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P31 Assessment of quality of life of palliative patients
Abstracts and learning outcomes / European Journal of Oncology Nursing 14S1 (2010) S1–S62
policy decision-making by participation in the hospital’s “oncology committee”, together with medical doctors and policy-makers. The NSON drew up a policy in which the aims of the network and regulations were documented. Each year, a plan of activities is established. The NSON members meet four times a year and discuss new developments in their own department and new information derived from external meetings. Each year, the NSON organises a meeting for all nurses and other employees of the hospital to share knowledge, discuss new developments and their consequences for nursing in our hospital, and to stimulate contacts between nurses. The NSON uses the hospital’s communication channels to promote oncology nursing. An example of an achievement in recent years is the development of a patient-transfer-form. This form is completed by the specialised oncology nurse when a patient is being transferred to a colleague from another department. Results and Discussion: The coordination and the continuity of care in oncology nursing care have improved since the measures were implemented. Nurses of various departments now use the same protocols en methods. Knowledge of new developments has improved and nurses know to find colleagues to get the information they need. Familiarity with oncology nursing in the hospital has grown. The meetings organised by the NSON have become ever more popular. Conclusion: By transferring knowledge, harmonising methods and initiating projects to improve oncology nursing, the NSON has been able to raise the standard of oncology nursing in the Albert Schweitzer hospital. In 2010, the NSON will start the implementation of evidence-based nursing in order to encourage a more scientific approach to nursing. P30 The incidence of cancer in Turkey H. Bektas1 , N. Vicdan2 . 1 Akdeniz University, Antalya School of Health, Antalya, Turkey; 2 Akdeniz University, Health Science Institute, Antalya, Turkey Cancer is the one of the leading health problems today, the second most common cause of death following cardiopulmonary diseases, which comprises 12% of all deaths worldwide. According to the recent data presented by the International Agency For Research on Cancer, it is estimated that cancer will cause 6 million deaths plus 10 million new cases in 2000, 8 million deaths plus 12 million new cases in 2005, and 12 million deaths plus 30 million new cases in 2030. Cancer is also a major health threat in Turkey and therefore an overall analysis is urgently called for determining the variables of cancer cases with regard to different geographical locations and time periods so as to develop control strategies and implement a cancer control programme. Cancer Report Centres are the most reliable sources of statistics needed for conducting epidemiologic studies of cancer. Similarly, the Ministry of Health initiated “Cancer Report and Incidence Projects” in 1992 with a view to gather reliable statistical data and build up cancer control programmes. Accordingly, Cancer Report Centres were founded in 14 districts and cancer cases were registered with active reporting system. In Turkey, today, there are 84 Cancer Diagnosis, Scanning and Training Centres in total, that is, there is at least one centres in each city. Since the present reporting systems in Turkey are apparently inefficient, a sufficient set of data on the incidence of cancer hasn’t been collected so far. According to the data from a variety of sources, the incidence of cancer range from 35 per hundred thousand to 200 per hundred thousand in Turkey. An analysis of the cancer reports illustrated that the most common types of cancer for males are tracheobronchial and lung cancers (37.3%), gastric cancer (9.6%), bladder cancer (8.6%), colon and rectal cancers (7.4%), while the most commonly reported cancer types for females are breast cancer (19.9%), colon and rectal cancers (7.6%), gastric cancer (5.7%), and ovarium cancer (4.8%). The mortality rates for
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cancer among males, on the other hand, were found to be 34.5% for tracheobronchial and lung cancers, 8.2% for gastric cancer, 4.6% for bladder cancer, while for females they were 8.8% for breast cancer, 4.9% for colon and rectal cancers. In light of these results, it may be recommended that people should be educated about the dangers of smoking in regard to the increasing rates of lung cancer or about the dieting habits in regard to colon and rectal cancers; cancer prevention policies should be established in accordance with the attempts of early diagnosis in prostate cancer; national cancer scanning standards should be implemented and reliable data should be available through cancer reporting systems based on civil registry records. P31 Assessment of quality of life of palliative patients L. Laurs1 , J. Demskyte2 , S. Grigonyte2 . 1 Hospital of Kaunas University of Medicine, Outpatient Clinic, Kaunas, Lithuania; 2 Kaunas University of Medicine, Nursing and Care Department, Kaunas, Lithuania The purpose of this research – to assess quality of life of palliative patients. Research was done in February – April of 2009 in 2 nursing hospitals in Kaunas town, Lithuania. The method of research – anonymous, questionnaire inquest. The 30 palliative conscious patients were investigated. Questionnaire consisted of 41 questions. Every answer was marked in 10 points scale, when 1 point – very positive, 10 points – negative. The results of the investigation revealed that majority of the patients confront with the different physical and psychological, social and spiritual problems. 1. Palliative patients’ physical condition was bad. Sleep disturbances, fatigue were the most common complains. Poor overall physical condition due to other physical problems – pain, movement disorders, altered diet. No one of respondents assessed his/her physical condition excellent or very good. 2. Dismay was the one from the biggest factors acting for the psychological wellbeing. Dying patients often troubled by worries which are going together with the fears of the future, exacerbation of the disease, a new case, that it’s difficult to differ one from another. It’s hard for the patients to conciliate with the consequences of the disease today; they didn’t feel happiness, didn’t feel satisfaction of their life and didn’t think that they control it. 3. Significant impact on patients’ social wellbeing effects of the disease to the family: not only the patients, but their families needed help. In the social wellbeing the most disturbing change were the financial status, household and employment changes. 4. The disease disturbed very much the life of the patients. The patients felt uncertainty for the future, they doubted with life significance and their own existence. Religious practice helped for the patients not to lose their hope and to struggle the disease and their consequences. 5. The patients badly appreciated their own life quality and to this statement entangles many aspects such as from physical, psychological, social and spiritual wellbeing which can’t separate because one influences another, so its influences the common. 6. Physical health was better satisfied than psychological, social, and spiritual, defined the statistical reliable difference between physical and psychological, physical and spiritual wellbeing averages p 0.05.
policy decision-making by participation in the hospital’s “oncology committee”, together with medical doctors and policy-makers. The NSON drew up a policy in which the aims of the network and regulations were documented. Each year, a plan of activities is established. The NSON members meet four times a year and discuss new developments in their own department and new information derived from external meetings. Each year, the NSON organises a meeting for all nurses and other employees of the hospital to share knowledge, discuss new developments and their consequences for nursing in our hospital, and to stimulate contacts between nurses. The NSON uses the hospital’s communication channels to promote oncology nursing. An example of an achievement in recent years is the development of a patient-transfer-form. This form is completed by the specialised oncology nurse when a patient is being transferred to a colleague from another department. Results and Discussion: The coordination and the continuity of care in oncology nursing care have improved since the measures were implemented. Nurses of various departments now use the same protocols en methods. Knowledge of new developments has improved and nurses know to find colleagues to get the information they need. Familiarity with oncology nursing in the hospital has grown. The meetings organised by the NSON have become ever more popular. Conclusion: By transferring knowledge, harmonising methods and initiating projects to improve oncology nursing, the NSON has been able to raise the standard of oncology nursing in the Albert Schweitzer hospital. In 2010, the NSON will start the implementation of evidence-based nursing in order to encourage a more scientific approach to nursing. P30 The incidence of cancer in Turkey H. Bektas1 , N. Vicdan2 . 1 Akdeniz University, Antalya School of Health, Antalya, Turkey; 2 Akdeniz University, Health Science Institute, Antalya, Turkey Cancer is the one of the leading health problems today, the second most common cause of death following cardiopulmonary diseases, which comprises 12% of all deaths worldwide. According to the recent data presented by the International Agency For Research on Cancer, it is estimated that cancer will cause 6 million deaths plus 10 million new cases in 2000, 8 million deaths plus 12 million new cases in 2005, and 12 million deaths plus 30 million new cases in 2030. Cancer is also a major health threat in Turkey and therefore an overall analysis is urgently called for determining the variables of cancer cases with regard to different geographical locations and time periods so as to develop control strategies and implement a cancer control programme. Cancer Report Centres are the most reliable sources of statistics needed for conducting epidemiologic studies of cancer. Similarly, the Ministry of Health initiated “Cancer Report and Incidence Projects” in 1992 with a view to gather reliable statistical data and build up cancer control programmes. Accordingly, Cancer Report Centres were founded in 14 districts and cancer cases were registered with active reporting system. In Turkey, today, there are 84 Cancer Diagnosis, Scanning and Training Centres in total, that is, there is at least one centres in each city. Since the present reporting systems in Turkey are apparently inefficient, a sufficient set of data on the incidence of cancer hasn’t been collected so far. According to the data from a variety of sources, the incidence of cancer range from 35 per hundred thousand to 200 per hundred thousand in Turkey. An analysis of the cancer reports illustrated that the most common types of cancer for males are tracheobronchial and lung cancers (37.3%), gastric cancer (9.6%), bladder cancer (8.6%), colon and rectal cancers (7.4%), while the most commonly reported cancer types for females are breast cancer (19.9%), colon and rectal cancers (7.6%), gastric cancer (5.7%), and ovarium cancer (4.8%). The mortality rates for
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cancer among males, on the other hand, were found to be 34.5% for tracheobronchial and lung cancers, 8.2% for gastric cancer, 4.6% for bladder cancer, while for females they were 8.8% for breast cancer, 4.9% for colon and rectal cancers. In light of these results, it may be recommended that people should be educated about the dangers of smoking in regard to the increasing rates of lung cancer or about the dieting habits in regard to colon and rectal cancers; cancer prevention policies should be established in accordance with the attempts of early diagnosis in prostate cancer; national cancer scanning standards should be implemented and reliable data should be available through cancer reporting systems based on civil registry records. P31 Assessment of quality of life of palliative patients L. Laurs1 , J. Demskyte2 , S. Grigonyte2 . 1 Hospital of Kaunas University of Medicine, Outpatient Clinic, Kaunas, Lithuania; 2 Kaunas University of Medicine, Nursing and Care Department, Kaunas, Lithuania The purpose of this research – to assess quality of life of palliative patients. Research was done in February – April of 2009 in 2 nursing hospitals in Kaunas town, Lithuania. The method of research – anonymous, questionnaire inquest. The 30 palliative conscious patients were investigated. Questionnaire consisted of 41 questions. Every answer was marked in 10 points scale, when 1 point – very positive, 10 points – negative. The results of the investigation revealed that majority of the patients confront with the different physical and psychological, social and spiritual problems. 1. Palliative patients’ physical condition was bad. Sleep disturbances, fatigue were the most common complains. Poor overall physical condition due to other physical problems – pain, movement disorders, altered diet. No one of respondents assessed his/her physical condition excellent or very good. 2. Dismay was the one from the biggest factors acting for the psychological wellbeing. Dying patients often troubled by worries which are going together with the fears of the future, exacerbation of the disease, a new case, that it’s difficult to differ one from another. It’s hard for the patients to conciliate with the consequences of the disease today; they didn’t feel happiness, didn’t feel satisfaction of their life and didn’t think that they control it. 3. Significant impact on patients’ social wellbeing effects of the disease to the family: not only the patients, but their families needed help. In the social wellbeing the most disturbing change were the financial status, household and employment changes. 4. The disease disturbed very much the life of the patients. The patients felt uncertainty for the future, they doubted with life significance and their own existence. Religious practice helped for the patients not to lose their hope and to struggle the disease and their consequences. 5. The patients badly appreciated their own life quality and to this statement entangles many aspects such as from physical, psychological, social and spiritual wellbeing which can’t separate because one influences another, so its influences the common. 6. Physical health was better satisfied than psychological, social, and spiritual, defined the statistical reliable difference between physical and psychological, physical and spiritual wellbeing averages p