Preparation of Gastrointestinal Symptoms Management and Anxiety Management Program in Breast Cancer Patients Receiving Chemotherapy: A Literature Review
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Abstract
Introduction: This academic article discusses programs to prepare breast cancer patients receiving chemotherapy to reduce gastrointestinal symptoms and anxiety. Data was gathered from ThaiJO, Scopus, PubMed and EBSCO host from 2017 to 2023. Keyword searches included “breast cancer patient” and “chemotherapy” and “preparing program” and “gastrointestinal symptom cluster” and “nausea and vomiting” and “mucositis” and “anxiety”. Ten related research subjects were selected and analyzed. Results were that two theories were used as a framework for creating the program: 1) Orem's self-care theory and 2) symptom management theory. Program activities included pre-treatment of chemotherapy drugs, physical and mental chemotherapy, self-action education, non-pharmacological management activities, and phone follow up. The ten to fifty minute program sessions extended from one day to three months. Results were that physically, frequency and severity of nausea, vomiting, loss appetite, and mucositis decreased as well as mental anxiety levels. Conclusion: These programs can be used in the clinic to prepare patients by providing education on managing physical and psychological symptoms of chemotherapy in breast cancer patients receiving chemotherapy.
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