نشریه مراقبت سرطان
سال دوم شماره 1 (پیاپی 5، بهار 1400)

The rise of emerging needs, the emergence of person-centered care, and the departure of care from conventional academic stereotypes, raises the need for evidence-based practice and efficient clinical reasoning in nursing. All this requires fluidity of mind and creativity in patient care. Given the importance of creativity in nursing care and its consequences at the individual and organizational levels, it seems necessary to address it. Twenty-first century nurses face challenges such as different job opportunities, nurse shortages, negative effectiveness, workload concerns, system change, and increasing complexity of clinical practices (1). In these situations, they must be able to respond in a timely, effective, creative and flexible manner (2). Workload pressure, progress towards evidence-based performance, and challenging nature of the environment; It will lead nurses to express creativity (3). Creativity in nursing care is a complex concept that has not been properly addressed. Creativity in the word means to create and is also used as a method of problem solving and decision making (5, 4). But what matters is that it is practiced in clinical nursing settings. Based on the review of texts, compliments and general conclusions, it can be concluded that creative nursing care means applying new thinking in the face of complex clinical interactions and practices and its application in nursing care by choosing new ways of care based on patient conditions and Or optimizing routine intervention methods to create useful, more efficient, safer, and cost-effective practices (6-8, 4). This requires creative vision, creative sensitivity and creative thinking. Factors such as having a supportive clinical environment, having some personality traits such as motivation, love of work, sensitivity to surrounding issues, deep understanding of clinical problems, divergent thinking skills, having sufficient knowledge and experience and being purposeful can affect creativity in the clinic. Be transient (11-9). Studies show that creativity in nursing in the clinic leads to facilitation and simplification of tasks, improving the quality, growth and development of the organization, and reducing the financial burden. It ensures the safety and comfort of the patient, companions and nursing staff and also increases organizational effectiveness, motivation and teamwork. In other words, from an organizational perspective, increasing productivity, reducing costs, providing better and higher quality services are the consequences of creativity in the organization. Increasing satisfaction, self-efficacy, pleasure of discovery, job rewards such as reducing workload and social rewards such as gaining fame and social respect and changing the attitude of officials, university and society towards the nursing community are other benefits of creativity (13-12). All nurses can act as agents in changing processes and policies and using technology for cheaper community care. Creativity in nursing care leads to the development of better, higher quality and more cost-effective health care policies and practices. Therefore, methods of fostering creativity in care in nursing education should be considered.

To provide systematic and public palliative care in Iran, education this care for breast cancer patients can Fear of cancer recurrence and Death Anxiety  of these patients, So the present study was conducted to determine “Effectiveness of Logotherapy on Fear of disease progression, Death Anxiety of cancer in Women with Breast Cancer”.

This is a quasi- experimental study with pre-test and post-test design with control group. The statistical population included all patients with breast cancer who referred to Arad hospital of Tehran and had a medical record. In this study, 30 subjects have been selected by purposive sampling method and after matching, randomly were assigned to two experimental and control groups (15-15). The experimental groups consisted of ten 90-minute sessions with Logotherapy(Frankle, 1986), and a control group in the waiting list for training. Fear of cancer recurrence , Death Anxiety  were used for data collection. Data analysis was analyzed using frequency, percentage, mean and standard deviation and covariance.

 The findings showed that Logotherapy caused a significant difference in Fear of cancer recurrence(p=0.03), Death Anxiety(p=0.00) in patients with Breast Cancer after the intervention .

Logotherapy reduced the fear of recurrence and death anxiety in women with breast cancer.It is suggested that, along with medical therapies, education for the Logotherapy should also be conducted to solve the problems of women with with Breast Cancer.

The prevalence of Covid 19 disease among humans and its spread throughout the world strongly affects the physical and mental health of individuals. The Covid 19 pandemic has a significant negative impact on the mental health of people with cancer. This article aims to introduce strategies to reduce the psychological effects of Covid 19 on cancer patients.

This article is a review study conducted in 1399 by searching databases such as Google Scholar, PubMed and SID using the keywords Covid 19, Coronavirus, Mental Health and Cancer is done. As a result of the search, 22 articles were obtained and after studying their abstracts, 14 articles were selected for review.

Strategies such as routine self-care recommendations, adaptation strategies, use of successful telemedicine and telemedicine technologies, and participation in social activities as strategies to promote mental health during and after the Covid 19 period are effective in cancer patients.

Due to the existence of multiple psychological problems in cancer patients during Covid 19 disease, it is important to identify people prone to psychological disorders and provide appropriate strategies to promote mental health in this group of patients.

  The issue of informing cancer patients about their diagnosis has attracted a lot of attention in the field of clinical oncology and medical ethics. Informing cancer patients about their diagnosis is a difficult task for medical staff. Cancer disclosure depends on the religion and culture of the community, so we decided to conduct a study on cancer patients and their close relativeschr understanding of cancer disclosure.

This is a qualitative and content analysis method. In this study, 10 cancer patients and their close relatives were selected through a targeted sampling method and semi-structured interviews were conducted for 45 to 60 minutes. The data was analyzed using MaxQD10 software.

From data analysis, 4 categories were created for the patient and family. The main categories are: support of the treatment team, psychological suffering, helplessness and concealment.

The findings of this study show that cancer patients and their families suffer from painlessness and mental disorders when they hear the news of cancer, which need the support of the treatment team to improve this situation, so it is recommended that the treatment team take action. Do the necessary to facilitate the treatment of cancer patients and their families to improve the quality of services provided.

Intruduction:

The consequences of cancer in addition to the patient, extend to various aspects of the patientchr family life. Therefore, patientschr families also have different supportive care needs in these dimensions. The aim of this study was to evaluate the effects of an educational program on SCNs of family of patients with colorectal cancer.

This study is a randomized clinical trial with a control group. The study was conducted on 62 family caregivers who were randomly divided into two groups. The intervention group (n = 31) received educational program and the control group (n = 31) received only the routin education provided by the health centers. The socio demographic questionnaire and the Supportive Care Needs Survey for Partners and Caregivers were used. The data were analyzed using, SPSS software.

The mean score of SCNs and different dimensions except work and social (P= 0.236), was significantly decreased only in the intervention group (p = 0/003), and in the control group it was not significant and increased. There was no statistically significant difference between groups in the mean score of SCNs after the intervention. (P> 0.05). However, the mean score of needs in the information dimension after the intervention was higher in the control group and the difference between the two groups was significant. (P = 0.043).

Providing an educational program for family caregivers by nurse can reduce their SCNs. Similar studies with longer duration are sugested to achieve better results.

medication errors are among the problems of health care systems that lead to death or unpleasant consequences for the patient. Cancer patients are much more vulnerable to medication errors, and chemotherapy drugs are considered high-risk drugs due to their narrow therapeutic index and high toxicity. Therefore, increasing awareness of the types of errors caused by chemotherapy drugs can reduce its recurrence and improve the safety of cancer patients.

This study was performed by a narrative review method. Initially, with the keywords of medication errors, chemotherapy and cancer in various databases, related articles from 2005 to 2019 were included in the study and assessed according to the Inclusion criteria intended for this study.

After studying the full text of all articles, errors related to chemotherapy drugs in cancer patients were classified into the following dimensions: Types of errors caused by chemotherapy medication in cancer patients, related causes, severity of errors and ways to prevent chemotherapy medication errors.

Chemotherapy medication errors are more likely to occur, and since most of these errors occur during the administration phase, the use of computer systems such as CPOE and electronic prescribing can reduce chemotherapy medication errors in the first step.

Cancer is a common diseases, as well as depression is common in patients with cancer. The aim of this study was investigate the depression and severity of pain in cancer patients in oncology clinic of Bahonar Hospital.

This cross-sectional study was performed on 109 cancer patients. Data were collected using two research tools, Beck Depression Inventory (BDI) and visual acuity scale (VAS) and were analyzed using SPSS 18. 

There was a significant positive correlation between severity of depression and pain severity. Also the results of stepwise regression analysis to predict depression and pain by the variables showed that only education has the ability to predict depression and pain.

Treatment of depression as a part of the cancer treatment plan, especially for patients with risk factors is essential and can play an important role for rapid return to the community.

Breast cancer is one of the most common cancers in women that have many effects on psychological health. The aim of this study was to compare lifestyle, coping strategies with stress and resilience in women with breast cancer and healthy women. 

This study was a causal-comparative study in which 30 women with breast cancer along with 30 healthy women referred to hospitals affiliated to Qom University of Medical Sciences by purposive sampling were choose in two groups were homogeneous in terms of demographic characteristics. Research data were collected through resilience questionnaire, lifestyle questionnaire, and stress coping and by SPSS-26 software and independent t-test, Pearson correlation coefficient, and Fisher's exact t-test were analyzed. 

The analysis of the findings showed that among the coping strategies, problem-oriented coping style is the most common coping strategy among the subjects with an average of 56.97 and standard deviation of 8.228. Also, the results of t-test showed that there was a significant difference between the resilience of women with breast cancer and healthy women (P<0/05) that the resilience of women with breast cancer was higher than healthy women. 

Based on the results of the present study, it can be concluded that breast cancer leads to a difference between the two groups of patients and healthy in terms of resilience and high resilience in women with breast cancer, can help their adaptation.