AWARENESS OF CHEMOTHERAPY SIDE EFFECTS AND ATTITUDE TOWARDS CHEMOTHERAPY USE AMONG CANCER PATIENTS ATTENDING ONCOLOGY CLINIC AT BUGANDO MEDICAL CENTRE, IN MWANZA, NORTHERN TANZANIA
Background: Chemotherapy is the use of drugs to kill cancer cells. Because cancer cells generally grow and divide faster than normal cells, they are more susceptible to the action of these drugs. However, damage to healthy cells is unavoidable, and this damage accounts for the side effects linked to these drugs.
Methodology: A cross section study was conducted at oncology department in Bugando Medical Centre. A sample of 216 people was recruited into the study. The data was collected by using the pre-constructed questionnaire. After data collection, the data was transferred into SPSS version 20 and analyzed.
Results: The study found that 88 (40.7%) of the respondents were aware of the chemotherapy side effects whereby majority, 68 (77.3%) of these had been informed by the doctor. Most of the respondents, 197 (92.1%) had a positive attitude towards the use of chemotherapy.
Conclusion: There is still poor awareness of the chemotherapy side effects among the cancer patients attending and receiving chemotherapy in oncology department at Bugando Medical Centre. However, most of the respondents had positive attitude towards the use of chemotherapy
Keywords: Awareness, attitude, chemotherapy, side effects and Tanzania.
2. Dictionary of Medical Terms. Fourth edition ed. London: A & C Black Publishers Ltd; 2004.
3. Jemal A, Bray F, Center MM, Ferlay, Ferlay J, Ward E, Forman D, Global cancer statistics. A cancer journal for clinicians february 2011; 61(2):69-90.
4. Colin D Mathers, Dejan Loncar.Projection of Global Mortality and burden of disease from 2002 to 2030.PLoS Med Nov 2006,3(11):e442.
5. Foudation for cancer care in Tanzania. 2002 . Assesed at https://tanzaniacancercare.org
6. Kurt Ullman. Navigating Cancer treatment. Journal of the national cancer institute 106 (2) Feb 2014, https://doi.org/10.1093/jnci/dju031.
7. Julie Thompson, Kathryn Siliman, Dawn E Clifford. Impact of an early education multimedia intervention in managing nutrition-related chemotherapy side effects. springerPlus. 2013; 2:179.
8. Benor DE, Delbar V, Krulik T. Measuring impact of nursing intervention on cancer patients' ability to control symptoms. Cancer nursing. 1998; 21(5):320-34.
9. Weeks JC, Catalano PJ, Cronin A, Finkelman MD, Mack JW, Keating NL, et al. Patients' expectations about effects of chemotherapy for advanced cancer. New England Journal of Medicine. 2012; 367(17):1616-25.
10. Carey MP, Burish TG. Etiology and treatment of the psychological side effects associated with cancer chemotherapy: a critical review and discussion. Psychological bulletin. 1988; 104(3):307.
11. Bugando medical Records, Oncology Unit 2017.
12. Maroun J.A, Blais N, Burkes R, Dranitsaris G, Shah A, Vincent M.D. Prevention and management of chemotherapy-induced diarrhea in patients with colorectal cancer: a consensus statement by the Canadian Working Group on Chemotherapy-Induced Diarrhea. current oncolgy.14.
13. O'Brien BJ RJ, Rocchi A, Latreille J, Fine S, Vandenberg T and Laberge F. Impact of chemotherapy-induced nausea and vomiting on patients' functional status and costs: survey of five Canadian centers. cannada medical association. 1993; I49:296-302.
14. Lindley C.M, Hirsch J.D. Nausea and vomiting and cancer patients' quality of life: a discussion of professor Selby's paper. Br J Cancer 1992; 66:26-9.
15. Batchelor D. Hair and cancer chemotherapy: consequences and nursing care - a literature study. European Journal of Cancer Care. 2001; 10(3):147-63.
16. Margaret A Lyons, Mitchel M Shelton. Psychosocial impact of cancer in low- income rural/urban women: phase II. Online Journal for Rural Nursing Health Care. 2004; 4(2):27.
17. Freedman TG. Social and cultural dimensions of hair loss in women treated for breast cancer. cancer nursing. 1994; 17(4):334-41.
18. Pearce A, Haas M, Viney R, Pearson SA, Haywood P, et al. Incidence and severity of self-reported chemotherapy side effects in routine care: A prospective cohort study. PLOS ONE (2017) 12(10)
19. Moshe Frenkel. Refusing treatment. J oncologist 2013; 18 (5):634-636
20. Dijk E.F.M.M, CoAykunturk M, Zuur A.T, Van der palen J, Van der Graaf W.T.A, Timmer-Bonte J.N.H, Wymenga A.N.M. Willingness to accept chemotherapy and attitudes towards cost of cancer treatment; A multisite survey study in Netherland. The Netherlands journal of medicine 2016.
21. Williams J WC, Cunningham-Warburton P. A narrative study of chemotherapy-induced alopecia. Oncology Nursing forum. 1999; 26(9):1463-8.
22. Maunsell E BC, Dubois L, Lauzier S, Fraser A. Work problems after breast cancer: an exploratory qualitative study. psycho-oncology. 1999; 8(6):467-73.
23. S R. experience of patients with chemotherapy-induced alopecia. Patient education and counseling. 2004; 52(3):333-9.
24. Meyers CA. How chemotherapy damages the central nervous system. Journal of biology( BMC). 2008;7:11.
25. William H. Redd GHM, Katherine N. DuHamel. Behavioral Intervention for Cancer Treatment Side Effects. Journal of the National Cancer Institute. 2001; 93:810-23.
26. Lindley CM HJ, O'Neill CV, Transau MC, Gilbert CS and Osterhaus JT. Quality of life consequences of chemotherapyinduced emesis. Qual Life Res. 1992; I:331-40.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License. that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (SeeÂ The Effect of Open Access).