Colorectal cancer in Taiwan: A case‐control retrospective analysis of the impact of a case management programme on refusal and discontinuation of treatment

Publisher: John Wiley & Sons Inc

E-ISSN: 1365-2648|74|2|395-406

ISSN: 0309-2402

Source: JOURNAL OF ADVANCED NURSING, Vol.74, Iss.2, 2018-02, pp. : 395-406

Disclaimer: Any content in publications that violate the sovereignty, the constitution or regulations of the PRC is not accepted or approved by CNPIEC.

Previous Menu Next

Abstract

Abstract

AimsThe purposes of this study were to identify the impact of a case management programme on the related factors of refusing treatment or discontinuing treatment in Taiwanese colorectal cancer patients.
BackgroundSide effects of anti‐cancer treatments are associated with refusing treatment and discontinuing treatment.
DesignThis case–control study, longitudinal database and secondary analysis of population‐based data was conducted from 2009–2012.
MethodsLogistic regression was used to reveal the factors related to refusing or discontinuing treatment.
ResultsOf the 68 patients who refused treatment, the top reasons for refusing treatment were patients or their family considered the patients poor physical condition, difficulty in enduring any condition likely to cause physical discomfort from the disease treatment, selected complementary and alternative medicine, patients or their families or friends experienced negative treatment effects and worried about the side effects of treatment, older age, poor family support and lost contact. Of the 278 patients who discontinued treatment, the most common reasons for discontinuing treatment were patients or their families or friends experienced negative treatment effects and worried about the side effects of treatment, inconvenient transportation, patients or their family considered the patients poor physical condition, difficulty in enduring any condition likely to cause physical discomfort from the disease treatment, poor treatment effect and selected complementary and alternative medicine.
ConclusionCase managers can provide positive communication and available resources in relation to cancer treatment. A case management programme can help patients cope with the difficulties encountered during the treatment period.

Related content