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A multi-modal intervention for managing the fatigue-sleep disturbance-depressed mood symptom cluster in breast cancer patients undergoing chemotherapy: A pilot study.
Wong, Wai Man; Chan, Dorothy N S; Choi, Kai Chow; Choy, Yin Ping; So, Winnie K W.
Afiliação
  • Wong WM; The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong SAR, China.
  • Chan DNS; Princess Margaret Hospital, Hospital Authority, Hong Kong SAR, China.
  • Choi KC; The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong SAR, China.
  • Choy YP; The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong SAR, China.
  • So WKW; Princess Margaret Hospital, Hospital Authority, Hong Kong SAR, China.
Asia Pac J Oncol Nurs ; 10(8): 100269, 2023 Aug.
Article em En | MEDLINE | ID: mdl-37577038
Objective: To examine the feasibility and acceptability of a multi-modal intervention for managing the cancer-related fatigue-sleep disturbance-depressed mood (F-S-D) symptom cluster in patients with breast cancer (BC) and receiving chemotherapy in Hong Kong, and the preliminary effects of such intervention on the occurrence of the F-S-D symptom cluster in these patients. Methods: This study was a single-blind randomized controlled trial. Patients with BC scheduled for chemotherapy were recruited. Intervention participants received a weekly nurse-led multi-modal intervention lasting 7 weeks. The feasibility parameters and adverse events were assessed using logbook records. Acceptability was evaluated using a program evaluation questionnaire. F-S-D symptoms and quality of life (QOL) were measured at baseline (T0), upon intervention completion (T1), and 3 months after intervention completion (T2). Generalized estimating equation analyses were used. Results: Fifty participants were enrolled. The eligibility and enrollment rates were 11% and 87.7%, respectively. The rate of adherence to the intervention was 96%. No adverse events were reported. All participants were satisfied with the intervention, which had significant effects in terms of reducing the occurrence of the F-S-D symptom cluster at T2 (P â€‹= â€‹0.035) and improving QOL at T1 and T2 (T1: P â€‹= â€‹0.035; T2: P â€‹= â€‹0.012). Conclusions: The multi-modal intervention is a feasible, acceptable, and safe intervention that demonstrated preliminary positive effects in managing the F-S-D symptom cluster and improving QOL in patients with BC and receiving chemotherapy in Hong Kong. This study provides key insights into F-S-D symptom cluster management in patients with BC. Trial registration: ChiCTR2100047819 (Chinese Clinical Trial Register).
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Clinical_trials / Diagnostic_studies Aspecto: Patient_preference Idioma: En Revista: Asia Pac J Oncol Nurs Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Clinical_trials / Diagnostic_studies Aspecto: Patient_preference Idioma: En Revista: Asia Pac J Oncol Nurs Ano de publicação: 2023 Tipo de documento: Article