Mostafa Ahadi Shahri, Azam Shirinabadi Farahani, Maryam Rassouli, Mehdi Khabazkhoob, Shima Mohammadi Aghbelagh
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引用次数: 0
摘要
背景：化疗是青少年癌症治疗方法之一，化疗后因出现便秘、恶心、呕吐、腹泻等副作用，需要居家护理。提供护理的一个解决方案是提供远程自我管理培训。目的：探讨远程护理对青少年化疗患者胃肠症状自我管理的影响。方法：采用随机分组抽样的方法，选取66例12 ~ 18岁转入教学医院接受化疗的青少年进行干预研究。通过人口统计学和临床调查问卷、研究者自编的胃肠症状和状况调查表以及研究者自编的青少年胃肠症状自我管理问卷收集数据。数据分析使用SPSS version 20。结果：研究结果显示，对照组与干预组在人口学特征方面无显著统计学差异。根据独立样本t检验和重复测量方差分析，使用教育网站对干预后1周和1个月的胃肠道症状自我管理得分有显著的正影响（P < 0.001）。结论：干预组患者通过访问Cancer Information教育网站能够更好地自主管理胃肠道症状，可见远程护理可以影响青少年癌症化疗患者对胃肠道症状的自我管理。实践启示：网站Cancerinformation。它可用于癌症患者胃肠道症状的自我管理。
The Impact of Telenursing on the Self-management of Gastrointestinal Symptoms in Adolescent Cancer Patients Receiving Chemotherapy.
Background: Chemotherapy is one of the cancer treatments among adolescents, after which nursing care at home is required due to developing side effects such as constipation, nausea, vomiting, and diarrhea. One solution to deliver nursing care is to provide remote self-management training.
Objective: The aim of this study is to investigate the impact of telenursing on the self-management of gastrointestinal (GI) symptoms among adolescents undergoing chemotherapy.
Methods: In this intervention study, 66 adolescents 12 to 18 years of age who were referred to teaching hospitals for receiving chemotherapy were selected through randomized block sampling. The data were collected through demographic and clinical questionnaires, the researcher-made form for GI symptoms and conditions, and the researcher-made questionnaire for the self-management of GI symptoms among adolescents. Data analysis was done using SPSS version 20.
Results: The findings show that there was no significant statistical difference between the control group and the intervention group in terms of demographic characteristics. According to the independent-samples t test and repeated-measures analysis of variance, using an educational website had a significant positive impact on the scores of GI symptoms self-management, 1 week and 1 month after the intervention (P < .001).
Conclusions: Given that the intervention group patients could better manage their GI symptoms on their own by visiting the educational website Cancer Information, it can be concluded that telenursing can affect the self-management of GI symptoms among adolescent patients with cancer who receive chemotherapy.
Implications for practice: The website Cancerinformation.ir can be used in the self-management of GI symptoms in cancer patients.
期刊介绍：
Each bimonthly issue of Cancer Nursing™ addresses the whole spectrum of problems arising in the care and support of cancer patients--prevention and early detection, geriatric and pediatric cancer nursing, medical and surgical oncology, ambulatory care, nutritional support, psychosocial aspects of cancer, patient responses to all treatment modalities, and specific nursing interventions. The journal offers unparalleled coverage of cancer care delivery practices worldwide, as well as groundbreaking research findings and their practical applications.
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