BACKGROUND: In this study we investigated the effects of a clinical nursing symptom control intervention on utilization of physician, hospital and emergency room services. MATERIAL/ METHODS:Two hundred twenty-two patients currently undergoing chemotherapy were recruited for the study, and were randomized into either the 10-contact, 20-week experimental intervention group (110), where the intervention focused on assisting the patient in managing their symptoms, or to a conventional care control group (112). RESULTS: A random effects regression model revealed that patients in the intervention group reported fewer emergency room visits than patients in the control group (p=0.050). Greater symptom severity and more comorbid conditions were also predictive of more emergency room visits. The intervention was effective in reducing the number of hospital visits for the subgroup of patients who at baseline reported above average symptom severity (p=0.023). CONCLUSIONS: These findings suggest that a nursing intervention focusing on educating patients regarding specific strategies to be applied for controlling symptoms may be worthwhile, as the patients may regain some control in managing their symptoms and thus ultimately require fewer emergency room services and hospital visits. Such a straightforward approach may empower patients, enhance their quality of life and reduce overall costs of cancer care.
RCT Entities:
BACKGROUND: In this study we investigated the effects of a clinical nursing symptom control intervention on utilization of physician, hospital and emergency room services. MATERIAL/ METHODS: Two hundred twenty-two patients currently undergoing chemotherapy were recruited for the study, and were randomized into either the 10-contact, 20-week experimental intervention group (110), where the intervention focused on assisting the patient in managing their symptoms, or to a conventional care control group (112). RESULTS: A random effects regression model revealed that patients in the intervention group reported fewer emergency room visits than patients in the control group (p=0.050). Greater symptom severity and more comorbid conditions were also predictive of more emergency room visits. The intervention was effective in reducing the number of hospital visits for the subgroup of patients who at baseline reported above average symptom severity (p=0.023). CONCLUSIONS: These findings suggest that a nursing intervention focusing on educating patients regarding specific strategies to be applied for controlling symptoms may be worthwhile, as the patients may regain some control in managing their symptoms and thus ultimately require fewer emergency room services and hospital visits. Such a straightforward approach may empower patients, enhance their quality of life and reduce overall costs of cancer care.
Authors: Rebecca S Lash; Janice F Bell; Sarah C Reed; Hermine Poghosyan; James Rodgers; Katherine K Kim; Richard J Bold; Jill G Joseph Journal: Cancer Nurs Date: 2017 Mar/Apr Impact factor: 2.592
Authors: Kathryn A Martinez; Christopher Friese; Trace Kershaw; Charles W Given; A Mark Fendrick; Laurel Northouse Journal: Oncol Nurs Forum Date: 2015-07 Impact factor: 2.172