Advertisement

Evaluation of the Efficacy of the Three-Component Health Care Management Program HEWCOT in Colorectal Cancer Patients Receiving Chemotherapy

  • Iknur Aydin Avci
  • Birsen Altay
  • Figen Cavusoglu
  • Ayse CalEmail author
  • Nuran Mumcu
  • Dilek Celik Eren
  • Ozge Oz
  • Alaattin Altin
  • Ozden Karaoglanoglu
  • Ayse Buberci
Article
  • 46 Downloads

Abstract

This study was performed to evaluate effects of education, home visits, web, and phone counseling on chemotherapy symptoms and anxiety in patients with colorectal cancer receiving chemotherapy. This pretest-posttest, quasi-experimental study was conducted in a chemotherapy unit of a hospital between February 2014 and October 2015. Due to dropouts from the study, was completed on 51 participants in the control group and 31 participants in the experimental group. The experimental group was offered a program that includes home visit, nursing education, web counseling, and tele-counseling (HEWCOT), developed by the researchers, to control symptoms and to reduce anxiety. The experimental group less frequently experienced constipation, pain, pricking and numbness in hands and feet, skin and nail problems, ocular problems, weakness, headache, mouth and throat problems, anxiety, and restlessness than the control group. The experimental group had less severe infection symptoms, hair loss, and mouth and throat problems after the interventions than the control group. In this study, the patients followed at home and provided web counseling and tele-counseling experienced less frequently chemotherapy symptoms.

Keywords

Colorectal cancer Chemotherapy Home visit Nursing 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no competing interests.

References

  1. 1.
    World Health Organization, Globacan 2012: estimated cancer incidence, mortality and prevalence worldwide in 2012. http://globacan.iarc.fr/Pages/fact_sheets_cancer.aspx Accessed 11 Jan 2018
  2. 2.
    American Cancer Society. Cancer Facts & Figures 2015. http://www.cancer.org/acs/groups/content/@editorial/documents/document/acspc-044552.pdf Accessed 25 Sept 2017
  3. 3.
    Siegel R, De Santis C, Jemal A (2014) Colorectal cancer statistics. CA Cancer J Clin 64:104–117.  https://doi.org/10.3322/caac.21220 CrossRefPubMedGoogle Scholar
  4. 4.
    Cancer Directorate of Turkey Public Health Institution. Cancer Registry in Turkey. Retrieved from http://kanser.gov.tr/index.php/daire-faaliyetleri/kanser-kayitciligi/108-t%C3%BCrkiyede%20kanser-kayitcigi.html Accessed 15 Jan 2017
  5. 5.
    Kara B, Fesci H (2004) Self-care quality of life in cancer. Hematol Oncol 6(4):124–129Google Scholar
  6. 6.
    Yesilbalkan OU, Akyol AD, Cetinkaya Y et al (2005) Studying the symptoms that are being experienced due to treatment by the patients who receive chemotheraphy and their effects on the quality of life. J Ege Univ Nurs Fac 21(1):13–31Google Scholar
  7. 7.
    Esercan TY, Merih YD (2010) Management of symptoms in the chemotherapy. Zeynep Kamil Med 41(1):35–42Google Scholar
  8. 8.
    Unsar S, Findik UY, Kurt S et al (2007) Home care in patients with cancer and symptom control. Fırat University medical journal of. Health Sci 2(5):89–106Google Scholar
  9. 9.
    Aslan O, Vural H, Komurcu S et al (2006) Effect of education on chemotherapy symptoms in cancer patients receiving chemotherapy. Cumhuriyet Nurs J 10(1):16–27Google Scholar
  10. 10.
    Hintistan S, Pekmezci H, Nural N et al (2015) Psychologic symptoms of patients receiving chemotherapy. Cumhuriyet Nurs J 4(1):2–9Google Scholar
  11. 11.
    Arslan S, Akin B, Kocoglu D (2008) The relationship between perceived social support, sociodemographic charecteristics and symptoms related to chemotherapy treatment in the patients who are receiving chemotherapy. J Res Dev Nurs 1:47–56Google Scholar
  12. 12.
    Karabulutlu O (2009) Symptom management and continuation of life quality in the patients receiving chemotherapy. Florence Nightingale J Nurs 17(3):218–225Google Scholar
  13. 13.
    Aksoy G (2000) Role of Nurse in Primary and Secondary Protection. In: Topuz E, Aydiner A, Karadeniz NA (eds) Clinical Oncology. Tunc Press, Istanbul, pp 340–345Google Scholar
  14. 14.
    Baysal HY, Turkoglu N (2013) Evaluation of health beliefs and knowledge levels on protection from colorectal cancer in individuals. Int J Hum Sci 10(1):1238–1250Google Scholar
  15. 15.
    Dooms CA, Pat KE, Vansteenkiste JF (2006) The effect of chemotherapy on symptom control and quality of life in patients with advanced non-small cell lung cancer. Expert Rev Anticancer Ther 6:531–544.  https://doi.org/10.1586/14737140.6.4.531 CrossRefPubMedGoogle Scholar
  16. 16.
    Schonwetter RS, Roscoe LA, Wosu M et al (2006) Quality of life and symptom control in hospice patients with cancer receiving chemotherapy. J Palliat Med 9:638–645.  https://doi.org/10.1089/jpm.2006.9.638 CrossRefPubMedGoogle Scholar
  17. 17.
    Soylemez MN (2011) Home care needs, the level of providing care and affecting factors in Honaz population, Denizli, Doctoral thesis, Pamukkale University Institute of Health Sciences DenizliGoogle Scholar
  18. 18.
    Brown V, Sitzia J, Richardson A, Hughes J, Hannon H, Oakley C (2001) The development of the chemotherapy symptom assessment scale (C-SAS): a scale for the routine clinical assessment of the symptom experiences of patients receiving cytotoxic chemotherapy. Int J Nurs Stud 38:497–511.  https://doi.org/10.1016/S0020-7489(00)00106-1 CrossRefPubMedGoogle Scholar
  19. 19.
    Arslan O (2003) Assessing the chemotherapy symptoms and determining the effect of nursing education role on cancer patients undergoing chemotherapy, PhD Thesis, Gülhane Military Medical Academy Institute of Health Sciences, AnkaraGoogle Scholar
  20. 20.
    Spielberger CD, Gorsuch RC, Luschene RE (1970) Manual for the State-Trait Anxiety Inventory. Consulting Psychologists Press, CaliforniaGoogle Scholar
  21. 21.
    Oner N, Le Compte A (1985) State-Trait Anxiety Inventory manual. Bogazici University Press, IstanbulGoogle Scholar
  22. 22.
    Erdogan GY (2011) Evaluation of the Symptoms of Chemotherapy Patients with Cancer and the Role of Education in Symptom Management. Master Thesis, Cumhuriyet University Institute of Health Sciences, SivasGoogle Scholar
  23. 23.
    Sadirli SK (2008) Assessment of symptom control in cancer patients. Master Thesis, Trakya University Faculty of Health Sciences, EdirneGoogle Scholar
  24. 24.
    Viele CS (2003) Overview of chemotherapy-induced diarrhea. Semin Oncol Nurs 19:2–5.  https://doi.org/10.1053/S0749-2081(03)00114-1 CrossRefPubMedGoogle Scholar
  25. 25.
    Schofield P, Smith P, Aveyard B (2007) Complementary therapies for pain management in palliative care. J Community Nurs 21:10–16Google Scholar
  26. 26.
    Cassileth BR, Vickers AJ (2004) Massage therapy for symptom control: outcome study at a major cancer center. J Pain Symptom Manage 28:244–249.  https://doi.org/10.1016/j.jpainsymman.2003.12.016 CrossRefPubMedGoogle Scholar
  27. 27.
    Stephenson N, Dalton JA, Carlson J (2003) The effect of foot reflexology on pain in patients with metastatic Cancer. Appl Nurs Res 16:284–286.  https://doi.org/10.1053/S0897-1897(03)00077-6 CrossRefPubMedGoogle Scholar
  28. 28.
    Anderson KO, Cohen MZ, Mendoza TR, Guo H, Harle MT, Cleeland CS (2006) Brief cognitive-behavioral audiotape interventions for cancer-related pain: immediate but not long-term effectiveness. Cancer 107:207–214CrossRefGoogle Scholar
  29. 29.
    Sevgili S, Karlezli A, Tokgonul AN et al (2006) Availability of pain assessment form in pulmonary malignancy patients. Respir Dis 20:13–19Google Scholar
  30. 30.
    Tofthagen C, McAllister RD, McMillani SC (2011) Peripheral neuropathy in patients with colorectal cancer receiving oxaliplatin. Clin J Oncol Nurs 15:15–23.  https://doi.org/10.1188/11.CJON.182-188 CrossRefGoogle Scholar
  31. 31.
    Can G (2007) Evidence based symptom Management in Oncology Nursing Consensus. Nobel Medicine Bookstores, IstanbulGoogle Scholar
  32. 32.
    McGuire D, Correa M, Johnson J (2006) The role of basic oral care and good clinical practice principles in the management of oral mucositis. Support Care Cancer 14:541–547.  https://doi.org/10.1007/s00520-006-0051-8 CrossRefPubMedGoogle Scholar
  33. 33.
    Babaoglu E, Oz F (2003) The relationship between psychological and social problems of the spouses who cared for the terminal cancer patients. J Res Dev Nurs 2:31–36Google Scholar

Copyright information

© American Association for Cancer Education 2019

Authors and Affiliations

  1. 1.Faculty of Health SciencesOndokuz Mayıs UniversitySamsunTurkey
  2. 2.Faculty of Health SciencesOndokuz Mayıs UniversitySamsunTurkey
  3. 3.Samsun Education and Research Hospital Radiation Oncology ClinicSamsunTurkey
  4. 4.Samsun Education and Research Hospital Chemotherapy ClinicSamsunTurkey

Personalised recommendations