Sahin, Z.A., & Erguney, S. (2016). Effect on symptom management education receiving patients of chemotherapy. Journal of Cancer Education, 31, 101–107.

DOI Link

Study Purpose

To examine the effect of a planned educational program on symptom control

Intervention Characteristics/Basic Study Process

Patients were randomly assigned to the education or waitlist control/usual care group. The educational intervention consisted of face-to-face educational sessions prior to each chemotherapy cycle provided to patients, caregivers, and family members. Symptom management education, support, and opportunity for discussion were provided.

Sample Characteristics

  • N = 140   
  • MEAN AGE = 58.9 years
  • MALES: 45%, FEMALES: 55%
  • CURRENT TREATMENT: Chemotherapy
  • KEY DISEASE CHARACTERISTICS: All had hematologic cancers and were beginning initial chemotherapy.
  • OTHER KEY SAMPLE CHARACTERISTICS: Sixty-four percent were married, and 22% had no more than primary education.

Setting

  • SITE: Single-site   
  • SETTING TYPE: Outpatient    
  • LOCATION: Turkey

Phase of Care and Clinical Applications

PHASE OF CARE: Active antitumor treatment

Study Design

Randomized, controlled trial

Measurement Instruments/Methods

Not specified

Results

The prevalence of chemotherapy-induced nausea and vomiting and difficulty sleeping were significantly lower after the intervention in the education group (p < 0.001), whereas the prevalence of these symptoms increased in the control group.

Conclusions

The findings suggest that an educational intervention can be beneficial in managing symptoms related to cancer treatment.

Limitations

  • Risk of bias (no blinding)
  • Risk of bias (no appropriate attentional control condition)
  • Measurement/methods not well described
  • Measurement validity/reliability questionable
  • Method of randomization not described
  • How symptom data were measured/obtained is unclear.

Nursing Implications

Patient education may be helpful in managing symptoms during cancer treatment. Education is necessary but may not be sufficient for symptom control.