Breast Neoplasms Clinical Trial
Official title:
A Nurse-led Care Program on Quality of Life and Health Care Utilization for Cancer Patients in a Chemotherapy Day Center: A Randomized Controlled Trial
A nurse-led care program for cancer patients receiving chemotherapy in an outpatient setting
was formulated. The aim of the study was to assess the effect of this nurse-led care program
on cancer patients who received neo-adjuvant/adjuvant chemotherapy in a chemotherapy day
center in terms of quality of life, symptom experiences, self-efficacy, health care
utilization, and satisfaction with care. Specifically, the objectives are:
- To compare the differences of health care utilization between the two arms.
- To compare the differences of cancer patients' satisfaction with care between the two
arms.
- To explore the experiences of cancer patients in the intervention arm.
- To understand the experiences of the intervention nurses of the program and their
opinions on further development.
Chemotherapy affects cancer patients in many ways. It is common that patients suffer
multiple side-effects simultaneously. Psychological distress is also a common problem during
chemotherapy. Distressful experiences in chemotherapy may lead to deterioration in a
patient's of quality of life (QOL). In addition, cancer patients have particularly high
unmet needs during treatment, including informational needs, psychosocial needs, needs in
the activities of daily living, supportive care needs, sexual needs, and communication
needs. Among them, information is the most frequently reported need in the treatment phase.
These unmet needs cause uncertainty, anxiety, and distress to cancer patients.
Outpatient-based chemotherapy is now widely established. Despite its benefits to health care
institutions and cancer patients, there are attendant challenges. Cancer patients need to
take care of themselves at home during each interval of chemotherapy. Without adequate
support from health care providers, cancer patients may not be able to properly manage
chemotherapy and its effects by themselves. The poor management of side-effects may lead to
increased health care utilization. Cancer patients need to develop new self-care skills to
cope with chemotherapy.
Facing increasing numbers of cancer patients and burgeoning health care needs, health care
professionals must address the issue of how to improve the quality of care during
chemotherapy. Nurse-led care is a highly recommended and innovative way of improving quality
of care. It shows distinct advantages in terms of providing holistic care because it is
based on the philosophy of the uniqueness of individuals and the multidimensionality of
human beings. The feasibility and effects of nurse-led care are being explored in an
increasing number of studies. However, studies of nurse-led care for cancer patients
receiving outpatient-based chemotherapy are far away adequacy. There is a need to examine
the feasibility and effects of nurse-led care for cancer patients receiving chemotherapy in
outpatient settings.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Supportive Care
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