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期刊名称: Journal of Cancer Education
Volume:33    Issue:5        Page:1027-1035
ISSN:0885-8195

Examining the Impact of a Web-Based Intervention to Promote Patient Activation in Chemotherapy-Induced Peripheral Neuropathy Assessment and Management期刊论文

作者: Knoerl Robert Lee Deborah Yang James Bridges Celia Kanzawa-Lee Grace
DOI:10.1007/s13187-017-1200-0

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页码: 1027-1035
被引频次: 4
出版者: Springer US,SPRINGER,Springer,Springer Nature B.V
期刊名称: Journal of Cancer Education
ISSN: 0885-8195
卷期: Volume:33    Issue:5
语言: English
摘要: Lack of activation in self-care can compromise a patient’s ability to monitor and manage cancer treatment-related side effects, such as chemotherapy-induced peripheral neuropathy (CIPN). The web-based Carevive® Care Planning System (CPS) was developed to promote evidence-based symptom assessment and treatment by enhancing patients’ involvement in their own care. The purpose of this single-arm, pre-test/post-test, prospective study was to examine whether the CPS can promote patient activation in CIPN symptom assessment and management. Seventy-five women with breast cancer receiving neurotoxic chemotherapy were recruited from a Comprehensive Cancer Center. Using standardized neuropathy measures embedded within the CPS, patients reported their CIPN symptoms over three consecutive clinical visits and completed the Patient Activation Measure (PAM) at the first and third visits. Mean changes in PAM scores between visits were compared using repeated measure analysis of covariance, adjusting for age. At baseline, patients were diagnosed with cancer within the past year (94.7%), highly activated (85% Level III/IV), and had a mean age of 51.3. PAM scores improved significantly from 67.15 (SD = 13.5; range = 47–100) at visit one to 69.29 (SD = 16.18; range = 47–100) (p = 0.02) (n = 62) at visit three. However, patients perceived the CPS to be of minimal value because it solely focused on CIPN and, for many, CIPN was not severe enough to motivate them to seek out symptom management information. Further research is needed to assess the utility of the CPS in promoting activation in the assessment and management of varying cancer treatment-related symptoms.
相关主题: Biomedicine, Technology assessment, Cancer Research, Peripheral nervous system disease/chemically induced, Patient activation, Pharmacology/Toxicology, Chemotherapy-induced peripheral neuropathy, Cancer symptom management, CARE EXPERIENCES, PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH, chemically induced, ONCOLOGY, Peripheral nervous system disease, PREFERENCES, QUALITY-OF-LIFE, EDUCATION, SCIENTIFIC DISCIPLINES, Self-care, Health, Chemotherapy, Analysis, Cancer, Peripheral neuropathy, Patients, Cancer therapies, Patient assessment,

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