Main Article Content
Advanced treatment for cancer improved most survival rates. However, there are manyside effects of treatment that affect the patient’s quality of life. Nowadays managementand reduction of treatment associated with side effects are significant in maintainingpatients’ quality of life and optimizing nursing outcomes. Cancer patients who undergochemotherapy will experience discomfort. This study aimed to identify nursing outcomesrelated to comfort among cancer patients who are undergoing chemotherapy. The methodchosen was an integrative review that drew data from five main electronic databases(PUBMED, Science direct, CINAHL, MEDLINE, Complementary index and Other) andonly 44 out of 148 papers identified met the inclusion criteria. The result showed that theliterature studies divided the theme of comfort according to the symptoms that occurredfrom chemotherapy as follows: 1) Physical comfort 2) Psychospiritual comfort 3)Sociocultural comfort and 4) Environmental comfort. Conclusion: Nursing outcomesdepend on a patient’s need and include the management not only of the physical symptomsand treatment-related side effects, but also the changes in a patient’s emotional status anddaily lives. Patients were supported by other patients with similar experiences especiallyspiritual needs, and support from family and friends had a dramatic positive impact onpatients’ adherence to treatment. The study findings are that the nursing outcomes of thepatients’ comfort after receiving chemotherapy (according to the patient’s point of viewabout the meaning of comfort) should be led by the patient’s quality of life and satisfaction.
This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
2. Bergstrom A, Hakansson A, Warren Stomberg M, et al.Comfort theory in practice-Nurse anesthetists’ comfortmeasures and interventions in a preoperative context.J Perianesth Nurs 2018;33(2):162-71.
3. Kolcaba KY. A taxonomic structure for the concept comfort.Image J Nurs Sch 1991;23(4):237-40.
4. Griffiths P, Richardson A, Blackwell R. Outcomes sensitiveto nursing service quality in ambulatory cancer chemotherapy:Systematic scoping review. Eur J Oncol Nurs 2012;16(3):238-46.
5. Moysés AM, Durant LC, Almeida AM, et al. Integrativereview of factors related to the nursing diagnosis nauseaduring antineoplastic chemotherapy. Rev Lat Am Enfermagem2016;24:e2812.
6. Cooke A, Smith D, Booth A. Beyond PICO: the SPIDER toolfor qualitative evidence synthesis. Qual Health Res2012;22(10):1435-43.
7. Costa TC, Lopes M, Anjos AC, et al. Chemotherapy-inducedperipheral neuropathies: an integrative review of the literature.Rev Esc Enferm USP 2015;49(2):335-45.
8. Gilmour F, Williams A. Support with nutrition for womenreceiving chemotherapy for breast cancer. Br J Nurs2018;27(4):S4-S9.
9. Kruse M, Abraham J. Management of chemotherapy-inducedalopecia with scalp cooling. J Oncol Practice 2018;14(3):149-54.
10. Ferreira EB, Cruz FOAM da, Jesus CAC de, et al. TelephoneContact As A Strategy For The Promotion Of Comfort To ThePatient Submitted To Chemotherapy. J Nur UFPE / Rev deEnfermagem UFPE 2017;11(5):1936-42.
11. Albusoul RM, Berger AM, Gay CL, et al. Symptom clusterschange over time in women receiving adjuvant chemotherapyfor breast cancer. J Pain Symptom Manage 2017;53(5):880-6.
12. Hsu HT, Lin KC, Wu LM, et al. Symptom Cluster TrajectoriesDuring Chemotherapy in Breast Cancer Outpatients. J PainSymptom Manage 2017;53(6):1017-25.
13. Jacobs JM, Pensak NA, Sporn NJ, et al. Treatment Satisfactionand Adherence to Oral Chemotherapy in Patients With Cancer.J Oncol Practice 2017;13(5):e474-e85.
14. Zalina Abu Z, Jackson K, Cobiac L, Mirnalini K. Relationshipbetween Quality of Life and Nutritional Status in ColorectalCancer Patients Undergoing Chemotherapy. Mal J Nutr2017;23(3):375-84.
15. Robison JG, Smith CL. Therapeutic Massage DuringChemotherapy and/or Biotherapy Infusions: PatientPerceptions of Pain, Fatigue, Nausea, Anxiety, and Satisfaction.Clin J Oncology Nurs 2016;20(2):E34-E40.
16. Backman M, Browall M, Sundberg CJ, et al. Experiencinghealth – Physical activity during adjuvant chemotherapytreatment for women with breast cancer. Eur J Oncol Nurs2016;21:160-7.
17. Coelho A, Parola V, Escobar-Bravo M, et al. Comfort experiencein palliative care: a phenomenological study. BMC PalliatCare 2016;15:71.
18. Park R, Park C. Comparison of Foot Bathing and Foot Massagein Chemotherapy-Induced Peripheral Neuropathy. CancerNurs 2015;38(3):239-47.
19. Devi ES, Latha T. Effectiveness of Acupressure onChemotherapy Induced Nausea and Vomiting and thefunctional status among Cancer Patients Receiving Cisplatinas Radiosensitizer Chemotherapy in Kasturba HospitalManipal. Inter J Nurs Educ 2015;7(1):32-6.
20. Mollaoğlu M, Erdoğan G. Effect on symptom control ofstructured information given to patients receivingchemotherapy. Eur J Oncol Nurs 2014;18(1):78-84.
21. Karagozoglu S, Kahve E. Effects of back massage onchemotherapy-related fatigue and anxiety: Supportive careand therapeutic touch in cancer nursing. Appl Nurs Res2013;26(4):210-7.
22. Mekuria AB, Erku DA, Belachew SA. Preferred informationsources and needs of cancer patients on disease symptomsand management: a cross-sectional study. Patient PreferAdherence 2016;10:1991-7.
23. Hwang KH, Cho OH, Yoo YS. Symptom clusters of ovariancancer patients undergoing chemotherapy, and theiremotional status and quality of life. Eur J Oncol Nurs2016;21:215-22.
24. Putten M, Husson O, Mols F, et al. Correlates of physicalactivity among colorectal cancer survivors: results from thelongitudinal population-based profiles registry. Support CareCancer 2016;24(2):573-83.
25. Colagiuri B, Dhillon H, Butow PN, et al. Does assessingpatients’ expectancies about chemotherapy side effectsinfluence their occurrence? J Pain Symptom Manage2013;46(2):275-81.
26. Wei C, Nengliang Y, Yan W, et al. The patient-providerdiscordance in patients’ needs assessment: a qualitative studyin breast cancer patients receiving oral chemotherapy. J ClinNurs 2017;26(1-2):125-32.
27. Coolbrandt A, Dierckx de Casterle B, Wildiers H, et al. Dealingwith chemotherapy-related symptoms at home: a qualitativestudy in adult patients with cancer. Eur J Cancer Care (Engl)2016;25(1):79-92.
28. Beaver CC, Magnan MA. Managing Chemotherapy SideEffects: Achieving Reliable and Equitable Outcomes. Clin JOncol Nurs 2016;20(6):589-91.29. Dowd T, Kolcaba K, Steiner R. Using cognitive strategies toenhance bladder control and comfort. Holist Nurs Pract2000;14(2):91-103.
29. Traeger L, McDonnell TM, McCarty CE, et al. Nursingintervention to enhance outpatient chemotherapy symptommanagement: Patient-reported outcomes of a randomizedcontrolled trial. Cancer 2015;121(21):3905-13.
30. Smith M, Parker ME . Nursing theories and nursing practice,4th(ed): Katharine Kolcaba’s Comfort theory. FA DavisCompany, Philadelphia, USA, 2015:381-91.