دانلود رایگان مقاله مشاوره شیمی درمانی و تاثیر روانشناختی در بیماران سرطانی در مالزی

Abstract

Objectives: The aim of this study was to implement and evaluate the outcomes of chemotherapy counselling based on the “Managing Patients on Chemotherapy” module on self-esteem and psychological affect (anxiety, depression) of cancer patients by pharmacists in ten selected government hospitals in Peninsular Malaysia.

Methods: A randomized control trial was conducted among 2120 cancer patients from April 2016 to January 2017 in ten selected government hospitals in Peninsular Malaysia. Cancer patients were randomly assigned to intervention and control groups. The intervention group received chemotherapy counseling by pharmacists based on the “Managing Patients on Chemotherapy” module. The outcomes were assessed at baseline, 1st, 2nd and 3rd follow-ups after counseling. In the course of data analysis; independent sample t-test, chi-square and two-way repeated measures ANOVA were conducted.

Results: Mean scores of self-esteem in the intervention group had significant difference in comparison with those of the control group in the 1st, 2nd and 3rd follow-ups after counselling (P<0.0001). Also, among those with depression and anxiety at baseline, there was reduction in depression and anxiety scores after the 1 st, 2nd and 3rd follow-ups after counseling (p<0.05). Conclusion: Repetitive counselling by pharmacists based on the “Managing Patients on Chemotherapy” module had positive effect on improving self-esteem and psychological affect of cancer patients undergoing chemotherapy in Peninsular Malaysia.

Practice Implications: This module can be used for all Malaysian cancer patients undergoing chemotherapy to improving self-esteem and psychological affect.

4. Discussion and Conclusion

4.1 Discussion

Depression and anxiety are the two most common psychiatric comorbidities among cancer patients and both can effect on functional and overall health of cancer survivors [29, 30]. The management of depression and anxiety not only requires the appropriate medicine but also require vigorous education and counselling for the patients [30]. Counselling is a great mental support and provides professional assistance for patients in coping and management of their current situation [31].

In hospital settings, pharmacists play an important role in collaborating with health care professionals and can contribute to positive outcomes of chemotherapy by educating and counselling cancer patients to motivate them to follow their chemotherapy regimens [32]. This also improves patients’ adherence to their chemotherapy. Our results highlight the important role of pharmacists in reducing anxiety and depression and improving self-esteem among cancer patients undergoing chemotherapy by providing these chemotherapy counselling sessions. Similarly, Periasamy et al. [18] reported that counselling therapy by pharmacists had positive effect on reduction of anxiety and depression and improving selfesteem among cancer patients during their chemotherapy treatment.