ABSTRACT
OBJECTIVES: To evaluate the feasibility of implementation of an extremity exercise program and to examine its preliminary effects in breast cancer survivors suffering from chemotherapy-induced peripheral neuropathy (CIPN). SAMPLE & SETTING: Thirteen breast cancer survivors from one hospital in northern Taiwan. Methods and Variables: A single group with repeated measures, and a quasi-experimental design. The intervention program was a four week, home-based extremity exercise program that was comprised of 10 skilled hand exercises and Buerger-Allen exercises. The Total Neuropathy Scale (clinical version), Functional Assessment of Cancer Therapy/Gynecologic Oncology Group, Neurotoxicity (13-Item Version), Identification Pain Questionnaire, and pain Visual Analogue Scale were used to measure CIPN before exercise (T1), during (T2~T4), and after exercise (T5). Qualitative data were also collected at each time point. Data were analyzed by using descriptive statistics, generalized estimating equations, and directed content analysis. RESULTS: None of the participants reported adverse events during the study period. The extremity exercise program significantly improved patient-reported CIPN after intervention at T4 or T5 but was insignificant on clinician-assessed CIPN. The qualitative data of participant experience indicated that this program is feasible and easy to follow. CONCLUSION: The extremity exercise program is feasible but needs to increase the sample size and prolong the intervention period for confirmation.
ABSTRACT
The article describes a nursing experience with a powerlessness patient suffering from acute viral hepatitis exacerbation-induced fulminant hepatic failure. The period of care ran from 13 November 2007 to 17 January 2008. The Gordon 11-item health assessment scale was used to identify nursing process problems. Nursing diagnosis results included excessive fluid volumes, altered thought processes, anxiety, and physical powerlessness. Thus, while monitoring the patient's physical condition, the nurse provided psychological support, teaching and information about the disease during patient hospitalization. The purpose was to promote patient and family abilities to deal with the illness and preparation for self-care after discharge, and, thus, enhance self control through reduced anxiety.
