A qualitative study on self-management experience of adverse reactions of oral chemotherapy drugs at home in patients with gastrointestinal tumors
10.3760/cma.j.cn115682-20211109-05032
- VernacularTitle:消化道肿瘤患者居家口服化疗药物不良反应自我管理体验的质性研究
- Author:
Xiaoli LI
1
;
Aifeng MENG
;
Guihua XU
;
Xiaoxu ZHI
;
Liuliu ZHANG
;
Ping ZHU
Author Information
1. 江苏省肿瘤医院；江苏省肿瘤防治研究所；南京医科大学附属肿瘤医院护理部，南京 210009
- Keywords:
Digestive system neoplasms;
Oral chemotherapy drugs;
Adverse reactions;
Qualitativeresearch
- From:
Chinese Journal of Modern Nursing
2022;28(24):3244-3248
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the inner experience of self-management of adverse drug reactions in patients with oral chemotherapy at home, so as to provide a basis for medical staff to better implement home supervision of patients.Methods:This study was a qualitative study. The purposive sampling method was used to select 12 patients with gastrointestinal tumors who were admitted to Department of Oncology of a ClassⅢ Grade A hospital in Nanjing from April to May 2021 and were required to take oral chemotherapy drugs at home for semi-structured in-depth interviews. Colaizzi's 7-step analysis method was used to analyze and summarize the interview data.Results:A total of 3 themes and 7 sub-themes were extracted from the inner experience of self-management of adverse drug reactions in patients with oral chemotherapy at home. Theme one was the perception of self-management of adverse drug reactions in patients undergoing oral chemotherapy at home. This included anxiety and fear in the face of adverse reactions and ambivalence in seeking to communicate with medical staff. The topic two was the attitude and behavior of self-management of adverse drug reactions in patients with home-based oral chemotherapy drugs. This included insufficient attention to active review of adverse effects of myelosuppression and a lack of ability to identify adverse drug reactions. The topic three was the motivation and needs of self-management of adverse drug reactions in patients with home-based oral chemotherapy. The family's careful care provided strong support, the convenience of mobile communication relieved the patient's troubles and there was a need for information and knowledge of the adverse reactions of oral chemotherapy drugs.Conclusions:Medical staff need to strengthen drug knowledge education and psychological care for gastrointestinal tumor patients taking oral chemotherapy drugs at home and build a mobile information platform to improve their self-management capabilities.
