Sakda has completed Master of Science (Mental Health) from Chulalongkorn University and PhD (Development Science) from Khonkaen University,Thailand. He had experts in psychiatric nursing more than 25 years and stand with the great position of instructor of school of psychiatric nursing, institue of nursing, Suranaree University of Technology, Nakhon Ratchasima, Thailand. He has expertise in mental health and psychiatry, sex education, counseling, depression as well as suicide, field. Not only work with academic position, but he also work on a collaborative action research in community setting related to psychiatric problems.
This phenomenological research aim to explain the experiences of breast cancer patients in being reaction to illness, adaptation, and coping with post illness. In-depth interviews were used to collect data from thirty participants who had breast cancer and lived in Nakhon Ratchasima. Data were analyzed by modified Colaizzi's method. The results found that the participants reflected experiences three theme : 1. Reaction to illness (1) Phase of screening and waiting period ; most of them were worry ,frightened and fear that they would have cancer. (2) Phase to know the results; they had different reactions to cancer such as denied, separated, angered, bargained, depressed and accepted. (3) Phase to live with the disease ; they sought more knowledge and decreased stress and anxiety. 2. Adaptation (1) Lifestyle changing post illness ; they worked less and more concern more themselves. (2) Thoughts or beliefs about suicide ; most of them did not think of suicide because they feared of sin. (3) Reasons for living of them were loving and caring for them family. (4) Sense of self before and after illness ; they felt their life were precious so they must took care themselves more. (5) Feelings of the daily lifestyle ; most of them though that they were valuable, advantage, accepted and fought to the disease. 3. Coping with post illness; they consulted and asked for support from their families and tried to cope by themselves. Finding of this study will be beneficial for psychosocial care, promote mental health and adaptation for further breast cancer patients.
Tzu-Hsuan Lin is currently a postgraduate student at the Nursing, Chung Shan Medical University She has been working more than 20 years at the Department of Nursing Hsinchu MacKay Memorial Hospital, Taiwan. Moreover, she has experience in Oncology Nursing education. Hui-Shan Shen Graduated from Taipei University nursing master's degree and have been working at the medical ward of Mackay Memorial Hospital, Hsinchu. Also, she is a head nurse of nursing department.
Background: Oral mucositis is one of the most common symptoms of head and neck cancer patients receiving concurrent chemoradiotherapy (CCRT), patients could have a high incidence of oral mucositis side effects of 80-90%. If medical staff is not given prophylactic oral mucosal care measures, this may result in severe oral mucositis grade 3 or more. Glutamine can help tissue mucosal repair, insufficient glutamine can lead to serious mucosal damage or even interrupt treatment. Objective: This study aimed to survey whether early use of glutamine could decrease the severity of oral mucositis in patients with head and neck cancer received concurrent chemoradiotherapy. Methodology: A total of 44 patients with head and neck cancer has undergone CCRT were randomly divided into 22 patients oral Glutamine (G group), and 22 patients in the control group (R group), a glutamine dose of 10 g 3 times a day a week before CCRT, the control group (R group) are in accordance with the general routine oral care. An Oral mucositis evaluation was performed using NCI-CTCAE V3.0 until the end of the CCRT course (period 1-9 weeks). Result: The patients Mucositis G4 developed in all patients group G (0%) and group R (27%). Glutamine significantly decreased average grade of mucositis (group G, 2.41±0.5; 95% CI:2.19 to 2.63; group R, 3.23±0.5; 95% CI:2.99 to 3.46; p=. 002). Glutamine significantly decreased body weight loss (group G, 10.4±1.2kg; 95% CI:9.8 to10. 9; group R 12.5±1.4kg ; 95% CI:11.9 to 13.2; P=. 023). Conclusion: Glutamine can prevent severe oral mucositis, to avoid interruption of treatment and affect the cure of the disease. Expected results of this study can provide the patient determine the most appropriate medical decision-making therefore, patients can have a better quality of care disease.