Symptom Burden and Functional Dependencies Among Cancer Patients in Botswana Suggest a Need for Palliative Care Nursing
| Autor: | Mark Lazenby, Katie Peterson, Miriam Sebego, Lidia Lopez, Norman Carl Swart |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Palliative care Cross-sectional study Pain Disease Young Adult Cost of Illness Neoplasms Surveys and Questionnaires Activities of Daily Living Humans Medicine Translations Young adult Aged Aged 80 and over Health Services Needs and Demand Botswana Performance status Oncology (nursing) business.industry Palliative Care Nursing Reproducibility of Results Cancer Middle Aged medicine.disease Cross-Sectional Studies Oncology Family medicine Hospice and Palliative Care Nursing Female Symptom Assessment business Cancer pain |
| Zdroj: | Cancer Nursing. 39:E29-E38 |
| ISSN: | 0162-220X |
| DOI: | 10.1097/ncc.0000000000000249 |
| Popis: | BACKGROUND Palliative care and cancer nursing in sub-Saharan Africa is hampered by inadequate clinical resources and evidence base but is central to symptom management amid the growing cancer burden. OBJECTIVE The aim of this study is to describe symptom burden and functional dependencies of cancer patients in Botswana using the Memorial Symptom Assessment Scale-Short Form (MSAS-SF) and Enforced Social Dependency Scale (ESDS). METHODS A cross-sectional multisite study was conducted in Gaborone, Botswana, from June to August 2013 using MSAS-SF, ESDS, and Eastern Cooperative Oncology Group (ECOG) performance status at 1 time point. Descriptive statistics, tests of association, correlation, and scale validity were used. RESULTS Among the 100 cancer patients, 65 were women, 21 were inpatients, 48 were human immunodeficiency virus-positive, 23 had gynecological malignancies, 34 had stage 4 disease, and 54 received chemotherapy only. Sixty-four reported pain; 54, neuropathies; 51, weight loss; and 51, hunger. Most distressing symptoms were weight loss, body image, skin changes, and pain. Recreational/social role was most affected by cancer. Cronbach's α for both the MSAS-SF and ESDS was .91. Variations in means for MSAS-SF and ESDS were associated with ECOG grade 2 (P < .05); the ECOG moderately correlated (0.35) with MSAS-SF (P < .01). No associations with human immunodeficiency virus status were found. CONCLUSIONS Patients reported distressing levels of cancer pain, weight loss, hunger, and dependency in recreational/social activities. The Setswana translations of the MSAS-SF and ESDS were found reliable to assess cancer patients' symptoms and function. IMPLICATIONS FOR PRACTICE Nurses trained in palliative care are needed to meet cancer patients' pain and symptom management care needs. |
| Databáze: | OpenAIRE |
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