Anxiety, Fatigue, Peripheral Neuropathy
Conditions
Keywords
Colorectal cancer, Levine's Conservation Nursing Model, Nursing intervention
Brief summary
Colorectal cancer is one of the most common types of cancer in the world, ranking 3rd among cancers that cause death in men and women. In patients diagnosed with colorectal cancer, chemotherapy treatment is planned to prolong survival as in all other cancer patients. Among the side effects of chemotherapy treatment, it is known that fatigue develops between 50-90%, which is mild for one week in 45% of patients and persists for two weeks in 33%. In the literature, the incidence of chemotherapy-induced peripheral neuropathy is reported to be between 10-100% depending on the type and dose of the drug taken. Alejandro et al. (2013) reported that the incidence of oxaliplatin-related peripheral neuropathy was 84%, which was acute in 74% of patients and permanent in 48%. In addition, anxiety disorders are among the common mental symptoms in cancer patients and their prevalence has been reported to be 10-30%. In this study, it is aimed to reveal the effect of nursing interventions based on Levine's Conservation Model on fatigue, peripheral neuropathy and anxiety levels in colorectal cancer patients receiving chemotherapy treatment.
Interventions
BEHAVIORALSensory ball, progressive relaxation exercise, training
The effect of sensory ball use on fatigue, peripheral neuropathy and anxiety will be examined
Sponsors
Necmettin Erbakan University
KTO Karatay University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Outcomes Assessor)
Intervention model description
Randomized Controlled Trials
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* Between the ages of 18-75 * Diagnosed with primary and new colorectal cancer (Stage II and III), * The decision to start the FOLFOX treatment protocol has been taken, * Having a smartphone, * Being literate, * Ability to speak and understand Turkish, * Open to communication and cooperation.
Exclusion criteria
* History of neuropathy or diabetes, * History of hypothyroidism, renal failure, * Hearing, speech and vision problems, * Receiving radiotherapy or immunotherapy, * Psychiatric diagnosis or ongoing treatment.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cancer Fatigue Scale | 30 days | A five-point Likert scale (1-5) is used for each question. Cronbach's alpha value was 0.74. The scale consists of physical (7 items) (1,2,3,6,9,12,15), cognitive (4 items) (4,7,10,13), emotional (4 items) (5,8,11,14), 3 subheadings and 15 questions in total. In the analysis of the scale, physical state (item 1+2+3+6+9+12+15) is calculated by subtracting 7 from the total, emotional state (item 5+8+11+14) is calculated by adding, cognitive state (item 4+7+10+13) is calculated by subtracting 4 from the total. The total score is calculated by summing the physical, emotional and cognitive states. The minimum score is 4 and the maximum score is 64. |
| Chemotherapy-Induced Peripheral Neuropathy Assessment Tool | 30 days | The first 6 questions in the scale are sensory symptoms and questions 7-9 are motor symptoms sub-dimensions. Experiencing the symptom of peripheral neuropathy (1=Yes, 2=No), the severity of the symptom (1=Never severe, 10= Extremely severe), the distress caused by the symptom (1= Never caused, 10= Extremely caused), the frequency of the symptom (1= Never experienced, 10= Continuously experienced), the activities of peripheral neuropathy symptoms (1= Never prevented, 10= Completely prevented). The first 9 items assess symptom presence (0-1), symptom severity (0-10), emotional distress (0-10) and frequency (0-10). The total score that can be obtained from the scale is between 0-279. |
| Trait Anxiety Inventory | 30 days | The reversed statements of the Trait Anxiety Inventory (SAI) consist of items 21, 26, 27, 30, 33, 36 and 39. A total score between 20 and 80 is obtained from the scale. After the total scores of the direct and inverted statements are found separately, the total score obtained for the direct statements is subtracted from the total score obtained for the inverted statements. A predetermined and unchanging value is added to this number. This value is 35 for the SDI. The last value obtained is the anxiety score of the individual. A low score means that the anxiety level of the individual is low and a high score means that the anxiety level of the individual is high. |
Countries
Turkey (Türkiye)
Outcome results
None listed