Nurses' perceptions and cancer patients' self-evaluation on symptom severity during chemotherapy: a comparative descriptive study
10.3760/cma.j.issn.1674-2907.2019.15.004
- VernacularTitle:责任护士对癌症患者化疗期间症状感知与患者自评的差异性分析
- Author:
Shuxiang ZHANG
1
;
Ruixian HE
;
Nan XU
;
Liping ZHENG
;
Jinhui ZHANG
;
Shanrui MA
Author Information
1. 国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院内科1病房 100021
- Keywords:
Neoplasms;
Chemotherapy,adjuvant;
Symptom assessment;
Edmonton Symptom Assessment System
- From:
Chinese Journal of Modern Nursing
2019;25(15):1862-1864
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To compare the evaluation result of 10 symptoms including poor appetite in cancer patients during chemotherapy from the patients and their nurses, in order to improve the assessment and judgment ability of the responsible nurses on the symptoms of patients undergoing chemotherapy through the analysis of the result. Methods? The study was performed in the chemotherapy unit of a cancer ClassⅢGrade A hospital in Beijing. By convenience sampling, a total of 192 patients undergoing chemotherapy from October 2017 to January 2018 and the nurses (n=16) who were primarily responsible for their care were selected as participants. Symptom assessments were completed by the use of the Edmonton Symptom Assessment System (ESAS). Results? Patients and nurses showed poor agreement in Depression, Anxiety and Shortness of breath (ICC＜ 0.4) and moderate agreement (0.4 ≤ICC＜ 0.75) in other symptoms. Wilcoxon signed rank test was used to compare the results of symptom assessment between patients and responsible nurses. Among the 10 entries in ESAS, there was no statistical difference between the results in poor quality of life (Z=-1.627, P=0.104), however, there were statistical differences in all the rest 9 entries (P＜0.05) among which the nurses scored higher than the patients in the entry of anxiety and depression. Conclusions? Responsible nurses' perception on physical symptoms was better than that of psychological symptoms, and there was overestimation and underestimation in the severity of symptoms. It is necessary for the nurses to teach the patients how to use standard assessment tools and through health education, raise the patients' awareness of reporting their symptoms.
