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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 />

Table 4 - Summary <strong>of</strong> the key points identified from the<br />

qualitative interviews<br />

1. Compliance with completing<br />

DDCs.<br />

2.Coping strategies and<br />

complementary therapies<br />

3. Completing the DDCs evoked<br />

a conditioned response<br />

4. Dietary and sensory changes<br />

during chemotherapy<br />

- 202 -<br />

Only 3 <strong>of</strong> the 10 patients<br />

completed the DDCs as<br />

instructed by the research team.<br />

Coping strategies such as denial<br />

and complementary therapies<br />

were used by patients.<br />

Some <strong>of</strong> the patients suggested<br />

that completing the DDCs made<br />

them think about their illness<br />

and made them feel sick<br />

Several <strong>of</strong> the patients reported<br />

indigestion, food avoidance and<br />

sensory changes as they<br />

progressed through their<br />

treatment.<br />

5. Fatigue as a problem Most patients described fatigue<br />

as very debilitating for them at<br />

most stages <strong>of</strong> their<br />

6. Chemotherapy nurses used<br />

avoidance or blocking behaviours<br />

to deal with sensitive issues such<br />

as sexuality and altered body<br />

image<br />

7. Patients’ symptoms were not<br />

always assessed or managed<br />

appropriately as they progressed<br />

through their treatment<br />

chemotherapy treatment<br />

Some patients suggested that<br />

they would have liked to discuss<br />

personal issues such as<br />

relationship difficulties with the<br />

chemotherapy nurses but they<br />

felt that the nurses were always<br />

to busy<br />

Many patients suggested that<br />

their symptoms such as<br />

indigestion, fatigue, dietary<br />

problems were not addressed by<br />

the health care team<br />

4 Discussion following analysis <strong>of</strong> quantitative and<br />

qualitative data<br />

Introduction<br />

The aim <strong>of</strong> this study was to explore the psychological effects on<br />

patients <strong>of</strong> completing daily diary cards relating to nausea and<br />

vomiting and to get a greater understanding <strong>of</strong> the difficulties they<br />

experience when undergoing adjuvant chemotherapy for breast or<br />

colorectal cancer. The study design included a combination <strong>of</strong><br />

quantitative and qualitative methods. The results identified a

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