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A Nursing Intervention for Reducing Symptom Burden During Chemotherapy
Annemarie Coolbrandt1, Hans Wildiers2, Annouschka Laenen3
1University Hospitals Leuven.
Oncology Nursing Forum
|December 19, 2017
Summary
This study found that a tailored nursing intervention significantly reduced chemotherapy symptom distress in cancer patients. Nurses play a key role in coaching patients for effective self-management of symptoms at home.
Area of Science:
- Oncology Nursing
- Symptom Management
- Cancer Care
Background:
- Chemotherapy often leads to significant symptom distress in adult cancer patients.
- Effective symptom management is crucial for maintaining quality of life during cancer treatment.
- Nurses play a vital role in supporting patients through chemotherapy.
Purpose of the Study:
- To evaluate the efficacy of an individually tailored nursing intervention for reducing chemotherapy-related symptom distress.
- To assess the impact of the CHEMO-SUPPORT intervention on overall symptom distress and related outcomes.
- To explore the role of nursing support in enhancing patient self-efficacy and self-care during chemotherapy.
Main Methods:
- A randomized controlled trial was conducted with adult cancer patients receiving chemotherapy.
- The intervention group (n=72) received usual care plus the CHEMO-SUPPORT intervention, while the control group (n=71) received usual care.
- Symptom distress, self-efficacy, outcome expectations, and self-care were self-reported at baseline and at 3, 6, and 12 weeks.
Main Results:
- The CHEMO-SUPPORT intervention group experienced significantly less worsening of overall symptom distress and severity compared to the control group.
- Patients in the intervention group showed significantly higher self-efficacy and outcome expectations at six weeks.
- Self-care levels at 12 weeks were statistically similar between the intervention and control groups.
Conclusions:
- Individually tailored nursing interventions, such as CHEMO-SUPPORT, are effective in reducing chemotherapy-related symptom distress.
- Motivational interviewing and tailored goal-directed self-management support are promising strategies for nursing practice.
- Empowering nurses to coach patients in self-managing symptoms at home is essential for improving cancer care outcomes.
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