A Symptom Checklist for Children With Cancer
| Autor: | Arthur R. Williams, Carol Dobos, Annie Gieseking, Renee Connor, Katherine Patterson Kelly, Deborah Del Favero, Phoebe D. Williams, Lavonne Ridder, Nancy Potter |
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| Rok vydání: | 2012 |
| Předmět: |
Male
medicine.medical_specialty Activities of daily living Adolescent Vomiting Nausea Appetite Severity of Illness Index Quality of life Cronbach's alpha Neoplasms Internal medicine Activities of Daily Living Severity of illness medicine Humans Child Fatigue Oncology (nursing) business.industry Irritable Mood Checklist Confirmatory factor analysis Oncology Child Preschool Quality of Life Female Self Report medicine.symptom business |
| Zdroj: | Cancer Nursing. 35:89-98 |
| ISSN: | 0162-220X |
| Popis: | Background Symptom monitoring and alleviation are basic to the care of children and adolescents with cancer. A symptom checklist helps facilitate this process. Objectives The primary objective of this study was to calibrate a child-friendly, clinically usable checklist capturing symptom occurrence and severity; a secondary objective was to examine age group differences: 5 to 11 years (n = 222) and 12 to 17 years (n = 163) and sex differences: males (54%) and females (46%), and correlate symptom severity, functional status, and quality of life. Methods Three hundred eighty-five children/adolescents at 5 university-affiliated outpatient oncology clinics: central, western, eastern, southeastern United States. Diagnoses were acute lymphoblastic leukemia (45%), solid tumors (14%), nervous system tumors (18%), and others (23%). Principal component factor analysis, confirmatory factor analysis, correlational statistics, t test, Wilcoxon test were performed. Results (a) Robust 30-item checklist, 7 factors; (b) 14 of 30 symptoms reported by at least 40% of patients. Top 5 are feeling sluggish (77%), nausea (72%), appetite loss (66%), irritable (61%), and vomiting (54%). (c) Sixteen of 30 symptoms reported at severity 2 or greater: "quite a bit." (d) Therapy-Related Symptom Checklist-Children (TRSC-C) scores are as follows: range, 0 to 89; mean, 25.14 (SD, 18.68). (e) Cronbach α = .9106. (f) Older children reported greater symptom severities: TRSC-C (t = 2.73, P = .003). (g) There were no sex differences on the TRSC-C total score. (h) Lansky correlations with TRSC-C (r = -0.32; P = .02); factors: nutrition related (r = -0.36; P = .05); oropharyngeal (r = -0.51; P = .0002); and respiratory (r = - 0.25; P = .06). (i) Pediatric Quality of Life Inventory correlation with TRSC-C (r = -0.68; P = .0001). Conclusion The new TRSC-C has good measurement properties and is ready for use in clinics and research. Implications for practice Use of the TRSC-C is consistent with guidelines emphasizing self-report of patient symptoms, shared patient decision making, and improved communications among patients, clinicians, and significant others. |
| Databáze: | OpenAIRE |
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