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126 Chemotherapy-related nausea and vomiting in cancer patients in northern Greece
Poster Sessions / European Journal of Oncology Nursing 18S1 (2014) S23–S59
women (p < 0.05) than men reported alopecia whereas diarrhoea was statistically significantly more often (p < 0.05) reported in a group of patients with age of 31–40 years in comparison with the patients over 71 years of age. The highest proportion of oncology patients stated the first side-effect after 24 hours (34.4%) and after 12 hours (26.7%) while after 36 and 48 hours side-effect of chemotherapy occurred respectively to 13.3% and 16.7% of the patients. The study revealed that 78.6% of the oncology patients received information about side-effects of chemotherapy from a doctor, 29.6% from a nurse and 18.4% of the patients were searching for information by themselves. It should be noted that 7.1% of the patients didn’t receive any information about side-effects of chemotherapy from health professionals. Statistically significantly higher proportion of respondents with high school education (p < 0.05) had less information about side-effects of chemotherapy before diagnosis in comparison with respondents having university education. Side-effects of chemotherapy were mostly controlled with medication (45.4%), about one-third (27.8%) of the patients stayed at home, 26.8% wore headgear and 24.7% did nothing to control side-effects of chemotherapy. Conclusion: The results revealed that information about sideeffects of chemotherapy oncology patients received mostly from the doctors but still given information was insufficient. Side-effects of chemotherapy were managed by using pharmaceutical, more rarely by wearing headgear or staying at home. No conflict of interest. 124 The determination of the play qualifications of nurses with Delphi technique G. Manav1 , A.F. Ocakci ¸ 2 . 1 Marmara University, Paediatric Nursing, Istanbul, Turkey; 2 Koc University, Paediatric Nursing, Istanbul, Turkey Background: In this study, the Delphi technique was used for determining the play skills of the nurses who has been working in paediatric haematology–oncology services. In this technique, it is tried to be compromised on a common ground by carrying out sequential surveys to relevant experts. Material and Method: This research was carried out with the total of 22 experts that consisted of the nurses and academicians who completed their Delphi circles. In the first implementation of Delphi, 2 questions were sent to the experts through e-mail. Results: A second Delphi survey with 32 articles was constructed in the direction of the replies of the experts. In the survey that was sent to the experts again it was reached a complete agreement upon the articles. Conclusion: The articles that are agreed upon will be able to be used as a form with the purpose of determining the play skills of the nurses working in paediatric haematology–oncology services. Thus, it was stated that the survey and observation forms will be able to prepare and that how the requirements which will be resource for the objectives of training programs will be able to determine with the Delphi technique. No conflict of interest. 125 The impact of mastectomy on women’s body image S. Kocan1 , A. Gursoy2 . 1 Recep Tayyip Erdogan University, Vocational School of Health Services, Rize, Turkey; 2 Karadeniz Technical University, Health Sciences Faculty, Trabzon, Turkey Introduction: Cancer treatment may result in major alterations of body image through loss of a body part, disfigurement, scars or skin changes. This research was planned to determine the impact of mastectomy on women’s body image perception. Material and Method: The sample of this qualitative study consisted of twenty patients who had mastectomy operation at general surgery services of Recep Tayyip Erdogan Training-Research Hospital and Karadeniz Teknik University Farabi Hospital. The data
S39
were collected with the method of semi-structured depth interview. During the process of collecting data, ‘The Patient’s Introductory Features Form’ was used for depth interview and socio-demographic features which were prepared by the researcher to determine the perception of women’s who had mastectomy operation. Descriptive Analysis was used for the interview questions’ analysis. Results and Discussion: After the mastectomy operation, the findings related to women’s body image perception and their experiences were specified as six main themes and sub-themes. These themes were related to types of following anxieties: Breast perception, emotion and thoughts about mastectomy, confrontation with surgical area, negative changing of body image, negative changing of body image and social life, concerns related illness and treatment. It was stated that women experienced negative body image which was connected with the loss of breast after mastectomy. Conclusion: It is suggestible that women should be informed about mastectomy before the operation and about what they will experience after the process of operation; they should be also supported about how they can cope with physical, social and psychological problems. If necessary, they should be guided to a psychological consultant. No conflict of interest. 126 Chemotherapy-related nausea and vomiting in cancer patients in northern Greece M. Lavdaniti1 , D. Palitzika2 , E. Tsani1 , S. Zyga3 . 1 Alexander Technological Educational Institute, Nursing, Thessaloniki, Greece; 2 Papanikolaou Hospital, Nursing Administration, Thessaloniki, Greece; 3 University of Peloponesus, Nursing, Sparta, Greece Introduction: Chemotherapy-induced nausea and vomiting is one of the most unpleasant side effects experienced by cancer patients undergoing chemotherapy. It has a profound effect on the cancer treatment experience and is associated with negative effects on daily life and overall quality of life. The purpose of this research study was to assess the nausea in patients undergoing chemotherapy and identify if there is a correlation between nausea– vomiting and quality of life. Material and Method: This was a non-experimental, descriptive study conducted in one general hospital in Northern Greece. The sample consisted of 100 cancer patients undergoing chemotherapy. Data was collected with the use of the MASCC Antiemesis Tool (MAT) and with the Functional Assessment of Cancer Therapy general (FACT-G) quality of life scale in cycle 2. Data was analyzed using the SPSS program v. 21. Descriptive statistics were used to summarize the data. Results and Discussion: The sample consisted chiefly of women (73%) with a mean age of 63.32 (SD = 9.02, range 38–82). Lung and colon cancer were the most common diagnoses. Acute vomiting was experienced by 13% of the patients and delayed vomiting (>24 h) by 14%. Acute nausea was experienced by 31% of the patients and delayed nausea by 14%. Physical well-being was associated with acute vomiting (r = −0.374), acute nausea (r = −0.456), delayed vomiting (r = −0.394) and delayed nausea (r = −0.401) (all at p < 0.05). The results of the present study suggest that nausea and vomiting remain a significant problem for cancer patients and this is consistent with the results of other studies. The presence of nausea and vomiting has a profound effect on patients’ quality of life. Conclusions: Nausea remains a difficult symptom experienced by cancer patients during chemotherapy. There is a great need for further research in Greece in order to identify the frequency of this symptom and determine appropriate nursing interventions to alleviate it. No conflict of interest.
women (p < 0.05) than men reported alopecia whereas diarrhoea was statistically significantly more often (p < 0.05) reported in a group of patients with age of 31–40 years in comparison with the patients over 71 years of age. The highest proportion of oncology patients stated the first side-effect after 24 hours (34.4%) and after 12 hours (26.7%) while after 36 and 48 hours side-effect of chemotherapy occurred respectively to 13.3% and 16.7% of the patients. The study revealed that 78.6% of the oncology patients received information about side-effects of chemotherapy from a doctor, 29.6% from a nurse and 18.4% of the patients were searching for information by themselves. It should be noted that 7.1% of the patients didn’t receive any information about side-effects of chemotherapy from health professionals. Statistically significantly higher proportion of respondents with high school education (p < 0.05) had less information about side-effects of chemotherapy before diagnosis in comparison with respondents having university education. Side-effects of chemotherapy were mostly controlled with medication (45.4%), about one-third (27.8%) of the patients stayed at home, 26.8% wore headgear and 24.7% did nothing to control side-effects of chemotherapy. Conclusion: The results revealed that information about sideeffects of chemotherapy oncology patients received mostly from the doctors but still given information was insufficient. Side-effects of chemotherapy were managed by using pharmaceutical, more rarely by wearing headgear or staying at home. No conflict of interest. 124 The determination of the play qualifications of nurses with Delphi technique G. Manav1 , A.F. Ocakci ¸ 2 . 1 Marmara University, Paediatric Nursing, Istanbul, Turkey; 2 Koc University, Paediatric Nursing, Istanbul, Turkey Background: In this study, the Delphi technique was used for determining the play skills of the nurses who has been working in paediatric haematology–oncology services. In this technique, it is tried to be compromised on a common ground by carrying out sequential surveys to relevant experts. Material and Method: This research was carried out with the total of 22 experts that consisted of the nurses and academicians who completed their Delphi circles. In the first implementation of Delphi, 2 questions were sent to the experts through e-mail. Results: A second Delphi survey with 32 articles was constructed in the direction of the replies of the experts. In the survey that was sent to the experts again it was reached a complete agreement upon the articles. Conclusion: The articles that are agreed upon will be able to be used as a form with the purpose of determining the play skills of the nurses working in paediatric haematology–oncology services. Thus, it was stated that the survey and observation forms will be able to prepare and that how the requirements which will be resource for the objectives of training programs will be able to determine with the Delphi technique. No conflict of interest. 125 The impact of mastectomy on women’s body image S. Kocan1 , A. Gursoy2 . 1 Recep Tayyip Erdogan University, Vocational School of Health Services, Rize, Turkey; 2 Karadeniz Technical University, Health Sciences Faculty, Trabzon, Turkey Introduction: Cancer treatment may result in major alterations of body image through loss of a body part, disfigurement, scars or skin changes. This research was planned to determine the impact of mastectomy on women’s body image perception. Material and Method: The sample of this qualitative study consisted of twenty patients who had mastectomy operation at general surgery services of Recep Tayyip Erdogan Training-Research Hospital and Karadeniz Teknik University Farabi Hospital. The data
S39
were collected with the method of semi-structured depth interview. During the process of collecting data, ‘The Patient’s Introductory Features Form’ was used for depth interview and socio-demographic features which were prepared by the researcher to determine the perception of women’s who had mastectomy operation. Descriptive Analysis was used for the interview questions’ analysis. Results and Discussion: After the mastectomy operation, the findings related to women’s body image perception and their experiences were specified as six main themes and sub-themes. These themes were related to types of following anxieties: Breast perception, emotion and thoughts about mastectomy, confrontation with surgical area, negative changing of body image, negative changing of body image and social life, concerns related illness and treatment. It was stated that women experienced negative body image which was connected with the loss of breast after mastectomy. Conclusion: It is suggestible that women should be informed about mastectomy before the operation and about what they will experience after the process of operation; they should be also supported about how they can cope with physical, social and psychological problems. If necessary, they should be guided to a psychological consultant. No conflict of interest. 126 Chemotherapy-related nausea and vomiting in cancer patients in northern Greece M. Lavdaniti1 , D. Palitzika2 , E. Tsani1 , S. Zyga3 . 1 Alexander Technological Educational Institute, Nursing, Thessaloniki, Greece; 2 Papanikolaou Hospital, Nursing Administration, Thessaloniki, Greece; 3 University of Peloponesus, Nursing, Sparta, Greece Introduction: Chemotherapy-induced nausea and vomiting is one of the most unpleasant side effects experienced by cancer patients undergoing chemotherapy. It has a profound effect on the cancer treatment experience and is associated with negative effects on daily life and overall quality of life. The purpose of this research study was to assess the nausea in patients undergoing chemotherapy and identify if there is a correlation between nausea– vomiting and quality of life. Material and Method: This was a non-experimental, descriptive study conducted in one general hospital in Northern Greece. The sample consisted of 100 cancer patients undergoing chemotherapy. Data was collected with the use of the MASCC Antiemesis Tool (MAT) and with the Functional Assessment of Cancer Therapy general (FACT-G) quality of life scale in cycle 2. Data was analyzed using the SPSS program v. 21. Descriptive statistics were used to summarize the data. Results and Discussion: The sample consisted chiefly of women (73%) with a mean age of 63.32 (SD = 9.02, range 38–82). Lung and colon cancer were the most common diagnoses. Acute vomiting was experienced by 13% of the patients and delayed vomiting (>24 h) by 14%. Acute nausea was experienced by 31% of the patients and delayed nausea by 14%. Physical well-being was associated with acute vomiting (r = −0.374), acute nausea (r = −0.456), delayed vomiting (r = −0.394) and delayed nausea (r = −0.401) (all at p < 0.05). The results of the present study suggest that nausea and vomiting remain a significant problem for cancer patients and this is consistent with the results of other studies. The presence of nausea and vomiting has a profound effect on patients’ quality of life. Conclusions: Nausea remains a difficult symptom experienced by cancer patients during chemotherapy. There is a great need for further research in Greece in order to identify the frequency of this symptom and determine appropriate nursing interventions to alleviate it. No conflict of interest.