Please login (Members) to view content or
(Nonmembers) this article.
Average: 3 (1 vote)

A Nursing Intervention for Reducing Symptom Burden During Chemotherapy

Annemarie Coolbrandt
Hans Wildiers
Annouschka Laenen
Bert Aertgeerts
Bernadette Dierckx de Casterlé
Theo van Achterberg
Koen Milisen
ONF 2018, 45(1), 115-128 DOI: 10.1188/18.ONF.115-128

Objectives: To evaluate the efficacy of an individually tailored nursing intervention for reducing chemotherapy-related symptom distress in adult patients with cancer.

Sample & Setting: A control group (n = 71) received usual care and an intervention group (n = 72) received usual care and the CHEMO-SUPPORT intervention, all at the University Hospitals of Leuven in Belgium.

Methods & Variables: The intervention effect was evaluated by measuring the difference in outcomes between the two groups. The primary outcome, overall symptom distress, and other symptom-related outcomes were self-reported at the start of treatment (baseline) and at 3, 6, and 12 weeks.

Results: The CHEMO-SUPPORT intervention showed significantly less worsening of overall symptom distress and severity. Self-efficacy and outcome expectations (measured at six weeks) were significantly higher in the intervention group. Self-care (measured at 12 weeks) was statistically similar between the two groups. The results emphasize the importance of nurses in coaching patients to adequately self-manage their symptoms at home.

Implications for Nursing: Providing goal-directed self-management support using motivational interviewing as well as tailoring are promising areas for reducing chemotherapy-related symptom distress.

Members Only

Access to this article is restricted. Please login to view the full article.

Not a current ONS Member or journal subscriber?
Join/Renew Membership or