2.50
Hdl Handle:
http://hdl.handle.net/10755/160958
Type:
Presentation
Title:
Symptom Experienced by Older Breast Cancer Survivors
Abstract:
Symptom Experienced by Older Breast Cancer Survivors
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2010
Author:Heidrich, Susan
P.I. Institution Name:University of Wisconsin - Madison
Contact Address:k6/362 Clinical Science Center, Madison, WI, 53705, USA
Contact Telephone:608 263-5191
Co-Authors:S.M. Heidrich, J.J. Egan, F. Lin, H. Yeom, School of Nursing, University of Wisconson-Madison, Madison, WI;
Problem: Older breast cancer survivors experience multiple, concurrent symptoms that have ambiguous causes (e.g., late effects of cancer, aging, comorbid health problems). Previous research has mostly focused on describing only treatment-related symptoms. Conceptual Framework: The Representational Approach to Patient Education (Donovan &Ward) guided the development and testing of an individualized symptom management nursing intervention (IRIS) to reduce symptom distress in older cancer survivors. This approach suggests that understanding patients' beliefs about their symptoms is necessary before interventions to change behavior can be successful. Purpose: To describe older breast cancer survivors' perceptions about the extent and severity of their symptoms. Methodology: Participants were breast cancer survivors (N = 190, aged 65 and over, M age = 70, M = 6 comorbidities) at least 1 year post-diagnosis and 3 months post-treatment (except hormonal) enrolled in IRIS (a randomized clinical trial). At baseline, each participant chose 1 or 2 target symptoms they wished to improve and completed 4 measures relating to the severity of the symptom: a severity inventory (5-item standardized inventory), interference with life (7-item scale), emotional distress related to their "target symptom" (Profile of Mood State), and whether they had spoken to a health care provider. Baseline target symptoms were coded into 13 symptom clusters by 4 independent raters (Kappa= .97). Results: The 5 clusters representing the most frequent target symptoms were: musculoskeletal (33.6%), hormonal (9.5%), sleep (8.9%), fatigue 7.9%), and weight gain/control (6.8%). Clusters rated as most severe varied by measure: Dryness and sleep symptoms for severity inventory, fatigue and musculoskeletal for interference, and fatigue and hormonal for emotional distress. Eighty-four percent of women had recently spoken to their health care provider about the symptom. Interpretation/Relevance: Older breast cancer survivors experience a complex set of symptoms that may be amenable to self care interventions. Funding: NIH/NIA RO1AG022914
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 Experienced by Older Breast Cancer Survivorsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/160958-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Symptom Experienced by Older Breast Cancer Survivors</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">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Heidrich, Susan</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Wisconsin - Madison</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">k6/362 Clinical Science Center, Madison, WI, 53705, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">608 263-5191</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">smheidrich@wisc.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">S.M. Heidrich, J.J. Egan, F. Lin, H. Yeom, School of Nursing, University of Wisconson-Madison, Madison, WI;</td></tr><tr><td colspan="2" class="item-abstract">Problem: Older breast cancer survivors experience multiple, concurrent symptoms that have ambiguous causes (e.g., late effects of cancer, aging, comorbid health problems). Previous research has mostly focused on describing only treatment-related symptoms. Conceptual Framework: The Representational Approach to Patient Education (Donovan &amp;Ward) guided the development and testing of an individualized symptom management nursing intervention (IRIS) to reduce symptom distress in older cancer survivors. This approach suggests that understanding patients' beliefs about their symptoms is necessary before interventions to change behavior can be successful. Purpose: To describe older breast cancer survivors' perceptions about the extent and severity of their symptoms. Methodology: Participants were breast cancer survivors (N = 190, aged 65 and over, M age = 70, M = 6 comorbidities) at least 1 year post-diagnosis and 3 months post-treatment (except hormonal) enrolled in IRIS (a randomized clinical trial). At baseline, each participant chose 1 or 2 target symptoms they wished to improve and completed 4 measures relating to the severity of the symptom: a severity inventory (5-item standardized inventory), interference with life (7-item scale), emotional distress related to their &quot;target symptom&quot; (Profile of Mood State), and whether they had spoken to a health care provider. Baseline target symptoms were coded into 13 symptom clusters by 4 independent raters (Kappa= .97). Results: The 5 clusters representing the most frequent target symptoms were: musculoskeletal (33.6%), hormonal (9.5%), sleep (8.9%), fatigue 7.9%), and weight gain/control (6.8%). Clusters rated as most severe varied by measure: Dryness and sleep symptoms for severity inventory, fatigue and musculoskeletal for interference, and fatigue and hormonal for emotional distress. Eighty-four percent of women had recently spoken to their health care provider about the symptom. Interpretation/Relevance: Older breast cancer survivors experience a complex set of symptoms that may be amenable to self care interventions. Funding: NIH/NIA RO1AG022914</td></tr></table>en_GB
dc.date.available2011-10-26T23:13:33Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:13:33Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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