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"It's a part of the patient": The experiences of patients with cancer undergoing home-based chemotherapy from patients' and nurses' perspectives

Authors
 Hyoeun Jang  ;  Sanghee Kim  ;  DaeEun Kim  ;  Mehee Park  ;  Sunemee Rhue  ;  Changmin Lee  ;  Seulgee Kim  ;  Byungmun Kang  ;  Haeri Lee 
Citation
 ASIA-PACIFIC JOURNAL OF ONCOLOGY NURSING, Vol.9(8) : 100072, 2022-08 
Journal Title
ASIA-PACIFIC JOURNAL OF ONCOLOGY NURSING
ISSN
 2347-5625 
Issue Date
2022-08
Keywords
Ambulatory outpatient service ; Cancer ; Cancer patients ; Chemotherapy ; Chemotherapy care ; Qualitative studies
Abstract
Objective: Home-based chemotherapy is widely used and offers advantages in terms of patient-centeredness, hospital capacity, and cost-effectiveness. However, in practice, patients experience difficulties with self-management and handling the elastomeric infuser. In this study, we aimed to explore the experiences of patients undergoing home-based chemotherapy based on patients' and nurses' perspectives. Additionally, we aimed to identify patients' unmet needs.

Methods: A qualitative descriptive study was conducted in a tertiary hospital in South Korea. Ten patients undergoing home-based chemotherapy and ten nurses with experience in home-based chemotherapy participated. Data were collected by using semi-structured individual interviews and analyzed by using inductive content analysis.

Results: Four main categories were identified based on the interviews: (1) ambivalence regarding comfort vs. enduring the discomfort, (2) acceptance of the discomfort as a part of them, (3) the need for more precise, numerical measurements, and (4) the realization that they need similar hands-on care at home as in a hospital.

Conclusions: Although patients were satisfied with home-based chemotherapy, they were enduring the difficulties they experienced at home alone. Nurses should make an effort to identify patient needs and devise tailored nursing interventions to improve their safety.
Files in This Item:
T202202237.pdf Download
DOI
10.1016/j.apjon.2022.04.011
Appears in Collections:
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Kim, Sanghee(김상희) ORCID logo https://orcid.org/0000-0002-9806-2757
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/189322
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