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Register a new userInformation Needs and Sources of Information among Breast Cancer Patients Receiving Chemotherapy
الحاجات المعرفية ومصادر المعلومات لمريضات سرطان الثدي الخاضعات للمعالجة الكيماوية
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مقدمة: يحتاج مريض السرطان للمعلومات ليس لمساعدته على فهم المرض ومعالجته فقط بل للسماح له بفهم التغيرات السلبية التي تحدث له خلال سير المرض مما يجعل التشخيص والمعالجة أقل إزعاجاً له. الهدف: طبق البحث الحالي لتحديد الحاجات المعرفية ومصادر المعلومات لمريضات سرطان الثدي الخاضعات للمعالجة الكيماوية. المناهج: قامت 60 مريضة بملء استبيان الحاجات المعرفية المكون من 47 سؤالاً حول الحاجات المعرفية وأضيف له الجزء الخاص بمصدر المعلومات مع تحديد الخيارات من ضمن الأفراد، والكادر الصحي، والمواد المطبوعة، والإعلام .النتائج:سجلت أغلب مريضات سرطان الثدي مستوىً عالياً من الحاجات المعرفية خلال فترة المعالجة الكيماوية. كما تمحورت الحاجات الأكثر أولوية حول الجزء الخاص بتطور المرض والمعالجة مع التركيز على البنود الخاصة باحتمالية انتشار السرطان، وفرص الشفاء، والتأثيرات الجانبية للمعالجة الكيماوية وكيفية تدبيرها بالإضافة إلى المعرفة حول احتمالية ظهور السرطان لدى أفراد الأسرة المقربين مثل الابنة أو الأخت. كما أظهر البحث اعتماد المريضات على الأطباء والمرضى الآخرين والتلفاز كمصدر للمعلومة أكثر بكثير من اعتمادهن على الممرض والانترنت. الاستنتاجات:نستنتج من البحث الحاجة لبرامج تثقيفية تلبي حاجات المريضة المعرفية بالإضافة إلى ضرورة تفعيل الدور التثقيفي للممرض بحيث تصبح الرعاية التمريضية المقدمة لمريضة سرطان الثدي شاملة لكل الجوانب الصحية لديها
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
References used
/WORLD HEALTH ORGANIZATION AND SYRIAN MINISTRY OF HEALTH.facing the facts, the impact of chronic diseases on the Syrian Arab republic.http:/www.who. int/chp/chronicdiseases_report/en
JACK CUZICK: Breast cancer prevention in the developing world.Cuzick Breast Cancer Research 2010,12: http://breast-cancer-research.com/ supplements /12/ S4/S9
AMERICAN CANCERC SOCIATY.Cancer facts and Figures 2012, downloaded from http://www.cancer.org/acs/groups/ Content @epidemiologsurveilance/ document/acspc-031941.pdf
HALKETT G .K. B., KRISTJANSON L.J.,LOBBE.,ODRISCOLL,C.,TAYLOR M., & SPRY N(2010). Meeting breast cancer patient's information needs during radiotherapy: what can we do to improve the information and support that is currently provided?. European Journal Of Cancer Care 19, 538-547
KALYANI ANKEM. “Factors Influencing Information Needs Among Cancer Patients: A Meta‐Analysis.” Library & Information Science Research; 28.1 (2006) 7‐23
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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.
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
This study aimed to assessing the relationship between locus of control and
depression among breast cancer patients. The study was carried out in the chemical and
radiational treatment center in Tishreen University Hospital – Latakia, Data collecte
d
from15/12/2015 to 15/2/2016.The sample comprised of 100 breast cancer patients. Three
tools was been used, the first tool (Demographic and Clinical Data Sheet) was been filling
by the researcher, then all patients which participated in the study was asked to answer on
the second tool (Rotter's Locus of control Scale) and the third tool (Beck Inventory Scale
II). This study found that there was significant statistical relation between locus of
controltype and depression degree among breast cancer patients, more than half of breast
cancer patients was had depression, and was had external locus of control. So it is
recommended study theeffect of training program to modify locus of control type on the
incidence average of depression among breast cancer patients.
A retrospective study included 25 cases with inflammatory breast cancer. The patients were admitted to AL-Assad University Hospital, Lattakia, Syria (average age 55, and range 49-61 years old). The most common clinical signs and symptoms were: erythe
ma 100%, edema 100%, enlarged axillary nodes 100%, Nipple flattened/inverted 96%, warm Breast 92%, Ridges/thickening of breast 84%, Peau d’orange 88%, painful/tender Breast 88%, and Mass 80%. Mammography findings were: an increase in skin thickness 100%, an increased tissue density in the involved breast 100%, and an asymmetric widening of the sub-cutaneous lymphatic vessels 33.33%. 80% of cases were diagnosed as stage IV. All patients received primary neoadjuvant chemotherapy for three cycles. After that a modified radical breast mastectomy and axillary lymph nodes dissection were performed for all patients. The wound edges were closed primarily after dissecting the skin in 76%, for 4 patients 16% a split-thickness skin grafts were performed, and for 2 patients 8% a Latissimus dorsi pedicled myocutaneous flap was performed.
Aim: to assess the expression ofcathepsin B(ctsB; an important protease) in human
breast cancer and correlate that with the tumor grade.
Materials and Methods:Serial sections were obtained from 23 formalin-fixed paraffin
embedded breast cancer tis
sue specimens which were collected from Alasad University
Hospital and a pathological laboratory in Lattakia - Syria. Tissues were stained for
cathepsin B using immunohistochemistry. Tonsil tissues were also included as a positive
control.
Results:Positive cytoplasmic staining of CtsB was observed in both follicular
macrophages and endothelial cells in tonsil sections. In breast cancer tissues, tumor cells,
endothelial cells and stroma stained positive for CtsB. The presence of CtsB in blood
endothelium significantly correlated with the tumor grade (p=0.049).
Conclusion: These results supported the important role of cathepsin B in tumor
progression, particularly in angiogenesis. Future studies should investigate the regulating
mechanisms of cathepsin activities within the tumor environment, and that can be
considered as new tagets for cancer treatment.
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