The Importance of Web Based Education in Symptom Management Patients with Hematological Malignancy: Literature Review

Yıl 2024, Cilt: 5 Sayı: 1, 212 - 223, 30.04.2024

Merve Gözde Sezgin , Hicran Bektaş

https://doi.org/10.58605/bingolsaglik.1418640

Öz

Web-based education methods are used for the patients and their relatives in detecting, preventing and controlling the symptoms in the early period of patients with hematological malignancies, and for the patients to spend this period in the most comfortable and smooth way. It is very important for patients to gain symptom self-management through web-based education.
The purpose of this review is to examine the importance of web-based education in symptom management in patients with hematological malignancy.
The screening was made without any year limitation on the subject and eight studies were reached.
In studies in which attempts are examined; In web-based educational applications, there are positive suggestions for patients to manage their symptoms, to coordinate comprehensive treatment programs and medication plans. These initiatives allow patients to test alternative solutions, review data and find reference best practices during problem solving. In addition, it encourages patients to learn continuously and ensure that they receive comprehensive care. It is reported that web-based education contributes positively to patients' updating their knowledge. For this reason, as healthcare professionals, nurses are recommended to control the symptoms of patients diagnosed with hematological malignancy through web-based education during the COVID-19 pandemic process, and strengthen symptom self-management by informing patients and increasing their awareness.

Anahtar Kelimeler

Nursing, Web-based education, Hematological malignancy, Symptom management

Hematolojik Malignensi Tanılı Hastalarda Web Tabanlı Eğitimin Semptom Yönetimindeki Önemi: Literatür Derlemesi

Öz

Hematolojik malignensi tanılı hastaların semptomlarının erken dönemde saptanması, önlenmesi ve kontrol altına alınmasında, hastaların bu dönemi en rahat biçimde ve sorunsuz olarak geçirmelerinde, hasta ve hasta yakınları için web tabanlı eğitim yöntemleri kullanılmaktadır. Hastaların web tabanlı eğitimler yoluyla semptom öz yönetimi kazanabilmeleri oldukça önemlidir.
Bu derlemenin amacı, hematolojik malignensi tanılı hastalarda web tabanlı eğitimin semptom yönetimindeki önemini incelemektir.
Konu ile ilgili yıl sınırlaması yapılmaksızın tarama yapılmış ve sekiz çalışmaya ulaşılmıştır.
Girişimlerin incelendiği çalışmalarda; web tabanlı eğitim uygulamalarında, hastaların semptomlarını yönetmelerine, kapsamlı tedavi programlarına ve ilaç planlarını koordine etmelerine yönelik olumlu öneriler mevcuttur. Bu girişimler hastaların problem çözme işlemi sırasında alternatif çözümleri test etmesine, verileri yeniden gözden geçirmesine ve referans olabilecek en iyi uygulamalara ulaşabilmelerine olanak sağlamaktadır. Ayrıca hastaları sürekli öğrenmeye teşvik etmekte ve kapsamlı bakım hizmeti alabilmelerini sağlamaktadır. Web tabanlı eğitimlerin hastaların bilgilerini güncellemelerine olumlu katkılar sağladığı bildirilmektedir. Bu nedenle sağlık profesyonelleri olarak hemşirelerin, COVID-19 pandemi sürecinde web tabanlı eğitimler yoluyla hematolojik malignensi tanılı hastaların semptomlarını kontrol etmeleri, hastaları bilgilendirerek ve farkındalıklarını artırarak semptom öz yönetimini güçlendirmeleri önerilmektedir.

Anahtar Kelimeler

Web tabanlı eğitim, Hematolojik malignensi, Semptom yönetimi, Hemşirelik

Kaynakça

• Hintistan S, Çilingir D, Nural N, Akkaş Gürsoy A. Hematolojik kanserli hastaların kemoterapiye bağlı yaşadıkları semptomlara yönelik uygulamaları. GÜSBD. 2012;1(3):153-164.
• Tseng YD, Ng AK. Hematologic malignancies. Hematol Oncol Clin North Am. 2020;34(1):127-142. doi: 10.1016/j.hoc.2019.08.020.
• Arts LPJ, van de Poll-Franse LV, van den Berg SW, Prins JB, Husson O, Mols F, et al. Lymphoma InterVEntion (LIVE) - patient-reported outcome feedback and a web-based self-management intervention for patients with lymphoma: study protocol for a randomised controlled trial. Trials. 2017;28:18(1):199. doi: 10.1186/s13063-017-1943-2.
• Vallerand JR, Rhodes RE, Walker GJ, Courneya KS. Social cognitive effects and mediators of a pilot telephone counseling intervention to increase aerobic exercise in hematologic cancer survivors. J Phys Act Health. 2019;16(1):43-51. doi: 10.1123/jpah.2018-0014. Global Cancer Observatory (GLOBACAN), form https://gco.iarc.fr/today/online-analysis-table?v=2018&mode=cancer&mode_population=continents&population=900&populations=900&key=asr&sex=0&cancer=39&type=0&statistic=5&prevalence=0&population_group=0&ages_group%5B%5D=0&ages_group%5B%5D=17&group_cancer=1&include_nmsc=1&include_nmsc_other=1 (Erişim Tarihi: 14.09.2023)
• Türkiye Sağlık İstatistik Yıllığı Morbitide, from https://dosyasb.saglik.gov.tr/Eklenti/36134,siy2018trpdf.pdf?0 2018;43-44. (Erişim Tarihi: 14.09.2023)
• Bryant J, Sanson-Fisher R, Stevenson W, Smits R, Henskens F, Wei A, et al. Protocol of a multi-centre randomised controlled trial of a web-based information intervention with nurse-delivered telephone support for haematological cancer patients and their support persons. BMC Cancer. 2015;17(15):295. doi: 10.1186/s12885-015-1314-x.
• Kearney N, McCann L, Norrie J, Taylor L, Gray P, McGee-Lennon M, et al. Evaluation of a mobile phone-based, advanced symptom management system (ASyMS) in the management of chemotherapy-related toxicity. Support Care Cancer. 2009;17(4):437-44. doi: 10.1007/s00520-008-0515-0.
• Berry DL, Blonquist TM, Patel RA, Halpenny B, McReynolds J. Exposure to a patient-centered, web-based intervention for managing cancer symptom and quality of life issues: Impact on symptom distress. J Med Internet Res. 2015;17(6):e136. doi: 10.2196/jmir.4190.
• Binder AF, Handley NR, Wilde L, Palmisiano N, Lopez AM. Treating hematologic malignancies during a pandemic: utilizing telehealth and digital technology to optimize care. Front Oncol. 2020;26;10:1183. doi: 10.3389/fonc.2020.01183.
• Breen S, Ritchie D, Schofield P, Hsueh YS, Gough K, Santamaria N, et al. The Patient Remote Intervention and Symptom Management System (PRISMS) - a telehealth- mediated intervention enabling real-time monitoring of chemotherapy side-effects in patients with haematological malignancies: Study protocol for a randomised controlled trial. Trials. 2015;19;16:472. doi: 10.1186/s13063-015-0970-0.
• Moradian S, Voelker N, Brown C, Liu G, Howell D. Effectiveness of internet-based interventions in managing chemotherapy-related symptoms in patients with cancer: A systematic literature review. Support Care Cancer. 2018;26(2):361-374. doi: 10.1007/s00520-017-3900-8.
• Arts LPJ, Oerlemans S, Posthuma EFM, Issa DE, Oosterveld M, van der Griend R, et al. Web-based self-management for patients with lymphoma: Assessment of the reach of intervention of a randomized controlled trial. J Med Internet Res. 2020;14;22(5):e17018. doi: 10.2196/17018.
• Corbett T, Walsh JC, Groarke A, Moss-Morris R, Morrissey E, McGuire BE. Cancer-related fatigue in post-treatment cancer survivors: Theory-based development of a web-based intervention. JMIR Cancer. 2017;4;3(2):e8. doi: 10.2196/cancer.6987.
• Bölüktaş, R.P, Özer, Z, Yıldırım, D, Web tabanlı eğitimin sağlık alanında kullanılabilirliği. Uluslararası Yönetim ve Sosyal Araştırmalar Dergisi. 2019;6(11): 198-207.
• Børøsund E, Cvancarova M, Moore SM, Ekstedt M, Ruland CM. Comparing effects in regular practice of e-communication and web-based self-management support among breast cancer patients: Preliminary results from a randomized controlled trial. J Med Internet Res. 2014;18;16(12):e295. doi: 10.2196/jmir.3348.
• Beck SL, Eaton LH, Echeverria C, Mooney KH. SymptomCare@Home: Developing an integrated symptom monitoring and management system for outpatients receiving chemotherapy. Comput Inform Nurs. 2017;35(10):520-529. doi: 10.1097/CIN.0000000000000364.
• Denis F, Lethrosne C, Pourel N, Molinier O, Pointreau Y, Domont J, et al. Randomized trial comparing a web-mediated follow-up with routine surveillance in lung cancer patients. J Natl Cancer Inst. 2017;1;109(9). doi: 10.1093/jnci/djx029.
• Erdoğan, Z, Bulut, H, Bilgisayar destekli hasta eğitimi. Gazi Üniversitesi Sağlık Bilimleri Dergisi. 2017; 2(3):13-18.
• Kanera IM, Bolman CA, Willems RA, Mesters I, Lechner L. Lifestyle-related effects of the web-based Kanker Nazorg Wijzer (Cancer Aftercare Guide) intervention for cancer survivors: A randomized controlled trial. J Cancer Surviv. 2016;10(5):883-97. doi: 10.1007/s11764-016-0535-6.
• Prince RM, Soung Yee A, Parente L, Enright KA, Grunfeld E, Powis M, et al. User-centered design of a web-based tool to support management of chemotherapy-related toxicities in cancer patients. J Med Internet Res. 2019;28;21(3):e9958. doi: 10.2196/jmir.9958.
• Kuijpers W, Groen WG, Aaronson NK, van Harten WH. A systematic review of web-based interventions for patient empowerment and physical activity in chronic diseases: Relevance for cancer survivors. J Med Internet Res. 2013;20;15(2):e37. doi: 10.2196/jmir.2281.
• Foster C, Calman L, Grimmett C, Breckons M, Cotterell P, Yardley L, et al. Managing fatigue after cancer treatment: Development of RESTORE, a web-based resource to support self-management. Psychooncology. 2015;24(8):940-9. doi: 10.1002/pon.3747.
• Maguire R, Fox PA, McCann L, Miaskowski C, Kotronoulas G, Miller M, et al. The eSMART study protocol: A randomised controlled trial to evaluate electronic symptom management using the advanced symptom management system (ASyMS) remote technology for patients with cancer. BMJ Open. 2017;6;7(5):e015016. doi: 10.1136/bmjopen-2016-015016.
• Grimsbø GH, Finset A, Ruland CM. Left hanging in the air: Experiences of living with cancer as expressed through E-mail communications with oncology nurses. Cancer Nurs. 2011;34(2):107-16. doi: 10.1097/NCC.0b013e3181eff008.
• Paul CL, Carey ML, Hall AE, Lynagh MC, Sanson-Fisher RW, Henskens FA. Improving access to information and support for patients with less common cancers: Hematologic cancer patients' views about web-based approaches. J Med Internet Res. 2011;21;13(4):e112. doi: 10.2196/jmir.1894.
• Stevenson W, Bryant J, Watson R, Sanson-Fisher R, Oldmeadow C, Henskens F, et al. A multi-center randomized controlled trial to reduce unmet needs, depression, and anxiety among hematological cancer patients and their support persons. J Psychosoc Oncol. 2020;38(3):272-292. doi: 10.1080/07347332.2019.1692991.
• Calman L, Radcliffe E, Berman R, Demain S, Restorick-Banks S, Richardson A, et al. The ENABLE study protocol: Understanding and characterising the value and role of self-management support for people living with cancer that is treatable but not curable. Eur J Cancer Care (Engl). 2020;29(2):e13217. doi: 10.1111/ecc.13217.
• Kanera IM, Willems RA, Bolman CA, Mesters I, Verboon P, Lechner L. Long-term effects of a web-based cancer aftercare intervention on moderate physical activity and vegetable consumption among early cancer survivors: a randomized controlled trial. Int J Behav Nutr Phys Act. 2017;10;14(1):19. doi: 10.1186/s12966-017-0474-2.
• Cooley ME, Abrahm JL, Berry DL, Rabin MS, Braun IM, Paladino J, et al. Algorithm-based decision support for symptom self-management among adults with Cancer: results of usability testing. BMC Med Inform Decis Mak. 2018;29;18(1):31. doi: 10.1186/s12911-018-0608-8.
• Högberg K, Sandman L, Nyström M, Stockelberg D, Broström A. Prerequisites required for the provision and use of web-based communication for psychosocial support in haematologic care. Eur J Oncol Nurs. 2013;17(5):596-602. doi: 10.1016/j.ejon.2013.01.005.
• Wolpin SE, Halpenny B, Whitman G, McReynolds J, Stewart M, Lober WB, et al. Development and usability testing of a web-based cancer symptom and quality-of-life support intervention. Health Informatics J. 2015;21(1):10-23. doi: 10.1177/1460458213495744.
• Xu A, Wang Y, Wu X. Effectiveness of e-health based self-management to improve cancer-related fatigue, self-efficacy and quality of life in cancer patients: Systematic review and meta-analysis. J Adv Nurs. 2019;75(12):3434-3447. doi: 10.1111/jan.14197.
• Graetz I, McKillop CN, Stepanski E, Vidal GA, Anderson JN, Schwartzberg LS. Use of a web-based app to improve breast cancer symptom management and adherence for aromatase inhibitors: a randomized controlled feasibility trial. J Cancer Surviv. 2018;12(4):431-440. doi: 10.1007/s11764-018-0682-z.
• Köhle N, Drossaert CHC, Jaran J, Schreurs KMG, Verdonck-de Leeuw IM, Bohlmeijer ET. User-experiences with a web-based self-help intervention for partners of cancer patients based on acceptance and commitment therapy and self-compassion: A qualitative study. BMC Public Health. 2017;28;17(1):225. doi: 10.1186/s12889-017-4121-2.