化疗前准备对癌症新诊断患者知识、应对态度和满意度的影响

Samira E. Aboalizm, H. El-Sayad
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摘要

目的:癌症接受化疗的患者需要了解治疗和自我护理方面的信息,以预防严重并发症。研究目的:了解化疗前准备对癌症新诊断患者的知识、应对态度和满意度的影响。方法:采用准实验研究设计。这项研究是在埃及Shebin El Kom的Menoufia大学肿瘤医院门诊化疗诊所进行的。本研究以100名在肿瘤门诊被诊断为癌症并将接受首次化疗的成年男女患者为方便样本。使用了三种工具。工具一:化疗患者需求评估:结构化访谈计划问卷:该工具由以下两部分组成。第1部分:社会病理和临床数据,第2部分:化疗前知识评估表。工具II:癌症治疗满意度问卷(CTSQ)的16个属性。工具三:癌症应对问卷(CCQ)21项版本。结果:研究组在干预后的知识、应对和满意度均优于对照组。研究组和对照组在满意度和应对能力的平均总分上有统计学显著差异(p值<.001)。癌症应对能力总分与癌症治疗满意度的平均分数p值<0.001呈显著正相关,满足感和应对能力。建议:对于所有首次接受化疗的癌症新诊断患者,应将化疗前教育视为常规护理的一部分。
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Impact of prechemotherapy preparation on knowledge, coping attitude and satisfaction among newly diagnosed patients with cancer
Objective: Cancer’s patients receiving chemotherapy need information about the treatments and self-care that must practice in order to prevent serious complications. Purpose of the study: To determine the impact of prechemotherapy preparation on knowledge, coping attitude and satisfaction among newly diagnosed patients with cancer.Methods: Quasi experimental research design was used. The study was conducted at outpatient’s chemotherapy clinic and at word of the Oncology Menoufia University Hospital, Shebin El-Kom, Egypt. A convenience sample of 100 adult patients of both sexes who were diagnosed with cancer in the Oncology outpatient clinic and would receive first time chemotherapy treatment were enrolled in this study. Three tools were used. Tool I: Chemotherapy Patients needs assessment: structured interviewing scheduled questionnaire: The tool consisted of the following 2 parts. Part 1: Sociodemographic and clinical data, Part II: Pre Chemotherapy Knowledge Assessment Sheet. Tool II: 16 attributes of cancer therapy satisfaction questionnaire (CTSQ). Tool III: Cancer Coping Questionnaire (CCQ) 21 Items Versions.Results: The study group had better knowledge, coping and satisfaction post intervention than control group. There was statistically considerable differences between study and control group concerning the mean total score of satisfaction and coping (p value < .001). There were significant positive correlation total score of cancer coping and mean score of cancer therapy satisfaction p value < .001.Conclusions: Prechemotherapy preparation to cancer patients improved patient’s knowledge, satisfaction and coping. Recommendation: Prechemotherapy education should be considered a part of routine nursing care performed for all newly diagnosed patients with cancer who would receive chemotherapy for first time.
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