Cancer, Chemotherapy, Quality of life, Self-care
DOI: 10.5005/jp-journals-10084-13153 |
Open Access |
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How to cite this article:
Mani V, Kandaswamy R. Effectiveness of Self-care Measures on Side Effects of Chemotherapy, Performance Status, and Quality of Life among Patients Undergoing Chemotherapy at Selected Hospitals at Puducherry. 2023; 16 (1):3-9.
Background: Cells that are uncontrolled in their growth, division, and invasion into other tissues are called cancerous tumors. Cell division is controlled by a person without cancer. In the majority of tissues, healthy cells reproduce and divide in a controlled manner to produce new healthy cells. This regular cell division becomes uncontrolled in cancer. Because of gene mutations, cells undergo morphological changes. All cancerous cells are the offspring of cancerous cells. Malignant cells are also blamed for the development of cancer cells within our bodies. During treatment for cancer, self-care is a crucial and necessary component of pleasure and wellness. According to research, self-care routines help lessen the negative consequences of stress, poor sleep, and anxiety.
Objectives: The aim is to evaluate the effectiveness of self-care measures on side effects of chemotherapy, performance status, and quality of life among patients undergoing chemotherapy in selected hospital at Puducherry.
Methodology: The quantitative approach and Quasi experimental one group pre-test—post-test research design was used in this study among cancer patients at selected hospitals. Purposive sampling technique was adapted and sample size was 30. Samples were interviewed through standardized observation checklist to assess the self-care measures, side effects of chemotherapy, performance status, and quality of life.
Results: The effectiveness of self-care instruction module among cancer patients undergoing chemotherapy in pretest 20 (66.7%) has poor quality of life, and 10 (33.3%) have neutral quality of life after giving self-care instruction module, 30 (100) have neutral quality of life. Cancer patients undergoing chemotherapy in Eastern cooperative oncology group (ECOG) performance status scale as in pretest 23 (76.7%) were in symptomatic, but ambulatory and symptomatic (<50%) in bed were 7 (23.3%) after giving self-care instruction module; 13 (43.3%) were in asymptomatic; and 17 (56.7%) were symptomatic but ambulatory. The overall symptoms of chemotherapy in pretest 19 (63.3%) have moderate symptoms and 11 (36.7%) have mild symptoms after giving self-care instruction module. Two (6.7%) have moderate symptoms, and 28 (93.3%) have mild symptoms.
Conclusion: The study revealed that the self-care measures on side effects of chemotherapy, performance status, and quality of life among cancer patients who are undergoing chemotherapy were effective, and they changed the quality of life of cancer patients.
Patients with this uncommon mental illness believe they are decaying, dead, or nonexistent. Almost 90% of them affected among female gender. Malfunction of the amygdala, an almond-shaped cluster of neurons responsible for six different emotional processing steps, as well as the fusiform gyrus, which detects faces. Antidepressants, antipsychotics, and electroconvulsive therapy are common therapeutic regimens.
Background: Childhood allergy is an abnormal sensitivity or reaction of the immune system to a substance (allergen) that we eat, inhale, or touch. Allergens can affect anyone regardless of age, gender, race, or socioeconomic status.
Objectives: To assess existing knowledge on allergens among adolescents, to determine effectiveness of teaching program about allergens among the adolescents, and to associate the post knowledge with selected sociodemographic variables of adolescents.
Methodology: A quasi-experimental research design (one group pre- and post-test design) was adopted for the study. The population of the present study was 400 adolescents studying 9th and 10th standard in Seventh Day Adventist Higher Secondary School, Puducherry. A hundred samples were chosen using the lottery method. Then, the sociodemographic variables of adolescents and a tool that consists of 25 items of dichotomous tool to assess the knowledge on allergens’ data were collected.
Results: Out of 100 adolescents, 10 (10%) had inadequate knowledge, 12 (12%) adolescents had moderately adequate knowledge, and five 78 (78%) had adequate knowledge regarding allergens after the teaching program in the post-test.
Conclusion: There was significant association between the occupation of the father and the post-test knowledge at p > 0.05 level, and there was no significant association between sociodemographic variables and post-test knowledge level of the adolescents on allergens.
Background: Due to the lockdown, the coronavirus disease 2019 (COVID-19) pandemic may cause changes to daily life. Children may be exposed to the childhood obesity epidemic caused by COVID-19. The study aimed to assess lifestyle behavior among obese children during the second wave of the COVID-19 lockdown.
Materials and Methods: Descriptive research was undertaken among obese children in Puducherry. Purposive sampling was used to select a 150-person sample size. Both the quantitative technique and the descriptive design were used. Data were collected by using a semi-structured questionnaire related to demographic and lifestyle behavior.
Results: A total of 150 participants were eligible. The finding reveals that out of 150 (100%) samples, 94 (62.67%) had an average lifestyle, 48 (32%) had an unhealthy lifestyle, and 8 (5.33%) had a healthy lifestyle among obese children during the second wave of the COVID-19 lockdown. The demographic variable “number of children in the family” (χ2 = 11.107, p = 0.025) had a statistically significant association with the lifestyle behavior of obese children during the second wave of the COVID-19 lockdown (p < 0.05). The other demographic variables had no statistically significant association with lifestyle behavior among obese children during the second wave of the COVID-19 lockdown.
Conclusion: obese youngsters often led typical lifestyles. Therefore, during the second wave of the COVID-19 lockdown, nursing education should have a greater emphasis on the lifestyle choices of obese children.
When a person struggles to handle a stressful life event, they may develop a condition known as adjustment disorder. Prevalence in India rates between 11 and 18% of those who attend primary care and may be higher or underdiagnosed in some groups. It was more common among the youngest age-group (15–25 years). The current case discussed the features of low mood, decreased sleep, decreased appetite, suicidal ideation, and increased physical and verbal aggression. The co-occurring mental disorder includes alcohol use disorder. The patient underwent treatment including psychopharmacology and psychological therapy in the hospital.