Problems Experienced by Ovarian Cancer Survivors During Treatment
| Autor: | Shannon L. Mihalko, Jessica Keim-Malpass, Greg Russell, Doug Case, Nancy E. Avis, Brigitte Miller |
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| Rok vydání: | 2017 |
| Předmět: |
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Critical Care Nursing Pediatrics Article 03 medical and health sciences Social support 0302 clinical medicine Optimism Quality of life (healthcare) Cancer Survivors Survivorship curve Maternity and Midwifery Adaptation Psychological Antineoplastic Combined Chemotherapy Protocols medicine Humans 030212 general & internal medicine media_common Ovarian Neoplasms Social work business.industry Repeated measures design Cancer Social Support Middle Aged medicine.disease United States Cross-Sectional Studies 030220 oncology & carcinogenesis Quality of Life Female business Psychosocial Clinical psychology |
| Zdroj: | Journal of obstetric, gynecologic, and neonatal nursing : JOGNN. 46(4) |
| ISSN: | 1552-6909 |
| Popis: | Objective To identify problems at different treatment points (early treatment, mid-treatment, early posttreatment, and late posttreatment) among women with ovarian cancer. Design Longitudinal and cross-sectional study design. Setting An academic and community clinical cancer center in the Southeastern United States. Participants Sixty-eight women with Stage I to IV ovarian cancer. Methods Variables assessed included reported problems (physical, psychosocial, pain, marital, medical interaction), social support, optimism, and responses to open-ended questions. Analysis involved mixed models for longitudinal repeated measures and unpaired t tests and content analysis to describe responses to open-ended questions. Results Physical and psychosocial problems were greatest during early treatment and decreased throughout the treatment trajectory. Women with greater levels of social support and optimism at baseline had fewer problems over time. Women who did not have trouble paying for basics had fewer problems related to pain and psychological problems. Conclusion Problems across all domains must be addressed throughout the treatment trajectory, even after chemotherapy has ended. Nurses are well positioned to refer women appropriately to social workers and clinical navigators across all domains of care and should consider systematic assessment of patient-reported problems as a routine form of practice. |
| Databáze: | OpenAIRE |
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