Distress management in cancer patients：Guideline implementation based on CAN-IMPLEMENT
Liang Fu1,2, Xiaoju Zhang3, Yan Hu1
1School of Nursing, Fudan University, Shanghai, China.
International Journal of Nursing Sciences
|May 5, 2022
Summary
Implementing adapted Cancer-related Distress Management Guidelines using CAN-IMPLEMENT significantly reduced distress in gastric cancer patients undergoing chemotherapy. This standardized approach improved healthcare professional compliance and patient outcomes.
Area of Science:
- Oncology Nursing
- Cancer Care Management
- Health Services Research
Background:
- Gastric cancer patients undergoing chemotherapy experience significant distress.
- Standardized distress management protocols are crucial for improving patient care.
- Existing guidelines require adaptation for effective implementation in clinical settings.
Purpose of the Study:
- To standardize distress management for gastric cancer patients receiving chemotherapy.
- To implement adapted Cancer-related Distress Management Guidelines using the CAN-IMPLEMENT framework.
- To evaluate the effectiveness of the implemented guidelines in a clinical setting.
Main Methods:
- Adapted Cancer-related Distress Management Guidelines were implemented based on the CAN-IMPLEMENT framework.
- A multidisciplinary team assessed barriers and facilitators, formulated solutions, and monitored implementation.
- Standardized work paths, assessment tools, and training/education manuals were developed.
Main Results:
- Distress management record completion rate reached 97.9%.
- Healthcare professional compliance improved from 57.1% to 100%.
- Positive distress rate decreased from 22.7% to 9.3% (P < 0.05), and distress scores declined significantly (P < 0.001).
Conclusions:
- The CAN-IMPLEMENT framework facilitated the establishment of a distress management system.
- Developed tools and protocols demonstrated clinical applicability and effectiveness.
- Guideline implementation effectively alleviated distress in gastric cancer patients receiving chemotherapy.
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