jahe-kemo

1
S22 Poster Presentations/European Journal of Oncology Nursing 16S1 (2012) S21S46 of Oncology. Little is known about the role of the Nurse Coordinator (NC) in these programs. Objectives: Describe the tasks that a NC does in a lung cancer screening program. Material and Methods: Each participant is interviewed by a NC and answer a specific questionnaire about their past medical history, tobacco use history, quality of life and the potential consequences of their tobacco use. The NC also gives counselling about tobacco dependence and information about Tobacco Cessation Programs. The patients undergo a low dose radiation CT of the chest and a lung function test. The NC is in charge of sending the reminding letter to the participants to help in keeping the adherence to the programme. Results: In total 6014 patients have been included. 73 lung cancers have been detected. Navarra: 40 lung cancers (LC): 26 early diagnosed, Inci- dence:13 (4LC), Prevalence 27 (4LC). Valencia: 33 lung cancers (LC): 17 early diagnosed, Incidence: 15 (9LC), Prevalence 19 (8LC). The adherence to the programme is 92% in Valencia (funded by the Valencian Government) and 50% in Navarra (financed by the patient). Conclusion: Early prevention is directly tied to achieve cure and decrease mortality rates (N Engl J Med 365(5):395–409). The nurse coordinator role consists not only in managing the data, but giving clear information, support when lung cancer is diagnosed, counselling to smokers, and most of all, being the key person for the patient, therefore the NC is vital throughout the process. 59 Awareness About Colorectal Cancer, Prevention and Screening S. Kav 1 , A. Akman 1 , B.B. Ayan 2 , A. Kabakci 3 , Z. Karaca 3 , I. Mercan 4 , G. Ozturk 3 , S. Turkan 4 , P. Usta 2 . 1 Baskent University, Department of Nursing and Health Services Department of Nursing, Baglica Ankara, Turkey; 2 Baskent University Ankara Hospital, Oncology, Ankara, Turkey; 3 Baskent University Adana Hospital, Nursing, Ankara, Turkey; 4 Baskent University Ankara Hospital, Nursing, Ankara, Turkey Introduction: Colorectal cancer (CRC) incidence increases in the world. It is the sixth most common cancer and the third leading cause of cancer death in Turkey. Ministry of Health Cancer Control Department recently developed CRC screening guidelines and recommends yearly fecal occult blood test (FOBT) and colonoscopy every 10 years for people over 50 years old. Literature consistently indicates lack of knowledge, practice and participation to the screening programs. Aim of this study was to evaluate awareness about CRC, risk factors, prevention, screening and early detection behavior among different socio-cultural and education levels. Material and Method: This descriptive study was conducted in a university and a Cancer Early Detection, Screening and Education Centre (KETEM) located in Ankara, Turkey. People over 40 years old were invited to participate and have reached total of 215 responses (81 academic and 99 administrative staff from the university; 35 from KETEM). In the data collection, a questionnaire containing 42 questions on individuals’ socio-demographic characteristics, their knowledge and behavior about CRC, risk factors, prevention, screening and early detection was used. The data was analyzed using descriptive statistics and chi-square test. Results and Discussion: The respondents had a mean age of 49.4±8.9 years (range 40–78 years); 59.1% of them were 50 years old and over, 51.6% women, 74.0% married, 68.9% were graduate or post-graduate, 69.8% had low-income and 99.1% had a health insurance. Less than half have the knowledge on CRC (39.1%), sign and symptoms (37.2%) and screening tests (35.6%). Only 9.3% of them were referred by their physician to the screening; 4.6% of them had FOBT in a preceding year and 15.3% had colonoscopy with complaints. It was found that participants with higher education, higher income and women were having more knowledge on CRC and screening tests. Participants requested to receive information about prevention, screening and early detection, sign and symptoms and risk factors for CRC. Of them, 87.9% demanded information related prevention and early detection of CRC via brochure in detail. Conclusion: This study will provide guidance for developing educational program to promote awareness of CRC prevention, screening and early detection. Socio-cultural characteristics should be considered when planning such program and tailored to their needs. Poster Session: Symptom Management 60 Effect of Ginger on Chemotherapy-induced Nausea–Vomiting in Patients With Cancer A. Ozkaraman 1 , G. Balci Alparslan 1 , N. Eskin 2 , S. Yilmaz 2 , M. Akay 2 , A. A ¸ cikg ¨ oz 1 . 1 Eskisehir Osmangazi University, Eskisehir Health High School, Eskisehir, Turkey; 2 Eskisehir Osmangazi University, Clinic of Hematology, Eskisehir, Turkey Aim: Present study was investigated the effects of ginger on chemotherapy-induced nausea-vomiting. Method: The study was carried out on cancer patients receiving chemotherapeutic agents in the hematology clinic of a training hospital between March 01, 2011 and July 29, 2011. The study group composed of interventional (15) and control (30) patients. Approval of the ethical committee, informed consent from the individuals and a permission from the hospital management were obtained. Data were collected with Identification Form for Descriptive Characteristics which was prepared by researchers. While control patients received antiemetic drugs for ethical considerations, interventional patients received ginger tablets (800 mg). The presence of nausea-vomiting was evaluated in all patients. Statistical analysis was performed by SPSS 15.0 package program. The study was conducted according to Helsinki Declaration. Results: Eighty percent of the patients in the interventional group were male; 66.7% were aged 46 to 80; 86.7% graduated from primary or middle school; and 46.7% were unemployed. On the other hand, 60% of the control patients were male; 56.7% were aged 46 to 80; 76.7% graduated from primary or middle school; and 56.7% were unemployed. With regard to the diagnoses and treatments of patients; 66.7% of the patients in the interventional group were diagnosed with leukemia and 53.3% were on at least 2nd treatment course. On the other hand, 63.3% of the control patients were diagnosed with leukemia and 53.3% were on the 1st treatment course. Statistical analysis revealed no differences in the characteristics of the interventional and control groups (p & gt; 0.05). A significant difference was found between the groups receiving ginger or antiemetics, suggesting that ginger is effective for nausea and vomiting (p < 0.05). Conclusion: Results of the present study suggest that ginger is effective for chemotheraphy-induced nausea-vomiting and they should be confirmed in future studies including more patients with a hematological cancer. 61 The Use of Music Therapy to Control Anxiety and Increase the Comfort of the Patient During the Treatment of Chemotherapy A. Hernandez Marfil 1 , M. Manzano Castro 1 , L. Garrote Moline 1 , S. Cabrera Jaime 1 , J. Linio Guardado 1 . 1 Institut Catal` a d’Oncologia, Hospital de Dia OncoHematologia, Badalona (Barcelona), Spain Introduction: As cancer patients face the diagnostic and the process of treatment, they present fluctuating mood.

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S22 Poster Presentations / European Journal of Oncology Nursing 16S1 (2012) S21–S46

of Oncology. Little is known about the role of the Nurse Coordinator

(NC) in these programs.

Objectives: Describe the tasks that a NC does in a lung cancer

screening program.

Material and Methods: Each participant is interviewed by a NC and

answer a specific questionnaire about their past medical history,

tobacco use history, quality of life and the potential consequences

of their tobacco use. The NC also gives counselling about tobacco

dependence and information about Tobacco Cessation Programs.

The patients undergo a low dose radiation CT of the chest and a

lung function test. The NC is in charge of sending the reminding

letter to the participants to help in keeping the adherence to the

programme.

Results: In total 6014 patients have been included. 73 lung cancers

have been detected.

Navarra: 40 lung cancers (LC): 26 early diagnosed, Inci-

dence:13 (4LC), Prevalence 27 (4LC).

Valencia: 33 lung cancers (LC): 17 early diagnosed, Incidence:

15 (9LC), Prevalence 19 (8LC).

The adherence to the programme is 92% in Valencia (funded by

the Valencian Government) and 50% in Navarra (financed by the

patient).

Conclusion: Early prevention is directly tied to achieve cure and

decrease mortality rates (N Engl J Med 365(5):395–409).

The nurse coordinator role consists not only in managing the data,

but giving clear information, support when lung cancer is diagnosed,

counselling to smokers, and most of all, being the key person for

the patient, therefore the NC is vital throughout the process.

59

Awareness About Colorectal Cancer, Prevention and Screening

S. Kav1, A. Akman1, B.B. Ayan2, A. Kabakci3, Z. Karaca3, I. Mercan4,

G. Ozturk3, S. Turkan4, P. Usta2. 1Baskent University, Department

of Nursing and Health Services – Department of Nursing, Baglica –

Ankara, Turkey; 2Baskent University Ankara Hospital, Oncology,

Ankara, Turkey; 3Baskent University Adana Hospital, Nursing, Ankara,

Turkey; 4Baskent University Ankara Hospital, Nursing, Ankara, Turkey

Introduction: Colorectal cancer (CRC) incidence increases in the

world. It is the sixth most common cancer and the third leading

cause of cancer death in Turkey. Ministry of Health Cancer Control

Department recently developed CRC screening guidelines and

recommends yearly fecal occult blood test (FOBT) and colonoscopy

every 10 years for people over 50 years old. Literature consistently

indicates lack of knowledge, practice and participation to the

screening programs. Aim of this study was to evaluate awareness

about CRC, risk factors, prevention, screening and early detection

behavior among different socio-cultural and education levels.

Material and Method: This descriptive study was conducted in a

university and a Cancer Early Detection, Screening and Education

Centre (KETEM) located in Ankara, Turkey. People over 40 years old

were invited to participate and have reached total of 215 responses

(81 academic and 99 administrative staff from the university; 35

from KETEM). In the data collection, a questionnaire containing

42 questions on individuals’ socio-demographic characteristics,

their knowledge and behavior about CRC, risk factors, prevention,

screening and early detection was used. The data was analyzed

using descriptive statistics and chi-square test.

Results and Discussion: The respondents had a mean age of

49.4±8.9 years (range 40–78 years); 59.1% of them were 50 years

old and over, 51.6% women, 74.0% married, 68.9% were graduate

or post-graduate, 69.8% had low-income and 99.1% had a health

insurance.

Less than half have the knowledge on CRC (39.1%), sign and

symptoms (37.2%) and screening tests (35.6%). Only 9.3% of them

were referred by their physician to the screening; 4.6% of them

had FOBT in a preceding year and 15.3% had colonoscopy with

complaints. It was found that participants with higher education,

higher income and women were having more knowledge on CRC

and screening tests.

Participants requested to receive information about prevention,

screening and early detection, sign and symptoms and risk factors

for CRC. Of them, 87.9% demanded information related prevention

and early detection of CRC via brochure in detail.

Conclusion: This study will provide guidance for developing

educational program to promote awareness of CRC prevention,

screening and early detection. Socio-cultural characteristics should

be considered when planning such program and tailored to their

needs.

Poster Session: Symptom Management

60

Effect of Ginger on Chemotherapy-induced Nausea–Vomiting

in Patients With Cancer

A. Ozkaraman1, G. Balci Alparslan1, N. Eskin2, S. Yilmaz2, M. Akay2,

A. Acikgoz1. 1Eskisehir Osmangazi University, Eskisehir Health High

School, Eskisehir, Turkey; 2Eskisehir Osmangazi University, Clinic of

Hematology, Eskisehir, Turkey

Aim: Present study was investigated the effects of ginger on

chemotherapy-induced nausea-vomiting.

Method: The study was carried out on cancer patients receiving

chemotherapeutic agents in the hematology clinic of a training

hospital between March 01, 2011 and July 29, 2011. The study group

composed of interventional (15) and control (30) patients. Approval

of the ethical committee, informed consent from the individuals

and a permission from the hospital management were obtained.

Data were collected with Identification Form for Descriptive

Characteristics which was prepared by researchers. While control

patients received antiemetic drugs for ethical considerations,

interventional patients received ginger tablets (800mg). The

presence of nausea-vomiting was evaluated in all patients. Statistical

analysis was performed by SPSS 15.0 package program. The study

was conducted according to Helsinki Declaration.

Results: Eighty percent of the patients in the interventional group

were male; 66.7% were aged 46 to 80; 86.7% graduated from

primary or middle school; and 46.7% were unemployed. On the

other hand, 60% of the control patients were male; 56.7% were

aged 46 to 80; 76.7% graduated from primary or middle school;

and 56.7% were unemployed. With regard to the diagnoses and

treatments of patients; 66.7% of the patients in the interventional

group were diagnosed with leukemia and 53.3% were on at least

2nd treatment course. On the other hand, 63.3% of the control

patients were diagnosed with leukemia and 53.3% were on the

1st treatment course. Statistical analysis revealed no differences in

the characteristics of the interventional and control groups (p&

gt; 0.05). A significant difference was found between the groups

receiving ginger or antiemetics, suggesting that ginger is effective

for nausea and vomiting (p < 0.05).

Conclusion: Results of the present study suggest that ginger is

effective for chemotheraphy-induced nausea-vomiting and they

should be confirmed in future studies including more patients with

a hematological cancer.

61

The Use of Music Therapy to Control Anxiety and Increase the

Comfort of the Patient During the Treatment of Chemotherapy

A. Hernandez Marfil1, M. Manzano Castro1, L. Garrote Moline1,

S. Cabrera Jaime1, J. Linio Guardado1. 1Institut Catala d’Oncologia,

Hospital de Dia OncoHematologia, Badalona (Barcelona), Spain

Introduction: As cancer patients face the diagnostic and the process

of treatment, they present fluctuating mood.