Effect of Symptom Navi Program on Outcomes for Patients Receiving Cancer Treatment: A quasi-experimental study

Document Type : Original Article

Authors

1 Assistant Professor of Medical-Surgical Nursing, Faculty of Nursing, Port said University, Egypt.

2 Lecturer of Medical-Surgical Nursing, Faculty of Nursing, Mansoura University, Egypt.

3 Assistant Professor of Community Health Nursing, Faculty of Nursing, Benha University Egypt.

4 Assistant Professor of Medical-Surgical Nursing, Faculty of Nursing, Mansoura University, Egypt.

Abstract

Evidence suggests that healthcare professionals should provide supportive care to cancer patients to address their informational, practical, emotional, and psychosocial requirements, therefore Symptom Navi program is a nurse-led program that helps patients with cancer better control their symptoms. The aim of the current study was to evaluate the effect of implementing the Symptom Navi© program on outcomes for patients with cancer. A quasi-experimental research design was applied to two groups (study & control), Sample: purposive sample120 patients for each group were selected from the outpatient clinic of Mansoura Oncology Center, Egypt. Five tools were used to gather data: The Demographic and patients’ medical history datasheet, The Monroe Dunaway Anderson Symptom Inventory, the Self-Efficacy for Managing Chronic Diseases 6-item Scale, the Single-Item Linear Analog Scale Assessment (LASA), and the patient-reported chemotherapy indicators of symptoms and experiences. Results: The mean scores of MDASI and symptoms interfere with life of the study group decreased significantly (73.23 & 33.1) in posttest compared to (101.28 & 44.3) respectively in pretest (p < 0.001). There were also highly significant statistical differences in mean scores of self-efficacy and LASE scores of the study group (18.26 & 20.83 in pretest) instead of (28.68 & 22.39 in posttest). Conclusion: Implementation of the symptoms Navi program had a significant impact on reducing the severity of symptoms experienced by patients with cancer, promoting self-efficacy, in addition to enhancing the patient-reported chemotherapy indicators of symptoms and experiences, thus enhancing the overall quality of life, that can be adopted as a standard model of care. Recommendations: The SN©P is recommended to be applied within daily routines care and self-management implementation of patients with cancer.

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