Effectiveness of Self-Care Practices Education Program on Enhancing Chemotherapy Adverse Effects and Quality of Life for Patients with Gastric Cancer | ||
| Egyptian Journal of Health Care | ||
| Article 55, Volume 11, Issue 2, June 2020, Pages 867-889 PDF (649.15 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhc.2020.219044 | ||
| Authors | ||
| Naglaa Abd ElKareem Moghazy; Gehan El-Sayed Hafez; Aida Ahmed Mohammed Ibrahim | ||
| Lecturer of Medical-Surgical Nursing Department, Faculty of Nursing, Zagazig University, Egypt | ||
| Abstract | ||
| chemotherapy result in many bothersome physical adverse effects and psychosocial problems, which negatively impact patients' quality of life (QoL). Effective self-care education about chemotherapy's adverse effects aids patients in better managing them, adapting to chemotherapy, and improving treatment outcomes. Furthermore, boosting cancer patients' confidence about their ability on performing self-care strategies could have a significant impact in enhancing their functioning role and quality of life. Study aim: evaluate the effectiveness of self-care practices education program on enhancing chemotherapy adverse effects and quality of life for patients with gastric cancer. Study Design: a quasi-experimental design. Setting: Oncology and chemotherapy outpatient clinic at Zagazig University Hospitals, Al Sharkia governorate, Egypt. Subject: A Purposive sample of 50 adult patients with GC receiving chemotherapy. Tools: Interview questionnaire, Self-reported chemotherapy adverse effects questionnaire, Self-care practices questionnaire, and EORTC QLQ-C30 questionnaire to measure patients' QoL. Results: the highest percentage of studied patients (54%, 56%, 56%, 36.0%, and 52%) were urban, had mid qualification and smokers respectively. There was a statistically significant difference and improvement in patients' total knowledge, chemotherapy adverse effects, self-care practices toward these adverse effects, and quality of life at the post-intervention phase of the program as compared to the pre-intervention phase (p=0.0001). Patients' knowledge and self-care practices improvement correlated positively with QoL and negatively with chemotherapy adverse effects that correlated negatively with QoL. Conclusions: Self-care practices education program had an effective role in improving knowledge and self-care practices of patients with GC toward chemotherapy adverse-effects, which resulted in decreasing these adverse-effects and enhancing their quality of life. Recommendations: Availability of Self-care practices education programs and guidebooks in all Egyptian Oncology Centers for patients with GC is recommended to inform them about chemotherapy adverse effects and self-care strategies to handle it in a specific and comprehensive manner. | ||
| Keywords | ||
| Self-care practices; Education program; Chemotherapy adverse effects; Quality of life; Gastric cancer | ||
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