[Risk Factors for Oxaliplatin-Induced Phlebitis and Venous Pain, and Evaluation of the Preventive Effect of Preheating with a Hot Compress for Administration of Oxaliplatin].

Venous pain induced by oxaliplatin(L-OHP)is a clinical issue related to adherence to the Cape OX regimen. To prevent LOHP- induced venous pain, we provided nursing care to outpatients who were administered a preheated L -OHP diluted solution using a hot compress. We retrospectively evaluated the risk factors for colorectal cancer patients who had L -OHP induced phlebitis and venous pain. Furthermore, the preventive effect of nursing care was compared between inpatients and outpatients from January 2010 to March 2012. At the L-OHP administration site, any symptoms were defined as phlebitis, whereas pain was defined as venous pain. A total of 132 treatment courses among 31 patients were evaluated. Multivariate logistic regression analysis revealed that both phlebitis and venous pain were significantly more common in female patients (adjusted odds ratio, 2.357; 95%CI: 1.053-5.418; and adjusted odds ratio, 5.754; 95%CI: 2.119-18.567, respectively). The prevalence of phlebitis and venous pain did not differ between inpatients and outpatients (phlebitis, 61.3% vs 67.7%; venous pain, 29.0%vs 19.4%). These results suggest that administration of L-OHP via a central venous route should be considered in female patients.

The effect of adolescents' image of parents on children's self-image and mental health.

BACKGROUND: Parents as caregivers are one of the most influential agents of socialisation/emotional stability in the lives of children, but the parent-child relationship is hardly conflict-free: occasional distress that affects mental health is known to occur. The present study examines the effect of adolescents' perception of their parents on the child's own self-image/mental health. METHOD: Seven hundred and thirty-one (731) junior high school adolescents, living with their parents in the Ibaraki area of Japan, participated in the study. The self-esteem and self-denial scales assessed adolescents' self-image, while the trait-anxiety and depression tools rated mental health. The adolescents' perception of parents was measured with two tools: a checklist of negative/positive descriptive adjectives of parents, and the Perceived Emotional Support from Family scale. The structural equation modelling (SEM) of the study hypothesis was constructed and analysed by the AMOS statistics. RESULTS: Adolescents' image of their parents affected the children's self-image and mental health. A positive adolescent image of parents elicited a positive adolescent self-image, leading to a marked reduction in mental distress among children. The model outcome was applicable to boys and girls. CONCLUSIONS: A positive image of parents enhanced adolescents' self-image, and facilitated psychological wellbeing in children, irrespective of their sex.