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Conference Proceedings - School of Nursing & Midwifery - Trinity ...

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<strong>School</strong> <strong>of</strong> <strong>Nursing</strong> & <strong>Midwifery</strong>, <strong>Trinity</strong> College Dublin: 8 th Annual Interdisciplinary Research <strong>Conference</strong><br />

Transforming Healthcare Through Research, Education & Technology: 7 th – 9 th November 2007<br />

<strong>Conference</strong> <strong>Proceedings</strong><br />

Back to contents page<br />

A randomised controlled trial <strong>of</strong> the psychological and quality<br />

<strong>of</strong> life effects <strong>of</strong> daily diary cards on patients undergoing<br />

chemotherapy<br />

Noreen Cushen, Clonearl, Daingean, Co Offaly.<br />

RN, BSc (Hons), PgDip Research, Doctorate <strong>of</strong> <strong>Nursing</strong><br />

Mob. 087-7976869<br />

Email: noreen_cushen@hotmail.co.uk<br />

Introduction<br />

Cancer has a historical reputation for being a killer disease, a death<br />

sentence. Despite major advances in cancer therapies in recent<br />

years, cancer remains a leading cause <strong>of</strong> death in our society. A<br />

diagnosis <strong>of</strong> cancer still generates a range <strong>of</strong> responses, including<br />

fear, anxiety, treatment-related discomfort, anticipation <strong>of</strong> bodily<br />

disfigurement, and existential uncertainty. Counterbalancing this<br />

somewhat pessimistic outlook, the evidence in the literature<br />

suggests that cancer is one <strong>of</strong> the most curable <strong>of</strong> chronic diseases<br />

(Zollo 2000).<br />

Aim <strong>of</strong> the study<br />

To explore the possibility that the completion <strong>of</strong> daily diary cards by<br />

patients undergoing chemotherapy treatment for cancer can<br />

produce a classical conditioning response.<br />

Primary objective <strong>of</strong> this study<br />

To compare the patterns <strong>of</strong> nausea and vomiting between a group<br />

<strong>of</strong> patients using daily diary cards and another group not using daily<br />

diary cards.<br />

Secondary objectives <strong>of</strong> this study<br />

To identify the levels <strong>of</strong> anxiety <strong>of</strong> patients as they progress through<br />

their treatment regimen.<br />

To explore the patients’ experience <strong>of</strong> completing the daily diary<br />

cards<br />

Research Hypothesis<br />

There is a relationship between the use <strong>of</strong> daily diary cards<br />

(DDCs)and an increase in the incidence <strong>of</strong> nausea/vomiting and<br />

anxiety in patients receiving chemotherapy.<br />

Research Design<br />

As the primary objective <strong>of</strong> this study was to compare the nausea<br />

and vomiting scores between two groups <strong>of</strong> patients undergoing<br />

chemotherapy, priority was given to the approach needed for the<br />

principal data collection method. Therefore, a randomised controlled<br />

trial (RCT) was used to explore the patterns <strong>of</strong> nausea and vomiting<br />

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