Anxiety is one of the most common symptoms experienced by patients receiving their first chemotherapy treatment. Improper prevention and management of anxiety can lead to poor psychosocial outcomes, dissatisfaction with care, and decreased adherence to treatment. A review of the literature was conducted to analyze the effectiveness of patient education at decreasing anxiety. Consistencies were found throughout the literature regarding patient education for this population. Information regarding side effects of treatment, side-effect management strategies, and orientation to the infusion center are the most important topics of education that reduce anxiety. In addition, education performed by nurses before the first chemotherapy infusion in a quiet environment is most effective. Integration of effective patient education programs improves holistic care by increasing emphasis on psychosocial aspects of oncology.
Adler, N.E., & Page, N.E.K. (2008). Cancer care for the whole patient. Meeting psychosocial health needs. Washington, DC: National Academies Press.
Borsellino, M., & Young, M.M. (2011). Anticipatory coping. Clinical Journal of Oncology Nursing, 15, 311-315.
Jacobsen, P., & Jim, H. (2008). Psychosocial interventions for anxiety and depression in adult cancer patients: Achievements and challenges. CA: A Cancer Journal for Clinicians, 58, 214-230.
Keller, J. (2006). Implementation of a prechemotherapy educational intervention for women newly diagnosed with breast cancer. Clinical Journal of Oncology Nursing, 10, 57-60. doi:10.1188/06.CJON.57-60
Leighl, N., Gattellari, M., Butow, P., Brown, R., & Tattersall, M. (2001). Discussing adjuvant cancer therapy. Journal of Clinical Oncology, 19, 1768-1778.
Malone, P. (2007). Implementation of a prechemotherapy educational intervention. Clinical Journal of Oncology Nursing, 11, 707-710. doi:10.1188/07.CJON.707-710
Mann, K. (2011). Education and health promotion for new patients with cancer. Clinical Journal of Oncology Nursing, 15, 55-61. doi:10.1188/11.CJON.55-61
Olver, I.N., Whitford, H.S., Denson, L.A., Peterson, M.J., & Olver, S.I. (2009). Improving informed consent to chemotherapy: A randomized controlled trial of written information versus an interactive multimedia CD-ROM. Patient Education and Counseling, 74, 197-204.
Prouse, J. (2010). The impact of methods of information on chemotherapy-related side effects. Clinical Journal of Oncology Nursing, 14, 206-211. doi:10.1188/10.CJON.206-211
Sheldon, L., Swanson, S., Dolce, A., Marsh, K., & Summers, J. (2008). Putting Evidence Into Practice: Evidence-based interventions for anxiety. Clinical Journal of Oncology Nursing, 12, 789-797. doi:10.1188/08.CJON.789-797
Stephenson, P. (2006). Before the teaching begins: Managing patient anxiety prior to providing education. Clinical Journal of Oncology Nursing, 10, 241-245. doi:10.1188/06.CJON.241-245
Thomas, R., Daly, M., Perryman, B., & Stockton, D. (2000). Fore-warned is forearmed—Benefits of preparatory information on video cassette for patients receiving chemotherapy or radiotherapy-A randomized controlled trial. European Journal of Cancer, 36, 1536-1543. doi:10.1016/S0959-8049(00)00136-2
Traeger, L., Greer, J., Fernandez-Robles, C., Temel, J., & Pirl, W. (2012). Evidence-based treatment of anxiety in patients with cancer. Journal of Clinical Oncology, 30, 1197-1205.
Williams, S., & Schreier, A. (2004). The effect of education in managing side effects in women receiving chemotherapy for treatment of breast cancer [Online exclusive]. Oncology Nursing Forum, 31, E16-E23.
Williams, S., & Schreier, A. (2005). The role of education in managing fatigue, anxiety, and sleep disorders in women undergoing chemotherapy for breast cancer. Applied Nursing Research, 18, 138-147.