The Effect of Concrete-objective Informational Program on Anxiety and Functional Status among Lymphoma Patients Receiving Chemotherapy

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Pichitra Lekdamrongkul
Kanaungnit Pongthavornkamol
Siritanaratkul Siritanaratkul
Siwaporn Siripoon
Penjai Jitnumsub


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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Lekdamrongkul, P., Pongthavornkamol, K., Siritanaratkul, S., Siripoon, S., & Jitnumsub, P. (2020). The Effect of Concrete-objective Informational Program on Anxiety and Functional Status among Lymphoma Patients Receiving Chemotherapy. Nursing Science Journal of Thailand, 38(1), 19–34. Retrieved from
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