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      The Effect of Peer Education on Management of Chemotherapy Side Effects in Patients with Cancer

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          Abstract

          Background:

          Chemotherapy drugs may have numerous side effects for patients. Thus, this study was conducted with the aim to determine the effect of peer education on the management of chemotherapy side effects in patients with cancer.

          Materials and Methods:

          This randomized, controlled trial was conducted on 80 patients with cancer in 2018. They were allocated to two groups of intervention and control. The self-care education on chemotherapy side effects was provided by the peers to the individuals in the intervention group. The data collection tools included a demographic characteristics form and the Self-Care Diary (SCD). Data analysis was performed using independent t-test and Chi-square test in SPSS software.

          Results:

          The results showed that the mean scores of the effectiveness of self-care behaviors were significantly higher in the intervention group compared to the control group after the intervention ( p < 0.05).

          Conclusions:

          Peer education is recommended for cancer patients undergoing chemotherapy.

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          Most cited references13

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          Incidence and severity of self-reported chemotherapy side effects in routine care: A prospective cohort study

          Aim Chemotherapy side effects are often reported in clinical trials; however, there is little evidence about their incidence in routine clinical care. The objective of this study was to describe the frequency and severity of patient-reported chemotherapy side effects in routine care across treatment centres in Australia. Methods We conducted a prospective cohort study of individuals with breast, lung or colorectal cancer undergoing chemotherapy. Side effects were identified by patient self-report. The frequency, prevalence and incidence rates of side effects were calculated by cancer type and grade, and cumulative incidence curves for each side effect computed. Frequencies of side effects were compared between demographic subgroups using chi-squared statistics. Results Side effect data were available for 449 eligible individuals, who had a median follow-up of 5.64 months. 86% of participants reported at least one side effect during the study period and 27% reported a grade IV side effect, most commonly fatigue or dyspnoea. Fatigue was the most common side effect overall (85%), followed by diarrhoea (74%) and constipation (74%). Prevalence and incidence rates were similar across side effects and cancer types. Age was the only demographic factor associated with the incidence of side effects, with older people less likely to report side effects. Conclusion This research has produced the first Australian estimates of self-reported incidence of chemotherapy side effects in routine clinical care. Chemotherapy side effects in routine care are common, continue throughout chemotherapy and can be serious. This work confirms the importance of observational data in providing clinical practice-relevant information to decision-makers.
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            The effect of education in managing side effects in women receiving chemotherapy for treatment of breast cancer.

            To determine the effectiveness of informational audiotapes on self-care behaviors, state anxiety, and use of self-care behaviors; to describe the occurrence and intensity of common side effects in patients with breast cancer. Randomized clinical trial. Outpatient chemotherapy clinics operated by a university center in a rural area. 70 women receiving their first treatment of chemotherapy. Subjects completed demographic data and the Spielberger State-Trait Anxiety instrument (stai). The experimental group received two audiotapes. At one and three months, subjects completed the modified nail self-care diary and stai via telephone. State anxiety, side-effect severity, and use and efficacy of self-care behaviors. The most frequent side effects were fatigue, nausea and vomiting, and taste change. The experimental group reported symptom improvements that were not found in the control group. The experimental group increased the use of recommended self-care behaviors, whereas the control group continued to use the same self-care behaviors without effectiveness. State anxiety for both groups diminished over time; however, anxiety in the control group was consistently higher. Audiotapes are effective teaching tools. Self-care behaviors can be taught and can be effective in managing side effects. Anxiety was high in both groups, but the symptom decreased in the women who received audiotapes and telephone calls. Constraints on nurses decrease the length of teaching time available, but audiotapes provide effective teaching and reinforcement of education. Anxiety in clinical environments interferes with patient learning. Teaching effective self-care behaviors enhances patients' independence, comfort, control, and quality of life.
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              The role of education in managing fatigue, anxiety, and sleep disorders in women undergoing chemotherapy for breast cancer.

              This study examined the effect of informational audiotapes on patients' self-care behaviors (SCBs) to manage chemotherapy side effects of fatigue, anxiety, and sleep disturbance. Seventy-one women with breast cancer participated. Thirty-three received audiotapes on SCBs to manage side effects. Three telephone interviews were conducted. Overall, women who received education demonstrated more SCBs, a wider range of SCBs, increased use of SCBs over time, and less anxiety. Nursing time for education in busy clinics is minimal. Patient anxiety in the clinic environment interferes with learning. Audiotapes are an effective tool for use at home, providing for teaching and reinforcement of patient education.
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                Author and article information

                Journal
                Iran J Nurs Midwifery Res
                Iran J Nurs Midwifery Res
                IJNMR
                Iranian Journal of Nursing and Midwifery Research
                Wolters Kluwer - Medknow (India )
                1735-9066
                2228-5504
                Jan-Feb 2021
                18 January 2021
                : 26
                : 1
                : 81-84
                Affiliations
                [1 ] Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran
                [2 ] Department of Biostatistics and Epidemiology, Faculty of Medicine, Urmia University of Medical Sciences, Urmia, Iran
                Author notes
                Address for correspondence: Leila Heydarzadeh, Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran. E-mail: heydarzadeh.l@ 123456umsu.ac.ir
                Article
                IJNMR-26-81
                10.4103/ijnmr.IJNMR_227_19
                8074735
                33954103
                61fdfc1a-746f-4290-9858-31c9ecacd802
                Copyright: © 2021 Iranian Journal of Nursing and Midwifery Research

                This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

                History
                : 26 September 2019
                : 18 December 2019
                : 28 September 2020
                Categories
                Short Communication

                Nursing
                neoplasms,education,iran,self care
                Nursing
                neoplasms, education, iran, self care

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