ISSN:0162-220X    

出版商:OVID    

年代:1983

数据来源: OVID

摘要:

The combination of cancer and ostomy surgery, which deprives an individual of normal control over elimination, can be expected to constitute a sizeable assault on the self-concept resulting in feelings of low self-esteem. Hence, the purpose of this study was to determine whether short-term supportive counseling instituted during the postoperative period of hospitalization would favorably alter self-concept, particularly the component of self-esteem, in individuals who had undergone ostomy surgery for colorectal or bladder cancer. Results indicated that subjects who received the counseling intervention demonstrated positive alterations in self-concept/self-esteem as compared with subjects who were not counseled. Age, sex, and type of ostomy werenotfound to be significantly related to self-concept/self-esteem changes. During the counseling intervention treatment group subjects were found to display a broad range of feelings and content areas, indicative of the struggle to adapt to the presence of the ostomy and the diagnosis of cancer. One month following hospital discharge, the counseling intervention was found to be related to subjects' self-reports of 1) independence, and perceived competence with ostomy self-care; 2) involvement in activities outside the home; and 3) improvement in self-feelings from the time of hospital discharge.

ISSN:0162-220X    

出版商:OVID    

年代:1983

数据来源: OVID

ISSN:0162-220X    

出版商:OVID    

年代:1983

数据来源: OVID

摘要:

Improvements in cancer therapy have enabled a growing number of patients to recover and resume their preillness life-styles. In particular; numerous young patients are surviving to adulthood, raising concerns about long-term effects of cancer treatment on future reproduction. Sperm banking, with its demonstrated success in animal husbandry and in human artificial insemination, is currently attracting interest as a possible way of circumventing problems of mutagenicity and sterility in male cancer patients of reproductive age. Drawing upon clinical experience, this paper examines the feasibility of sperm banking for these groups of patients and overviews the essential points to be considered when counseling adult and adolescent male cancer patients who are contemplating their reproductive futures.

ISSN:0162-220X    

出版商:OVID    

年代:1983

数据来源: OVID

摘要:

Malignant tumors of the testis are rare, representing less than 2% of neoplasms in males. However, testicular cancer is the third most common cause of cancer death in young men between 15 and 34 years of age. While testicular neoplasms are uncommon, they have a tremendous economic, social, and psychological impact. Testicular neoplasms strike males primarily during the prime of life and their most productive years.With the treatment modalities presently available, a large percentage of patients who develop a testicular tumor of germ cell origin should be cured. However, the management of the patient with a testicular tumor is complex, based on clinical and pathological factors that influence the role of surgery, radiation, and chemo-therapeutic agents in the overall treatment strategy.This paper will review and discuss important clinical and pathological factors which are known to affect prognosis and the likelihood of response to specific treatment modalities. Since aspects of the optimal management of testicular cancer are subject to controversy, nurses involved in the care of these patients must become knowledgeable about the impact that histology, stage, volume of disease, and other prognostic factors have on the curability of these tumors. A sophisticated understanding of the issues that surround the management of patients with testicular cancer is a prerequisite for a real understanding of the patient's treatment options. A number of clinical trials are in progress to determine how the available treatment modalities can be integrated to improve the cure rate and quality of life following treatment. Nurses must familiarize themselves with such trials and their rationales if they are to meet the nursing care needs of men with testicular neoplasms effectively and to counsel them about their disease and the therapeutic options that are available.

ISSN:0162-220X    

出版商:OVID    

年代:1983

数据来源: OVID

摘要:

Cancer nursing continuing education programs are usually offered in metropolitan areas. There are few formal educational programs available and accessible to nurses who reside in smaller communities. A mobile program was developed for registered nurses in Alaska, Idaho, Montana, and Washington, and was implemented by a traveling faculty. The assumptions that guided the program and the realities of implementing a mobile educational experience are discussed so that other educators may use the information in their program planning. The 2-week curriculum is outlined and the comprehensive quasiexperimental evaluation component is briefly described. This is the first of two papers that will describe a cancer nursing continuing educational program: the factors that guided its development, the instruments that were developed to measure program effect, and the results of the multivariate statistical analyses.

ISSN:0162-220X    

出版商:OVID    

年代:1983

数据来源: OVID

摘要:

The Sex Knowledge and Attitude Test (SKAT) was administered to 120 nurses caring for oncology patients at the Clinical Center, National Institutes of Health, to determine their sexual knowledge level and their sexual attitudes. Results of the study revealed that the clinical center nurses' knowledge scores were significantly lower than a group of nurses tested in 1972 (p<0.01). The clinical center nurses' scores also showed that they were more conservative than their nursing counterparts in attitudes toward heterosexual relations (p= 0.001), masturbation (p<0.001), and abortion (p<0.001). A direct correlation was demonstrated between knowledge scores and attitudinal measures regarding masturbation and sexual myths. This study demonstrates that sexual knowledge as measured by SKAT of nurses in a large cancer center has not improved when compared to nurses tested in 1972. Since the disease and the treatment often cause cancer patients significant sexual problems, the oncology nurse must be equipped to inform and counsel patients regarding sexual matters. This study identifies the need for further sexual education in oncology nursing and identifies the nurses who may benefit most from such education.

ISSN:0162-220X    

出版商:OVID    

年代:1983

数据来源: OVID

摘要:

In a test-retest trial, cancer patients on chemotherapy were given information on side effect management techniques (SEMT). Patients receiving SEMT information reported initiating more self-care behaviors with a higher degree of perceived effectiveness than did the patients who had not received SEMT. The informed patients initiated self-care behaviors before side effects become persistent and severe.

ISSN:0162-220X    

出版商:OVID    

年代:1983

数据来源: OVID

ISSN:0162-220X    

出版商:OVID    

年代:1983

数据来源: OVID

ISSN:0162-220X    

出版商:OVID    

年代:1983

数据来源: OVID