Investigation and analysis on the health education needs during chemotherapy: cognitions between nurses in Chemotherapy Ward and patients with gynecologic tumor

Abstract

Objective To study the health education demand cognitions of both nurses and patients, to discuss the health education needs of gynecological cancer patients during chemotherapy, to provide data support and improve the quality of their health education. Methods From April 1, 2013 to May 31, a total of 49 nurses working in Chemotherapy Ward in the tertiary A hospital of Chengdu (divided into nurse group) and 115 inpatients with gynecological tumors during the same time in the same hospital treated by chemotherapy (divided into patient group) were included in the study. A self-designed Questionnaire Regarding Demand of Health Education duration Chemotherapy, Questionnaire for short was used to investigate the health education demand cognitions of nurses and patients. The health education modes, education contents and score of each item were analyzed. The study protocol was approved by the Ethical Review Board of Investigation in Human Being of the tertiary A hospital of Chengdu. Informed consent was obtained from each participant. There were no significant differences between two groups among on student ratio gender, age, degree of education (P>0.05). Results ①Among in 8 kinds of education modes in Questionnaire, scores of modes of health education bedside hospital bed education, departmental propagandistic column, pamphlet, collective lectures in department, and telecourse in nurse group were much higher than those in patient group, there were significant differences between two groups (P 0.05). ③Among 40 items of health education content in Questionnaire, patients during chemotherapy were most in need of health education content of the performance of the leakage of chemotherapy drugs, chemotherapy drug leakage emergency treatment, and vomit and waste treatment were the opinion of nurses. While patients were most in need of health education content for specific diseases, medical treatment insurance reimbursement, and the prognosis of disease, there were significant differences (P<0.05). Conclusions The nurses should integrate use of a variety of health education to provide individualized health education. The health education content during chemotherapy should be provided according to the patient's needs as the core, using the multidisciplinary collaboration, such as medical, nursing and administrative way. On the basis of providing chemotherapy nursing knowledge, increase medical treatment such as specific chemotherapy regimens, and administrative expenses such as medical insurance fee and other related content. Key words: Health education; Genital neoplasms, female; Antineoplastic combined chemotherapy protocols; Patients; Nurses