Assessment of a Structured Self-Management Support Intervention by Nurses for Patients With Incurable Cancer.

Assessment of a Structured Self-Management Support Intervention by Nurses for Patients With Incurable Cancer.
Oncol Nurs Forum. 2020 May 01;47(3):305-317
Authors: de Veer AJE, Slev VN, Pasman HR, Verdonck-de Leeuw IM, Francke AL, van Uden-Kraan CF
Abstract
OBJECTIVES: To gain an understanding of the perceptions of patients with incurable cancer regarding a new nurse-led self-management support intervention with an integrated eHealth application (Oncokompas) and its potential effectiveness.
SAMPLE & SETTING: 36 patients receiving support in the home setting.
METHODS & VARIABLES: A pre- and post-test mixed-methods design was used with a period of 12 weeks between the tests and qualitative interviews. Outcome measures were the perceived application of the intervention, patient satisfaction, patient activation, and quality of life.
RESULTS: 85% of patients were satisfied with the assessment of their needs and the advice received. They valued nurses' expertise and the assistance provided in their homes. Twenty-five percent of the patients used Oncokompas. However, no statistically significant changes in patient activation and quality of life were found.
IMPLICATIONS FOR NURSING: This intervention can be used for encouraging self-management by patients with incurable cancer. Additional refinement and tailoring is desirable. Offering the intervention as early in the palliative phase as possibl...

Source: Oncology Nursing Forum - April 19, 2020 Category: Nursing Authors: de Veer AJE, Slev VN, Pasman HR, Verdonck-de Leeuw IM, Francke AL, van Uden-Kraan CF Tags: Oncol Nurs Forum Source Type: research