Medical nursing care of gastrointestinal tumour patients during chemotherapy

Donghui Dai, Jie Chen

Abstract


Objectives. This research with gastrointestinal cancer patients analyzed the expected outcomes of nursing interventions on a) patient adherence to treatment; b) patient satisfaction with nursing care; and c) health of body conditions such as lung function. 

Methods. All patients (60 individuals) who underwent chemotherapy at The First Affiliated Hospital of Soochow University, Department of Traditional Chinese Medicine, were divided into two equal groups. Group 1 received planned care and Group 2 received evidence-based nursing interventions. 

Results. The results showed that treatment adherence was higher in Group 2 than in the control group (p = 0.01). In addition, there was a higher rating by patients for the quality of nursing care (p = 0.01), as well as a higher score obtained for lung function (p = 0.01). Treatment adherence resulted in a decrease in the secondary infection rate in Group 2 (p = 0.05). 

Conclusion. The results showed that quality nursing intervention is effective for lung function improvement, stress level reduction, treatment plans, and a reduction of secondary infections.

Keywords: cancer, nursing care, quality of life, lung function, commitment to treatment, secondary infection.


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References


Abbaszade, A., Assarroudi, A., Armat, M. R., Stewart, J. J., Rakhshani, M. H., Sefidi, N., & Sahebkar, M. (2021). Evaluation of the impact of handoff based on the SBAR technique on quality of nursing care. Journal of Nursing Care Quality, 36(3), E38–E43. https://doi.org/110.1097/NCQ.0000000000000498

Bosman, J. T., Bood, Z. M., Scherer-Rath, M., Dörr, H., Christophe, N., Sprangers, M. A. G., & van Laarhoven, H. W. M. (2021). The effects of art therapy on anxiety, depression, and quality of life in adults with cancer: A systematic literature review. Supportive Care in Cancer, 29(5), 2289–2298. https://doi.org/10.1007/s00520-020-05869-0

Bratz, J. K. A., & Sandoval-Ramirez, M. (2018). Ethical competences for the development of nursing care. Revista Brasileira de Enfermagem, 71(Suppl 4), 1810–1814. https://doi.org/10.1590/0034-7167-2017-0539

Brennan-Cook, J. (2020). Polycythemia vera: Symptom burden, oncology nurse considerations, and patient education. Clinical Journal of Oncology Nursing, 24(5), 575–578. https://doi.org/10.1188/20.CJON.575-578

Cai, T., Huang, Q., & Yuan, C. (2021). Emotional, informational and instrumental support needs in patients with breast cancer who have undergone surgery: A cross-sectional study. BMJ Open, 11(8), e048515. https://doi.org/10.1136/bmjopen-2020-048515

Chan, E. A., Wong, F., Cheung, M. Y., & Lam, W. (2018). Patients’ perceptions of their experiences with nurse-patient communication in oncology settings: A focused ethnographic study. PLOS One, 13(6), e0199183. https://doi.org/10.1371/journal.pone.0199183

Chow, K., & Dahlin, C. (2018). Integration of palliative care and oncology nursing. Seminars in Oncology Nursing, 34(3), 192–201. https://doi.org/10.1016/j.soncn.2018.06.001

Driscoll, A., Grant, M. J., Carroll, D., Dalton, S., Deaton, C., Jones, I., Lehwaldt, D., McKee, G., Munyombwe, T., & Astin, F. (2018). The effect of nurse-to-patient ratios on nurse-sensitive patient outcomes in acute specialist units: A systematic review and meta-analysis. European Journal of Cardiovascular Nursing, 17(1), 6–22. doi:10.1177/1474515117721561

Feng, R. C., & Chang, P. (2016). Developing evidence-based care standards and a decision-making support system for pain management. In Nursing Informatics 2016 (pp. 887–888). IOS Press.

Greenberg, A., Anand, G., & Sinclair, G. (2020). Lung cancer treatment in COVID-19-positive patients: Guidelines and gestalt. JCO Oncology Practice, 16(9), 615–617. https://doi.org/10.1200/OP.20.00511

Havaei, F., MacPhee, M., & Dahinten, V. S. (2019). The effect of nursing care delivery models on quality and safety outcomes of care: A cross-sectional survey study of medical-surgical nurses. Journal of Advanced Nursing, 75(10), 2144–2155. https://doi.org/10.1111/jan.13997

Jung, J. Y., Lee, J. M., Kim, M. S., Shim, Y. M., Zo, J. I., & Yun, Y. H. (2018). Comparison of fatigue, depression, and anxiety as factors affecting posttreatment health-related quality of life in lung cancer survivors. Psycho-Oncology, 27(2), 465–470. https://doi.org/10.1002/pon.4513

Kilic, S. T., & Oz, F. (2019). Family caregivers’ involvement in caring with cancer and their quality of life. Asian Pacific Journal of Cancer Prevention, 20(6), 1735–1741. https://doi.org/10.31557/APJCP.2019.20.6.1735

Kousoulou, M., Suhonen, R., & Charalambous, A. (2019). Associations of individualized nursing care and quality oncology nursing care in patients diagnosed with cancer. European Journal of Oncology Nursing, 41, 33–40. https://doi.org/10.1016/j.ejon.2019.05.011

Lang-Rollin, I., & Berberich, G. (2018). Psycho-oncology. Dialogues in Clinical Neuroscience, 20(1), 13–22. https://doi.org/10.31887/DCNS.2018.20.1/ilangrollin

Lee, K., & Kim, S. H. (2020). Patients’ and nurses’ perceptions of what constitutes good nursing care: An integrative review. Research and Theory for Nursing Practice, 34(2), 144–169. https://doi.org/10.1891/RTNP-D-19-00070

Leming-Lee, T., & Watters, R. (2019). Translation of evidence-based practice: Quality improvement and patient safety. Nursing Clinics of North America, 54(1), 1–20. https://doi.org/10.1016/j.cnur.2018.10.006

Ludolph, P., Kunzler, A. M., Stoffers-Winterling, J., Helmreich, I., & Lieb, K. (2019). Interventions to promote resilience in cancer patients. Deutsches Ärzteblatt International, 116(51-52), 865–872. https://doi.org/10.3238/arztebl.2019.0865

Maikanov, B. S., Auteleyeva, L. T., Ismagulova, G. T., Wiśniewski, J., Bełkot, Z., & Anusz, K. (2020). Quality and safety of fish products in the Shuchinsk-Burabay Resort Zone. Medycyna Weterynaryjna, 76(10), 585–588. https://doi.org/10.21521/mw.6462

Maikanov, B. S., Zabolotnykh, M. V., Auteleyeva, L. T., & Seidenova, S. P. (2020). Influence of antitox and Vitamin E-selenium on meat quality and safety in rabbits after 1,1-experimental dimethylhydrazine toxicosis. Veterinary World, 13(8), 1567–1572. https://doi.org/10.14202/vetworld.2020.1567-1572.

Morrison, E. J., Novotny, P. J., Sloan, J. A., Yang, P., Patten, C. A., Ruddy, K. J., & Clark, M. M. (2017). Emotional problems, quality of life, and symptom burden in patients with lung cancer. Clinical Lung Cancer, 18(5), 497–503. https://doi.org/10.1016/j.cllc.2017.02.008

Muntlin Athlin, Å., Brovall, M., Wengström, Y., Conroy, T., & Kitson, A. L. (2018). Descriptions of fundamental care needs in cancer care – An exploratory study. Journal of Clinical Nursing, 27(11–12), 2322–2332. https://doi.org/10.1111/jocn.14251

Ozaras, G., & Abaan, S. (2018). Investigation of the trust status of the nurse-patient relationship. Nursing Ethics, 25(5), 628–639. doi:10.1177/0969733016664971

Pentecost, C., Frost, J., Sugg, H. V., Hilli, A., Goodwin, V. A., & Richards, D. A. (2020). Patients’ and nurses’ experiences of fundamental nursing care: A systematic review and qualitative synthesis. Journal of Clinical Nursing, 29(11–12), 1858–1882. https://doi.org/10.1111/jocn.15082

Recio-Saucedo, A., Dall’Ora, C., Maruotti, A., Ball, J., Briggs, J., Meredith, P., Redfern, O. C., Kovacs, C., Prytherch, D., Smith, G. B., & Griffiths, P. (2018). What impact does nursing care left undone have on patient outcomes? Review of the literature. Journal of Clinical Nursing, 27(11-12), 2248–2259. https://doi.org/10.1111/jocn.14058

Richards, D. A., Hilli, A., Pentecost, C., Goodwin, V. A., & Frost, J. (2018). Fundamental nursing care: A systematic review of the evidence on the effect of nursing care interventions for nutrition, elimination, mobility and hygiene. Journal of Clinical Nursing, 27(11-12), 2179–2188. https://doi.org/10.1111/jocn.14150

Sawin, K. J., Montgomery, K. E., Dupree, C. Y., Haase, J. E., Phillips, C. R., & Hendricks-Ferguson, V. L. (2019). Oncology nurse managers’ perceptions of palliative care and end-of-life communication. Journal of Pediatric Oncology Nursing, 36(3), 178–190. https://doi.org/10.1177/1043454219835448

Schenker, Y., Althouse, A. D., Rosenzweig, M., White, D. B., Chu, E., Smith, K. J., Resick, J. M., Belin, S., Park, S. Y., Smith, T. J., Bakitas, M. A., & Arnold, R. M. (2021). Effect of an oncology nurse-led primary palliative care intervention on patients with advanced cancer: The CONNECT cluster randomized clinical trial. JAMA Internal Medicine, 181(11), 1451–1460. https://doi.org/10.1001/jamainternmed.2021.5185

Schuster, M. A. (2021). Creating the hematology/oncology/stem cell transplant advancing resiliency team: A nurse-led support program for hematology/oncology/stem cell transplant staff. Journal of Pediatric Oncology Nursing, 38(5), 331–341. https://doi.org/10.1177/10434542211011046

Smith, J. G., Morin, K. H., Wallace, L. E., & Lake, E. T. (2018). Association of the nurse work environment, collective efficacy, and missed care. Western Journal of Nursing Research, 40(6), 779–798. https://doi.org/10.1177/0193945917734159

Sousa, A. D. R. S., Silva, L. F. D., & Paiva, E. D. (2019). Nursing interventions in palliative care in pediatric oncology: An integrative review. Revista Brasileira de Enfermagem, 72(2), 531–540. doi:10.1590/0034-7167-2018-0121

Totzeck, M., Schuler, M., Stuschke, M., Heusch, G., & Rassaf, T. (2019). Cardio-oncology – Strategies for management of cancer therapy-related cardiovascular disease. International Journal of Cardiology, 280, 163–175. https://doi.org/10.1016/j.ijcard.2019.01.038

Turzhigitova, S., Zamanbekov, N., Korabayev, Y., Kaziyev, Z., & Tuganbay, A. (2022). Technology for obtaining dosage forms (tinctures, extracts) from local plant raw materials and studying their toxicity. Research Journal of Pharmacy and Technology, 15(8), 3540–3548. https://doi.org/10.52711/0974-360X.2022.00594

Utebaeva, G., Berkinbay, O., Symbat Suttibaevna, U., & Tuganbay, A. (2021). Study of prevalence and associated risk factors of Eimeria sp., in Camelsin Turkestan Region. Archives of Razi Institute, 76(5), 1419–1425. https://doi.org/10.22092/ari.2021.355660.1707

van Dusseldorp, L., Groot, M., Adriaansen, M., van Vught, A., Vissers, K., & Peters, J. (2019). What does the nurse practitioner mean to you? A patient-oriented qualitative study in oncological/palliative care. Journal of Clinical Nursing, 28(3–4), 589–602. https://doi.org/10.1111/jocn.14653

Young, A. M., Charalambous, A., Owen, R. I., Njodzeka, B., Oldenmenger, W. H., Alqudimat, M. R., & So, W. K. W. (2020). Essential oncology nursing care along the cancer continuum. The Lancet Oncology, 21(12), e555–e563. https://doi.org/10.1016/S1470-2045(20)30612-4


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