Hasil untuk "Nursing"

Yingying Zhu, Haiying Hua, Li Sheng et al.

ObjectivesLymphoma patients often experience significant physical and psychological stress, with feelings of powerlessness negatively impacting their health. While social support and hope are crucial for improving mood and coping with disease, their mechanisms in relation to disease perception and powerlessness remain unclear. This study aimed to examine the relationship between disease perception and feelings of powerlessness in lymphoma patients, focusing on the mediating roles of social support and hope.MethodsFor a cross-sectional design, 311 lymphoma patients were surveyed using the Brief illness perception questionnaire, Powerlessness assessment tool, Social Support Rating Scale, and Herth’s Hope Scale, and were statistically analyzed using the software SPSS 27.0 and PROCESS version 4.1.ResultsA correlation was found between the disease perception, social support, hope level, and feeling of powerlessness of lymphoma patients (P < 0.01). There was a positive correlation between perceptions of illness and powerlessness (β= 0.291, P<0.001), and disease perception could influence powerlessness through three indirect pathways: the separate mediating effect of social support [β= 0.057, 95%CI (0.029~0.091)], the separate mediating effect of level of hope [β= 0.07, 95%CI (0.034~ 0.107)], and the chain mediating effect of social support and hope level [β= 0.019, 95%CI (0.008~0.033)]. Social support and level of hope played a partial medium mediating effect in the effect of perceived disease on feelings of powerlessness, accounting for 13.04% and 16.02% of the total effect, respectively, and the chained mediating effect of both accounted for 4.35% of the total effect.ConclusionsDisease perception and powerlessness were positively correlated in lymphoma patients, and in addition, social support and level of hope mediated the relationship. This conclusion provides a theoretical basis and guidance for nursing interventions to reduce powerlessness in lymphoma patients.

Qiaoli Bai, Yaping Bai

ObjectiveTo probe the heterogeneity and the influences of clinical nurses’ perceptions of differential atmosphere, and to investigate the relationship between each profile of differential atmosphere perception and organizational silence.MethodsWe adopted the General Information Questionnaire, the Differential Atmosphere Scale, and the Nurses’ Organizational Silence Assessment Questionnaire to survey 523 clinical nurses in three tertiary general hospitals in Shaanxi Province. And we estimated the potential categories of clinical nurses’ differential atmosphere perceptions via latent profile analysis, and quantified the influences on each profile via χ2 and logistic regression analyses, and probed the differences in the organizational silence scores of individuals with three differential atmosphere perception profiles through the least significant difference (LSD) method.ResultsThe differential atmosphere perception of clinical nurses was divided into “Insiders” (16.25%), “Go-betweens” (57.55%), and “Outsiders” (26.20%). Monthly income and years of working experience were the influencing factors of different categories of nurses’ differential atmosphere perceptions. There was a significant difference on the total organizational silence score and on the three profiles (p < 0.001), specifically, “Outsiders” > “Go-betweens” > “Insiders.”ConclusionThis study has identified three distinct subgroups in the differential atmosphere perception of nurses and their influencing factors. The findings demonstrated the heterogeneity among the clinical nursing population. Nursing managers may take prompt and targeted measures to reduce differential atmosphere perception, so as to improve the development of the nursing team.

Huang Qi, Sun Hongyan, He Song et al.

BackgroundTo determine the relationship between effort-reward imbalance (ERI) and quality of working life (QWL) among medical caregivers and the mediating role of job burnout.MethodsThis was a cross-sectional survey. A total of 787 medical caregivers at seven hospitals from Sichuan and Chongqing, China, between May to September 2023 were included in this observational study. The General Information Questionnaire, Effort-Reward Imbalance Questionnaire (ERI), Maslach Burnout Inventory-General Survey (MBI-GS), and Quality of Working Life Scale (QWL7-32) were used for data collection. SPSS 26.0 and PROCESSv3.3 were used for all data analyses, including descriptive statistics.ResultsA total of 820 questionnaires were distributed, of which only 787 were valid (return rate; 95.98%). The QWL score of medical caregivers was 126.94 ± 16.69. However, QWL scores were significantly different depending on age, number of children, family support status, department, years of experience, night shift status, number of night shifts per month, number of hours worked per day, monthly income, and occurrence of errors or adverse events (p < 0.05). Furthermore, job burnout and ERI were negatively correlated with QWL (p < 0.01). Job burnout mediated (95% CI = -0.365, −0.260) the relationship between ERI and QWL, accounting for 58.65% of the total effect.ConclusionMedical caregivers have a medium level of QWL. Job burnout partially mediates the relationship between ERI and QWL. Medical caregiver managers can improve QWL by directly intervening in occupational stress and indirectly intervening in job burnout.

Glenn Robert, Alan Simpson, Vicki Tsianakas et al.

Objectives Our objectives were threefold: (1) describe a collaborative, theoretically driven approach to co-designing complex interventions; (2) demonstrate the implementation of this approach to share learning with others; and (3) develop a toolkit to enhance therapeutic engagement on acute mental health wards.Design and participants We describe a theory-driven approach to co-designing an intervention by adapting and integrating Experience-based Co-design (EBCD) with the Behaviour Change Wheel (BCW). Our case study was informed by the results of a systematic integrative review and guided by this integrated approach. We undertook 80 hours of non-participant observations, and semistructured interviews with 14 service users (7 of which were filmed), 2 carers and 12 clinicians from the same acute ward. The facilitated intervention co-design process involved two feedback workshops, one joint co-design workshop and seven small co-design team meetings. Data analysis comprised the identification of touchpoints and use of the BCW and behaviour change technique taxonomy to inform intervention development.Setting This study was conducted over 12 months at an acute mental health organisation in England.Results The co-designed Let’s Talk toolkit addressed four joint service user/clinician priorities for change: (1) improve communication with withdrawn people; (2) nurses to help service users help themselves; (3) nurses to feel confident when engaging with service users; (4) improving team relations and ward culture. Intervention functions included training, education, enablement, coercion and persuasion; 14 behaviour change techniques supported these functions. We detail how we implemented our integrated co-design-behaviour change approach with service users, carers and clinicians to develop a toolkit to improve nurse–patient therapeutic engagement.Conclusions Our theory-driven approach enhanced both EBCD and the BCW. It introduces a robust theoretical approach to guide intervention development within the co-design process and sets out how to meaningfully involve service users and other stakeholders when designing and implementing complex interventions.

Neda Omidpanah, Fateme Mohamadinejad, Roya Safari faramani

Objective: The aim of this study to determine the prevalence of oral mucosal lesions in the elderly living in nursing homes in western Iran (Kermanshah). Background: This study was conducted in the elderly living in nursing homes in Kermanshah, western Iran. Materials and methods: This descriptive study was performed on 598 elderly people who lived in nursing home. Medical history, medication and demographic information were collected from the participants’ medical records. This was performed through interview and examination to the instruction explained WHO. Results: A total of 598 elderly, 253 men and 345 women, were examined. Of all the elderly, 101 (16.9%) were smokers and 248 (41.5%) had dentures. The overall prevalence of lesions in the elderly was 52.5%. The most prevalent lesions in the population were xerostomia (37.6%), sublingual varicosity (25.8%), candidiasis (5%), and red and white lesions (4.7%). The most common systemic conditions in the population were hypertension (20.1%), depression (14.2%), and diabetes (6.2%). The elderly with hypertension were 1.743 times more likely to have oral lesions (Odds Ratio = 1.7; confidence interval = 1.15–2.63). Conclusion: Considering the observed oral manifestations and also the nature of aging and its consequent systemic conditions and the side effects of medications and other treatments, the elderly require carefully planned oral and dental health monitoring and care services with special consideration of their conditions.

Anna Liza R Alfonso, Jocelyn B. Hipona, Wilfredo Quijencio

Background: Mentoring helps cultivate nurse leaders, retain nurses, and diversify the nursing workforce. By strengthening the nursing workforce, nursing mentorship improves the quality of patient care and outcomes. Widespread uses of nurse mentoring programs have been employed to produce positive outcomes and decrease turnover and assess job satisfaction. Purpose: The purpose of the study is to assess head nurse mentoring competency in relation to staff nurses’ career advancement in selected government hospitals to broaden the array of perspective among public hospitals Methods: The researchers employed descriptive-correlational that glanced into the relationship of certain levels in the mentoring competency of head nurses in relation to staff nurses career advancement. Results: Majority of the nurse-respondents have indicated good remarks on the components of relationship building in public hospitals; and very good competency on the components of identifying areas for improvement; responsive coaching; advocating for an environment conducive to good patient care; and documentation/record keeping.   Conclusion: Nurse manager-mentors in public hospitals are very good on mentoring in identifying areas for improvement, responsive coaching, advocating for an environment conducive to good patient care, and documentation/record keeping, but, good about relationship building.

Jo Howard, Sophie A. Lee, Baba Inusa et al.

Abstract Design This randomised crossover trial compared nocturnal auto-adjusting continuous positive airway pressure (APAP) and nocturnal oxygen therapy (NOT) in adults and children with sickle cell anaemia, with patient acceptability as the primary outcome. Secondary outcomes included pulmonary physiology (adults), safety, and daily pain during interventions and washout documented using tablet technology. Methods Inclusion criteria were age > 8 years and the ability to use an iPad to collect daily pain data. Trial participation was 4 weeks; week 1 involved baseline data collection and week 3 was a washout between interventions, which were administered for 7 days each during weeks 2 and 4 in a randomised order. Qualitative interviews were transcribed verbatim and analysed for content using a funnelling technique, starting generally and then gaining more detailed information on the experience of both interventions. Safety data included routine haematology and median pain days between each period. Missing pain day values were replaced using multiple imputation. Results Ten adults (three female, median age 30.2 years, range 18–51.5 years) and eleven children (five female, median age 12 years, range 8.7–16.9 years) enrolled. Nine adults and seven children completed interviews. Qualitative data revealed that the APAP machine was smaller, easier to handle, and less noisy. Of 16 participants, 10 preferred APAP (62.5%, 95% confidence interval (CI) 38.6–81.5%). Haemoglobin decreased from baseline on APAP and NOT (mean difference −3.2 g/L (95% CI −6.0 to −0.2 g/L) and −2.5 g/L (95% CI −4.6 to 0.3 g/L), respectively), but there was no significant difference between interventions (NOT versus APAP, 1.1 (−1.2 to 3.6)). Pulmonary function changed little. Compared with baseline, there were significant decreases in the median number of pain days (1.58 for APAP and 1.71 for NOT) but no significant difference comparing washout with baseline. After adjustment for carry-over and period effects, there was a non-significant median difference of 0.143 (95% CI −0.116 to 0.401) days additional pain with APAP compared with NOT. Conclusion In view of the point estimate of patient preference for APAP, and no difference in haematology or pulmonary function or evidence that pain was worse during or in washout after APAP, it was decided to proceed with a Phase II trial of 6 months APAP versus standard care with further safety monitoring for bone marrow suppression and pain. Trial registration ISRCTN46078697. Registered on 18 July 2014

Rosiane Filipin Rangel, Regina Gema Santini Costenaro, Silomar Ilha et al.

Objetivo: Conhecer como os docentes e discentes de um curso de graduação em enfermagem percebem a abordagem do cuidado integral/integralidade no processo de ensino-aprendizagem. Métodos: Pesquisa exploratório-descritiva, de abordagem qualitativa, realizada com sete docentes e seis discentes do Curso de Enfermagem de uma Instituição de Ensino Superior do Rio Grande do Sul. Os dados coletados, por meio da técnica de grupo focal, foram submetidos à análise de conteúdo na modalidade temática. Resultados: A análise dos dados possibilitou a construção da síntese coletiva de um grande tema: Formação do enfermeiro para o cuidado integral/integralidade, do qual se originaram dois subtemas: Permitindo a transformação: a formação do enfermeiro pela ótica dos discentes; Formando para a (des) organização: a formação do enfermeiro pela ótica dos docentes. Conclusão: Considera-se essencial ampliar o cuidado integral/integralidade no processo de ensino-aprendizagem, a partir dos primeiros semestres.

Lina Márcia Miguéis Berardinelli, Nathália Aparecida Costa Guedes, Juliana Pereira Ramos et al.

Os objetivos deste estudo foram: desenvolver o trabalho em grupo a fim de conhecer o cotidiano e o processo saúde/adoecimento/cuidado das pessoas com enfermidades crônicas; e analisar se o trabalho de grupo potencializou o empoderamento e que tecnologia educacional é recomendada nas práticas educativas para essas pessoas. Estudo descritivo, desenvolvido com 16 pessoas de uma instituição universitária, situada no município do Rio de Janeiro. Os dados foram coletados em 2014, por meio de entrevista semiestruturada, e submetidos às análises estatística e de conteúdo. Emergiram três categorias: A vida como ela é; Potencialidades para o empoderamento; e Tecnologias - o que eu prefiro. O cotidiano foi revelado por dor física, choro, estresse, alteração do humor. Conclui-se que a tecnologia educacional pode ser usada como estratégia de empoderamento de pessoas, considerando o envolvimento delas no grupo e o estímulo à reflexão, ao raciocínio, à troca de ideias e ao respeito mútuo.   ABSTRACT This study aimed at [1] developing team work in order to learn about routine and health/illness/care process of persons with chronic diseases; and at [2] analyzing whether team work has leveraged empowerment and what educational technology should be used in the educational practices by persons with chronic health conditions. A descriptive and explora­tory study, developed with 16 people of an academic institution located in the municipality of Rio de Janeiro, RJ, Brazil. Data were collected in 2014 by means of semi-structured interview and treated with statistic and content analysis. Three categories stood out: Life as it is; Potential for empowerment and Technologies; which one I prefer. Routine was unveiled by physical pain, tears, stress, and change in mood. Conclusions show that educational technology may be used as an empowering strat­egy, considering people’s involvement in the group and their stimulation to reflection, exchange of ideas, and mutual respect. RESUMEN Los objetivos de este estudio fueron: desarrollar el trabajo en grupo con el fin de conocer el cotidiano y el proceso salud/enfermedad/atención de personas con enfermedades crónicas; y analizar si el trabajo en grupo ha mejorado la capaci­tación y cual tecnología educacional es recomendada en las prácticas educativas para esas personas. Estudio descriptivo, realizado con 16 clientes en una institución de educación superior, ubicada en el municipio de Río de Janeiro, Brasil. Los datos fueron recolectados en 2014, a través de entrevista semestructurada y fueron sometidos a los análises estadístico y de contenido. Emergieron tres categorías: La vida tal como es; Potencialidades para el empoderamiento; y Tecnologías – lo que yo prefiero. El cotidiano fue revelado por el dolor físico, el llanto, el estrés, los cambios de humor. En conclusión, la tecnología educacional se puede utilizar como estrategia de empoderamiento de personas, teniendo en cuenta su participación en el grupo y el estímulo a la reflexión, al razonamiento, al intercambio de ideas y al respeto mutuo. DOI: http://dx.doi.org/10.12957/reuerj.2014.15509

Samyra Fábregas Boeira, Raphael Mendonça Guimarães, Lorena da Rocha Acioli et al.

Introdução: Nos últimos anos, o câncer tornou-se um problema de saúde publica mundial. O conceito de clusters de sintomas, estudo dos sintomas por padrões de sintoma agrupados por características em comum, tem se tornado importante na pesquisa em Enfermagem Oncológica e vem sendo usado em estudos sobre sintomatologia em cancer. Objetivo: Realizar revisão sistemática sobre o uso de clusters de sintomas na pratica de Enfermagem em Oncologia. Método: Foi realizado levantamento nas bases de dados MEDLINE, cujas chaves de busca foram “symptom cluster or symptom clusters”, “oncology or cancer” e “nursing”. Resultados: Os artigos selecionados apontam o crescimento de estudos sobre clusters de sintomas; e o papel fundamental da Enfermagem na avaliação e intervenção do impacto causado pelos clusters. Conclusão: A identificação de clusters vem, segundo os artigos, contribuindo no tratamento e na prática clínica. Portanto, a Enfermagem oncológica tem o papel fundamental em garantir que os clusters de sintomas sejam utilizados na gestão dos cuidados.

龙洪, 李荣, 吴慧兰 et al.

Pollyana Cristina dos Santos Ferreira, Darlene Mara dos Santos Tavares

O presente estudo objetivou verificar a prevalência de idosos com indicativo de depressão, segundo sexo e faixa etária, e identificar os fatores associados ao indicativo de depressão. Estudo analítico, transversal e observacional, realizado com 850 idosos residentes na zona rural de um município de Minas Gerais. Para a análise dos dados aplicou-se a fórmula de taxa de prevalência e o modelo de regressão logística (p<0,05). O Projeto foi aprovado pelo Comitê de Ética em Pesquisa com Seres Humanos. A prevalência de indicativo de depressão correspondeu a 22%, com maior ocorrência entre o sexo feminino e na faixa etária entre 60├70 anos. O sexo feminino, o maior número de comorbidades e de incapacidade funcional para o desempenho de atividades instrumentais da vida diária permaneceram associados ao indicativo de depressão. Esses resultados reforçam a necessidade de se implementarem ações de promoção de saúde e prevenção de agravos, com enfoque para a depressão.

Lívia Silva Bosquetti, Eliana Mara Braga

Este estudo tem como objetivo descrever as reações que os alunos de enfermagem apresentaram quando do seu primeiro estágio curricular. É um estudo transversal e de campo, e o tratamento dos dados foi realizado com base no método de análise de conteúdo. Os resultados descrevem o campo de estágio, o relacionamento com a equipe da enfermaria, com os pacientes e com o docente durante este período. Nas conclusões, podemos afirmar que o estresse e as contradições vivenciadas no primeiro estágio são parte do crescimento e aprendizado do aluno. O professor é maior responsável por determinar o tipo de interação que haverá entre ele e o aluno, cabendo-lhe ouvir, incentivar e capacitar-se para apoiar os alunos nas experiências iniciais da prática, para que o primeiro estágio seja um fator motivador ao aluno.<br>Estudio que tiene por objetivo describir las reacciones que los alumnos de enfermería mostraron durante su primera práctica curricular. Investigación transversal y de campo. El análisis de los datos realizado en base al método de análisis de contenido. Los resultados describen durante este periodo el campo de práctica, la relación con el equipo de enfermería, con los pacientes y con el enfermo. Concluimos que el estrés y los obstáculos vividos durante esta primera práctica son parte del crecimiento y aprendizaje del alumno. El profesor es el mayor responsable por determinar el tipo de interacción establecida entre él y el alumno, responsabilizándose por escuchar, incentivar, capacitar y apoyar a los alumnos durante sus primeras experiencias prácticas, para que este momento sea un factor motivador para el alumno.<br>The objective of the present study is to describe and analyze the reactions of nursing students, presented during their first curricular internship. It is a cross-section field study, with data analyzed according to the method of content analysis. The results describe the training field, the relationship with the nursing team, the patients and the professor in the period of training. In the conclusions, we can affirm that the stress and the contradictions experienced in the first period of internship are part of the student's growth and education. The professor is responsible for determining the type of interaction that the students will experience. He/She needs to be capable of listening, encouraging and for his/her own qualification, in order to support the students with the early experiences of the practice, so that the first internship a becomes motivating factor for the students.

Profª Draª YORIKO KAMIYAMA

Antonio de Magalhães Marinho

O objetivo deste estudo foi levantar os tipos de prescrições e cuidados das escaras associados ao uso da pomada IRUXOL®, bem como os relatos das práticas de curativos usadas pela equipe de enfermagem nas unidades de internação. Foram analisados 19 prontuários de 3 hospitais de ensino do Município do Rio de Janeiro. Os resultados mostraram 8 diferentes tipos de prescrições médicas para o tratamento das escaras, sendo 4 associadas ao Iruxol®. A formulação mais prescrita foi: limpeza com PVP-I + SF 0,9% e IRUXOL®. Observou-se, ainda, que os profissionais de enfermagem aplicaram 17 combinações diferentes com diversas substâncias, sendo que 10 estavam associadas com o Iruxol®. Relataram, também, o uso de 24 produtos / substâncias diferentes na realização dos curativos das escaras. Verificou-se, ainda, o uso indiscriminado de produtos que alteram o pH ( teor ácido - base ) da lesão, fator este que interfere na ação desbridante do Iruxol®.

Jože Trontelj

Spoštovanje človeškega življenja je ena temeljnih vrednot današnje civilizacije. Garantirajo jo ustave držav, pa tudi mednarodni dogovori, kot je Evropska konvencija o človekovih pravicah. V mnogih deželah se v javnosti krepi zahteva po pravici do evtanazije ali samomora z zdravniško pomočjo. Dve evropski državi sta evtanazijo legalizirali, v ZDA pa ima Oregon uzakonjeno pravico do zdravniške pomoči pri samomoru. Drugod je evtanazija zločin, ki se kaznuje kot umor. V okviru Sveta Evrope tečejo prizadevanja za boljše varstvo pravic in dostojanstva bolnih na smrt in umirajočih. Večina razpravljalcev se zavzema za razvoj paliativne oskrbe kot etično sprejemljive alternative legalizaciji evtanazije. Temu stališču se pridružuje komisija R. Slovenije za medicinsko etiko in številni slovenski zdravniki.

Janko Kostnapfel

Elizabeth Pinto Magalhães de Almeida, Maria Gaby Rivero de Gutiérrez, Nilce Piva Adami

Este estudo objetivou monitorar e avaliar a ocorrência e grau de intensidade da náusea, vômito e diarréia em pacientes com neoplasia de cólon, submetidos à quimioterapia ambulatorial, que receberam informações de enfermagem para o manejo desses sintomas. Fizeram parte do estudo 17 pacientes tratados com 5-Fluorouracil e baixas doses de ácido folínico, no Ambulatório de Quimioterapia de Adultos do Hospital São Paulo/Universidade Federal de São Paulo. Foram elaborados instrumentos para o registro da ocorrência e grau de intensidade desses sintomas e folhetos com informações sobre o seu manejo. As informações e o seguimento foram realizados pela enfermeira do setor, durante as consultas de enfermagem. Os resultados evidenciaram que a maioria dos pacientes (82,4%) apresentou pelo menos um dos sinais e sintomas estudados, entre o primeiro e o 21º dias do ciclo de tratamento. A náusea foi o sintoma mais freqüente (76,5%), com pico no 4º e 5º dias do ciclo, seguida da diarréia (70,5%), com pico no 7º dia e, por último o vômito (53,0%), com pico no 5º dia. Quanto ao grau de intensidade desses sintomas, a maioria dos pacientes situou-se no grau 1, estabelecido como aceitável para o estudo, indicando que as orientações de enfermagem e o acompanhamento contínuo contribuíram para a maior efetividade do manejo desses sintomas por parte dos pacientes.<br>Este estudio tuvo como objetivo monitorear y evaluar la frecuencia y el grado de intensidad de la náusea, vómito y diarrea en pacientes con neoplasia de colon sometidos a quimioterapia ambulatoria que recibieron información de enfermería para el manejo de esos síntomas. Participaron del estudio 17 pacientes tratados con 5-Fluorouracil y bajas dosis de ácido folínico, en el Ambulatorio de Quimioterapia de Adultos del Hospital São Paulo / Universidad Federal de São Paulo, Brasil. Para el registro de la frecuencia e intensidad de esos síntomas fueron elaborados instrumentos y guías con informaciones de cómo manejarlos. Las informaciones y seguimiento de los pacientes fueron realizados por la enfermera del sector durante la consulta de enfermería. Los resultados evidenciaron que la mayoría de los pacientes (82,4%) presentó por lo menos uno de los síntomas estudiados, entre el primero y 21º día del ciclo de tratamiento. La náusea fue el síntoma más frecuente (76,5%), presentando pico en el 4º y 5º días del ciclo. Enseguida la diarrea (70,5%) con pico en el 7º día y, por ultimo, el vómito (53,0%) con pico en el 5º día. Cuanto al grado de intensidad de los síntomas, la mayoría de los pacientes se situó en el grado 1, establecido como aceptable para este estudio, indicando que las orientaciones de enfermería y el seguimiento continuo contribuyeron para la mayor efectividad del manejo de esos síntomas por parte de los pacientes.<br>This study aimed to monitor and evaluate the occurrence and intensity level of nausea, vomiting and diarrhea in patients with colon cancer, submitted to outpatient chemotherapy, who received nursing information for handling these symptoms. Study participants were 17 patients, who were treated with 5-Fluorouracil and low doses of folinic acid, at the Adult Outpatient Chemotherapy Clinic of the Hospital São Paulo/Federal University of São Paulo, Brazil. Instruments were elaborated for registering these symptoms' occurrence and intensity level and a patient guide for handling them. The information and patient monitoring were carried out by the nurse during the consultations. The results showed that most of the patients (82.4%) displayed at least one of the signs and symptoms under study between the first and the 21st day of the treatment cycle. Nausea was the most frequent symptom (76.5%), with a peak on the 4th and 5th day of the cycle, followed by diarrhea (70.5%), with a peak on the 7th day, and vomiting (53.0%), with a peak on the 5th day. Regarding the intensity of these symptoms, most patients were classified as level 1, which was established as acceptable for this study. These results indicate that the nursing instructions and the continuous monitoring contributed to the effectiveness of the patient's symptom management.