Effectiveness of a standardized patient education program on therapy-related side effects and unplanned therapy interruptions in oral cancer therapy: a cluster-randomized controlled trial

Autor: Uirassu Borges, B. Weiß, A. Beylich, K. Hermes-Moll, M. Welslau, R. Dengler, Christoph Riese, W Baumann
Rok vydání: 2017
Předmět:
Male
Arzneimittel
law.invention
0302 clinical medicine
Randomized controlled trial
law
Soziologie
Sozialwissenschaften
Prospective Studies
Medicine
Social Medicine
030212 general & internal medicine
outpatient care
Patient
Nursing research
Rash
Bundesrepublik Deutschland
counseling
Oncology
030220 oncology & carcinogenesis
Medicine and health
Vomiting
Female
Mouth Neoplasms
medicine.symptom
Therapie
Kompetenz
ambulante Versorgung
medicine.medical_specialty
Drug-Related Side Effects and Adverse Reactions
Nausea
Pain medicine
competence
Federal Republic of Germany
03 medical and health sciences
Patient Education as Topic
medicine
Humans
cancer
pharmaceutical
ddc:610
Competence (human resources)
Aged
therapy
Medizin und Gesundheit
Krebs
business.industry
Self Care
Medizin
Sozialmedizin
Physical therapy
Oral cancer therapy
Patient education
Oncology nurses
Therapy-related side effects
Unplanned therapy interruption
Beratung
business
Zdroj: Supportive Care in Cancer
ISSN: 1433-7339
0941-4355
DOI: 10.1007/s00520-017-3770-0
Popis: Purpose: Oral agents for cancer treatment are increasingly prescribed due to their benefits. However, oral cancer medications are difficult to handle and have a considerable potential for side effects. This type of therapy requires a high level of self-management competence by the patient. A standardized patient education program provided by physicians and oncology nurses may positively influence the handling of oral agents. The aim of the study was to evaluate the impact of a standardized patient education program provided by specially trained oncology nurses on therapy management regarding side effects and unplanned therapy interruptions. Methods: One hundred sixty-five patients from 28 office-based oncology practices from all over Germany participated in this cluster-randomized controlled study. Patients of both intervention (n = 111) and standard care groups (n = 54) received the usual oncologist counseling; in addition, the patients from the intervention group (k = 17 practices) received an education from specially trained oncology nurses. The time of observation was 3 months per patient. Results: The patients of the intervention group reported fewer side effects (skin rash, pain, fatigue, nausea, vomiting). Patients in the standard care group interrupted the therapy more frequently without informing their oncologist, compared to the intervention group. Conclusions: Patients benefit from a standardized patient education program provided by specially trained oncology nurses. They tend to handle side effects and critical situations better.
Databáze: OpenAIRE
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