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KMID : 1004620140200010075
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Clinical Nursing Research
2014 Volume.20 No. 1 p.75 ~ p.89
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Study on Cancer Patients Who Visited an Emergency Department with the Side Effects of Chemotherapy
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Lim Soo-Jung
Yi Myung-Sun
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Abstract
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Purpose: This study was done to identify conditions of cancer patients who visited an emergency department
(ED) with the side effects of chemotherapy.
Methods: Data were collected retrospectively from medical records of 294 cancer patients who visited a tertiary hospital in 2009 for treatment of side effects of chemotherapy. Records were reviewed for characteristics of participants and side effects of chemotherapy. Data were analyzed using SPSS software.
Results: ED Triage grade 3 was 81.6%. The hospitalization ratio was 72.8%, and 6.5% died during the admission. Most frequent side effects were thrombocytopenia (80.6%), anemia (74.5%), pain (52.0%), neutropenia (50.7%), and leucopenia (46.3%). The hospitalization group showed more severe leucopenia than the discharge group (p=.020). Patients in the group who died had higher scores for dyspnea compared to patients discharged or hospitalized (p<.05).
Conclusion: Results of the study suggest that there is a special need to develop a system to manage side effects of chemotherapy. Also it is necessary to provide appropriate care and treatment with prompt initial evaluation when cancer patients with side effects of chemotherapy present in the ED. More effective educational discharge programs should also be developed to help these patients cope with various side effects of chemotherapy.
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KEYWORD
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Neoplasms, Antineoplastic Agents, Adverse effects, Emergency nursing
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