2.50
Hdl Handle:
http://hdl.handle.net/10755/160177
Type:
Presentation
Title:
Symptom Cluster in Patients with Lung Cancer
Abstract:
Symptom Cluster in Patients with Lung Cancer
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2005
Author:Whitmer, Kyra, PhD, RN
P.I. Institution Name:University of Cincinnati
Title:Associate Professor
Contact Address:College of Nursing, 3110 Vine Street, Cincinnati, OH, 45221-0038, USA
Contact Telephone:(513) 558 5234
Co-Authors:Yin Xu, PhDc, RN, Predoctoral Student; Wei Pan, PhD, Assistant Professor; and Andrea Barsevick, DNSc, RN, AOCN, Director
Background and significance: Patients with lung cancer experience
multiple symptoms, such as fatigue, insomnia, and depression during cancer
therapy. In the past, studies on symptom management focused on individual
symptoms. Recently, the concept of symptom cluster has gained attention in
oncology research (Dodd et al., 2001). Understanding and treating symptoms
as clusters may be more helpful in symptom management than treating an
individual symptom in patients with lung cancer. Purpose: The purposes of
this secondary data analysis were to investigate whether a cluster of
symptoms can be identified in a group of patients with lung cancer and to
test a mediation model of the impact of symptoms on functional status.
Method: Data were obtained from a randomized clinical trial for patients
with cancer-related fatigue. The baseline data of 63 patients with lung
cancer were used in this secondary data analysis. After addressing the
issue of missing data, correlation, factor analysis, and Sobel's (1982)
test for mediation effect were used for data analysis. Results: Fatigue
was significantly correlated with depression (r=0.516, p < 0.001) and
insomnia (r=0.328, p < 0.05). A single factor accounted for 51.26% of the
variance of these three symptoms. In addition, fatigue mediates the effect
of co-morbidities on functional status (SobelÆs test statistic=2.4, p <
0.016). Conclusion: The findings indicate that this group of patents with
lung cancer experienced a cluster of symptoms that limit their functional
status. Fatigue has a mediation effect on functional status. Relevance to
nursing practice: These findings provide evidence for: (1) assessing
co-morbidities and multiple symptoms when planning care for patients with
lung cancer; and (2) planning nursing interventions directed at
maintaining functional status by addressing the presenting symptom
cluster.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleSymptom Cluster in Patients with Lung Canceren_GB
dc.identifier.urihttp://hdl.handle.net/10755/160177-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Symptom Cluster in Patients with Lung Cancer</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Whitmer, Kyra, PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Cincinnati</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">College of Nursing, 3110 Vine Street, Cincinnati, OH, 45221-0038, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(513) 558 5234</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">kyra.whitmer@uc.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Yin Xu, PhDc, RN, Predoctoral Student; Wei Pan, PhD, Assistant Professor; and Andrea Barsevick, DNSc, RN, AOCN, Director</td></tr><tr><td colspan="2" class="item-abstract">Background and significance: Patients with lung cancer experience <br/> multiple symptoms, such as fatigue, insomnia, and depression during cancer <br/> therapy. In the past, studies on symptom management focused on individual <br/> symptoms. Recently, the concept of symptom cluster has gained attention in <br/> oncology research (Dodd et al., 2001). Understanding and treating symptoms <br/> as clusters may be more helpful in symptom management than treating an <br/> individual symptom in patients with lung cancer. Purpose: The purposes of <br/> this secondary data analysis were to investigate whether a cluster of <br/> symptoms can be identified in a group of patients with lung cancer and to <br/> test a mediation model of the impact of symptoms on functional status. <br/> Method: Data were obtained from a randomized clinical trial for patients <br/> with cancer-related fatigue. The baseline data of 63 patients with lung <br/> cancer were used in this secondary data analysis. After addressing the <br/> issue of missing data, correlation, factor analysis, and Sobel's (1982) <br/> test for mediation effect were used for data analysis. Results: Fatigue <br/> was significantly correlated with depression (r=0.516, p &lt; 0.001) and <br/> insomnia (r=0.328, p &lt; 0.05). A single factor accounted for 51.26% of the <br/> variance of these three symptoms. In addition, fatigue mediates the effect <br/> of co-morbidities on functional status (Sobel&AElig;s test statistic=2.4, p &lt; <br/> 0.016). Conclusion: The findings indicate that this group of patents with <br/> lung cancer experienced a cluster of symptoms that limit their functional <br/> status. Fatigue has a mediation effect on functional status. Relevance to <br/> nursing practice: These findings provide evidence for: (1) assessing <br/> co-morbidities and multiple symptoms when planning care for patients with <br/> lung cancer; and (2) planning nursing interventions directed at <br/> maintaining functional status by addressing the presenting symptom <br/>cluster.</td></tr></table>en_GB
dc.date.available2011-10-26T22:41:53Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T22:41:53Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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