Effects of Symptom Management Program on Symptoms, Symptom Management Strategies and Quality of Life in Patients with Breast Cancer Receiving Chemotherapy
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Abstract
This quasi-experimental research aimed to explore the effects of symptom management program on symptoms, symptom management strategies and quality of life in patients with breast cancer who received chemotherapy. The subjects consisted of 49 patients with breast cancer who received chemotherapy at a chemotherapy unit, Ubon Ratchathani Cancer Hospital. The subjects were obtained through purposive sampling technique according to the study’s eligibility criteria. The experimental (n=25) and control (n=24) groups were randomly recruited into the study based on week. The experimental group received the symptom management program developed using the symptom management model to organize the activities for 3 weeks while the control group received usual care. The symptom management program consisted of sharing symptom experience, giving information through the application about symptom management for patients with breast cancer receiving chemotherapy, training on deep breathing and walking exercise, using telephone for monitoring, enhancing symptom management continuously, and assessing the outcomes of the symptom management program. The instruments used in this study were the demographic data form, the symptom assessment for patients with breast cancer receiving chemotherapy, functional assessment of cancer therapy-breast [FACT-B] version 4, symptom management program, and the symptom management application for patients with breast cancer receiving chemotherapy. Data were analyzed through descriptive statistics, Chi-square, Paired t-test, Independent-test, Mann-Whitney U test, Friedman test, and Wilcoxon Signed Rank test. The results demonstrated that: 1) mean scores of symptom frequency and symptom severity of the experimental group after receiving the symptom management program were significantly lower than those of the control group (p<.01 and p<.001) and 2) mean score of quality of life of the experimental group after receiving the symptom management program was significantly higher than that of the control group (p<.001). Therefore, nurses should apply the symptom management program to patients with breast cancer receiving chemotherapy in order to decrease their frequency and severity of symptoms and increase their quality of life.
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บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของ วารสารวิทยาศาสตร์และเทคโนโลยี มหาวิทยาลัยอุบลราชธานี
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับมหาวิทยาลัยอุบลราชธานี และคณาจารย์ท่านอื่นๆในมหาวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใดๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว
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