Nursing Behavioral Intervention Trial Results in Fewer Hospitalizations Among Cancer Patients Undergoing Chemotherapy

2.50
Hdl Handle:
http://hdl.handle.net/10755/165643
Category:
Abstract
Type:
Presentation
Title:
Nursing Behavioral Intervention Trial Results in Fewer Hospitalizations Among Cancer Patients Undergoing Chemotherapy
Author(s):
Given, Barbara; Rahbar, M.; Bradley, C.; Kozachik, S.; Jeon, S.
Author Details:
Barbara Given, RN, PhD, FAAN, Professor and Research Director, Michigan State University, College of Nursing, East Lansing, Michigan, USA, email: bgiven@msu.edu; M. Rahbar; C. Bradley; S. Kozachik; S. Jeon
Abstract:
PURPOSE: This report describes how a cognitive behavioral intervention delivered by nurses and directed toward lowering the severity of symptoms reduced numbers of hospitalizations reported by patients during this 20-week trial. CONCEPTUAL FRAMEWORK: A cognitive behavioral model using a problem-solving format guided intervention strategies that focused on the severity of 14 symptoms. Strategies included; information, self-care management, and counseling and support individualized for each patient. Nurses assessed effects of interventions at subsequent visits and modified interventions as necessary. DESIGN: A randomized design assigned 118 patients to the experimental and 119 to the control group. SAMPLE: Patients with solid tumors who signed consents were accrued. Mean age was 59 with 75% being female, and 66% had stage 3 or higher disease. METHODS: Age, gender, comorbidity, severity of 15 symptoms each rated on a ten point scale (0-150) were measured at intake, 10, and 20 weeks. Hospitalizations were based on patient report over 20 weeks. DATA ANALYSIS: A Zero-inflated Poisson regression model was used to compare between groups the distribution of numbers of hospitalizations during the 20-week intervention. Absence or presence of hospitalizations was considered a binary random variable. For the number of hospitalizations a Poisson random variable with the probability of zero inflated using group, age, lung compared with other sites, as covariates. The binary component included only symptom severity as a covariate. FINDINGS: All measures and treatment protocols between the experimental and control group were equivalent. Twenty control group patients accounted for 37 admissions; 9 experimental patients accounted for 14 admissions. Zero-inflated Poisson regression modeled these events and group was significant after adjusting for age, lung vs. other sites, and symptom severity. CONCLUSIONS: These findings indicate that nursing interventions that reduce symptoms can have a positive impact on patient outcomes including, use of services and subsequent costs. IMPLICATIONS: The “value added” of these interventions must be considered as a part of cancer treatment.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2003
Conference Name:
28th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Denver, Colorado, USA
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.titleNursing Behavioral Intervention Trial Results in Fewer Hospitalizations Among Cancer Patients Undergoing Chemotherapyen_GB
dc.contributor.authorGiven, Barbaraen_US
dc.contributor.authorRahbar, M.en_US
dc.contributor.authorBradley, C.en_US
dc.contributor.authorKozachik, S.en_US
dc.contributor.authorJeon, S.en_US
dc.author.detailsBarbara Given, RN, PhD, FAAN, Professor and Research Director, Michigan State University, College of Nursing, East Lansing, Michigan, USA, email: bgiven@msu.edu; M. Rahbar; C. Bradley; S. Kozachik; S. Jeonen_US
dc.identifier.urihttp://hdl.handle.net/10755/165643-
dc.description.abstractPURPOSE: This report describes how a cognitive behavioral intervention delivered by nurses and directed toward lowering the severity of symptoms reduced numbers of hospitalizations reported by patients during this 20-week trial. CONCEPTUAL FRAMEWORK: A cognitive behavioral model using a problem-solving format guided intervention strategies that focused on the severity of 14 symptoms. Strategies included; information, self-care management, and counseling and support individualized for each patient. Nurses assessed effects of interventions at subsequent visits and modified interventions as necessary. DESIGN: A randomized design assigned 118 patients to the experimental and 119 to the control group. SAMPLE: Patients with solid tumors who signed consents were accrued. Mean age was 59 with 75% being female, and 66% had stage 3 or higher disease. METHODS: Age, gender, comorbidity, severity of 15 symptoms each rated on a ten point scale (0-150) were measured at intake, 10, and 20 weeks. Hospitalizations were based on patient report over 20 weeks. DATA ANALYSIS: A Zero-inflated Poisson regression model was used to compare between groups the distribution of numbers of hospitalizations during the 20-week intervention. Absence or presence of hospitalizations was considered a binary random variable. For the number of hospitalizations a Poisson random variable with the probability of zero inflated using group, age, lung compared with other sites, as covariates. The binary component included only symptom severity as a covariate. FINDINGS: All measures and treatment protocols between the experimental and control group were equivalent. Twenty control group patients accounted for 37 admissions; 9 experimental patients accounted for 14 admissions. Zero-inflated Poisson regression modeled these events and group was significant after adjusting for age, lung vs. other sites, and symptom severity. CONCLUSIONS: These findings indicate that nursing interventions that reduce symptoms can have a positive impact on patient outcomes including, use of services and subsequent costs. IMPLICATIONS: The “value added” of these interventions must be considered as a part of cancer treatment.en_GB
dc.date.available2011-10-27T12:22:22Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:22:22Z-
dc.conference.date2003en_US
dc.conference.name28th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationDenver, Colorado, USAen_US
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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