The Impact of Telenursing on the Self-management of Gastrointestinal Symptoms in Adolescent Cancer Patients Receiving Chemotherapy.

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Chemotherapy is one of the cancer treatments among adolescents, after which nursing care at home is required due to developing side effects such as constipation, nausea, vomiting, and diarrhea. One solution to deliver nursing care is to provide remote self-management training. The aim of this study is to investigate the impact of telenursing on the self-management of gastrointestinal (GI) symptoms among adolescents undergoing chemotherapy. In this intervention study, 66 adolescents 12 to 18 years of age who were referred to teaching hospitals for receiving chemotherapy were selected through randomized block sampling. The data were collected through demographic and clinical questionnaires, the researcher-made form for GI symptoms and conditions, and the researcher-made questionnaire for the self-management of GI symptoms among adolescents. Data analysis was done using SPSS version 20. The findings show that there was no significant statistical difference between the control group and the intervention group in terms of demographic characteristics. According to the independent-samples t test and repeated-measures analysis of variance, using an educational website had a significant positive impact on the scores of GI symptoms self-management, 1 week and 1 month after the intervention (P < .001). Given that the intervention group patients could better manage their GI symptoms on their own by visiting the educational website Cancer Information, it can be concluded that telenursing can affect the self-management of GI symptoms among adolescent patients with cancer who receive chemotherapy. The website Cancerinformation.ir can be used in the self-management of GI symptoms in cancer patients.