Telephone follow-up as a nursing intervention for patients receiving outpatient chemotherapy: integrative review

Moretto, Isadora Górski; Contim, Carolina Lélis Venâncio; Santo, Fátima Helena do Espírito

Acessibilidade / Reportar erro

Brasil

Revista Gaúcha de Enfermagem

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

Integrative Review • Rev. Gaúcha Enferm. 40 • 2019 • https://doi.org/10.1590/1983-1447.2019.20190039 copy

Telephone follow-up as a nursing intervention for patients receiving outpatient chemotherapy: integrative review

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

OBJECTIVE

To identify the scientific production about telephone follow-up by nurses to oncological patients undergoing chemotherapy in an outpatient clinic.

METHOD

Integrative review of articles available in the LILACS and BDENF/BVS, MEDLINE/PubMed, CINAHL and Scopus databases, using the following descriptors: "Drug Therapy", "Antineoplastic protocols", "Antineoplastic agents", "Telemedicine", "Telenursing", "Telephone" and variations in the CINAHL and Scopus bases, published in the last 5 years.

RESULTS

In this review, 19 studies were identified and grouped in the following topics: Management and control of symptoms; Health-related quality of life assessment; Self-efficacy; Emotional support, Caregiver stress, and Patient satisfaction.

CONCLUSIONS

Strategies and methods of follow-up of patients in outpatient chemotherapy are feasible and effective, being widely used, mainly in the United States and Asia. Nurses should identify compatible and patient-centered methods according to their institutional profile.

Keywords:
Antineoplastic protocols; Telemedicine; Telephone; Oncology nursing

Databases	Search Strategy
LILACS and BDENF/BVS	(("Drug therapy" OR "Tratamento farmacológico" OR "Antineoplastic protocols" OR "Protocolos antineoplásicos" OR "Antineoplastic agents" OR "Agentes antineoplásicos")) AND ((Telemedicine OR Telemedicina OR Telephone OR Telefone OR Telenursing OR Telenfermagem))
MEDLINE/PubMed	(("Drug Therapy"[Mesh]) OR ("Antineoplastic Protocols"[Mesh]) OR ("Antineoplastic Agents"[Mesh])) AND (("Telemedicine"[Mesh]) OR ("Telenursing"[Mesh]) OR ("Telephone"[Mesh]))
CINAHL	((MH "Drug Therapy") OR (MH "Chemotherapy, Cancer") OR (MH "Antineoplastic Agents") AND ((MH "Telemedicine") OR (MH "Telehealth") OR (MH "Telenursing") OR (MH "Telephone") OR (MH "Telephone Consultation (Iowa NIC)”))
SCOPUS	TITLE-ABS-KEY("Drug therapy" OR "Antineoplastic agents" OR "Cancer chemotherapy") AND TITLE-ABS-KEY(“Telehealth” OR “Telemedicine” OR “Telenursing” OR “Telephone")

Study	Objectives	Telephone follow-up intervention	Main results
E1²⁰20. Ferreira EB, Cruz FOAM, Jesus CAC, Pinho DLM, Kamada I, Reis PED. Contato telefônico como estratégia para a promoção de conforto ao paciente submetido à quimioterapia. Rev Enferm UFPE online. 2017 [citado 2018 jul 30];11(5):1936-42. Disponível em: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/download/23343/18950. https://periodicos.ufpe.br/revistas/revi... Ferreira et al. (2017) Brazil	Monitor the adverse effects of antineoplastic chemotherapy and describe the telephone follow-up as a comfort promotion strategy.	Weekly, lasting 7 weeks.	Facilitated the discussion of strategies of health education, coping and management of adverse effects with the purpose of promoting comfort to the patient, through relief, peace or even transcendence during a telephone follow-up intervention.
E2²¹21. Cruz FOAM, Ferreira EB, Reis PED. Consulta de enfermagem via telefone: relatos dos pacientes submetidos à quimioterapia antineoplásica. R Enferm Cent O Min. 2014 [citado 2018 jul 30];4(2):1090-9. Disponível em: http://www.seer.ufsj.edu.br/index.php/recom/article/view/639. http://www.seer.ufsj.edu.br/index.php/re... Cruz, Ferreira, Reis (2014) Brazil	Gain insight on the patients’ views about the weekly telephone follow-up provided by the nursing team.	At the end of the seventh week of telephone follow-up for satisfaction assessment	All the respondents said they were satisfied with the telephone follow-up intervention, particularly because of the direct contact with nursing professionals, the building of confidence and improved control of the treatment.
E3²²22. Nejad ZK, Aghdam AM, Hassankhani H, Sanaat Z. The effects of a patient-caregiver education and follow-up program on the breast cancer caregiver strain index. Iran Red Crescent Med J. 2016; 18(3):e21627. doi: https://doi.org/10.5812/ircmj.21627. https://doi.org/10.5812/ircmj.21627... Nejad et al. (2016) Iran	To determine and compare the levels of stress of informal caregivers of breast cancer patients.	Start after 48 hours of face-to-face education with weekly follow-up, for a total of 4 weeks.	The levels of stress of caregivers decreased significantly in the intervention group after patient-caregiver's education, while in the control group there was no change.
E4²³23. Hinstistan S, Nural N, Cilingir D, Gursoy A. Therapeutic effects of nurse telephone follow-up for lung cancer patients in Turkey. Cancer Nurs. 2017;40(6):508-16. doi: https://doi.org/10.1097/NCC.0000000000000461. https://doi.org/10.1097/NCC.000000000000... Hinstistan et al. (2017) Turkey	To determine the therapeutic effects of telephone follow-up by the nurse to patients with lung cancer.	One phone call during the week after each chemotherapy session - 6 phone contacts were made.	It had impact on the reduction of the side effects of chemotherapy compared to the control group. There was an improvement in the social function regarding quality of life compared to the control group.
E5³3. Mooney KH, Beck SL, Friedman RH, Farzanfar R, Wong B. Automated monitoring of symptoms during ambulatory chemotherapy and oncology providers' use of the information: a randomized controlled clinical trial. Support Care Cancer. 2014;22(9):2343-50. doi: https://doi.org/10.1007/s00520-014-2216-1. https://doi.org/10.1007/s00520-014-2216-... Mooney et al. (2014) USA	Evaluate the effectiveness of an automated telephone monitoring system.	Use of an automated system. Beginning 24 hours after the second chemotherapy session, with an average of 45 days per participant.	Despite the use of a daily symptom monitoring system by patients and the fact that they were informed on unmitigated symptoms of moderate to severe intensity, oncology physicians and nurses did not contact the patients to improve symptom management, nor did the symptoms improved. Patients reported great satisfaction and said the automated system was easy to use.
E6²⁴24. Mooney KH, Beck SL, Wong B, Dunson W, Wujcik D, Whisenant M, et al. Automated home monitoring and management of patient-reported symptoms during chemotherapy: results of the symptom care at home RCT. Cancer Med. 2017;6(3):537-46. doi: https://doi.org/10.1002/cam4.1002. https://doi.org/10.1002/cam4.1002... Mooney et al. (2017) USA	Test the effectiveness of an automated symptom management system to determine if there is a reduction in chemotherapy-related symptoms.	Use of the Symptom Care at Home (SCH) automated system daily until completion of the chemotherapy course or for 6 months.	All individual symptoms, except for diarrhea, were significantly less severe in the participants in the intervention group. These results demonstrate that the symptoms can be mitigated through automated home monitoring and follow-up to improve the management of poorly controlled symptoms.
E7²⁵25. Underhill ML, Chicko L, Berry DL. A nurse-led evidence-based practice project to monitor and improve the management of chemotherapy-induced nausea and vomiting. Clin J Oncol Nurs. 2015;19(1):38-40. doi: https://doi.org/10.1188/15.CJON.38-40. https://doi.org/10.1188/15.CJON.38-40... Underhill, Chicko, Berry (2015) USA	Evaluate the implementation process of a structured assessment led by nurses (nurse-led) and a follow-up intervention by telephone.	After 24 and 72 hours (plus or minus 24-48 hours, depending on the day of the week) post-chemotherapy treatment.	The frequencies of reports of Chemotherapy-induced Nausea and Vomiting (CINV) decreased from 24 to 72 hours after treatment. Most participants had nausea, particularly during the first 24 hours. In about half of the participants, the physicians changed the standard antiemetic regimen based on information from the check list of risk factors in the pre-assessment performed by nurses.
E8²⁶26. Sajjad S, Ali A, Gul RB, Mateen A, Rozi S. The effect of individualized patient education, along with emotional support, on the quality of life of breast cancer patients - a pilot study. Eur J Oncol Nurs. 2016;21:75-82. doi: https://doi.org/10.1016/j.ejon.2016.01.006. https://doi.org/10.1016/j.ejon.2016.01.0... Sajjad et al. (2016) Pakistan	To determine the effect of individualized education of patients on the emotional support to the quality of life (QoL) of patients with breast cancer under chemotherapeutic treatment.	Telephone follow up for at least twice a week during the 6 weeks of treatment.	The tests revealed a significant improvement in overall quality of life, breast cancer subscale scores, physical and emotional well-being of the intervention group compared to the control group. The intervention was effective in improving the patients' quality of life.
E9⁴4. Kondo S, Shiba S, Udagawa R, Ryushima Y, Yano M, Uehara T, et al. Assessment of adverse events via a telephone consultation service for cancer patients receiving ambulatory chemotherapy. BMC Res Notes. 2015;8:315. doi: https://doi.org/10.1186/s13104-015-1292-8. https://doi.org/10.1186/s13104-015-1292-... Kondo et al. (2015) Japan	To investigate the use of the telephone consultation service available to patients and their caregivers for counseling and control of Adverse Events (AEs) and complications arising from cancer treatment.	344 telephone consultations of patients receiving outpatient chemotherapy between August 2011 and August 2012.	The use of a telephone service can prevent symptoms from becoming unmanageable and avoids unnecessary and expensive visits to the hospital. In addition, this telephone service can be used to monitor adverse events, evaluate the effectiveness of the treatment, and increase overall patient satisfaction.
E10²⁷27. Zhang M, Chan SWai-chi, You L, Wen Y, Peng L, Liu W, et al. The effectiveness of a self-efficacy-enhancing intervention for chinese patients with colorectal cancer: a randomized controlled trial with 6-month follow up. Int J Nurs Stud. 2014;51(8):1083-92. doi: https://doi.org/10.1016/j.ijnurstu.2013.12.005. https://doi.org/10.1016/j.ijnurstu.2013.... Zhang et al. (2014) China	To test the effects of an intervention by telephone follow-up by the nurse to improve self-efficacy in patients with colorectal cancer.	Telephone follow-up of 4 monthly health-coaching sessions (20-40 min each session) during 6 months.	Patients in the intervention group had a reduction in the severity of symptoms, a significant improvement in their self-efficacy, anxiety and depression at three and six months, compared to the control group. No statistically significant major effect was observed in the perception of quality of life between the two groups.
E11²⁸28. Ream E, Gargaro G, Barsevick A, Richardson A. Management of cancer-related fatigue during chemotherapy through telephone motivational interviewing: modeling and randomized exploratory trial. Patient Educ Couns. 2015;98(2):199-206. doi: https://doi.org/10.1016/j.pec.2014.10.012. https://doi.org/10.1016/j.pec.2014.10.01... Ream et al (2015) United Kingdom	Adaptation and evaluation of Beating Fatigue - a telephone-administered psychological intervention.	3 calls from the third cycle of chemotherapy.	In all outcome variables measured, except for one (depression), the intervention group showed improvement over time compared to the control group. It reduced the intensity and suffering associated with fatigue. Reduced anxiety and improved self-efficacy in fatigue control.
E12²⁹29. Traeger L, Mcdonell TM, McCarty CE, Greer JA, El-Jawahri A, Temel JS. Nursing intervention to enhance outpatient chemotherapy symptom management: Patient-reported outcomes of a randomized controlled trial. Cancer. 2015;121(21):3905-13. doi: https://doi.org/10.1002/cncr.29585. https://doi.org/10.1002/cncr.29585... Traeger et al. (2015) USA	Evaluate whether the standard care allied to the intervention led to a lower burden of symptoms reported by the patient, greater satisfaction with care, and a lower probability of depression and anxiety symptoms compared to standard care.	2 calls during the first week after the first 2 cycles of chemotherapy.	Fatigue was the most reported symptom. The proactive intervention provided by the patient's oncology team provided security, but did not statistically improve the burden of symptoms, satisfaction with the care or likelihood of anxiety and depression symptoms during the first two cycles of chemotherapy.
E13³⁰30. Vaz DC, Silva CRL, Silva RCL. Acompanhamento presencial e telefônico dos sintomas de mulheres com câncer de mama submetidas à quimioterapia. Rev Enferm UERJ. 2016;24(5):e15577. doi: https://doi.org/10.12957/reuerj.2016.15577. https://doi.org/10.12957/reuerj.2016.155... Vaz, Silva, Silva (2016) Brazil	To identify the most prevalent symptoms during chemotherapy treatment in women with breast cancer.	Weekly, after chemotherapy session for 8 cycles of chemotherapy	It proved to be an effective means to monitor patients’ needs throughout the chemotherapy treatment and brought health professionals and patients closer. Moreover, it was an important instrument in the identification and evaluation of the adverse effects of treatment and, where possible, its control.
E14²2. Lai XB, Wong FKY, Leung CWY, Lee LH, Wong JSY, Lo YF, et al. Development and assessment of the feasibility of a nurse-led care program for cancer patients in a chemotherapy day center: results of the pilot study. Cancer Nurs. 2015; 38(5):E1-12. doi: https://doi.org/10.1097/NCC.0000000000000192 . https://doi.org/10.1097/NCC.000000000000... Lai et al. (2015) China	To assess the effect of this nurse-led specialist care program on cancer patients receiving treatment at a day care center.	One phone call during the week after the first two cycles of chemotherapy.	After two cycles, the most common symptoms were alopecia, fatigue, change in appetite and weight change. For the reported pre- and post-test symptoms, incidence and pain levels did not differ significantly. Small changes were observed, but not significant in relation to quality of life and self-efficacy. All 5 subjects were very pleased with the service.
E15¹1. Breen S, Kofoed S, Ritchie D, Dryden T, Maguire R, Kearney N, et al. Remote real-time monitoring for chemotherapy side-effects impatients with blood cancers. Collegian. 2017;24(6):541-9. doi: https://doi.org/10.1016/j.colegn.2016.10.009. https://doi.org/10.1016/j.colegn.2016.10... Breen et al (2017) Australia	To evaluate the acceptability, usability and feasibility of the ASyMS-H Application (The Advanced Symptom Management System-Haematology	Use of the ASyMS-H application during a chemotherapy cycle 2 times a day or when needed. Alerts were sent via SMS to the nursing staff when symptoms were poorly controlled.	Perceived benefits: reaffirmation; empowerment; increased health awareness / adherence to self-care; promotion of timely clinical intervention and better recall of side effects and communication with professionals/family/friends. The system was more beneficial for those experiencing more numerous side effects.
E16³¹31. Boardman A, Wilkinson J, Board R. Patient satisfaction with telephone follow up after treatment. Cancer Nurs Practice. 2015;14(9):27-33. doi: https://doi.org/10.7748/cnp.14.9.27.s20. https://doi.org/10.7748/cnp.14.9.27.s20... Boardman, Wilkinson, Board (2015) United Kingdom	Evaluate the usefulness of follow-up calls made from the nurse's helpline and complete a patient satisfaction survey.	The telephone satisfaction survey was conducted with patients eligible to collect information about their proactive call experience.	The audit has shown that proactive phone calls after chemotherapy were associated with high levels of patient satisfaction Proactive telephone follow-up is considered an effective and acceptable method that improves the quality of care.
E17³²32. Yount SE, Rothrock N, Bass M, Beaumont JL, Pach D, Lad T, et al. A randomized trial of weekly symptom telemonitoring in advanced lung cancer. J Pain Symptom Manage. 2014;47(6):973-89. doi: https://doi.org/10.1016/j.jpainsymman.2013.07.013. https://doi.org/10.1016/j.jpainsymman.20... Yount et al. (2014) USA	To assess the effectiveness of technology-based symptom monitoring and reporting in reducing the burden of symptoms in patients with advanced lung cancer	Use of telephone-based interactive voice response (IVR) technology. Weekly follow-up for 12 weeks.	It failed to demonstrate the effectiveness of symptom monitoring and reporting on the mitigation of symptoms compared to symptom monitoring alone in patients with advanced lung cancer. Health-related quality of life (HRQL) decreased by 12 weeks in both groups. Satisfaction was high in both groups, but at week 12, satisfaction with treatment was higher in the control group than in patients in the intervention group. There were no differences over time or between groups in self-efficacy or perceived barriers.
E18⁸8. Hoverman JR, Klein I, Harrison DW, Hayes JE, Garey JS, Harrel R, et al. Opening the black box: the impact of an oncology management program consisting of level I pathways and an outbound nurse call system. J Oncol Pract.2014; 10(1):63-7. doi: https://doi.org/10.1200/JOP.2013.001210. https://doi.org/10.1200/JOP.2013.001210... Hoverman et al. (2014) USA	To assess the impact of the Innovent Oncology Program - Level I Pathway and Patient Support Services (PSS) and to measure the rate and costs associated with emergency room visits related to chemotherapy and hospital admissions	One phone call before the beginning of chemotherapy and throughout the treatment according to the chemotherapy protocol, patient comorbidities and risk of adverse effects.	Of the 221 patients in the Innovent Program, 81% enrolled in the PSS, with 1,118 calls made. Of these, 26% (n = 64) responded to the satisfaction survey related to PSS and 83% of them reported being satisfied with the telephone call interventions. The Innovent Oncology Program (Level I Pathway and PSS) contributed to reduce the number of visits to the ER and hospital admissions, shorter hospital stay, lower overall costs, and a greater probability of evidence-based treatment to the patients.
E19³³33. Kolb NA, Smith G, Singleton R, Beck SL, Stoddard GJ, Brown S, et al. The association of chemotherapy-induced peripheral neuropathy symptoms and the risk of falling. JAMA Neurol. 2016;73(7):860-6. doi: https://doi.org/10.1001/jamaneurol.2016.0383. https://doi.org/10.1001/jamaneurol.2016.... Kolb et al. (2016) USA	To determine the association between the symptoms of peripheral neuropathy induced by chemotherapy (NPIQ) and the risk of falls in patients receiving neurotoxic chemotherapy.	Automated telephone system (SymptomCare @ Home). First day of the first cycle and then daily by a chemotherapy protocol.	It has been shown that patients with persistent numbness and tingling are at a substantially higher risk of falling, or near fall, than those without these symptoms. This study demonstrates the usefulness of a new telephone-based system to track the symptoms of neuropathy. The results provide information on fall risk factors, mechanisms and possible mitigation strategies

Universidade Federal do Rio Grande do Sul. Escola de Enfermagem Rua São Manoel, 963 -Campus da Saúde , 90.620-110 - Porto Alegre - RS - Brasil, Fone: (55 51) 3308-5242 / Fax: (55 51) 3308-5436 - Porto Alegre - RS - Brazil
E-mail: revista@enf.ufrgs.br

Acompanhe os números deste periódico no seu leitor de RSS

[TFN3] ^Source:
Research data, 2018.