الفهرس | Only 14 pages are availabe for public view |
Abstract Venous thromboembolism (VTE) is a major health and financial burden. It is a serious and potentially fatal disorder, which is often associated with a significant impact on the quality of life and on the clinical outcome of cancer patients (Rodrigues, Ferrarotto, Filho, Novis, and Hoff, 2010). The aim of this study was to determine the effect of protocol of care on the occurrence of venous thromboembolism among cancer patients undergoing chemotherapy. Setting The study was carried out in the oncology department of Menoufia University Hospital at Menoufia Governorate. Subjects: A purposive sample of 60 cancer patients undergoing chemotherapy was assigned randomly and alternatively into two equal groups, 30 patients for each group (study and control). Tools of the study: four tools were utilized for data collection. Tool 1: Structure interview questionnaire (knowledge assessment sheet) Tool 2: A Cancer Dyspnea scale Tool 3: European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Tool 4: Venous thromboembolism; Clinical assessment sheet The main findings of the present study were • Most of the study group (56.7%) had good total knowledge score at the end of chemotherapy post-intervention than control group (16.7%). • 50% of the study group had good total practice score at the end of chemotherapy post-intervention compared to (10%) of the control group. • There was an improvement in the total QOL score of the study group (97.71±31.17) more than the control group (78.92±19.63) at the end of chemotherapy. • Cancer patients exposed to active exercises and a prescribed therapeutic diet were less exposed to deep vein thrombosis than those cancer patients exposed to routine hospital care from oncology department. Conclusion Cancer patients exposed to active exercises of the upper limb, lower limb & deep breathing exercises, care of vascular access device, increasing fluid intake and following nutritional instructions were less exposed to venous thromboembolism than cancer patients exposed only to routine hospital care from oncology department. |