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Colorectal cancer in Taiwan: A case‐control retrospective analysis of the impact of a case management programme on refusal and discontinuation of treatment
Author(s) -
Chiang TingYu,
Wang ChaoHui,
Lin YuFen,
You JengFu,
Chen JinnShiun,
Chen ShuChing
Publication year - 2018
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.13443
Subject(s) - medicine , discontinuation , colorectal cancer , cancer treatment , disease , population , cancer , treatment and control groups , physical therapy , psychiatry , environmental health
Aims The 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. Background Side effects of anti‐cancer treatments are associated with refusing treatment and discontinuing treatment. Design This case–control study, longitudinal database and secondary analysis of population‐based data was conducted from 2009–2012. Methods Logistic regression was used to reveal the factors related to refusing or discontinuing treatment. Results Of 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. Conclusion Case 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.