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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.