Preparedness and Cancer-Related Symptom Management among Cancer Survivors in the First Year Post-Treatment
| Autor: | Kevin Stein, Alyssa N. Troeschel, Katherine Sharpe, Kenneth M. Portier, Dawn Wiatrek, Michael A Diefenbach, Corinne R. Leach, Annette L. Stanton |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Gerontology medicine.medical_specialty Aftercare Breast Neoplasms Disease 03 medical and health sciences Social support 0302 clinical medicine Cancer Survivors Survivorship curve medicine Humans Spirituality 030212 general & internal medicine General Psychology Aged Cancer survivor business.industry Self-Management Prostatic Neoplasms Social Support Cancer Middle Aged medicine.disease humanities Psychiatry and Mental health Health psychology Patient Satisfaction 030220 oncology & carcinogenesis Preparedness Physical therapy Female Colorectal Neoplasms business Psychosocial Follow-Up Studies |
| Zdroj: | Annals of Behavioral Medicine. 51:587-598 |
| ISSN: | 1532-4796 0883-6612 |
| Popis: | Many cancer survivors feel unprepared for the physical and psychosocial challenges that accompany the post-treatment care transition (i.e., re-entry phase), including management of cancer-related symptoms. Few studies have investigated personal and contextual factors associated with the extent of preparedness for re-entry or how they are related to cancer-related symptom management. Data from the American Cancer Society’s Cancer Survivor Transition Study examined (1) characteristics of breast, prostate, and colorectal cancer survivors (n = 1188) within the first year of completing treatment who are most and least prepared for re-entry; and (2) how preparedness level and other characteristics are related to cancer-related symptom management. Stanton and colleagues’ [1] conceptual model of survivorship guided the selection of interpersonal/environmental, individual, and disease/treatment-related characteristics as potential contributors to levels of preparedness and cancer-related symptom management using regression tree and multivariate linear regression analyses. Survivors, on average, felt moderately prepared for the transition to post-treatment care. Lowest levels of preparedness were found among survivors with relatively high depressive symptoms, low perceived quality of oncology-provided survivorship care, and limited discussion about potential side effects with a health professional. Poorer symptom management was associated with younger age, having more comorbid conditions, and lower preparedness, social support, and spirituality. Survivors who feel unprepared for the transition to post-treatment care report poorer cancer-related symptom management. Identification of factors associated with low perceived preparedness and poor cancer-related symptom management will assist in risk stratification and development of tailored interventions to meet the needs of cancer survivors during re-entry. |
| Databáze: | OpenAIRE |
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