Effect of Self-Care Guidelines on Symptoms Burden for Patients with Lung Cancer Undergoing Chemotherapy

Context: Lung cancer is common cancer worldwide. Because of the high-symptoms burden and severe morbidity, effective symptoms management requires comprehensive self-care strategies. Aim: This study was aimed to assess the effect of self-care guidelines on symptoms burden for patients with lung cancer undergoing chemotherapy. Methods: This study was conducted at the outpatient clinics in Radiation Oncology and Nuclear Medicine Center, affiliated to Ain Shams University. A quasi-experimental (pre/posttest) design was employed on a purposive sample of 50 adult patients were recruited for this study. The data were collected through a structured interview questionnaire to assess the patients’ socio-demographic characteristics, medical health profile, and knowledge about lung cancer. Lung Cancer and Chemotherapy Associated Symptoms Self-care Practices’ Assessment Questionnaire and M. D. Anderson Symptom Inventory-Lung Cancer (MDASI-LC) were also used. Results: The present study revealed that 36% of the patients had a satisfactory level of knowledge pre-implementation of self-care guidelines, which improved significantly for 48% of the patients post-implementation at p 0.007. 26.3% of them exhibit a satisfactory level of self-care practice pre-implementation of self-care guidelines that improved significantly (57.9%) post-implementation at p 0.001. Also, lung cancer symptom burdens and symptoms' influence on patients' lives were significantly improved after the implementation compared with preintervention level at p 0.001. A non-significant difference between pre and post-implementation of self-care guidelines regarding symptoms interference with patients' life was revealed at p 0.801. There were statistically negative correlations between patients' total symptom severity and self-care practice pre- and post-self-care guidelines implementation. Conclusion: self-care guidelines have a statistically significant positive effect on decreasing the severity of lung cancer symptoms. While chemotherapy-associated symptoms were slightly improved, there were no significant differences between pre and post-self-care guidelines implementation regarding symptoms interference with patients’ life. Health education programs about the disease and its management should be provided for lung cancer patients.

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Effect of Self-Care Guidelines on Chemotherapy Associated Symptoms for patients with lung Cancer

Egyptian Journal of Health Care ◽

10.21608/ejhc.2021.190133 ◽

2021 ◽

Vol 12 (3) ◽

pp. 289-306

Author(s):

Asmaa Mohamed Elsayed ◽

Ola Ahmed Abd –Elatay ◽

Asmaa Hamdi Mohamed ◽

Fatma Mostafa Mahrous ◽

Diaa Eldean Mousa Sherif

Keyword(s):

Lung Cancer ◽

Self Care ◽

Associated Symptoms ◽

Care Guidelines

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Effect of Self-Care Guidelines on Quality of Life for Patients with Hepatocellular Carcinoma Undergoing Radiofrequency Ablation

Evidence-Based Nursing Research ◽

10.47104/ebnrojs3.v3i3.203 ◽

2021 ◽

Vol 3 (3) ◽

pp. 11

Author(s):

Azhar T. Zaki ◽

Manal S. Hassan ◽

Ahmed H. Soliman ◽

Yosreah M. Mohamed

Keyword(s):

Quality Of Life ◽

Hepatocellular Carcinoma ◽

Radiofrequency Ablation ◽

Self Care ◽

Care Practice ◽

Total Quality ◽

Patient Reported ◽

Care Guidelines ◽

Care Practices

Context: Hepatocellular carcinoma (HCC) is considered one of the most challenging tumors with high incidence, prevalence, and mortality rates. Radiofrequency Ablation (RFA) is one of the emerging therapeutic modalities used for the minimally invasive treatment in the management of early-stage HCC. Aim: This study aimed to assess the effect of self-care guidelines on quality of life for patients with Hepatocellular Carcinoma undergoing Radio Frequency Ablation. Methods: A quasi-experimental design was used to achieve the aim of this study. This study was conducted at the Interventional Radiology Unit, affiliated to Ain Shams University Hospital, on a purposive sample of 50 patients with hepatocellular carcinoma; 25 randomly allocated to the study group, and 25 allocated to the control group. A structured interview questionnaire for patients with hepatocellular carcinoma undergoing radiofrequency ablation was used to collect the study data. It comprises three parts: Sociodemographic characteristic, assessment of patients' medical health, and knowledge about HCC and RFA. The second tool was the quality of life of cancer survivors questionnaire (pre /posttest), and finally, a patient-reported self-care practices assessment checklist (pre /posttests). Results: There were statistically significant differences between the study and control groups regarding their total knowledge about hepatocellular carcinoma and radiofrequency ablation therapy pre and post-implementation of self-care guidelines. There were highly statistically significant differences between both groups regarding the total quality of life, pre and post-implementation of self-care guidelines. In addition, there were highly statistically significant differences regarding total self-care practice, pre, and post-implementation of self-care guidelines. A positive correlation was revealed between total knowledge with total self-care practice and total quality of life (pre/posttest). Also, a significant correlation was revealed between the total quality of life and self-care practices post self-care guidelines implementation at (p<0.001). Conclusion: Implementation of self-care guidelines were improved patients' knowledge, quality of life, and self-care practices for patients with hepatocellular carcinoma undergoing radiofrequency ablation. A simplified, illustrated, and comprehensive Arabic booklet including self-care guidelines should be available for patients with hepatocellular carcinoma undergoing radiofrequency ablation. Replication of the current study on a larger probability sample is recommended to achieve generalization of the results. Further studies are recommended to assess factors affecting the quality of life for patients with hepatocellular carcinoma undergoing radiofrequency ablation.

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Self-care practices, patient education in women with breast cancer-related lymphedema

Turkish Journal of Physical Medicine and Rehabilitation ◽

10.5606/tftrd.2021.5022 ◽

2021 ◽

Vol 67 (2) ◽

pp. 187-195

Author(s):

Zeynep Deveci ◽

Özgül Karayurt ◽

Sibel Eyigör

Keyword(s):

Breast Cancer ◽

Patient Education ◽

Self Care ◽

Breast Cancer Surgery ◽

Care Practice ◽

Clinical Factors ◽

Cross Sectional ◽

Significant Difference ◽

Care Practices ◽

Breast Cancer Related Lymphedema

Objectives: This study aims to evaluate self-care practices, sociodemographic and clinical factors that affect self-care and patient education among women with breast cancer-related lymphedema (BCRL). Patients and methods: This descriptive, cross-sectional study included a total of 102 women with BCRL (median age: 59 years; range, 35 to 80 years) who received lymphedema (LE) treatment at least once between July 2014 and May 2016. A Sociodemographic and Clinical Characteristics Form and the Lymphedema Self-care Survey were used to collect data via face-to-face interviews. Results: The median LE self-care practices score for women was 10 (range, 5 to 14). A total of 39.1% of the women implemented regular self-care. A statistically significant relationship was found between the score for perceived benefit of LE self-care and the score for self-care practice. No statistically significant difference was found among the self-care scores of the women with LE in terms of sociodemographic and clinical factors, except for education status. A total of 90.2% of the women with LE received self-care education, mostly from a physical therapy specialist and a physiotherapist. There was a statistically significant difference among self-care scores between patients who were educated and uneducated about LE. Conclusion: It is recommended that healthcare professionals should educate patients diagnosed with breast cancer to reduce LE risk and promote the implementation of self-care practices following the breast cancer surgery. Interventions should be made to increase the perceived benefits and reduce the perceived barriers and burden towards self-care behaviors to prevent and manage LE.

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Knowledge and Practice of Stoma Care among Ostomates at B.P.Koirala Memorial Cancer Hospital

Journal of Nobel Medical College ◽

10.3126/jonmc.v4i1.13302 ◽

2015 ◽

Vol 4 (1) ◽

pp. 36-45 ◽

Cited By ~ 2

Author(s):

Radha Acharya Pandey ◽

Sandhya Baral ◽

Govinda Dhungana

Keyword(s):

Skin Irritation ◽

Self Care ◽

Care Practice ◽

Psychomotor Skills ◽

Permanent Colostomy ◽

Cross Sectional ◽

Significant Difference ◽

Peristomal Skin ◽

Knowledge And Practice ◽

Stoma Care

Background: There are more than 1 million patients with a permanent colostomy and the number is increasing by the rate of 100 000 per year. Clients with a new stoma must master multiple psychomotor skills to remove their pouch, clean the stoma and peristomal skin and empty and dispose of effluent from the pouch. Stoma care self-efficacy has been positively related to ostomy adjustment.Objective: To assess knowledge and practice of stoma care among ostomates.Method: This is a simple descriptive cross sectional study. A total of 94 ostomates who met eligible criteria were purposively sampled. Stoma self care efficacy scale and semi-structured questionnaire was used and face to face interview was done. Data were analyzed using SPSS version 16 program. T test was used to see the mean difference.Result: The knowledge of ostomates on normal stoma and complication of stoma was adequate (61.7%). Majority (92.6%) respondents had good daily care practice like emptying pouch, hand washing before and after procedure and cleaning stoma. Majority of the ostomates suffered from physical problem (89.4%). Of which maximum 72.3% had peristomal skin irritation, then came leakage and odour. More than half (64.9%) of ostomates had higher efficacy.Conclusion: On the basis of findings, it is concluded that there was significant difference in mean knowledge of ostomates with variables pre-operative teaching, training on stoma care, living with stoma for more than 12 months. There was significant difference in mean self care efficacy with variables duration of living with stoma and training on stoma care. Thus training on stoma care should be provided frequently to further improve self care efficacy.Journal of Nobel College of Medicine Vol.4(1) 2015: 36-45

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Effect of Self-Care Guidelines on Low Back Pain among Pregnant Women

Evidence-Based Nursing Research ◽

10.47104/ebnrojs3.v1i3.72 ◽

2019 ◽

Vol 1 (3) ◽

pp. 10

Author(s):

Shimaa A. Sharaby ◽

Mona A. B. Abd Ellatef

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Pregnant Woman ◽

Pregnant Women ◽

Self Care ◽

Structured Interview ◽

University Hospital ◽

Low Back ◽

Quasi Experimental ◽

Care Guidelines

Background: Gestational low back pain is a significant complaint during gestation being responsible for many negative impacts on the quality of life of pregnant women.Aim: Evaluate the effect of self-care guidelines on low back pain among pregnant women.Method: Quasi-experimental (pre/post-test) designed used to achieve the study aim. The study carried out at the outpatient clinic for antenatal care in Kafr ElSheikh University Hospital. Purposive samples composed of 39 pregnant women included in this study. Tools used included a structured interview questionnaire; to assess demographic characteristics of the studied sample, assess the obstetric history of pregnant women, assess pregnant women knowledge regarding low back pain and assess pregnant women reported practices toward relieving low back pain. The second tool was a visual analog scale to assess the degree of low back pain among pregnant woman.Result: Revealed statistically significant differences between mean scores of pregnant women knowledge, self-reported practices and the mean scores of pain degree among pregnant women pre, post-self-care guidelines implementation.Conclusion: Application of the self- care guidelines was improving pregnant women knowledge, practices, and was relieving low back pain recommending implementation of self-care guidelines in obstetrics & gynecological departments and antenatal outpatient clinics to relieve low back pain among pregnant woman. Besides, counseling and health education program must be provided to all pregnant woman to increases their knowledge regarding measures of relieving low back pain during pregnancy.

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Influence Of The Conditioning Factors Of Cardiac Transplant Patients To The Self-Care Engagement Profile

International Archives of Medicine ◽

10.3823/2357 ◽

2017 ◽

Vol 10 ◽

Author(s):

Ires Lopes Custódio ◽

Francisca Elisângela Teixeira Lima ◽

Marcos Venícios De Oliveira Lopes ◽

Érica Oliveira Matias ◽

Luiza Marques Cavalcante ◽

...

Keyword(s):

Heart Transplant ◽

Self Care ◽

Cross Sectional Study ◽

The Self ◽

Care Practice ◽

Cardiac Transplant ◽

Cross Sectional ◽

Conditioning Factors ◽

Transplant Patients ◽

Significant Difference

Background: This study aimed to identify the conditioning factors that influence the self-care practice of heart transplant patient after discharge and relate the conditioning factors to the Engagement Profile of Self Care. Methods: Cross-sectional study, undertaken at a transplantation unit of one public hospital, in Fortaleza-Ceará. There was the participation of 63 heart transplant patients. Results: The majority of the patients were men (88.9%), aged 40-59 years (68.3%), catholic (81.0%), married (77.8%), elementary school (71, 4%), retired or not working (82.5%); income below minimum wage (47, 6%); diagnosis to transplantation was chagasic cardiomyopathy (28.6%), post-transplant time between one and three years (39.7%). The determinant for self-care had significant difference (p<0.05) was the time of transplantation, because patients who have higher scores on Engagement Profile Self-Care had performed transplantation between 3 and 5 years. Conclusion: The professional team of heart transplant should consider the conditioning factors of patients transplanted cardiac in establishing strategies for promoting self-care.

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Gamma knife radiosurgery for metastatic brain tumors from lung cancer: a comparison between small cell and non—small cell carcinoma

Journal of Neurosurgery ◽

10.3171/jns.2002.97.supplement_5.0484 ◽

2002 ◽

Vol 97 ◽

pp. 484-488 ◽

Cited By ~ 46

Author(s):

Toru Serizawa ◽

Junichi Ono ◽

Toshihiko Iichi ◽

Shinji Matsuda ◽

Makoto Sato ◽

...

Keyword(s):

Lung Cancer ◽

Brain Tumors ◽

Gamma Knife ◽

Gamma Knife Radiosurgery ◽

Small Cell ◽

Metastatic Brain Tumors ◽

Cell Lung Carcinoma ◽

Content Type ◽

Significant Difference ◽

Fine Print

Object. The purpose of this retrospective study was to evaluate the effectiveness of gamma knife radiosurgery (GKS) for the treatment of metastatic brain tumors from lung cancer, with particular reference to small cell lung carcinoma (SCLC) compared with non-SCLC (NSCLC). Methods. Two hundred forty-five consecutive patients meeting the following five criteria were evaluated in this study: 1) no prior brain tumor treatment; 2) 25 or fewer lesions; 3) a maximum of three tumors with a diameter of 20 mm or larger; 4) no surgically inaccessible tumor 30 mm or greater in diameter; and 5) more than 3 months of life expectancy. According to the same treatment protocol, large tumors (≥ 30 mm) were surgically removed and the other small lesions (< 30 mm) were treated with GKS. New lesions were treated with repeated GKS. Chemotherapy was administered, according to the primary physician's protocol, as aggressively as possible. Progression-free, overall, neurological, qualitative, and new lesion—free survival were calculated with the Kaplan—Meier method and were compared in the SCLC and NSCLC groups by using the log-rank test. The poor prognostic factors for each type of survival were also analyzed with the Cox proportional hazard model. Conclusions. Tumor control rate at 1 year was 94.5% in the SCLC group and 98% in the NSCLC group. The median survival time was 9.1 months in the SCLC group and 8.6 months in the NSCLC group. The 1-year survival rates in the SCLC group were 86.5% for neurological survival and 68.9% for qualitative survival; those in the NSCLC group were 87.9% for neurological and 78.9% for qualitative survival. The estimated median interval to emergence of a new lesion was 6.9 months in the SCLC group and 9.8 months in the NSCLC group. There was no significant difference between the two groups for any type of survival; this finding was verified by multivariate analysis. The results of this study suggest that GKS appears to be as effective in treating brain metastases from SCLC as for those from NSCLC.

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Cultural knowledge and treatment of childhood illness

International Journal of Bioassays ◽

10.21746/ijbio.2016.09.004 ◽

2016 ◽

Vol 5 (09) ◽

pp. 4802

Author(s):

Izabel Cristina Santiago Lemos ◽

Giovana Mendes De Lacerda ◽

Maysa de Oliveira Barbosa ◽

Gyllyandeson de Araújo Delmondes ◽

Patrícia Rosane Leite de Figueiredo ◽

...

Keyword(s):

Traditional Knowledge ◽

Health Professionals ◽

Respiratory Infections ◽

Structured Interview ◽

Cultural Knowledge ◽

Childhood Illness ◽

Care Practice ◽

Childhood Illnesses ◽

Popular Knowledge

Traditional knowledge emerges as a relevant figure in care used by mothers and caregivers for the management of acute respiratory infections, diarrhea and anemia. To understand the meaning given to the use of traditional knowledge by mothers or caregivers for the treatment of these illnesses, their reflexes to conventional treatment, as well as discuss the role of health professionals with regard to the use of plants and animals by mothers or responsible for the management the respiratory infections; diarrhea and anemia. The research was conducted in Santo Antônio community (Barbalha - CE). Techniques as “rapport” and “Snowball” were used for data collection, and a closed questionnaire and semi-structured interview were applied. For data analysis, the Collective Subject Discourse (CSD) was used. The sample included 54 informants. There were 19 key ideas identified, which revealed an appreciation of the use of natural resources to treat the respiratory infections; diarrhea and anemia, an association between conventional and traditional medicine in the management these common childhood illnesses and the need for health professionals value the popular knowledge in assistance provided. Health professionals are encouraged to include behaviors in their care practice that allow greater contact with local cultures, being able to measure what resources are used and how they can interfere on the prescribed therapy.

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Personality Prototypes in People with Type 1 Diabetes and Their Relationship with Adherence

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18094818 ◽

2021 ◽

Vol 18 (9) ◽

pp. 4818

Author(s):

Carmen Sánchez-Urbano ◽

María J. Pino ◽

Carlos Herruzo

Keyword(s):

Type 1 Diabetes ◽

Personality Traits ◽

Psychological Health ◽

Treatment Guidelines ◽

Control Sample ◽

Self Care ◽

Self Report ◽

Cross Sectional ◽

Care Guidelines

Type 1 diabetes (Dm1) is a chronic endocrine and metabolic disease that affects the whole person and requires active, decisive treatment. However, personality traits may influence a patient’s adherence to treatment guidelines. The objective of this work is firstly to identify the 3 Asendorpf personality prototypes (resilient, undercontrolled and overcontrolled) in a sample of Dm1 individuals and determine whether there are any differences in comparison with a control sample; and, secondly, to study their association with adherence to self-care guidelines using both physiological indicators (HbA1C) and self-report measures. To achieve these objectives, a descriptive cross-sectional study was carried out. The sample comprised 294 participants, of whom 104 were people with Dm1 and 190 were controls. The participants, aged between 14 and 34 years, were classified by their scores in NEO-FFI-R, according to the personality characteristics inherent to Asendorpf’s prototypes. Asendorpf’s 3 prototypical personality patterns were found both in the group of people with Dm1 and in the control sample. These patterns showed different degrees of association with adherence to self-care guidelines for this disease and with psychological health factors. Importance should therefore be attached to the personality traits and Asendorpf prototypes of people with Dm1 when proposing interventions to address medical, psychological, and behavioral aspects.

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