Effects of a Multidisciplinary Hepatopancreatobiliary Cancer Care Team Program on Uncertainty in Illness, Symptom Distress, Symptom Management and Clinical Outcomes

Main Article Content

Teeraporn Chompoosaeng
Suchira Chaiviboontham
Somboon Subwongcharoen

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.

Article Details

How to Cite
Chompoosaeng, T., Chaiviboontham, S., & Subwongcharoen, S. (2021). Effects of a Multidisciplinary Hepatopancreatobiliary Cancer Care Team Program on Uncertainty in Illness, Symptom Distress, Symptom Management and Clinical Outcomes. Thai Journal of Nursing and Midwifery Practice, 8(1), 20–36. Retrieved from https://he02.tci-thaijo.org/index.php/apnj/article/view/252893
Section
Research report
Author Biography

Teeraporn Chompoosaeng, Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University

Diplomate Candidate, Thai Board of Advanced Practice in Adult and Gerontological Nursing

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