| ObjectiveTo evaluate life qualities of cancer patients and their solutions, as well as the interactions of their factors. To study how TTM theory combining with information support influences life qualities and solutions of cancer patients with chemotherapy.MethodsQuasi-experimental method was employed in this study. Eighty patients diagnosed with breast cancer, non-small cell lung cancer (NSCL), or colon cancer from The First Affiliated Hospital to University of South China were divided randomly and averagely to control group and experimental group. There were forty patients every group. Only patients in experimental group received specific information supply, such as instruction to diet and sleep, managerial exercise for pain, suggestions for exercise and control of emotion. Life qualities of cancerpatients and their solutions were evaluated respectively by using European Organization for Research and Treatment of Cancer (EORTC) quality-of-life (QLQ-C30) questionnaires and MCMQ. Data were analyzed with statistical software SPSS17.0. The statistical methods included Descriptive statistics, U test, Chi-square test, Spearman correlation analysis. Final intervention effect was evaluated.Results(1) Before information supply, no distinctive difference was observed in life qualities of cancer patients in control group and experimental group (P>0.05). After information supply, although no statistical significance were detected regarding financial issue (FI) and dyspnea (DY)(p>0.05), the other symptoms in the life quality functional scale were improved significantly (p<0.05). In control group, only cognitive function(CF), role function(RF), diarrhea(DI), and constipation(CO) showed significant improvement compared to that before treatment(p<0.05).(2) After information supply treatment, statistical significance has been detectedbetween experimental group and control group with physical function (PF) (p<0.05), role function(RF), emotional function(EF), global quality of life(QL), Nausea/vomiting (NV), pain(PA), sleep latency(SL), appetite loss(AP), and fatigue (FA). However, no significance was detected in cognitive function (CF), social function (SF), dyspnea (DY), constipation (CO), diarrhea(DI), financial issue(FI) between those two groups (p<0.05).(3) Before treatment, confront score of control group and experimental group were17.75±3.5and17.90±3.25, respectively. Avoidance scale score were16.55.08±2.22and16.48±2.32, respectively. Depression scale score were8.98±2.62and8.65±2.27, respectively. There was not significant difference between two groups (p<0.05). After8weeks information support treatment, confront score (18.45±3.23) in experimental group increased with statistical significance (p<0.01), while no significant differences in depress score (8.68±2.18) and avoidance score (16.63±2.47). The control group scale total score difference was statistically significant (P>0.05).(4) After treatment, as compared with control group, confront score in experimental group had statistical significance compared to that before treatment (p<0.01), indicated that patients tend to confrontation after treatment.(5) There were positive correlations between confrontation and EF/SF/CF in QLQ-C30as demonstrated by bivariate correlation analysis (p<0.05). While confrontation was negatively correlated with SL, AP, CO and NV (p<0.05). Depression is negatively correlated with CF, SF, PF, and QL (p<0.05). On contrary, positive correlations were detected between depression and CO/DY (p<0.05).Conclusions(1) Life qualities of cancer patients after chemotherapy can be improved effectively through information supply system.(2) After information supply, cancer patients in experimental group tend to use positive solutions.(3) Positive solutions can promote life qualities of cancer patients going through chemotherapy. |
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