The Effect of Symptom Management Promotion together with a Motivation Interviewing Program on Nutritional Symptom Cluster Experience, Nutritional Behavior, and Nutritional Status of Hematological Patients Receiving Chemotherapy
Keywords:
Symptom management, Motivation interviewing, Nutritional symptom cluster experience, Nutritional behavior, Nutritional status, Hematological malignanciesAbstract
Most hematological patients receiving chemotherapy experience the gastrointestinal side effects of their treatment. This quasi-experimental research aimed to study the effect of symptom management promotion together with a motivation interviewing program on nutritional symptom cluster experience, nutritional behavior, and nutritional status of hematological patients receiving chemotherapy, based on Dodd et al.’s Symptom Management theory and Miller and Rollnick’s Motivation Interview theory. The sample consisted of 47 patients who were diagnosed with hematological malignancies and received chemotherapy for the first time at Thammasat University Hospital or Siriraj Hospital. They were selected by purposive sampling and divided into an experimental (n = 25) or a control group (n = 22). Data were collected between October 2020 to December 2022. The research instruments consisted of the following: 1) symptom management promotion together with a motivation interviewing program, 2) a personal data questionnaire, 3) a nutritional symptom cluster experience assessment questionnaire, 4) a nutritional behavior question- naire, and 5) the Patient Generated-Subjective Global Assessment (PG-SGA) nutritional assessment questionnaire. Data were analyzed using descriptive statistics, chi-square test, Fisher’s exact test, independent t-test, and paired t-test.
The results showed that the experimental group perceived frequency, severity, and distress from the nutritional symptom cluster experience at significantly lower levels than the control group (p < .05). Moreover, the experimental group had significantly better nutritional behavior and nutritional status than before participating in the program, and better than those of the control group (p < .05).
The results of this study include recommendations that nurses or healthcare personnel should consider, such as applying symptom management promotion together with a motivation interviewing program for hematological patients receiving chemotherapy to improve their nutrition.
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