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- Title
Aconselhamento telefônico: identificação de sintomas em pacientes com linfoma em quimioterapia antineoplásica.
- Authors
Santos Louzada, Keilla Regina; Meimei Brevidelli, Maria; Baiocchi, Otávio; Lopes De Domenico, Edvane Birelo
- Abstract
Objective: To identify through telephone counselling the signs and symptoms presented by patients with Hodgkin's Lymphoma undergoing chemotherapy with the protocol composed by doxorubicin, bleomycin, vinblastine and dacarbazine and to compare severity scores of the signs and symptoms presented in the cycles of the protocol. Methods: Descriptive, prospective, quantitative study. Seven patients received telephone counselling in 24 scheduled and unscheduled calls, corresponding to 6 ABVD chemotherapy cycle. The MD Anderson Symptom Inventory and the Common Terminology Criteria for Adverse Events were used for scoring the symptoms, along with a conduct protocol. A descriptive and analytical analysis was conducted. Results: Two hundred and eighty-six telephone calls generated 1,870 symptomatic complaints. In scheduled calls, the most prevalent complaints were fatigue, distress, lack of appetite, vomiting and nausea. As for the interference in daily life activities, the items related to general activities, work, difficulty walking, and mood changes were reported more frequently. In unscheduled calls, lack of appetite and irregular menstruation were the most recurring complaints. The analysis of the progression of symptoms showed an increase in nausea and vomiting (p=0.02), decrease in fatigue and shortness of breath (p≤0.03), improvement in sleep (p=0.02) and decrease of stress (p=0.02). Conclusion: Fatigue, nausea, vomiting and alterations in work activities were frequently reported. There was progression of nausea and vomiting but regression of fatigue and stress. Telephone consultation allowed a rapid communication and management of an expressive number of symptoms.
- Subjects
DOXORUBICIN; VINBLASTINE; BLEOMYCIN; DACARBAZINE; ANTINEOPLASTIC agents; CANCER chemotherapy; CANCER patients; COUNSELING; PSYCHOLOGICAL distress; HODGKIN'S disease; LONGITUDINAL method; RESEARCH methodology; MEDICAL protocols; QUALITY of life; RESEARCH; TELEMEDICINE; ACTIVITIES of daily living; QUANTITATIVE research; SEVERITY of illness index; DESCRIPTIVE statistics; CANCER fatigue; SYMPTOMS; THERAPEUTICS
- Publication
Acta Paulista de Enfermagem, 2018, Vol 31, Issue 6, p616
- ISSN
0103-2100
- Publication type
Article
- DOI
10.1590/1982-0194201800085