Effects of a Multidisciplinary Hepatopancreatobiliary Cancer Care Team Program on Uncertainty in Illness, Symptom Distress, Symptom Management and Clinical Outcomes
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Abstract
This quasi-experimental research aimed to test the effects of a multidisciplinary hepatopancreatobiliary cancer care team program on uncertainty in illness, symptoms distress, symptom management, and clinical outcomes (nutritional status, serum albumin level, bilirubin level, and lung capacity). Twenty hepatopancreatobiliary cancer patients at the One Stop Liver Center, Rajvithi Hospital were purposively selected based on the predetermined criteria. They were divided into: the control group receiving usual nursing care (n=10); and the experimental group receiving the program (n=10). Data were analyzed using descriptive and non-parametric statistics. Results: (1) the comparison of outcomes between pre-and post experiment within the control and the experimental group showed that: In the control group, the symptom distress scores were decresead, and the lung capacity were increased statistically significance (p<.05); while in the experimental group, the uncertainty of illness scores were decreased; the nutritional status were improved; and the lung capacities were increased statistically significance (p<.05). However, there were no statistically significance of the rest outcomes (p>.05); and (2) the comparison between the control and the experimental group, both before and after the experiment showed that there were no statistically significance between both groups (p>.05). The program developed help reduce uncertainty in illness. It could be applied to the patients similar to the context of this study. Further research should be done in the larger sample groups and with the following up after discharge.
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2. Huynh DK, Selvanderan SP, Harley HAJ, Holloway RH, Nguyen NQ. Nutritional care in hospitalized patients with chronic liver disease. World J. Gastroenterol 2015; 21(45):12835-42.
3. Arends J, Baracos V, Bertz H, Bozzetti F, Calder PC. Deutz NEP, et al. ESPEN expert group recommendations for action against cancer related malnutrition. Clin Nutrition 2017; 36(5): 1187-96.
4. Cahill BA, Braccia D. Current treatment for hepatocellular carcinoma. Clin J Oncol Nurs 2004; 8(4):393-9.
5. Somjaivong B, Thanasilp S, Preechawong S, Sloan R. The influence of symptoms social support uncertainty and coping on health-related quality of life among cholangiocarcinoma patients in northeast Thailand. Cancer Nurs 2011; 34(6):434-42. (In Thai)
6. Maninet S, Jitpanya C. Factors related to quality of life in patients with hepatobiliary carcinoma: A systematic review of literature. Princess of Naradhivas University J 2014; 6(2):24-35. (In Thai)
7. Dodd M, Janson S, Facione N, Faucett J, Froelicher ES, Humphreys J, et al. Advancing the science of symptom management. J Adv Nurs 2001; 33(5):668-76.
8. Molassiotis A, Brearley S, Saunders M, Craven O, Wardley A, Farrell C, et al. Effectiveness of a home care nursing program in the symptom management of patients with colorectal and breast cancer receiving oral chemotherapy: A randomized controlled trial. J. Clin. Oncol 2009; 27(36):6191-98.
9. Smetana GW. Postoperative pulmonary complications: an update on risk assessment and reduction. Cleve Clin J Med 2009; 76(suppl 4): S60-5.
10. Dimick JB, Chen SL, Taheri PA, Henderson WG, Khuri SF, Campbell DA. Hospital costs associated with surgical complications: A report from the private-sector National Surgical Quality Improvement Program. J Am Coll Surg 2004; 199(4):531-7.
11. Cassidy MR, Rosenkranz P, McCabe K, Rosen EJ, Mc Aneny D. I COUGH reducing postoperative pulmonary complications with a multidisciplinary patient care program. Jama Surgery [Internet] 2013 [Cite 2018 May 5]; Available from: jamasurgery.com.
12. Maneerat N. Effect of information provision on uncertainty in illness among parents of children with cancer [Master of Nursing Science (Pediatric Nursing)]. Chiang Mai: Chiang Mai University; 2007. (In Thai)
13. Boursamarrang P. Effectiveness of communication program on uncertainty in illness and coping strategies in family members of critical ill patients [Master of nursing science (Adult Nursing)]. Bangkok: Rangsit University; 2014. (In Thai)
14. Phrodcharoen M. Prediction factors of uncertainty in illness among persons with colorectal cancer [Master of nursing science (Adult Nursing)]. Chiang Mai: Chiang Mai University; 2013. (In Thai)
15. Reynolds RB, McCoy K. The role of advanced practice providers in interdisciplinary oncology care in the United States. Chin Clin Oncol [Internet]. 2016. [cited 2019 Dec 5]; 5(3):44. Available from: http://dx.doi.org/10.1037/cco.2016.
16. Cohen GS, Black M. Multidisciplinary management of hepatocellular carcinoma: A model for therapy. J Multidiscip Healthc 2013; 9(6):189-95.
17. Iwasa M, et al. Nutrition therapy using a multidisciplinary team improves survival rates in patients with liver cirrhosis. Nutrition 2013; 29(11-12):1418-21.
18. Donabedian, A. The quality of care. How can it be assessed? JAMA J 1988; 260(12):1743-8.
19. Mishel MH. Uncertainty in illness. J Nurs Scholarsh 1988; 20(4):225-32.
20. Pochanart A. Effect of supportive-educative nursing system on uncertainty in illness among newly diagnosed breast cancer patients [Master of Nursing Science (Adult Nursing)]. Chiang Mai: Chiang Mai University; 2012. (In Thai)
21. Isaacs B, Akhtar AJ.The set test rapid test of mental function in old people. Age Ageing 1972; 1(4):222-6.
22. Maninet S. Relationships among personal factors, symptoms, symptom management, sense of Coherence, and quality of life in patients with hepatobiliary carcinoma [Master of Nursing Science (Adult Nursing)]. Bangkok: Chulalongkorn University; 2013. (In Thai)
23. Thanapaisal N, Sanpoch K, Hupreechasat N, Ontisong K, Armat W, Chinpan W. Pre-operative inforamtion need for cholangiocarcinoma patients in Srinagarind Hospital, Khon Kaen University, Thailand. Srinagarind Med J 2008; 23(4): 360-65. (In Thai)