Current Issue : October - December Volume : 2017 Issue Number : 4 Articles : 7 Articles
Objective: To explore the effect of palliative care on the quality of life of patients\nwith cancer pain. Methods: For May 2015 to May 2016 hospitalized 57\npatients with advanced cancer pain carry out palliative care. At the same time,\nthe quality of life questionnaire, including physical function, role function,\nemotional function, cognitive function and social function, were investigated\nat the time of admission and 6 weeks after admission. Results: Patients with\nvarious functions have significantly improved after palliative care (P < 0.05).\nConclusions: Palliative care can effectively improve the quality of life of patients\nwith cancer pain. It is worth in clinical promotion....
Background: Effective interdisciplinary communication is important to achieve better quality in health care. The\naims of this study were to compare conventional and complementary providers� experience of communication\nabout complementary therapies and conventional medicine with their cancer patients, and to investigate how they\nexperience interdisciplinary communication and cooperation.\nMethod: This study analyzed data from a self-administrated questionnaire. A total of 606 different health care\nproviders, from four counties in Norway, completed the questionnaire. The survey was developed to describe\naspects of the communication pattern among oncology doctors, nurses, family physicians and complementary\ntherapists (acupuncturists, massage therapists and reflexologists/zone-therapists). Between-group differences were\nanalyzed using chi-square, ANOVA and Fisher�s exact tests. Significance level was defined as p < 0.05 without\nadjustment for multiple comparisons.\nResult: Conventional providers and complementary therapists had different patterns of communication with their\ncancer patients regarding complementary therapies. While complementary therapists advised their patients to apply\nboth complementary and conventional modalities, medical doctors were less supportive of their patients� use of\ncomplementary therapies. Of conventional providers, nurses expressed more positive attitudes toward\ncomplementary therapies. Opportunities to improve communication between conventional and complementary\nproviders were most strongly supported by complementary providers and nurses; medical doctors were less\nsupportive of such attempts. A number of doctors showed lack of respect for complementary therapists, but asked\nfor more research, guidelines for complementary modalities and training in conventional medicine for\ncomplementary therapists.\nConclusion: For better quality of care, greater communication about complementary therapy use is needed\nbetween cancer patients and their conventional and complementary providers. In addition, more communication\nbetween conventional and complementary providers is needed. Nurses may have a crucial role in facilitating\ncommunication, as they are positive toward complementary therapies and they have more direct communication\nwith patients about their treatment preferences....
Abstract\nObjective: The aim of this study is to discuss the results of complementary and integrative care practice in symptom management in patients with breast cancer in\nnursing postgraduate theses conducted in our country.\nMaterials and methods: In the study, among the postgraduate theses conducted in the field of nursing from the website of the National Thesis Center, 74 studies\nconducted on patients with breast cancer were reached by browsing with ââ?¬Å?breastââ?¬Â as the key word. A total of 15 postgraduate nursing studies having complementary\nand integrative care applications, including 5 masterââ?¬â?¢s theses and 10 doctoral theses, were examined. The year, thesis type and department of all the thesis were\nrecorded.\nResults: It was determined that 5 of the postgraduate nursing these studies related to complementary and integrative care practice were masterââ?¬â?¢s theses and 10 were\ndoctoral theses. Symptoms of the study were determined to be pain, nausea / vomiting, fatigue, lymphedema, anxiety, depression, sleep and alopecia. Complementary\nand integrative maintenance applications were determined to be relaxation exercise, aromatherapy, lymph drainage massage, reflexology, scalp cooling, acupressure\nand ginger use. In the studies examined, complementary and integrative care practices were found to be effective in symptom management.\nConclusion: Postgraduate nursing thesis studies demonstrate the effectiveness of complementary and integrative care practices in symptom management in patients\nwith breast cancer. The increased involvement of nursing care practices for symptom management will contribute to the development of evidence-based practices in\nthis field....
Pain is one of the main symptoms involved in cancer patients receiving treatment or because of the disease itself. Approximately, 30% to 50% of cancer patients receiving treatment experience pain and 70% to 90% with advanced stages of cancer experienced moderate to severe pain. Reducing the pain and suffering of cancer patients is essential to delivering quality care. Pain experienced by cancer patients affects quality of life, physical functioning, social relationship, and mental health, pain often co-occurs with additional symptoms, such as fatigue, sleep disturbance, loss of appetite, and anxiety....
Objective: To investigate the knowledge of nursing students about\nthe care provided to patients with neoplastic wound.\nMethod: This is an exploratory research of a qualitative nature, which\nwas attended by 15 students of the Bachelor's Degree in Nursing\nfrom the Center of Education and Health of the Federal University of\nCampina Grande, campus CuitÃ?© - PB, in the period from October to\nNovember 2015. For data collection, we used a form for an interview.\nThe data were analyzed through the Technique of Thematic Analysis\nof Minayo.\nResults: From the analysis of the empirical material emerged the following\nthematic categories: Category 1. Defining neoplastic wounds;\nCategory 2. Knowledge incipient on ââ?¬Ë?neoplastic woundsââ?¬â?¢ for academic\nand professional practice; Category 3. Envisioning the theme \"neoplastic\nwound\" in the Academy; Category 4. Knowledge about methods\nof evaluation of neoplastic wounds and Category 5. Knowledge of\ntherapeutic modalities of neoplastic wounds.\nConclusions: The academics know the evaluative method of a patient\nwith neoplastic wound as integralizadora unit of care process;\nrecognize palliative care as the best therapeutic modality for these\ncustomers, especially when they are in completion and indicate the\nproducts contraindicated in the treatment of these lesions; however,\ndo not mention the covers and recommended substances for the imcontrol\nof the signs and symptoms of these injuries. In this context, it\nis believed that the creation of academic projects of extension, with\nthe aim of creating opportunities for integration between theory and\npractice, is one of the ways to improve the knowledge....
Cancer prevalence is increasing in the Kingdom of Saudi Arabia. While the exact etiology of this trend is unknown, it can perhaps be partially attributed to an increased life expectancy and changes in lifestyle habits. One of the main challenges to the provision of appropriate cancer and palliative care is the critical shortage of oncology healthcare professionals, including nurses. The Kingdom of Saudi Arabia is characterized by its Islamic faith, culture, and unique traditions that may contribute to uniquely stressful situations for oncology nurses working in Saudi oncology care settings. This article provides an overview of cancer care and oncology nursing in the Kingdom of Saudi Arabia based on literature reporting challenges experienced by nurses delivering this care within the Saudi Arabian healthcare system and its cancer care services. Published literature written in English on cancer care and oncology nurses in the Kingdom of Saudi Arabia were identified through a search of publicly available databases such as Medline, CINAHL, and Google Scholar as well as government sources. Reference lists were hand searched. Search terms used were Kingdom of Saudi Arabia, Saudi Arabian healthcare system, nursing education, nursing, Saudi nurses, oncology nursing, cancer, and cancer care. Common challenges facing oncology nursing in the Kingdom of Saudi Arabia are related to high job demands, staff shortages, communication and language barriers, and cultural differences that may lead to stressful work environments and reduce the quality of care provided to their patients. While many steps have been undertaken by the Saudi Ministry of Health to reform the healthcare system, a number of challenges remain. The need for greater availability of cancer care and palliative care settings in all Saudi regions is strongly indicated. Nursing administrators/managers should take these factors into consideration to enhance the Saudi oncology care nursing work environment and to improve the quality of nursing care for patients with cancer and their families....
Background: The aim of this study was to investigate the prevalence and prognostic significance of psychological\ndistress in gastric cancer patients.\nMethods: The study population included 229 gastric cancer patients visiting Yonsei Cancer Center between\nNovember 2009 and March 2011. The distress was measured by available tools including the Modified Distress\nThermometer (MDT), Hospital Anxiety and Depression Scale (HADS), and Center for Epidemiologic Studiesââ?¬â??Depression\nScale (CES-D). Patients with psychological distress were defined as those who scored above the cut-off values in both\nthe MDT and either one of the HADS or CES-D.\nResults: The median age of patients was 56 (range, 20 to 86) and 97 (42.4%) patients were with stage IV disease status\nat enrollment. The overall prevalence of psychological distress was 33.6% (95% CI: 27.5ââ?¬â??39.8%) in 229 gastric cancer\npatients. In multiple logistic regression analysis, lower education level (odds ratio [OR] 2.39; 95% confidence interval [CI]\n1.11ââ?¬â??5.17, P = 0.026) and higher disease stage (OR 2.72; 95% CI 1.47ââ?¬â??5.03, P = 0.001) were associated with\npsychological distress. In stage I-III disease, patients with psychological distress had worse disease-free survival (DFS)\n(5-year DFS rate: 60% vs 76%, P = 0.49) compared with those without psychological distress. In stage IV disease\n(n = 97), patients with psychological distress showed poorer overall survival than those without psychological distress\n(median OS (Overall Survival): 12.2 vs. 13.8 months, P = 0.019).\nConclusion: Psychological distress is common in patients with all stages of gastric cancer and is associated with worse\noutcomes....
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