ISSN:0961-5423    

DOI:10.1111/j.1365-2354.1996.tb00221.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

ISSN:0961-5423    

DOI:10.1111/j.1365-2354.1996.tb00222.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

This paper reviews the literature concerning the role of information in facilitating patients' adaptation to chemotherapy and radiotherapy. The relationship between information and patient self‐efficacy is examined, and the information requirements of cancer patients receiving treatment are reviewed. Finally, studies evaluating informational interventions for patients receiving either chemotherapy or radiotherapy are critiqued before recommendations for practice are formulate

ISSN:0961-5423    

DOI:10.1111/j.1365-2354.1996.tb00223.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

The dramatic improvements in the treatment of children's cancers has lead to the identification of a growing need for the development of comprehensive rehabilitation programes. These programmes should include help in learning to live with cancer, and maximize levels of independence for the child with cancer and their family. In this paper, the author will demonstrate the potential for childhood cancer rehabilitation, highlighting factors already in place and those areas that could benefit from development.

ISSN:0961-5423    

DOI:10.1111/j.1365-2354.1996.tb00224.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

At present there is considerable evidence that suggests cancer patients, once diagnosed, experience significant and long‐term psychosocial problems. Several studies have evaluated group interventions, but only a few have used group cognitive behavioural therapy (GCBT) with cancer patients. The following paper represents a review of the literature of GCBT, illustrating the key findings from these studie

ISSN:0961-5423    

DOI:10.1111/j.1365-2354.1996.tb00225.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

The introduction of a new chemotherapeutic agent has implications for nursing care. Paclitaxel (Taxol®) chemotherapy is now being used throughout Europe for treatment of patients with ovarian cancer who have previously failed a platinum‐containing chemotherapy regimen, and in many countries to treat metastatic breast cancer. Nurses need to be equipped to care for these patients receiving Paclitaxel. This paper introduces nurses to Paclitaxel, the history of its development, its mechanism of action, potential side‐effects and administration. Paclitaxel's side‐effects include hypersensitivity reactions, neutropaenia, peripheral neuropathy, asymptomatic bradycardia, alopecia, malaise, myalgias and arthralgias. Administration guidelines will be discussed because Paclitaxel leaches plasticizer from polyvinyl chloride (PVC) intravenous‐giving sets normally used to administer chemotherapy, hence an alternative delivery system is

ISSN:0961-5423    

DOI:10.1111/j.1365-2354.1996.tb00226.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

Mucosal reactions in patients receiving radiation treatment for head and neck cancer are regarded as unavoidable side‐effects. The degree of mucositis experienced is determined by the treatment dose, radiation field size and fractionation schedules prescribed for individual patients. This article reviews a double‐blind placebo‐controlled trial of an antibiotic pastille which was aimed at reducing the more extreme effects of radiation mucositis. It identifies the role of oral care and hygiene, oral assessment and nursing support within a clinical trial setting. The results showed that the active pastille had a beneficial effect on the degree of mucositis experienced. Patients had a reduction in their weight loss in the active arm of the trial and the amount of yeast bacteria present in the oral cavity of those patients also diminished. It is worth noting that those patients in the placebo arm of the trial received both physical and psychological support from the nursing staff which may not have been available as frequently if they had not been in the

ISSN:0961-5423    

DOI:10.1111/j.1365-2354.1996.tb00227.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

This is the first of a two‐part paper on quality of life in cancer patients. This part examines some of the fundamental issues in health‐related quality of life measurement with particular attention being given to cancer medicine, thus helping to focus the direction and methodological rigour required in future investigations. Relevant topics are discussed to illustrate the importance of quality of life measures in cancer care. A perspective on the meaning of ‘outcome’ and ‘quality of life’ are presented to demonstrate the controversies that exist in the field. It is concluded that despite methodological limitations, quality of life measures have a potential role in advancing

ISSN:0961-5423    

DOI:10.1111/j.1365-2354.1996.tb00228.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

This is the second part of the paper on quality of life in cancer patients which appeared in this journal (Montazeri et al., 1996a). In this part experiences from the treatment of cancer are given and relevant literature is reviewed. Several topics have been covered, including new directions and methods in assessing quality of life. It is argued that in a chronic condition, adding life to years instead of years to life is an important task. Adding years to life may prolong survival, but whether this is to the benefit of patients is debatable. Considering patients' views, their values and preferences may improve the quality of care and at the same time, reduce the psychological distress and physical discomfort in patients with cancer. It is concluded that quality of life measures have considerable potential in this challenging issue.

ISSN:0961-5423    

DOI:10.1111/j.1365-2354.1996.tb00229.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

Cancer patients and their significant others need information to understand events throughout the course of cancer. They also need support in mobilizing coping strategies as situational demands exceed their personal resources. Following a learning‐needs assessment, Swedish cancer patients and their significant others demonstrated a desire to learn not only about the disease and treatment procedures, but also about the adaptation process to live with the uncertainty inherent in a diagnosis of cancer.It has, however, repeatedly been reported that communication barriers exist, and that information does not always reach the intended target. Thus, to increase knowledge and facilitate efforts to cope with the cancer experience an approach was used in which the provision of information was combined with emotional support in an education course. Patients and their significant others (n = 149) were actively involved in developing the education and support programme together with extensive learning materials. The programme, entitledLearning to live with cancer, has its roots in the educational philosophy of human learning, and is based on the findings from the original learning‐needs assessm

ISSN:0961-5423    

DOI:10.1111/j.1365-2354.1996.tb00230.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY