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Comparison between ambulatory infusion mode and inpatient infusion mode from the perspective of quality of life among colorectal cancer patients receiving chemotherapy
Authors:Yik M Lee MClNur BN RGN RM  Yuk K Hung BHSc RN  Frankie KF Mo PhD  Wing M Ho MBChB MRCP FHKCP FHKAM
Institution:1. Ward Manager, Department of Clinical Oncology, Prince of Wales Hospital, Hospital Authority, Hong Kong, China;2. Advance Practice Nurse, Department of Clinical Oncology, Prince of Wales Hospital, Hospital Authority, Hong Kong, China;3. Statistician, State Key Laboratory in Oncology in South China, Sir YK Pao Centre for Cancer, Comprehensive Cancer Trial Unit, Department of Clinical Oncology, Hong Kong Cancer Institute, and Li Ka Shing Institute of Health Science, The Chinese University of Hong Kong, Hong Kong, China;4. Associate Consultant, Department of Clinical Oncology, Prince of Wales Hospital, Hospital Authority, Hong Kong, China
Abstract:Lee YM, Hung YK, Mo FKF, Ho WM. International Journal of Nursing Practice 2010; 16 : 508–516
Comparison between ambulatory infusion mode and inpatient infusion mode from the perspective of quality of life among colorectal cancer patients receiving chemotherapy Folfox and Folfiri are active chemotherapy treatments used in advanced colorectal cancer. The total admission for these treatments has been significantly increasing in the study hospital. An ambulatory infusion programme was launched to address the problems of long waiting list and bed shortage. The study objective was to compare the quality of life between patients receiving the chemotherapy treatments in the ambulatory infusion group and the inpatient infusion group. The results showed that some demographic variables of education level, family role and employment status were determinants of the treatment mode. Patients in the ambulatory infusion group of social and global domains performed better than the inpatient group. However, the inpatient group had better quality of life of nauseated symptom at different stages. Some nursing educations should be reinforced to address the symptom management for patients receiving ambulatory infusion at home. The ambulatory infusion programme offered considerable quality of life benefits to colorectal cancer patients receiving chemotherapy.
Keywords:ambulatory infusion  chemotherapy  colorectal cancer  oncology  quality of life
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