Background: people with cancer experience great changes in their life as a result of disease, treatment and disease prognosis which affect their quality of life .with the goal of investigating breast cancer patient's quality of life during chemother
apy in Tishreen hospital in Latakia..
Methods: 60 patients were invited to complete the European organization of research and treatment quality of life questionnaire version 3 and breast cancer quality of life module during their early stage of chemotherapy.
Results : the results show that the (73.3%) were under the age of fifty and half of them reported total health status score under (50) which reflects low quality of life in addition to impaired psychological ,social, cognitive and role functioning. Also more than 67% of patient suffered from chemotherapy- related side effects as nausea and vomiting, dyspnea, loss of appetite, insomnia, and fatigue. In addition to variance in quality of life scores according to age, marital status, occupation and level of education without changing of it by educational level. In addition to that the majority of patient had impaired sexual function and upset of hair loss and arm symptoms but with positive and optimistic future.
perspective. No significant differences in quality of life scores were found between urban and rural patients. Conclusion. Health care provider should assess routinely cancer patient quality of life during treatment to ascertain of providing appropriate care with supportive services for all patients
Background: A cancer patient demands information, not only to assist him to understand the disease and its treatment, but also to allow him to interpret the negative events and action taken, through the course of disease, so that the threat inherent
from the diagnosis and treatment becomes lessened.
Methods: With the goal of studying the information needs and source of information of women with breast cancer who were receiving chemotherapy, 60 patients were invited to complete a self-administered questionnaire which consists of 47 item about information needs and 3 questions about sources of information with three choices (personnel, printed materials and mass media). They fill it at the early stage of their chemotherapy treatment.
Results :The results showed that the majority of patients reported high level of information needs. Cancer and its spread, treatment, and side effects of chemotherapy as well as its management were priority information needs, in addition to the possibility of cancer occurrence among sisters and daughters. Results also demonstrated that the patients depended on doctors and other patients as sources of information more than on nurses and the internet.
Conclusion: Findings indicate that there is a need for the provision of education program that addresses patients' information needs. Moreover, there is a necessity for ascertaining the role of educational nursing in affording holistic nursing care for breast cancer patien
The aime of this study is to assess the effect of a multimodal group exercise intervention, as an adjunct to conventional care, on fatigue, physical capacity, general wellbeing, physical activity, and quality of life in patients with breast cancer wh
o were undergoing adjuvant chemotherapy. The study was conducted in Tishreen university hospital in Lattakia the participants were 164 women with breast cancer. Supervised exercise comprising high intensity cardiovascular and resistance training, relaxation and body awareness training, massage, nine hours weekly for six weeks in addition to conventional care, compared with conventional care. The intervention group showed an estimated improvement at six weeks for the primary outcome, fatigue, of −6.8 (−12.3 to −0.9), P=0.02. Significant effects were seen on vitality for physical functioning 2,5 (-0,4 to 5,2), role physical 4,5 (-1,8 to 11,1), role emotional -0,3 (-4,0 to 3,3), and mental health 1,9 (-2,5 to 6,1) scores. No significant effect was seen on global health status/quality of life. A supervised multi modal exercise intervention including high and low intensity components was feasible and could safely be used in patients with breast cancer who were receiving adjuvant chemotherapy or treatment for advanced disease. The intervention reduced fatigue and improved vitality, muscular strength, and physical and functional activity, and emotional wellbeing, but not quality of life.
In spite of all the advances in health care and medical technology,
provision of quality health care to cancer patients remains one of the
major challenges that health care professionals have to face in the
next years.
this study was conducted to
assess the effect of nursing care on
breast cancer patients quality of life at homes.
by using quazi-experimental design 80 breast cancer patients were
selected (40 experimental group ,40 control group) receiving
chemotherapy recently. Experimental group patients received
supportive psycho-educational interventions consisted of education,
progressive muscle relaxation technique with four supportive range
of motion exercises in addition to emotional support for three
months. While control group patients received routine nursing care
in hospital. The results were assessed for both groups by using
European organization for cancer research and treatment quality of
life questionnaire (EOCRT-QLQ C30) and breast cancer module.
This study aims to treat all cases of choriocarcinoma using the
national chemotherapy courses, and analyzing the results of treatment to
assure that we are confirmed by the course (after proving its affectivity) and
to avoid missed and unorganized treatments, which worsen the prognosis.
Background :In spite of all the advances in health care and medical technology, provision of qualified health care to cancer patients remains one of the major challenges that health care professionals have to face in the next years. this study was co
nducted with the goal of assessing effect of nursing care on meeting cancer patient's needs at home Methods: by using quazi-experimental design, eighteen breast cancer patients receiving chemotherapy were selected (40 experimental, 40 compared). Experimental group patients received supportive psycho-educational interventions for three months, consisted of ( education, progressive muscle relaxation technique, and emotional support), while compared group patients received route nursing care in hospital. After three months the results were assessed by using supportive care needs survey (SCNS) and compared by using independent T test, mean, median. Results : the results show that more than tow third of study patients had unmet needs, first of it were about information needs and emotional needs. And after study interventions these needs were decreased for intervention group patients statistically significant compared with compared group and its priorities were changed after three months. But the interventions did not improve sexual needs meeting. Conclusion: supportive care needs can improve cancer patient needs meeting in home and hospital during chemotherapy. so we recommend ascertain supportive nursing care in hospital and homes.
Studies demonstrated a prognostic role for postoperative CA 19-9 in patients with resectable pancreatic carcinoma following surgery. Our study aimed to investigate whether CA 19-9 provided similar prognostic information in patients with advanced unre
sectable pancreatic cancer treated with chemotherapy and to determine whether such endpoints should therefore be reported in future randomized trials. Between Mars 2014 and December 2015, 36 patients ( median age 57 years, range 38-80 years, 9 females, 27 males ) with locally advanced or metastatic pancreatic adenocarcinoma and a baseline Karnofsky-index more than 60 were treated with chemotherapy . Only patients with a bilirubin of less than 2 mg/dL at the time the CA 19-9 was evaluated were included in the analysis to avoid the confounding effect of hyperbilirubinemia. Only patients with basal high CA19-9 were included in the analysis. Survival was measured from the date of first post CRT CA 19-9 level until death or last follow-up. Patients with a decrease of20 < % of the baseline CA19-9 level after 8 weeks of treatment (n=25) had a significantly better median survival than patients with a rise or a decrease < 20% (n-11) (6.98 vs4.68 months; p=0.007). Age and basal CA19-9 did not show significant or a trend for significant differences regarding survival by univariate analysis (P=0.987, p=0.878 respectively). Females had a significantly better median survival than males (7.83 vs 5.75 months, P=0.023).
Fatigue is one ofthemostimportant and common side effectamong cancer patient
under chemotherapy. Objective:the study aimed is to study the effect back, hand and foot
massage on fatigue levelto cancer patient under chemotherapy.Material and method:t
he
study was conducted of (75) patients were adult male divided on five groups (back
massage, hand massage, foot massage,[back, hand and foot massage] and control group)
atchemotherapy unit, Tishreen University Hospital, and all of them are under
chemotherapy. Data collected by the personal information form, the fatigue severity scale
was used.Results:This study showed that back, hand and foot massage together was the
most effective in reduce fatigue levels and recommended about importance of massage for
patients under chemotherapy.
Oral complications are common in patients with cancer who
undergo chemotherapy treatment. Not all patients are at equal risk
for developing oral complications. A number of variables have been
identified that bear on both the frequency and severity
of oral
problems associated with therapy. These can be divided into those
that are associated with the patient and those that are related to the
treatment regimen. In this study we have studied the effect of
patient age and gender on the oral complications in group of patients
who undergo chemotherapy treatment. We conclude that aging can
affect some oral complication chemotherapy like xerostomia and
taste changes whereas gender has it effect on pain and oral sence
disorders mainly in males.
Background: cancer patients experience large physical and emotional challenges
related to side effects of chemotherapy drugs, which make coping and adaptation essential
issue for coping with disease. Aim: this study was conducted to identify coping
strategies
among cancer patients during chemotherapy and its relation with patient's age and gender
Methods: data were collected from 150 patients from Tishreen university hospital by using
brief coping questionnaire in addition to demographical sheet Results : the results
revealed that cancer patients tend to use various coping strategies which are problemfocused
and emotional- focused, reflected positive and negative coping. The most used
coping strategies were active coping strategy (78.66%), followed by seeking social support
for instrumental reasons strategy (76.66%), followed by planning strategy (76%), then
focus on and venting of emotions (75.33%), followed by acceptance strategy (70.66%),
then seeking social support for emotional reasons (68%), then turning to religion (58%).
Also results showed that coping strategies changed according to age and gender changing
(p < 0.05) where women tend to use emotional- focused coping strategies while aged
patients prefer emotional social support and acceptance. Conclusion: emotional issues for
cancer patients during chemotherapy require more concern with ongoing assessment for
adaptation and coping strategies, for designing appropriate interventions agreed with
coping behaviors which cancer patients demonstrate during treatment.
