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Efficacy of an Algorithm-Based Nursing Intervention to Promote a Balance Between Cancer Patients' Social Roles and
Kiyoko Kanda1, Ayumi Kyota, Keiko Fujimoto
1Author Affiliations: Nursing Department, Takasaki University of Health and Welfare, Gunma, Takasaki (Drs Kanda and Yoshida and Ms Fujimoto); Gunma University, Graduate School of Health Sciences, Gunma, Maebashi (Dr Kyota); Gunma Prefectural College of Health Sciences, Nursing Department, Gunma, Maebashi (Dr Shimizu); Former Gunma University, Graduate School of Health Sciences, Nursing Department, Gunma, Maebashi (Ms Kikuchi); Maebashi Redcross Hospital, Gunma, Maebashi (Ms Imai).
Background:
Cancer patients undergoing treatment are often unable to balance treatment and work because of the time required for care at the hospital and a desire to avoid problems at work.
Objective:
The aim of this study was to elucidate the efficacy of an algorithm-based nursing intervention (ANI) to promote balance between social roles and outpatient treatment in cancer patients.
Methods:
Participants were outpatients receiving cancer therapy and randomly assigned to a control or an intervention group, the latter to receive ANI for 2 months. The outcomes were assessed using the Distress and Impact Thermometer and changes in employment status. Data from 54 evaluable participants in each group were analyzed.
Results:
Distress and Impact Thermometer scores in the intervention group were significantly lower than those in the control group ( P < .001). In addition, 2 months later, 20 participants had resigned from their employment or were on leave in the control group (37.0%); this was twice the number in the intervention group, a significant difference ( χ2 = 4.573, P < .05). Logistic regression analysis showed that the odds ratio in the control group was 3.6 times that of the intervention group of having resigned.
Conclusion:
The ANI appears to have reduced distress and impact scores associated with the course of treatment and to have reduced the likelihood of resignations at 2 months after implementation.
Implications For Practice:
The intervention appears to be effective and may be a new tool for use by outpatient oncology nurses.
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