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Developing Telephone Guidelines for Symptom Management of Cancer for Outpatients with Cancer after Chemotherapy

항암화학요법 후 퇴원한 암 환자의 증상관리를 위한 전화상담 가이드라인 개발

  • Park, Ihn Sook (Department of Nursing, Seoul National University Hospital) ;
  • Kim, Eun Mi (Department of Nursing, Seoul National University Hospital) ;
  • Oh, Pil Ju (Department of Nursing, Seoul National University Hospital) ;
  • Kim, Soo Jin (Department of Nursing, Seoul National University Hospital) ;
  • Kim, Hye Jin (Department of Nursing, Seoul National University Hospital) ;
  • Kim, Bo Kyung (Department of Nursing, Seoul National University Hospital) ;
  • Hwang, Eun Kyung (Department of Nursing, Seoul National University Hospital) ;
  • Park, Se Rim (Department of Nursing, Seoul National University Hospital) ;
  • Lee, Mi Jeong (Department of Nursing, Seoul National University Hospital)
  • Received : 2012.05.31
  • Accepted : 2012.06.26
  • Published : 2012.08.31

Abstract

Purpose: This study was done to provide oncology nurses systemic guidelines designed to perform telephone counseling in outpatient settings treating patients with chemotherapy. Methods: Symptoms which are frequently questioned were identified through case reports recorded by 4 clinical nurse specialists from January 4 to December 31. 2010. Fifteen clinical experts and two hemato-oncologists reviewed the developed draft. Their opinions were synthesized to arrive at consensus on the ideal guidelines. This process confirmed content validity. The two hemato-oncologists also verified the face validity. Results: The six symptoms which were most frequently asked about were identified through 4,644 case reports and concerned pain, fever, skin alteration, nausea/vomiting, stomatitis and diarrhea. Evidence-based telephone triage guidelines for the 6 major symptoms in patients receiving chemotherapy were developed. Conclusion: These guidelines will help oncology nurses from novice to expert incorporate evidence-based telenursing into their practice.

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