1914.ppt

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1914.ppt

  1. 1. AN EDUCATIONAL INTERVENTION FOR LUNG CANCER PATIENTS TREATED WITH CHEMOTHERAPY: A FIRST EVALUATION. M. Peys, RN, M. Vandenberghen, RN, J. Vansteenkiste, MD, PhD, K. Nackaerts, MD, PhD, Leuven Lung Cancer Group A. Coolbrandt, MSN, E. Vanhove, RN, P. Verrando, RN, Oncology Nursing Group Pneumology Division, University Hospitals Leuven, Katholieke Universiteit Leuven, Belgium
  2. 2. Background  Chemotherapy: – Physical and emotional demands – Mostly unknown for patients and carers  New educational intervention in Leuven Cancer Institute: – The respiratory oncology ward (+ 8 other wards) - Education booklet and oral education by an oncology nurse
  3. 3. Intervention A. Written information Patient information
  4. 4. THE EDUCATIONAL BOOKLET I. General information  What is chemotherapy(CT)?  How is CT given?  Trial treatment  What about hygiene, work, smoking, nutrition?  How to deal with cytotoxic waste?  When to consult a doctor?  Services, useful phone numbers and links
  5. 5. II. Specific information  Chemotherapy cycles and schedules  Specific side effects of CT, duration and advices on self care
  6. 6. III. A patient diary  Report of frequency, durations and grade of side effects (Nausea,vomiting,fatigue obstipation, diarrhoea…)
  7. 7. B. ORAL INFORMATION  By an oncology nurse  At patient’s level  At patient’s need  Minimum!
  8. 8. Objectives  How do patients perceive the education and the booklet?  How can we improve quality of oncology patient’s care ?
  9. 9. Method  Data-collection – Loosely structured interview – By an oncology nurse – Sample:  n = 20 (♂: n=16; ♀: n=4)  Age: 45 - 79 years (mean: 63 years)  Inclusion criteria – After the 1st, 2nd or 3th treatment – Carboplatin-Etoposide  (4 patients) – Cisplatin-Gemcitabine  (16 patients)
  10. 10. Results ?
  11. 11. Did you read the booklet?  80 % Yes – Also partner, GP, children, carer…  When? – Own time, own need, own speed – When new side effects occur – When need for advice on self care  20 % No  Why not? – My children take care of everything – I felt no need to – I don’t want the information
  12. 12. How did the patients perceive the information?  Complete  Recognizable  Good  Rereadable  More control in - managing symptoms - managing education  Too overwhelming  Too difficult  Too much information  Too threatening
  13. 13. Did you use the diary?  55% Yes  Benefits? – Diary as a second memory for complaints and questions  45 % No  Why not? – Too tired – No complaints 1. No correlation between symptom distress and diary use 2. Some patients had difficulties in filling it in 3. Nursing problem: asking patient diary
  14. 14. Conclusion  Most of the patients considered the educational intervention as helpful and satisfying.  The diary was considered useful by more than half of the questioned patients.
  15. 15. Discussion  Methodological restrictions: – Small sample (preliminary data) – Loosely structured interviews – By the nurse
  16. 16. But Results of the evaluation until know: Are confirmed by a larger group of lung cancer patients Are consistent with other patient groups in the University Hospitals Leuven, but there are also differences in perceptions (men/women- young/old) Further research is needed to evaluate the role of education by an oncology nurse
  17. 17. Questions ?

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