SATISFACTION WITH NURSING CARE OF ONCOLOGY PATIENTS ON OUTPATIENT ANTINEOPLASTIC DRUGS

Ferreira, Jean Vitor Silva; Bandeira, Gabriel de Luca Sousa; Sagica, Tais dos Passos; Conceição, Crislen de Melo; Souza, Nathalia Oliveira de; Costa, Marta Solange Camarinha Ramos; Ramos, Aline Maria Pereira Cruz

doi:10.1590/ce.v28i0.91562

Acessibilidade / Reportar erro

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

ORIGINAL ARTICLE • Cogit. Enferm. 28 • 2023 • https://doi.org/10.1590/ce.v28i0.91562 copy

SATISFACTION WITH NURSING CARE OF ONCOLOGY PATIENTS ON OUTPATIENT ANTINEOPLASTIC DRUGS

Authorship SCIMAGO INSTITUTIONS RANKINGS

HIGHLIGHTS

Good User Satisfaction Index at the Antineoplastic Chemotherapy Outpatient Clinic.
User satisfaction with nursing care.
Complexity of the care provided to the most fragile users.

ABSTRACT

Objective:

Evaluate the satisfaction of outpatient oncology users taking antineoplastic drugs about nursing care.

Methods:

Exsectional study with a quantitative approach, carried out at the Chemotherapy Service of a university hospital located in Belém-PA - Brazil, with 200 users, from June 2019 to June 2022, through interviews and use of the Patient Satisfaction Instrument. Chi-square analysis, Pearson p-value, and chi-square analysis were applied, and the p-value ≤ 0.05 was considered.

Results:

Users reported good satisfaction in the overall average of the domains (>90%), highlighting the technical-professional domain, followed by the educational and confidence domains. The variables of clarification of medical guidelines, giving good advice, and taking the initiative after patient responses were associated with user satisfaction according to cancer topography and staff availability to those with different degrees of staging.

Conclusion:

This study assists managers in identifying and planning improvements in areas and services.

KEYWORDS:
Neoplasia; Antineoplastic Drugs; Nursing Care; Patient Satisfaction; Public Health Services

Variables	Frequency	Percentage
Gender
Male	55	27.5
Female	145	72.5
Age Group
≤ 60 years	145	72.5
≥ 61 years old	55	27.5
Color
Yellow	3	1.5
White	25	12.5
Black	27	13.5
Brown	145	72.5
Marital status
Single	61	30.5
Married/stable union	139	69.5
Education
Elementary School	96	48.0
High School	79	39.5
Higher Education	25	12.5
Type of cancer
Digestive Tract Cancer	77	38.5
Breast cancer	83	41.5
Cancer of the reproductive system	18	9.0
Lung Cancer	9	4.5
Other	13	6.5
TNM
I	68	34.0
II	34	17.0
III	40	20.0
IV	58	29.0
Average no. of chemotherapy cycle	2.37±4.71
Treatment time (months)	6.22±7.11

	Items	Questions	Agree n(%)	Disagree n (%)	Satisfaction
TRUST	Item 1	The staff should be more attentive than they are	20 (10.5)	170 (89.5)	170
	Item 3	The staff are nice people to have around	193 (99)	2 (1)	193
	Item 4	We feel free to ask questions to the staff	188 (97.4)	5 (2.6)	188
	Item 5	The staff should be friendlier than they are	19 (9.9)	172 (90.1)	172
	Item 6	The team can understand how I feel	187 (98.9)	2 (1.1)	187
	Item 9	When I need to talk to someone, I can tell my problems to the team	159 (93.5)	11 (6.5)	159
	Item 10	The staff is always too busy to waste time talking to me	4 (2.1)	189 (97.9)	187
	Item 14	The staff understands in listening to the patient’s problems	181 (99.5)	1 (0.5)	181
	Item 19	The staff does not have enough patience	5 (2.5)	194 (97.5)	194
	Item 23	Just talking to someone from the team makes me feel better	169 (97.7)	4 (2.3)	169
	Item 22	I am tired of the staff talking to me as if I were a lesser person	3 (1.6)	188 (98.4)	188
Average /DP and percentage			-	-	180.72 (11.45) 90.36%
HAB. TECHNICAL	Item 12	The staff makes a point of showing me how to follow the medical guidelines	195 (98.5)	3 (1.5)	195
	Item 13	The staff is always too disorganized to appear calm	2 (1)	196 (99)	196
	Item 15	The staff gives good advice	192 (99)	2 (1)	192
	Item 16	The team really knows what they are talking about	199 (100)	0	199
	Item 18	The staff is very slow to do things for me	4 (2)	194 (98)	194
	Item 20	The team does not do its job properly	3 (1.5)	197 (98.5)	197
	Item 25	The team is skilled in the procedures	193 (97)	6 (3)	193
Average /DP and percentage			-	-	195.14 (2.41) 97.57%
HAB. EDUCATIONAL	Item 2	Staff often feel that they are not able to understand the medical explanation of their treatment, so they simply do not bother to explain	2 (1.1)	179 (98.9)	179
	Item 7	The team explains things in simple language	195 (97.5)	5 (2.5)	195
	Item 8	The staff asks a lot of questions, but when they get the answer, they don’t seem to do anything about it	1 (0.5)	183 (99.5)	183
	Item 11	I would like the staff to give me more information about my treatment	47 (24.7)	143 (75.3)	143
	Item 17	It is always easy to understand what the team is saying	197 (98.5)	3 (1.5)	197
	Item 21	The team guides at the right speed	195 (98.5)	3 (1.5)	195
	Item 24	The staff always gives a full and sufficient explanation of why the tests were ordered	190 (95.5)	9 (4.5)	190
Average/DP and percentage					183.14 (18.92) 91.57%

	Items	Digestive Tract	Mama	Reproductive Apparatus	Lung	Other	p-value
		Agree/Disagree
TRUST	Item 1	65/6	72/8	16/2	7/2	10/2	0.710
	Item 3	1/72	1/81	0/18	0/9	0/13	0.971
	Item 4	3/69	2/80	0/18	0/8	0/13	0.781
	Item 5	64/8	75/5	16/2	7/2	10/2	0.482
	Item 6	1/72	1/76	0/18	0/8	0/13	0.971
	Item 9	4/57	6/66	0/16	0/8	0/12	0.716
	Item 10	75/1	75/3	18/0	8/0	13/0	0.690
	Item 14	1/68	0/76	0/15	0/9	0/13	0.800
	Item 19	76/1	80/3	18/0	7/1	13/0	0.294
	Item 22	72/3	77/0	18/0	8/0	13/0	0.318
	Item 23	1/64	2/73	1/15	0/6	1/11	0.788
TECHNICAL	Item 12	0/77	0/82	3/14	0/9	0/13	0.000002
	Item 13	73/2	83/0	18/0	9/0	13/0	0.507
	Item 15	0/74	0/80	2/16	0/9	0/13	0.001
	Item 16	0/77	0/82	0/18	0/9	0/13	-
	Item 18	74/3	80/1	18/0	9/0	13/0	0.654
	Item 20	75/2	82/1	18/0	9/0	13/0	0.864
	Item 25	1/76	3/79	1/17	1/8	0/13	0.447
EDUCACIONAL	Item 2	70/1	79/1	15/0	6/0	9/0	0.982
	Item 7	3/74	2/81	0/18	0/9	0/13	0.801
	Item 8	73/0	78/0	16/0	7/0	9/1	0.002
	Item 11	54/19	64/14	12/6	6/3	7/5	0.296
	Item 17	2/75	1/82	0/18	0/9	0/13	0.864
	Item 21	2/75	1/81	0/18	0/8	0/13	0.869
	Item 24	3/74	6/77	0/17	0/9	0/13	0.505

	TNM	I	II	III	IV	p-value
		Agree/Disagree
TRUST	Item 1	59/5	29/4	36/2	46/9	0.296
	Item 3	0/67	1/33	0/36	1/57	0.462
	Item 4	3/65	1/33	0/36	1/54	0.573
	Item 5	59/5	30/3	37/3	46/9	0.273
	Item 6	1/61	1/33	0/38	0/55	0.507
	Item 9	1/57	3/23	3/33	4/46	0.300
	Item 10	66/0	30/3	39/1	54/0	0.014
	Item 14	1/58	0/30	0/38	0/55	0.553
	Item 19	67/1	32/2	40/0	55/2	0.371
	Item 22	65/1	33/0	36/1	54/1	0.836
	Item 23	2/59	1/26	0/38	1/46	0.708
TECHNICAL	Item 12	2/66	0/34	0/39	1/56	0.558
	Item 13	67/0	34/0	39/1	56/1	0.525
	Item 15	2/63	0/33	0/39	0/57	0.260
	Item 16	0/68	0/34	0/40	0/57	-
	Item 18	65/2	34/0	39/1	56/1	0.781
	Item 20	68/0	34/0	39/1	56/2	0.346
	Item 25	2/65	0/34	2/38	2/56	0.652
EDUCACIONAL	Item 2	64/1	32/0	36/1	47/0	0.602
	Item 7	3/65	0/34	1/39	1/57	0.565
	Item 8	65/0	32/0	36/1	50/0	0.262
	Item 11	45/20	29/3	29/10	40/14	0.146
	Item 17	1/67	0/34	1/39	1/57	0.847
	Item 21	1/66	0/34	1/39	1/56	0.848
	Item 24	2/65	2/32	4/36	1/57	0.227

Universidade Federal do Paraná Av. Prefeito Lothário Meissner, 632, Cep: 80210-170, Brasil - Paraná / Curitiba, Tel: +55 (41) 3361-3755 - Curitiba - PR - Brazil
E-mail: cogitare@ufpr.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Corresponding author: Jean Vitor Silva Ferreira Universidade Federal do Pará Rua José Narloch, 1781, Tifa Martins, Jaraguá do Sul, SC E-mail: jeanvitor.sccp@gmail.com