Main Article Content
Purpose: To examine the effects of a concrete-objective information program on anxiety and functional status among individuals with lymphoma during and after chemotherapy.
Design: Quasi-experimental design.
Methods: The sample consisted of 68 lymphoma patients receiving chemotherapy; 34 participants were assigned to experimental group and the other half of participants to control group. The experimental group received a concrete-objective information program consisting of animation cartoon DVD, booklet, and telephone coaching while the control group received a usual care. Data were collected at three times: baseline prior to the intervention (T1), at two weeks and at six months after participating the program (T2 and T3 respectively). Research instruments for data collection were State-Trait Anxiety Inventory (Form Y-1) and Functional Living Index Cancer (FLIC). One-way repeated measures ANOVA and repeated measures ANCOVA test were used for data analysis.
Main findings: The participants in experimental group tended to have lower anxiety scores and higher physical activity scores than those in the control group at 2 weeks, and the differences reached statistical significance at 6 months after receiving the program.
Conclusion and recommendations: These findings suggested that concrete-objective information program with adequate telephone coaching could be an efficacious informational intervention for helping patients with lymphoma to improve/maintain their functional status and decrease their anxiety during cancer treatment. Nurses should provide concrete-objective information in preparing patients with hematologic cancer to cope effectively during and after chemotherapy.
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2. Suedee N, Pongthavornkamol K, Sriyuktasuth A, Siritanaratkul N. Symptom experiences and their influences on functional status in hematological malignancy patients receiving chemotherapy. Journal of Nursing Science. 2015;33(2):29-40. (in Thai).
3. Filanovsky K, Miller EB, Sigler E, Berrebi A, Shvidel L. Incidence of profound hypogammaglobulinemia and infection rate in lymphoma patients following the combination of chemotherapy and rituximab. Recent Pat Anticancer Drug Discov. 2016;11(2)228-35. doi: 10.2174/1574892811666160129110614.
4. Dodd MJ, Cho MH, Cooper BA, Miaskowski C. The effect of symptom clusters on functional status and quality of life in women with breast cancer. Eur J Oncol Nurs. 2010;14(2):101-10. doi: 10.1016/j.ejon.2009.09.005.
5. Given BA, Given CW, Sikoskii A, Hadar N. Symptom clusters and physical function for patients receiving chemotherapy. Semin Oncol Nurs. 2007;3(2):121-6. doi: 10.1016/j.soncn.2007.01.005.
6. Bergerot CD, Clark KL, Nonino A, Waliany S, Buso MM, Loscalzo M. Course of distress, anxiety, and depression in hematological cancer patients: association between gender and grade of neoplasm. Palliat Support Care. 2015;13(2):115-23. doi: 10.1017/S1478951513000849.
7. Casulo C, Nastoupil L, Fowler NH, Friedberg JW, Flowers CR. Unmet needs in the first-line treatment of follicular lymphoma. Ann Oncol. 2017;28(9):2094-106. doi: 10.1093/annonc/mdx189.
8. Bron D, Aurer I, Andre MPE, Bonnet C, Caballero D, Falandry C, et al. Unmet needs in the scientific approach to older patients with lymphoma. Haematologica. 2017;102(6):972-5. doi: 10.3324/haematol.2017.167619.
9. Lekdamrongkul P, Pongthavornkamol K, Chompoobubpa T, Siritanaratkul N. Relationships among information needs, information received, self-care behaviors and quality of life in hematologic cancer patients receiving chemotherapy. Journal of Nursing Science. 2012;30(3):64-73. (in Thai).
10. Johnson JE, Fieler VK, Jones LS, Wlasowicz GS, Mitchel ML. Self-regulation theory: applying theory to your practice. Pittsburgh, PA: Oncology Nursing Press; 1997. 91 p.
11. Marteau TM, Weinman J. Self-regulation and the behavioural response to DNA risk information: a theoretical analysis and framework for future research. Soc Sci Med. 2006;62(6):1360-8. doi: 10.1016/j.socscimed.2005.08.005.
12. Flannery M, Stein K, Dougherty D, Mohile S, Guido J, Wells N. Nurse-delivered symptom assessment for individuals with advanced lung cancer. Oncol Nurs Forum. 2018;45(5):619-30. doi: 10.1188/18.ONF.619-630.
13. Christman NJ, Cain LB. The effects of concrete objective information and relaxation on maintaining usual activity during radiation therapy. Oncol Nurs Forum. 2004;31(2):E39-45. doi: 10.1188/04.ONF.E39-E45.
14. Johnson JE, Fieler VK, Wlasowicz GS, Mitchell ML, Jones LS. The effect of nursing care guided by self-regulation theory on coping with radiation therapy. Oncol Nurs Forum. 1997;24(6):1041-50.
15. Tuppapurana S, Pongthavornkamol K, Watthayu N, Eursritanakorn S. The effect of a concrete-objective informational program on functional status in cervical cancer patients receiving concurrent chemoradiation. Vajira Nursing Journal. 2011;13(1):97-109. (in Thai).
16. Thuchart S, Asdornwised U, Pinyopasakul W, Trakarnsanga A. The effects of concrete-objective information program on pre-operative anxiety in abdominal surgery patients. Nursing Science Journal of Thailand. 2019;37(2):78-91. (in Thai).
17. Aksornsir A, Thampanichawat W, Wichiencharoen K, Sangperm P. The effects of concrete-objective information on parental anxiety and parental participation in care for children in pediatric intensive care unit. Journal of Nursing Science. 2012;30(2):80-9. (in Thai).
18. Watthanasereewetch T, Chaiyawat W. The effect of providing concrete-objective information before the first visit to pediatric patients in intensive care unit on maternal anxiety. Journal of The Royal Thai Army Nurses. 2017;18(3):91-9. (in Thai).
19. Jodjum C, Pongthavornkamol K, Kusuma Na Ayuthaya S. The effect of psycho-education program on quality of life in women with cervical cancer undergoing radiation therapy. Journal of Nursing Science. 2016;34 Suppl 1:143-55. (in Thai).
20. Pongthavornkamol K, Wanavarodom P, Sareeso P, Mahakkakanjana N, Meraviglia M. Improving health-promoting behaviors and quality of life through breast cancer support group for Thai women. Pacific Rim Int J Nurs Res. 2014;18(2):125-37.
21. Cohen J. Statistical Power Analysis for the Behavioral Sciences. 2nd ed. Lawrence Erlbaum Associates, Hillsdale, NJ; 1988. 567 p.
22. Spielberger CD. Manual for the State-Trait Anxiety Inventory (STAI). Palo Alto, CA: Mind Garden; 1983. 75 p.
23. Schipper H, Clinch J, McMurray A, Levitt M. Measuring the quality of life of cancer patients: The Functional Living Index-Cancer: development and validation. J Clin Oncol. 1984;2(5):472-83. doi: 10.1200/JCO.1922.214.171.1242.
24. Thongprasert S, Intarapak S, Saengsawang P, Thaikla K. Reliability of the Thai-Modified Function Living Index Cancer Questionnaire Version 2 (T-FLIC 2) for the evaluation of quality of life in non-small cell lung cancer patients. J Med Assoc Thai. 2005;88(12):1809-15.
25. Johnson JE, Nail LM, Lauver D, King KB, Keys H. Reducing the negative impact of radiation therapy on functional status. Cancer. 1988;61(1):46-51. doi: 10.1002/1097-0142(19880101)61:1<46::aid-cncr2820610109>3.0.co;2-2.
26. Canadian Cancer Society. Side effects of chemotherapy [Internet]. Toronto, ON: Canadian Cancer Society; 2019 [cited 2019 Nov 11]. Available from: https://www.cancer.ca/en/cancer-information/diagnosis-and-treatment/chemotherapy-and-other-drug-therapies/chemotherapy/side-effects-of-chemotherapy/?region=on.
27. Coolbrandt A, Milisen K, Wildiers H, Aertgeerts B, van Achterberg T, Van der Elst E, et al. A nursing intervention aimed at reducing symptom burden during chemotherapy (CHEMO-SUPPORT): a mixed-methods study of the patient experience. Eur J Oncol Nurs. 2018;34:35-41. doi: 10.1016/j.ejon.2018.03.002.