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Complex symptom burden and management related to multimodality cancer treatment

1231 - EONS session: Evaluation of a nursing aftercare intervention for patients with head and neck cancer treated with chemoradiation

Date

22 Oct 2018

Session

Complex symptom burden and management related to multimodality cancer treatment

Topics

Cytotoxic Therapy;  Radiation Oncology

Tumour Site

Head and Neck Cancers

Presenters

Cora Braat

Citation

Annals of Oncology (2018) 29 (suppl_8): viii698-viii701. 10.1093/annonc/mdy278

Authors

C. Braat1, G. Verduijn1, H. van der Stege2, M. Offerman3, M. Peeters2, A. van Staa2, W. Oldenmenger4

Author affiliations

  • 1 Radiotherapy, Erasmus MC Cancer Insitute, 3015 CE - Rotterdam/NL
  • 2 Kenniscentrum Zorginnovatie, Hogeschool Rotterdam, 3001 HA - Rotterdam/NL
  • 3 Head And Neck Oncology, Erasmus MC, 3015 CE - Rotterdam/NL
  • 4 Oncology, Erasmus MC Cancer Insitute, 3015 CE - Rotterdam/NL
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Resources

Abstract 1231

Background

Head and neck cancer (HNC) patients treated with chemoradiation have to rediscover their life after recovering from severe side-effects and build-up self-confidence. To assist patients in this, an aftercare intervention to support patients’ self-management was implemented. This study aimed to evaluate the feasibility and first effects.

Methods

HNC patients treated in the Erasmus MC between November 2015 and November 2016 were included in the intervention group (n = 39). They received a nurse-led intervention using the Self-Management Web (SMW) while patients of the historical control group received standard care. The SMW contains 14 areas of life on physical, psychological and social themes and was used to set priorities, define goals and make action plans for the future. Patients completed questionnaires on quality of life, self-management behaviour, self-efficacy and quality of care. Additionally, individual interviews were performed to gain insight into patients’ experiences with the aftercare intervention.

Results

Patients in the intervention group showed a significant reduction in anxiety and an increase in self-efficacy. The differences between the extent to which the nurse paid attention to the topics compared to the importance patients attached to these were small. They need more attention to knowledge about their disease, emotional and spiritual well-being and self-care; patients in the control group indicated that they wanted more attention on all topics. No significant differences were found in quality of life and self-management behaviour between both groups. In the interviews, patients highly appreciated the opportunity to discuss a broad range of topics and recommended it for standard practice.

Conclusions

HNC patients experience a significant reduction in anxiety and increased levels of self-efficacy after our aftercare self-management intervention. The topics of the SMW represent a complete overview while the solution-focused approach encourages patients to set goals for their recovery progress.

Clinical trial identification

Legal entity responsible for the study

Erasmus MC.

Funding

Has not received any funding.

Editorial Acknowledgement

Disclosure

All authors have declared no conflicts of interest.

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