Stručni rad

https://doi.org/10.20471/acc.2017.56.04.26

A Comparative Study of Data Collection Methods in the Process of Nursing: Detection of Chemotherapy Side Effects Using a Self-Reporting Questionnaire

Marco Di Muzio ; Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
Alessandra Marinucci ; University Campus Bio-Medico, Rome, Italy
Anna De Benedictis ; University Campus Bio-Medico, Rome, Italy
Daniela Tartaglini ; University Campus Bio-Medico, Rome, Italy

Sažetak

Toxicity of chemotherapy is a factor that most negatively affects the quality of life of cancer patients. Monitoring of side effects and adverse effects may be subject to errors due to various factors such as the lack of privacy during data collection, shame on the part of the patient to talk about some issues, lack of recognition of symptoms and/or unawareness of side effects of treatments, and/or inappropriate reference model of data collection. In order to assist caregivers in proper data collection, a ‘self-reporting questionnaire’ was designed. The questionnaire was developed using validated scales such as the Common Terminology Criteria for Adverse Event, Edmonton Symptom Assessment Scale and Douleur Neuropathique en 4 Questions. The survey involved the population of patients scheduled for chemotherapy in Day Hospital at the Campus Bio-Medico University Hospital, Rome, between June and July 2015. During the period of observation, 367 patients were admitted to Day Hospital, 57.5% of women and 38.4% of men, average age 64 years, for a total of 622 accesses; of these, only 173 were interviewed by the nursing staff in relation to side effects and toxicity. During the trial, 381 patients were involved, of which 60.1% of women (p=0.8) and 38.3% of men (p=0.9), average age 63 years (p=0.9), for a total of 611 accesses and 498 self-reporting questionnaires administered. At the end of the trial period, in order to evaluate usability, an evaluation questionnaire was given to medical personnel, including five doctors and six nurses, to consider possible amendments to the instrument and its perceived effectiveness. Comparative analysis of data collected during the observation period and the trial showed how the use of the self-reporting questionnaire allowed for detection of side effects of chemotherapy earlier and in a more detailed way than relying only on medical examination and unstructured interview by nursing staff. It also enabled reaching a larger number of users. In conclusion, the use of self-reporting systems, together with the work and clinical judgment of the expert, can contribute to improvement in the patient quality of life, corroborating nurse interviews through a precise and systematic data collection process that reduces the amount of interpretation of symptoms by the patient and the caregiver, while providing them with precise instructions on what to report and how to report it. The significant and rapid spread of computers, tablets and smartphones allows for speculating on further use and implementation of this system through its computerized application.

Ključne riječi

Nursing process; Data collection; Neoplasms – drug therapy; Antineoplastic drugs – adverse effects; Surveys and questionnaires; Self-assessment

Hrčak ID:

195536

URI

https://hrcak.srce.hr/195536

Datum izdavanja:

15.12.2017.

Podaci na drugim jezicima: hrvatski

Posjeta: 2.794 *