:: Volume 4, Issue 2 (Military Caring Sciences 2017) ::
MCS 2017, 4(2): 138-146 Back to browse issues page
The Effect of Training Programs Based on the Patients’ Needs on Knowledge and Attitude of Patients about Chemotherapy
Torkashvand. J1, Fahimeh Dadgary 2, Armin Zareian3
1- MSc Student of Critical Care Nursing, Iran, Tehran, AJA University of Medical Sciences, Faculty of Nursing.
2- MSc in Nursing, Instructor, Iran, Tehran, AJA University of Medical Sciences, Faculty of Nursing, Psychiatric Nursing Department.
3- PhD in Nursing Education, Associate Professor, Iran, Tehran, AJA University of Medical Sciences, Faculty of Nursing, Health Department.
Abstract:   (5117 Views)

Introduction: Chemotherapy is one of the main treatments for cancer that is associated with many side effects. These side effects may force the patients to stop the procedure of treatment due to lack of knowledge and negative attitude about the effects of chemotherapy.
Objective: This study aimed to examine the effect of training based on training needs of patients on their knowledge and attitude about chemotherapy side effects in Aja (army) Hospital in Tehran.
Material and Methods: This clinical trial study was conducted on 50 cancer patients undergoing chemotherapy. The patients were selected using the convenience sampling and randomly allocated into the experimental and control groups (n=25, each group). Before intervention, researcher-made questionnaire was used to assess the knowledge and attitude of participants in both experimental and control groups. Then the training intervention was implemented based on the training needs of the patients in different domains affected by the chemotherapy for the intervention group and it was conducted during two cycles of chemotherapy face-to-face and individually. At the end of the second period, the questionnaires were completed again by both groups. Data were analyzed using inferential and descriptive statistical tests by the SPSS software version 22.
Results: The mean scores of knowledge and attitude of patients about the chemotherapy side effects before the intervention were 94.68±9.41, and 22.32±4.28 for the experimental group and 94.08±8.68, and 20.60±3.01 for the control group respectively. After receiving the intervention, the mean scores of knowledge and attitude were 119.68±3.71, and 33.28±2.88 for the experimental group and 98.88±7.44, and 21.08±3.44 for the control group respectively. The independent statistical t-test showed no significant difference between the two groups in attitude and knowledge scores about the chemotherapy side effects in the pretest stage (P>0.05). However, there was a significant difference between the two group, experimental group and control group, in attitude and knowledge scores about chemotherapy side effects in the post-test stage (P<0.001). Before and after the intervention, the paired t-test showed a significant difference in attitude and knowledge scores between the two stages in the experimental group (P<0.001).
Discussion and Conclusion: Implementing training programs based on training needs of patients can be effective on their knowledge and attitude about the chemotherapy side effects.
IRCT Code: IRCT2016100530163N1ncer

Keywords: Knowledge, Attitude, Side effects. Chemotherapy, Education, Cancer.
Full-Text [PDF 371 kb]   (966 Downloads)    
Type of Study: Research | Subject: Special
Received: 2017/01/16 | Accepted: 2017/05/16 | Published: 2017/09/27
1. Saroukhani D, Omidi K, Norouzi R, Zali H, Sayehmiri K, Forozeshfard M. [The quality of life in cancer patients in Iran: A systematic review by using meta-analysis]. Koomesh. 2016;18(1):1-12.
2. Farahani B, Safavi M, Salehi S. [Evaluating the effect of instructing patient care on knowledge, attitude and performance of the attentives of cancer patients under chemotherapy referring to the university hospitals of Tehran University of Medical Sciences]. J Med Sci. 2004;14(2):99-103.
3. Montazeri A, Sajadian A, Ebrahimi M, Haghighat S, Harirchi I. Factors predicting the use of complementary and alternative therapies among cancer patients in Iran. Eur J Cancer Care (Engl). 2007;16(2):144-9. DOI: 10.1111/j.1365-2354.2006.00722.x PMID: 17371423 [DOI] [PubMed]
4. Gurung S, Pandey RA. Perception of Side Effects of Chemotherapy among Cancer Patients in BP Koirala Memorial Cancer Hospital Bharatpur, Nepal. J Coll Med Sci. 2016;11(4):14-9.
5. Spichiger E, Rieder E, Muller-Frohlich C, Kesselring A. Fatigue in patients undergoing chemotherapy, their self-care and the role of health professionals: a qualitative study. Eur J Oncol Nurs. 2012;16(2):165-71. DOI: 10.1016/j.ejon.2011.05.002 PMID: 21624847 [DOI] [PubMed]
6. Williams SA, Schreier AM. The role of education in managing fatigue, anxiety, and sleep disorders in women undergoing chemotherapy for breast cancer. Appl Nurs Res. 2005;18(3):138-47. DOI: 10.1016/j.apnr.2004.08.005 PMID: 16106331
7. Williams SA, Schreier AM. The effect of education in managing side effects in women receiving chemotherapy for treatment of breast cancer. Oncol Nurs Forum. 2004;31(1):E16-23. DOI: 10.1188/04.ONF.E16-E23 PMID: 14722602
8. Dodd MJ, Cho MH, Miaskowski C, Painter PL, Paul SM, Cooper BA, et al. A randomized controlled trial of home-based exercise for cancer-related fatigue in women during and after chemotherapy with or without radiation therapy. Cancer Nurs. 2010;33(4):245-57. DOI: 10.1097/NCC.0b013e3181ddc58c PMID: 20467301
9. Moosavi S, Asri M. [Educational requirements of patients with cancer during chemotherapy and radiotherapy for their self-care]. J Babol Univ Med Sci. 2003;5(1):17-20.
10. Taghdisi M, Abdi N, Shahsavari S, Khazaeipool M. [Performance assessment of Baznef model in health promotion of patients with cancer]. Iran J Nurs. 2011;24(69):52-61.
11. Karbaschi K. [The Effect of Self-Care Program based on Orem’s Theory on quality of Life of Cancer Patients Undergoing Chemotherapy in Military Personnel]. Mil Care Sci. 2015;2(2):69-77.
12. Fee-Schroeder K, Howell L, Kokal J, Bjornsen S, Christensen S, Hathaway J, et al. Empowering individuals to self-manage chemotherapy side effects. Clin J Oncol Nurs. 2013;17(4):369-71. DOI: 10.1188/13.CJON.369-371 PMID: 23899974
13. Tian J, Jia LN, Cheng ZC. Relationships between patient knowledge and the severity of side effects, daily nutrient intake, psychological status, and performance status in lung cancer patients. Curr Oncol. 2015;22(4):e254-8. DOI: 10.3747/co.22.2366 PMID: 26300675
14. Baghaei R, Sharifi M, Mohammadpour Y, Sheykhi N. [Evaluation of the effects of educational package on controlling the complications of chemotherapeutic agents on symptom scales of quality of life in patients with breast cancer undergoing chemotherapy]. J Urmia Nurs Midwifery Fac. 2013;11(9):0-.
15. Matvienko O, Lewis DS, Schafer E. A college nutrition science course as an intervention to prevent weight gain in female college freshmen. J Nutr Educ. 2001;33(2):95-101. PMID: 12031189
16. Edwards D, Anstey S, Kelly D, Hopkinson J. An innovation in curriculum content and delivery of cancer education within undergraduate nurse training in the UK. What impact does this have on the knowledge, attitudes and confidence in delivering cancer care? Eur J Oncol Nurs. 2016;21:8-16. DOI: 10.1016/j.ejon.2015.12.003 PMID: 26952673
17. Taghizadeh Kermani A, Hosseini S, Salek R, Pourali L. [Improving Knowledge and Attitude of Nurses Working in Chemotherapy Wards through a Short Educational Course: A Successful Experience in Mashhad]. Future Med Educ J. 2015;5(4):10-3.

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