Abstract
Introduction
The goal of this study was to identify the nursing role in providing education and follow-ups of patients who were taking oral chemotherapy (CT) treatment in oncology clinics in Turkey. This study arises from the fact that an increasing number of oral CT agents are being developed and used in clinical practice.
Methods
One hundred and two nurses from various centers completed a 16-item questionnaire.
Results
Nearly half of the nurses work in outpatient/ambulatory clinics (46.1%); the most commonly used oral CT agents were etoposide, capecitabine, methotrexate, hydroxyurea, melphalan, and uracil plus tegafur; 86.3% of the nurses had not received any education on the oral drugs; 72.6% of the nurses stated there was no guideline/protocol for oral CT administration in their unit; and 91.2% of the subjects reported the lack of educational materials specifically for oral CT agents. Half of the subjects reported providing some patient education, mostly giving information about “timing,” among them 42.3% reported not giving any information on drug safety, side effects, or symptom management. The reasons for the nurses not being involved in oral CT education and follow-ups were because the physicians plan oral CT and follow-ups of the patients and because of a lack of knowledge.
Conclusions
Nurses and physicians describe the role of the nurse as “giving intravenous CT.” Given that the number of oral CT agents is on the rise, nurses must begin to take an active role in patient education and follow-up.
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References
Bedell CH (2003) A changing paradigm for cancer treatment: the advent of new oral chemotherapy agents. Clin J Oncol Nurs 7(Suppl 6):5–9
Birner A (2003) Pharmacology of oral chemotherapy agents. Clin J Oncol Nurs 7(Suppl 6):1–5
Birner A (2003) Safe administration of oral chemotherapy. Clin J Oncol Nurs 7:158–162
Borner M, Schithauer W, Twelves C, Maroun J, Wilke H (2001) Answering patients’ needs: oral alternatives to intravenous therapy. Oncologist 6(Suppl 4):12–16
Chau I, Legge S, Fumoleau P (2004) The vital role of education and information in patients receiving capecitabine (Xeloda). Eur J Oncol Nurs 8(Suppl 1):41–53
Gerbrecht BM, Kangas T (2004) Implications of capecitabine (Xeloda) for cancer nursing practice. Eur J Oncol Nurs 8(Suppl 1):63–71
Griffin E (2003) Safety considerations and safe handling of oral chemotherapy agents. Clin J Oncol Nurs 7(Suppl 6):25–29
Hartigan K (2003) Patient education: the cornerstone of successful oral chemotherapy treatment. Clin J Oncol Nurs 7(6):21–24
Hayden BK, Goodman M (2005) Chemotherapy: principles of administration. In: Yarbro CH, Frogge MH, Goodman M (eds) Cancer nursing principles and practice, 6th edn. Jones and Bartlett, Sudbury, pp 359–360
Hollywood E, Semple D (2001) Nursing strategies for patients on oral chemotherapy. Oncology 15(Suppl 2):37–40
Lebovits AH, Strain JJ, Schleifer SJ, Tanaka JS, Bhardwaj S, Meese MR (1990) Patient noncompliance with self-administered chemotherapy. Cancer 65:17–22
Levine AM, Richardson JL, Marks G, Chan K, Graham J, Selser JN et al (1987) Compliance with oral drug therapy in patients with hematologic malignancies. J Clin Oncol 5:1469–1476
Liu G, Franssen E, Fitch MI, Warner E (1997) Patient preferences for oral versus intravenous palliative chemotherapy. J Clin Oncol 15:110–115
McLeod HL, Evans WE (1999) Oral cancer chemotherapy: the promise and the pitfalls. Clin Cancer Res 5(10):2669–2671
McPherson CJ, Higginson IJ, Hearn J (2001) Effective methods of giving information in cancer: a systematic literature review of randomized controlled trials. J Public Health Med 23:227–234
O’Neill VJ, Twelves CJ (2002) Oral cancer treatment: developments in chemotherapy and beyond. Br J Cancer 87:933–937
Partridge AH, Avorn J, Wang PS, Winer EP (2002) Adherence to therapy with oral antineoplastic agents. J Natl Cancer Inst 94:652–661
Sharma S (2001) Patient selection for oral chemotherapy. Oncology 15(Suppl 2):33–35
van Eijken M, Tsang S, Wensing M, de Smet PA, Grol RP (2003) Interventions to improve medication compliance in older patients living in the community: a systematic review of the literature. Drugs Aging 20(3):229–240
Acknowledgements
The authors would like to thank all the nurses who responded this study and Judi Johnson, Ph.D., RN, Fellow of the American Academy of Nursing, for her help.
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Kav, S., Bostanci, H. Role of the nurse in patient education and follow-up of people receiving oral chemotherapy treatment in Turkey. Support Care Cancer 14, 1252–1257 (2006). https://doi.org/10.1007/s00520-006-0084-z
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DOI: https://doi.org/10.1007/s00520-006-0084-z