Evaluation on Symptoms and Self-Treatment due to Radiotherapy and Chemotherapy Based on Different Cancer Stage

2020 ◽  
Vol 9 (1) ◽  
pp. 129-139
Author(s):  
Yesiana Dwi Wahyu Werdani ◽  
Arief Widya Prasetya
Keyword(s):  
Cancer Patients ◽  
Hair Loss ◽  
Mixed Method ◽  
Physical Symptoms ◽  
Cancer Stage ◽  
Purposive Sampling ◽  
High Fiber ◽  
Stage 4 ◽  
Mixed Method Design ◽  
Sequential Explanatory

Cancer modality therapy can minimize metastatic, but it causes decrease in body functions and interfere the daily needs fulfilled. This study was to identify symptoms and self-treatment due to radiotherapy and chemotherapy based on the different cancer stage. This was mixed method design with sequential explanatory approach. Samples were 30 cancer patients taken by purposive sampling at Indonesian Cancer Foundation East Java Branch Surabaya. The instrument was a questionnaire. Fatigue was the most symptoms complained by all patients. Pain, hair loss, constipation were dominated in cancer stage 4, nausea-vomiting, insomnia were dominated in cancer stage 3. The majority self-treatment of fatigue was yoga exercise. Pain and nausea-vomiting were treated by medication and relaxation. Insomnia was treated by mild massage. Constipation was treated by consuming the high fiber foods. Radiotherapy and chemotherapy affect the disturbance of metabolism that cause physical symptoms disorders. Self-treatment by the patient could reduce the symptoms effectively.

Marital satisfaction of breast cancer patients and their spouses: A qualitative study

2019 ◽  
Vol 26 (2) ◽  
pp. 65-87
Author(s):  
Nudrat Mushtaq ◽  
Rabia Ali
Keyword(s):  
Breast Cancer ◽  
Marital Satisfaction ◽  
Cancer Patients ◽  
Mixed Method ◽  
Psychological Effects ◽  
Research Approach ◽  
Breast Cancer Patients ◽  
Qualitative Finding ◽  
Mixed Method Design ◽  
Interpretative Research

This study is part of a larger PhD research project on marital satisfaction of Breast Cancer Patients and their spouses in the Discipline of Sociology. The study was conducted by using a mixed method design. An interpretative research approach was used to collect data from 12 couples confronting breast cancer to unveil their experiences of marital satisfaction, while data from 279 couples were taken through a survey. In this paper the qualitative finding will be presented to highlight the couples’ nuanced experience as a consequence of their diagnosis. The findings reveal that the majority of participants experienced distress in their marital relationship. Breast cancer-confronting couples stated that breast cancer affected their intimate and /sexual relationship, besides acquainting them with individual psychological and mutual spousal issues. Difficulties in dealing with physical deformity and psychological effects resulting from breast cancer, and the ways these changes influenced their marital satisfaction, were observed by a majority of the participants. The findings suggest that couples with strong emotional bonding and understanding dealt with these consequences in a better way.

scholarly journals EXPLORING METACOGNITIVE READING STRATEGIES USED BY LOW AND HIGH PROFICIENCY FORM THREE ESL STUDENTS

2022 ◽  
Vol 7 (1) ◽  
pp. 335-365
Author(s):  
Jessica Abisheganathan Jeevaratnam ◽  
Mahani Stapa
Keyword(s):  
Mixed Method ◽  
Reading Strategies ◽  
Esl Students ◽  
English As Second Language ◽  
Purposive Sampling ◽  
Self Evaluation ◽  
Extra Effort ◽  
Significant Difference ◽  
Mixed Method Design ◽  
Metacognitive Reading Strategies

Background and Purpose: The purpose of this research is to explore the metacognitive reading strategies used by low and high proficiency Form Three ESL (English as Second Language) students and highlight suitable strategies that can be exposed to the low proficiency students.   Methodology: To serve the purpose of this research, an explanatory sequential mixed method design was used. As for the sampling, purposive sampling was employed in this study. The respondents were drawn from two Form Three classes in the selected secondary school in Pasir Gudang, Johor, Malaysia. There were twenty-four boys and thirty-six girls. They were all fifteen years old and represented three main ethnic groups which are Malays, Indians and Chinese. The number of respondents was equally the same for both groups; 30 from the low proficiency group and 30 from the high proficiency group.   Findings: The data gathered in this study revealed that the most popular metacognitive reading strategy among the respondents is self-evaluation. In addition, the most significant difference between the high and low proficiency students is that the latter employed fewer metacognitive reading strategies than the former. Furthermore, through the findings, this research also suggested the metacognitive reading strategies suitable for the low proficiency students; advanced organization, selective attention, self-management, directed attention and monitoring.   Contributions: This research aids the teachers in adapting their instructions and putting extra effort into training students, especially low proficiency students, to use suitable metacognitive reading strategies. Keywords: Low proficiency students, high proficiency students, purposive sampling, metacognitive reading strategies, explanatory sequential mixed method design.   Cite as: Jeevaratnam, J. A., & Stapa, M. (2022). Exploring metacognitive reading strategies used by low and high proficiency form three ESL students. Journal of Nusantara Studies, 7(1), 335-365. http://dx.doi.org/10.24200/jonus.vol7iss1pp335-365

Evaluation der Pflege- und Führungskompetenz – eine Ausgangslage für die weitere Praxisentwicklung

Pflege ◽  
2010 ◽  
Vol 23 (3) ◽  
pp. 191-203 ◽  
Author(s):  
Jacqueline S. Martin ◽  
Irena Anna Frei ◽  
Franziska Suter-Hofmann ◽  
Katharina Fierz ◽  
Maria Schubert ◽  
...  
Keyword(s):  
Mixed Method ◽  
Leadership Practice ◽  
Mixed Method Design ◽  
Competence Scale ◽  
Nurse Competence

Kompetente Pflege und effektives Leadership sind wichtige Voraussetzungen für die Bereitstellung einer qualitativ hochwertigen, evidenzbasierten, patienten- und ergebnisorientierten Patientenversorgung. Die Abteilung Klinische Pflegewissenschaft (KPW) am Universitätsspital Basel (USB) entwickelte und implementierte Programme zur gezielten Praxisentwicklung, welche die pflegerische Kompetenz sowie die des Leadership fördern. Zur Erfassung von Pflege- und Leadership-Kompetenz sowie der Arbeitsumgebungs- und Pflegequalität führte die KPW 2007 eine Evaluationsstudie mit einem Mixed-Method-Design durch. Am quantitativen Anteil der Studie nahmen 679 Pflegefachpersonen und 27 Stationsleitungen teil. Die deskriptiven Resultate zeigen, dass Pflegefachpersonen ihre durchschnittliche pflegerische Kompetenz über alle sieben Subkategorien der Nurse Competence Scale mit einem Mittelwert von 75,1 (VAS 0 – 100) beurteilten. Die Leadership-Kompetenz von Stationsleitungen wurde im oberen Drittel der Skala des Leadership Practice Inventory mit mittleren Werten zwischen 40 bis 50 (Meanscore: 6 – 60) eingeschätzt. Als Qualitätssicherungsmaßnahme sind regelmäßige Nachfolgeerhebungen im Sinne eines Monitoring geplant. Solche Erhebungen werden in Zukunft von zentraler Bedeutung sein, da zu erwarten ist, dass sich mit der Einführung des DRG-Finanzierungsmodells im schweizerischen Gesundheitswesen der Kontext der pflegerischen Leistungen verändern wird.

Hair Loss Prevention by a Scalp Cooling Device in Early Breast Cancer Patients: The Poliambulanza Preliminary Experience

2019 ◽  
Vol 14 (1) ◽  
pp. 66-71 ◽  
Author(s):  
Tiziana Prochilo ◽  
Alessandra Huscher ◽  
Federica Andreis ◽  
Mara Mirandola ◽  
Elisabetta Zaina ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Patients ◽  
Hair Loss ◽  
Depression Scale ◽  
Hair Follicles ◽  
Common Side Effect ◽  
Scalp Cooling ◽  
Breast Cancer Patients ◽  
Cooling Device ◽  
End Of Treatment

Background: The most effective agents in the treatment of breast cancer have a common side effect, the hair loss. Some studies reported a reduction of hair loss with the use of the scalp cooling device. Indeed, it decreases the drug accumulation in the hair follicles. We report our preliminary experience with a scalp cooling device in reducing chemotherapy-induced alopecia and related distress in breast cancer patients undergoing adjuvant chemotherapy. </P><P> Methods: Hair loss grading and treatment tolerability were evaluated during chemotherapy every 21 days and 3 weeks after the last cycle of chemotherapy via Dean’s scale by patients and operators and a comfort analogic scale by patients. We administered the Hospital Anxiety and Depression Scale questionnaire at the baseline and at the end of treatment to assess the distress related to chemotherapy- induced alopecia. Results: Among the 46 patients identified, 27 accepted the device. The eligible chemotherapy regimens included docetaxel+cyclophosphamide (TC), doxorubicin+cyclophosphamide (AC) and paclitaxel (P) weekly+trastuzumab (T). 24 pts (89%) completed the treatment; 3 pts (11%) treated with AC prematurely interrupted use of the scalp-cooling device due to inefficacy. After the last cycle of chemotherapy, the number of patient who perceived a HL < grade 2 was 16 (59%). The hair retention reported by operators has been higher (78%). 81.5% of patients well tolerated the treatment. Conclusion: In our study, the scalp-cooling device reduced chemotherapy-induced alopecia in taxane- based chemotherapy. Furthermore, it suggests a discordance in hair loss perception between patients and operators.

Familial Interdependence, Socioeconomic Disadvantage, and the Formation of Familial Mentoring Relationships Within Black Families

2020 ◽  
pp. 074355842097912
Author(s):  
Janelle T. Billingsley ◽  
Ariana J. Rivens ◽  
Noelle M. Hurd
Keyword(s):  
Logistic Regression ◽  
Social Class ◽  
Mixed Method ◽  
Black Families ◽  
Socioeconomic Disadvantage ◽  
Mentoring Relationships ◽  
Regression Analyses ◽  
Disadvantaged Youth ◽  
Mentoring Relationship ◽  
Mixed Method Design

This study used an explanatory sequential mixed-method design to explore the association between familial interdependence and familial mentoring relationship presence within black families. This study also examined how socioeconomic disadvantage may moderate the association between familial interdependence and familial mentoring presence. A sample of 216 black youth (59% girls; 41% boys) were surveyed, and a subsample of 25 participants were interviewed along with one of their parents, and one nonparental familial adult with whom the youth reported feeling emotionally close to learn more about the enactment of familial interdependence and the formation of familial mentoring relationships across social class. Logistic regression analyses revealed that greater valuing of familial interdependence was associated with a greater likelihood of having a familial mentoring relationship, but this association was present only among nonsocioeconomically disadvantaged youth. Data collected from participant interviews were analyzed to better understand this pattern of findings. These analyses provided some preliminary insights into why familial interdependence may predict familial mentor formation only among nonsocioeconomically disadvantaged youth. Implications of study findings for the promotion of familial mentoring relationships within black families are discussed.

scholarly journals High Expression of KLF10 Is Associated with Favorable Survival in Patients with Oral Squamous Cell Carcinoma

Medicina ◽  
2020 ◽  
Vol 57 (1) ◽  
pp. 17
Author(s):  
Chung-Min Yeh ◽  
Yi-Ju Lee ◽  
Po-Yun Ko ◽  
Yueh-Min Lin ◽  
Wen-Wei Sung
Keyword(s):  
Survival Rate ◽  
Oral Cancer ◽  
Cancer Patients ◽  
Protective Factor ◽  
Female Gender ◽  
Vital Role ◽  
Cancer Stage ◽  
Independent Prognostic Marker ◽  
Oral Cancer Patients ◽  
The Impact

Background and objectives: Krüppel-like transcription factor 10 (KLF10) plays a vital role in regulating cell proliferation, including the anti-proliferative process, activation of apoptosis, and differentiation control. KLF10 may also act as a protective factor against oral cancer. We studied the impact of KLF10 expression on the clinical outcomes of oral cancer patients to identify its role as a prognostic factor in oral cancer. Materials and Methods: KLF10 immunoreactivity was analyzed by immunohistochemical (IHC) stain analysis in 286 cancer specimens from primary oral cancer patients. The prognostic value of KLF10 on overall survival was determined by Kaplan–Meier analysis and the Cox proportional hazard model. Results: High KLF10 expression was significantly associated with male gender and betel quid chewing. The 5-year survival rate was greater for patients with high KLF10 expression than for those with low KLF10 expression (62.5% vs. 51.3%, respectively; p = 0.005), and multivariate analyses showed that high KLF10 expression was the only independent factor correlated with greater overall patient survival. The significant correlation between high KLF10 expression and a higher 5-year survival rate was observed in certain subgroups of clinical parameters, including female gender, non-smokers, cancer stage T1, and cancer stage N0. Conclusions: KLF10 expression, detected by IHC staining, could be an independent prognostic marker for oral cancer patients.

scholarly journals Factors Associated with “Survivor Identity” in Men with Breast Cancer

2021 ◽  
Vol 28 (3) ◽  
pp. 1696-1705
Author(s):  
Kathryn L. Dalton ◽  
Sheila N. Garland ◽  
Peggy Miller ◽  
Bret Miller ◽  
Cheri Ambrose ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Prostate Cancer ◽  
Cancer Patients ◽  
Disease Type ◽  
Cancer Stage ◽  
Factors Associated ◽  
Logistic Regressions ◽  
Term Survivor ◽  
Diagnosis Age ◽  
Time Since Diagnosis

Cancer patients vary in their comfort with the label “survivor”. Here, we explore how comfortable males with breast cancer (BC) are about accepting the label cancer “survivor”. Separate univariate logistic regressions were performed to assess whether time since diagnosis, age, treatment status, and cancer stage were associated with comfort with the “survivor” label. Of the 70 males treated for BC who participated in the study, 58% moderately-to-strongly liked the term “survivor”, 26% were neutral, and 16% moderately-to-strongly disliked the term. Of the factors we explored, only a longer time since diagnosis was significantly associated with the men endorsing a survivor identity (OR = 1.02, p = 0.05). We discuss how our findings compare with literature reports on the comfort with the label “survivor” for women with BC and men with prostate cancer. Unlike males with prostate cancer, males with BC identify as “survivors” in line with women with BC. This suggests that survivor identity is more influenced by disease type and treatments received than with sex/gender identities.

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