numeric Rating Scale (NRS), Dyspnea NRS, Constipation Assessment Scale (assessing the three most common symptoms experienced by this group), Memorial Symptom Assessment Scale (symptom distress), and the Hospice Quality of Life Index. All measures had been validated with hospice patients with cancer and had shown strong evidence of reliability. Data were collected on admission to hospice, at day 16, and at day 30. Data were analyzed using repeated measures ANOVA. Results: Although the three target symptoms showed no significant improvement, the experimental group experienced significantly less symptom distress (p <.001). Quality of life remained stable. Conclusions/Implications: The COPE intervention is easily taught and is effective in improving the distress from multiple symptoms experienced by patients with cancer. This intervention is immediately translatable to the bedside with some minimal training for hospice nurses. However, further research is warranted to identify other possible outcomes.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2005
Conference Name:
30th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Orlando, Florida, USA
Sponsors:
Funding Sources: National Cancer Institute.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleUSING THE COPE INTERVENTION TO IMPROVE PATIENT SYMPTOM DISTRESS AND QUALITY OF LIFE: A CLINICAL TRIALen_GB
dc.contributor.authorMcMillan, Susanen_US
dc.contributor.authorSmall, Brenten_US
dc.contributor.authorWeitzner, Michaelen_US
dc.contributor.authorHaley, Williamen_US
dc.contributor.authorSchonwetter, Ronalden_US
dc.author.detailsSusan McMillan, PhD, ARNP, FAAN, University of South Florida, College of Nursing, Tampa, Florida, USA; Brent Small, PhD; Michael Weitzner, MD; William Haley, PhD; Ronald Schonwetter, MDen_US
dc.identifier.urihttp://hdl.handle.net/10755/165291-
dc.description.abstractHospice family caregivers must be prepared to accurately report the patient's condition and to provide the needed care. Without this preparation, the patient may have uncontrolled symptoms and patient quality of life may suffer. To test an intervention for hospice family caregivers that was designed to help them master the skills needed to better assess and manage symptoms experienced by cancer patients, thus decreasing symptom distress and enhancing patient quality of life. The stress-process model was used for the larger clinical trial with patient symptoms as the caregiver stressors. This paper presents only patient data. A three group comparative design with repeated measures was used. The study was conducted in large hospice that provides primarily homecare. 328 patients with advanced cancer were randomly divided into three groups, a control group receiving standard care (Group I), a group receiving standard care plus support visits (Group II), and a group receiving standard care plus the experimental intervention (Group III). Group III received training in COPE (Creativity, Optimism, Planning, Expert Information) to assist with symptom management. Group II received Supportive Visits on the same schedule as Group III to control for the effects of researcher time and attention. The interventions were offered in three visits. Instruments included the Pain Numeric Rating Scale (NRS), Dyspnea NRS, Constipation Assessment Scale (assessing the three most common symptoms experienced by this group), Memorial Symptom Assessment Scale (symptom distress), and the Hospice Quality of Life Index. All measures had been validated with hospice patients with cancer and had shown strong evidence of reliability. Data were collected on admission to hospice, at day 16, and at day 30. Data were analyzed using repeated measures ANOVA. Results: Although the three target symptoms showed no significant improvement, the experimental group experienced significantly less symptom distress (p &lt;.001). Quality of life remained stable. Conclusions/Implications: The COPE intervention is easily taught and is effective in improving the distress from multiple symptoms experienced by patients with cancer. This intervention is immediately translatable to the bedside with some minimal training for hospice nurses. However, further research is warranted to identify other possible outcomes.en_GB
dc.date.available2011-10-27T12:15:55Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:15:55Z-
dc.conference.date2005en_US
dc.conference.name30th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationOrlando, Florida, USAen_US
dc.description.sponsorshipFunding Sources: National Cancer Institute.-
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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