CHALLENGES AMONG CANCER PATIENTS THAT MAY INFLUENCE RECOVERY OUTCOMES IN PALLIATIVE CARE UNITS IN NAIROBI AND NYERI COUNTIES
DOI:
https://doi.org/10.47604/gjhs.1275Keywords:
Challenges, cancer patient, Recovery outcomes, palliative care, Nairobi and Nyeri CountiesAbstract
Purpose: This study sought to establish challenges among cancer patients that may influence recovery outcomes in palliative care units in Nairobi and Nyeri Counties.
Methodology: The study adopted a correlation research design. The target population were the cancer patients, attending treatment at the three palliative care units in Nairobi and Nyeri Counties. Systematic random sampling technique was used in the study to obtain a sample of 96 participants. Semi structured questionnaires were used to collect data. Data was analyzed using both descriptive and inferential statistics, namely Pearson Moment Correlation Coefficient(r).
Findings: Result showed that, majority of the respondents indicated participating in the programs available at the palliative care institutions, which included; group psychotherapy (91.7%), spiritual support (91.7%) and programs on coping skills (91.7). Others (22.6%) participated in programs such as performing chorals, knitting and board games. The results also showed that 82.1% and 78.6% of the respondents noted that they experienced challenges of being isolated and lacking finances respectively. 50% of the respondents had a challenge in coping with the condition, while 2.4% experienced challenges in adhering to drugs .These findings were not unusual considering that most of the patients were newly diagnosed with cancer and for some respondent's metastasis had set in.
Unique contribution to theory, practice and policy Patients facing challenges receiving palliative care could adopt group psychotherapy, including cognitive-behavioral, informational, non-behavioral, social support, and using unusual treatments such as music and art therapy to curb cancer. Administrators and medical staff in the palliative care units should create awareness and encourage the attending patients to source for a health insurance cover e.g. National Health Insurance Fund (NHIF) to cater for the cancer disease both outpatient and incase of hospitalization. This will ease the financial burden of cancer on the patient, family and community.
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References
Arber A., Spencer L. (2013). It's all bad news': the first 3 months following a diagnosis of malignant pleural mesothelioma. Psychooncology 22, 1528-1533. 10.1002/pon.3162
Aspinwall, L. G., &Tedeschi, R. G. (2010). The value of positive psychology for health psychology: Progress and pitfalls in examining the relation of positive phenomena to health. Annals of Behavioral Medicine, 39, 4-15.
Aziz, N. M. (2007). Late effects of treatment. In P. A. Ganz (Ed.), Cancer survivorship: Today and tomorrow (pp. 54-76). New York: Springer.
Becker, G., & Newton, E. (2004). Socioeconomic status and dissatisfaction with health care among chronically ill African Americans. American Journal of Public Health, 93, 742-748.
Bethsda, M,(2011).Aim for a healthy weight. National Heart, lung and Blood Institute.
Borgogno F. (2014). Making the best of what has been done to you and of what you yourself have done: commentary on papers by Joan Sarnat and Emanuel Berman. Psychoanal. Dialogues 24, 549-557. 10.1080/10481885.2014.949489
Borgogno F. V., Franzoi I. G., Barbasio C. P., Guglielmucci F., Granieri A. (2015). Massive trauma in a community exposed to asbestos: thinking and dissociation in the population of Casale Monferrato. Br. J. Psychother. 31, 419-432. 10.1111/bjp.12170
Bruera E: ABC of palliative care. Anorexia, cachexia, and nutrition. BMJ 315 (7117): 1219-22, 1997
Canivel, L. D. (2010). Principals' Adversity Quotient: Styles, Performance and Practices. Diliman, Quezon City: University of the Philippines.
Carpenter, K. M. (2006). The stress-buffering effect of social support in gynecologic cancer survivors. Unpublished PhD dissertation Ohio State University
Cohen M, Bazilianskys, Beny A (2014).The association of resiliency and age in individuals with colorectal cancer: An exploratory cross sectional study.journal of Geriatric Oncology,vol 5 (1) 33-39
Cohen, L., Manion, L. & Morrison, K. (2000).Research methods in education. London: Routledge falmer.
De Silva, D. L. (2007). Analysis of resilience scores in a cohort of cancer patients in chemotherapy treatment. Accessed 20th August 2015. Available at: http://www.abstract. oncosco.org/absk65.300130.html
Faul, L. A., Jim, H. S., Williams, C., Loftus, L., & Jacobsen, P. B. (2010).Relationship of stress management skill to psychological distress and quality of life in adults with cancer.Psycho-Oncology, 19, 102-109
Ferlic, M., Goldman, A., & Kennedy, B. J. (1979). Group counseling in adult patients with advanced cancer. Cancer, 43, 760-766
Foster, C., &Fenlon, D. (2011). Recovery and self-management support following primary cancer treatment. British Journal of Cancer14, 361-368
Goodwin, P. J., Leszcz, M., Ennis, M., & Koopmans, J. (2001).The effect of group psychosocial support on survival in metastatic breast cancer.New England Journal of Medicine, 345 (24), 1719-1727.
Henselmans, I., Helgeson, V. S., Seltman, H., de Vries, J., Sanderman, R., &Ranchor, A. V. (2010).Identification and prediction of distress trajectories in the first year after a breast cancer diagnosis.Health Psychology, 29, 160-168
Korstjens, I., May, A. M., Van Weert, E., Mesters, I., & Van den Borne, B. (2006a). Quality of Life after multidisciplinary cancer rehabilitation, combining physical training and psycho-eduction.Psycho-Oncology, 15 (S2), S293.
Lelorain, S., Tessier, P., Florin, A., &Bonnaud-Antignac, A. (2012).Posttraumatic growth in long term breast cancer survivors: Relationto coping, social support and cognitive processing. Journalof Health Psychology, 17, 627-639.
Lepore, S. J., & Coyne, J. C. (2006). Psychological interventions for distress in cancer patients: A review of reviews. Annals of Behavioral Medicine, 32 (2), 85-92
Lesage, P, Portenoy, R.K, (1999). Journal of the Moffitt Cancer Centre 136-146
Mulemi, B. A. (2010). Coping with cancer and adversity: Hospital ethnography in Kenya. PhDdissertation.University of Amsterdam (UvA). Retrieved from http://hdl.handle.net/11245/2.72814
Nadeane,C. (2006). Implementation and evaluation of the modified feeling great program for Oncology children.Perth:University of Western Australia
National Cancer Institute Dictionary of Cancer Terms.(2012). Survivorship. Retrieved from http://www.cancer.gov/dictionary/CdrID=445089 1ST Sept 2015
Wolff, S. N. (2007). The burden of cancer survivorship. In M. Feuerstein (Ed.), Handbook of cancer survivorship (pp. 7-18). New York: Springer
Yeolekar, M. E., & Mehta, S. (2008). ICU care in India-status and challenges. Journal-Association of Physicians of India, 56(R), 221
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