摘要:

Quality of life (QOL) is an important concept in cancer nursing and has particular significance for bone marrow transplant (BMT). BMT survivors are faced with the demands of acute transplant symptoms as well as chronic illness demands posttransplant. The purpose of this study was to explore the concept of QOL for BMT survivors and to gain understanding of nursing interventions that may improve QOL in this population. The conceptual framework for this study was derived from the model of QOL developed by Ferrell, Grant, and Padilla (1989) that depicts the QOL domains of physical well-being, psychological well-being, social concerns, and spiritual well-being. This qualitative study consisted of a one-time interview of 119 BMT survivors using six open-ended questions. The items were based on previous research of the authors and content validity was established by a panel of BMT experts. Content analysis was performed on verbatim written responses to six questions regarding BMT and QOL. Part one of this two-part report provides analysis based on the questions regarding the meaning of QOL to BMT survivors and the impact of BMT on QOL.

ISSN:0162-220X    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

Nurses who care for oncology patients are in a unique position to observe and assess how the family is managing this stressful experience. Families under stress can create obstacles to delivering optimal nursing care, resulting in feelings of powerlessness on the part of the nurse. This article proposes a family life-cycle framework for assessing families. The concept of centripetal and centrifugal modes constructively links the illness life cycle to the individual and family life cycles. Recommended psychosocial interventions using this model are addressed.

ISSN:0162-220X    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

The purpose of this study was to explore factors related to the amount of direct care and outcomes of caregiving experienced by family members of terminally ill older persons using secondary analysis. A total of 55 caregivers whose care receivers were aged ≥65 years were selected from Kirschling's (1988) hospice sample. The majority of caregivers were female (75%) and the spouse of the care receiver (66%). The duration of caregiving ranged from I to 180 months. Most care receivers were diagnosed with cancer (84%) and had been ill for 2–360 months (mean = 30.2). The mean length of time in hospice for care receivers was 2.4 months. Caregivers most frequently provided little extra tasks that were least difficult, least upsetting, and easier to provide. Behavioral problem tasks were least frequently provided but were reported as the most difficult, tiring, upsetting, and hardest to provide. Caregivers whose care receivers had been in hospice for >34 days reported having to provide more communication tasks than caregivers whose ill older family members had been in hospice <34 days. Long-term caregivers (providing care for >9 months) whose care receivers had been in hospice for >34 days provided significantly fewer personal care tasks than short-term caregivers. Finally, there were no significant effects for duration of caregiving and length of time in hospice on outcomes of caregiving.

ISSN:0162-220X    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

The purpose of this study was to identify care needs of home-based patients receiving treatment for cancer and their caregivers. The sample consisted of 30 patients receiving radiation therapy and/or immunologically based treatments for a variety of cancers and 29 caregivers. Patient and caregiver needs scales were used to elicit the needs of patients and caregivers. Patients and caregivers were able to cite their unique needs. Patients had more needs for themselves in the areas of personal care, activity management, and interpersonal interaction than did the caregivers. The necessity for individualization of care was noted by both patients and caregivers, an area that nursing is in a unique position to address.

ISSN:0162-220X    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

Xerostomia continues to be a major complaint of patients who have had radiation therapy of the salivary glands and neck. This article describes the advantages and disadvantages of conventional treatment methods and introduces an innovative, yet inexpensive remedy that has produced favorable results for those afflicted with this chronic complication of therapy.

ISSN:0162-220X    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

The pattern of oral mucositis and related treatment variables was studied in 20 bone marrow transplant patients. Patients received either total body irradiation (TB1) or busulfan in combination with cyclophosphamide and etoposide as pretransplant conditioning. Daily oral assessment scores were analyzed. Mucosl changes began 2 days before transplant and peaked 8 days after transplant. There was a trend far patients receiving TB1 to have slightly higher oral scores during the first week posttransplant than patients receiving busulfan. The TB1 patients averaged almost twice the number of days of continuous intravenous morphine infusion for oral pain and 6 additional days of total parenteral nutrition when compared with patients receiving busulfan. Subjects who died during aplasia manifested mucositis that gradually worsened and did not return to baseline. Differences in oral status based on type of transplant, either autologous or allogeneic, were not shown in this study.

ISSN:0162-220X    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

Most patients with hematologic malignancies are conditioned for bone marrow transplantation with a regimen that includes the use of total body irradiation. This patient information guide was put together to simplify and standardize the type of instructions that patients receive before total body irradiation and to provide information for nurses who care for patients receiving such treatment. Content includes common questions asked by patients and families: a description of possible side effects: when side effects begin: and the patient's role in minimizing side effects.

ISSN:0162-220X    

出版商:OVID    

年代:1992

数据来源: OVID

ISSN:0162-220X    

出版商:OVID    

年代:1992

数据来源: OVID

ISSN:0162-220X    

出版商:OVID    

年代:1992

数据来源: OVID

ISSN:0162-220X    

出版商:OVID    

年代:1992

数据来源: OVID