{"title":"化疗病人舒适度的护理效果综合评价","authors":"Paranee Phongnopakoon, Puangpaka Kongvattananon, Chomchuen Somprasert","doi":"10.31524/bkkmedj.2018.09.019","DOIUrl":null,"url":null,"abstract":"Advanced treatment for cancer improved most survival rates. However, there are manyside effects of treatment that affect the patient’s quality of life. Nowadays managementand reduction of treatment associated with side effects are significant in maintainingpatients’ quality of life and optimizing nursing outcomes. Cancer patients who undergochemotherapy will experience discomfort. This study aimed to identify nursing outcomesrelated to comfort among cancer patients who are undergoing chemotherapy. The methodchosen was an integrative review that drew data from five main electronic databases(PUBMED, Science direct, CINAHL, MEDLINE, Complementary index and Other) andonly 44 out of 148 papers identified met the inclusion criteria. The result showed that theliterature studies divided the theme of comfort according to the symptoms that occurredfrom chemotherapy as follows: 1) Physical comfort 2) Psychospiritual comfort 3)Sociocultural comfort and 4) Environmental comfort. Conclusion: Nursing outcomesdepend on a patient’s need and include the management not only of the physical symptomsand treatment-related side effects, but also the changes in a patient’s emotional status anddaily lives. Patients were supported by other patients with similar experiences especiallyspiritual needs, and support from family and friends had a dramatic positive impact onpatients’ adherence to treatment. The study findings are that the nursing outcomes of thepatients’ comfort after receiving chemotherapy (according to the patient’s point of viewabout the meaning of comfort) should be led by the patient’s quality of life and satisfaction. \n \nAddress Correspondence to author: \nParanee Phongnopakoon, RN, PhD (Student)Faculty of Nursing, Thammasat University99 Klong1, Khlong Neung,Khlong Luang, Pathumthani12121, Thailand.email: Paranee.ph@bangkokhospital.com \n \nReceived: May 20, 2018 \nRevision received: May 25, 2018 \nAccepted after revision: July 6, 2018 \nBKK Med J 2018;14(2): 115-120. \n \nDOI: 10.31524/bkkmedj.2018.09.019","PeriodicalId":92144,"journal":{"name":"The Bangkok medical journal","volume":" ","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2018-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":"{\"title\":\"Nursing Outcomes of Patient’s Comfort during Neoplastic Chemotherapy: An Integrative Review\",\"authors\":\"Paranee Phongnopakoon, Puangpaka Kongvattananon, Chomchuen Somprasert\",\"doi\":\"10.31524/bkkmedj.2018.09.019\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Advanced treatment for cancer improved most survival rates. However, there are manyside effects of treatment that affect the patient’s quality of life. Nowadays managementand reduction of treatment associated with side effects are significant in maintainingpatients’ quality of life and optimizing nursing outcomes. Cancer patients who undergochemotherapy will experience discomfort. This study aimed to identify nursing outcomesrelated to comfort among cancer patients who are undergoing chemotherapy. The methodchosen was an integrative review that drew data from five main electronic databases(PUBMED, Science direct, CINAHL, MEDLINE, Complementary index and Other) andonly 44 out of 148 papers identified met the inclusion criteria. The result showed that theliterature studies divided the theme of comfort according to the symptoms that occurredfrom chemotherapy as follows: 1) Physical comfort 2) Psychospiritual comfort 3)Sociocultural comfort and 4) Environmental comfort. Conclusion: Nursing outcomesdepend on a patient’s need and include the management not only of the physical symptomsand treatment-related side effects, but also the changes in a patient’s emotional status anddaily lives. Patients were supported by other patients with similar experiences especiallyspiritual needs, and support from family and friends had a dramatic positive impact onpatients’ adherence to treatment. 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引用次数: 1
摘要
癌症的高级治疗提高了大多数存活率。然而，治疗的许多副作用会影响患者的生活质量。如今，管理和减少与副作用相关的治疗对保持患者的生活质量和优化护理效果具有重要意义。癌症患者在接受化疗时会感到不适。本研究旨在确定癌症化疗患者中与舒适度相关的护理结果。所选择的方法是一项综合综述，从五个主要的电子数据库（PUBMED、Science direct、CINAHL、MEDLINE、补充索引和其他）中提取数据，在确定的148篇论文中，只有44篇符合纳入标准。结果表明，文学研究根据化疗后出现的症状将舒适主题划分为：1）身体舒适2）精神舒适3）社会文化舒适4）环境舒适。结论：护理结果取决于患者的需求，不仅包括对身体症状和治疗相关副作用的管理，还包括患者情绪状态和日常生活的变化。患者得到了其他有类似经历的患者的支持，特别是精神需求，家人和朋友的支持对患者坚持治疗有着显著的积极影响。研究发现，患者化疗后舒适度的护理结果（根据患者对舒适意义的看法）应以患者的生活质量和满意度为主导。通讯地址：Paranee Phongnopakoon，注册护士，博士（学生）泰国国立大学护理学院99 Klong1，Khlong Neung，KhlongLuang，Pathumthani12121，泰国。电子邮件：Paranee.ph@bangkokhospital.com接收时间：2018年5月20日修订接收时间：2019年5月25日修订后接受日期：2018年7月6日BKK Med J 2018；14（2）:115-120。内政部：10.31524/bkkmedj.20128.09.019
Nursing Outcomes of Patient’s Comfort during Neoplastic Chemotherapy: An Integrative Review
Advanced treatment for cancer improved most survival rates. However, there are manyside effects of treatment that affect the patient’s quality of life. Nowadays managementand reduction of treatment associated with side effects are significant in maintainingpatients’ quality of life and optimizing nursing outcomes. Cancer patients who undergochemotherapy will experience discomfort. This study aimed to identify nursing outcomesrelated to comfort among cancer patients who are undergoing chemotherapy. The methodchosen was an integrative review that drew data from five main electronic databases(PUBMED, Science direct, CINAHL, MEDLINE, Complementary index and Other) andonly 44 out of 148 papers identified met the inclusion criteria. The result showed that theliterature studies divided the theme of comfort according to the symptoms that occurredfrom chemotherapy as follows: 1) Physical comfort 2) Psychospiritual comfort 3)Sociocultural comfort and 4) Environmental comfort. Conclusion: Nursing outcomesdepend on a patient’s need and include the management not only of the physical symptomsand treatment-related side effects, but also the changes in a patient’s emotional status anddaily lives. Patients were supported by other patients with similar experiences especiallyspiritual needs, and support from family and friends had a dramatic positive impact onpatients’ adherence to treatment. The study findings are that the nursing outcomes of thepatients’ comfort after receiving chemotherapy (according to the patient’s point of viewabout the meaning of comfort) should be led by the patient’s quality of life and satisfaction.
Address Correspondence to author:
Paranee Phongnopakoon, RN, PhD (Student)Faculty of Nursing, Thammasat University99 Klong1, Khlong Neung,Khlong Luang, Pathumthani12121, Thailand.email: Paranee.ph@bangkokhospital.com
Received: May 20, 2018
Revision received: May 25, 2018
Accepted after revision: July 6, 2018
BKK Med J 2018;14(2): 115-120.
DOI: 10.31524/bkkmedj.2018.09.019
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