الفهرس | Only 14 pages are availabe for public view |
Abstract Summary Cancer is the most important causes of morbidity and mortality in the world, including approximately 14 million new cases and 8.2 million deaths in 2013. It is expected that the number of cases of cancer increases about 70% over the next two decades (NCI, 2015). Five sites most cancer among men, which are lung, prostate, colon, stomach and liver cancer. but women are breast, colon, lung, and cervical and stomach cancer, One-third of cancer deaths occurred due to five major risk factors are behavioral and nutritional as increasing body weight, not eating fruits and vegetables enough, lack of physical activity, tobacco use and alcohol abuse (Stewart & Wild, 2014). Chemotherapy is a group of drugs that are used to eliminate the cancer cells to stop their growth and limit their spread, it may cause some side effects that did not know the patient how to deal it, which leads to the deterioration of the patient’s physiological, psychological, social and spiritual. Thus patients they need sufficient information to enable them to properly deal with the side effects of chemotherapy and improve their physiological, psychological, social and spiritual (Ralph, 2012). Summary 130 Aim of study: To assess patients’ self- care for side effects of cancer chemotherapy Research question: What are the self -care for side effects of cancer chemotherapy. Research design: A descriptive design was used. Research Setting: The present study was conducted at outpatient & in patient department of Radiation Oncology Nuclear Medicine Center and Hematological Oncology units at Ain Shams University Hospitals. Subjects’ size and characteristics: Sample size: flow rate of patient with cancer undergoing chemotherapy during the year (2012- 2013) was studied (150 patients). Criteria of selection: All available patients undergoing chemotherapy aged from 30-60 years old, from both gender, regardless their cancer types and cancer stages. They are willing to participate in the study. Summary 131 Tools of data collection: Two types of tools were used for data collection related to this study: [1] Structured interviewing questionnaire tool, which consists of three parts. Part (1): socio-demographic data characteristics that include (patient age, gender, educational level, occupation, income, cost of treatment, residence, and marital status….etc. Part (2): it was included past and present history of diseases including previous operation, complaints of patient on admission. Part (3): it was designed to assess patients’ knowledge about cancer, chemotherapy and side effects of chemotherapy. [2] Patient assessment needs’ tool and self -care activity. This tool divided in two parts: Part (1): it concerned with assessment of self-care activities for side effect of chemotherapy. Part (2): It is concerned with the Assessment of social psychological, religious needs and activity of daily living. Summary 132 Result: The important findings from the study can be summarized as following: More than one third of patients under the study (38.7%) was (50-60 years). In relation to sex, it was revealed that the half of patients under study (54.7%) were females. More than three quarters of studied patients were married (77.3%) and lived in urban areas (78.0%). In relation to cost of treatment (60.7%) of patients were treated by government and majority of patients (77.3%) had no enough income for treatment. Concerning the duration of illness, more than third (44.0%) of studied patients complaint symptoms of cancer from two years and more than two third of patients (69.3%) started chemotherapy from more than one years ago. More than half of studied patients (55.3%) had unsatisfactory knowledge about cancer, side effects of chemotherapy and how to manage these side effects. As regard level of independence in daily living activity more than third of patients (46.0%) were partially dependent. Summary 133 In relation to psychosocial needs, of the studied subjects (87.3%) had financial burden and nearly two third of patients (61.3%) were need to reassurance to copping with illness. There was highly statistically significant between self - care activity and Daily living of activity. Conclusion Based on finding of present study, it can be concluded. More than half of studied patients had unsatisfactory knowledge about cancer, chemotherapy and level of self - care activities. As regard loss of appetite, nausea vomiting, bleeding, fatigue, hair loss and dry skin). The patients had satisfactory level of self -care activities regarding constipation and diarrhea .It was detected that most affected systems were GIT system and dermatological system. However the majority of patients were independent toward walking, dressing, toileting and feeding, but more than two third needed assistance toward ability to handle finance, shopping, housekeeping, food preparation and travelling. In relation to, psychological, social and religious needs, the majority of studied patients need for financial support for treatment, as well as improvement of body image, coping with illness, reassurance and encouragement. Summary 134 Recommendation The following recommendation were inferred from the study: Educate cancer patients and their families on common symptoms of cancer and adverse effects of chemotherapy treatment and provide them with strategies for management. Develop educational program for patients and their families on how to deal with side effects of chemotherapy to improve the physical, psychological and economic condition. Follow up care should be available for patients with cancer through phone call. Further researches are needed to focus on studying factors affecting self -care for cancer patien |