2.50
Hdl Handle:
http://hdl.handle.net/10755/164698
Category:
Abstract
Type:
Presentation
Title:
SYMPTOM EXPERIENCE AMONG BREAST CANCER SURVIVORS AND TARGETED INTERVENTIONS
Author(s):
Cartwright-Alcarese, Frances
Author Details:
Frances Cartwright-Alcarese, RN PhD AOCN, Director of Nursing, Oncology, NYU Hospitals Center, New York, New York, USA, email: runfran123@aol.com
Abstract:
Breast cancer survivors report continued distress resulting from symptom experience associated with the diagnosis, treatment and recovery. Breast cancer symptoms have been identified as a priority area for research (NCI, ONS, IOM). The purpose of this study was to describe a baseline of symptoms among breast cancer survivors and to explore the relationship among the dimensions of symptom experience: number of symptoms (NOS), severity of symptoms (SOS), and amount of distress experienced (ADE), symptom clusters and multiplicative effect of numerous symptoms. This information was used to identify interventions that would target specific problems and concerns. Lazarus and Folkman's Stress and Coping Theory guided this study and suggest that symptom experience generates specific needs that will guide the need for specific nursing sensitive problem-focused and emotion-focused interventions. Using a descriptive, correlational design, data were collected from 131 breast cancer survivors (one month to five years post treatment) using the Breast Cancer Treatment Response Inventory, a tool that demonstrated strong psychometric properties in women with breast cancer. Descriptive statistics and a Pearson correlation matrix were calculated and reported for NOS, SOS, and ADE. The means were: NOS on a range of 0 to 23 = 6.6 (SD = 4.04), SOS and ADE on a range of 0 - 40 = 10.9 (SD = 8.40) and 10.4 (SD = 8.92) respectively. NOS was significantly correlated to ADE (r = 0.883, p = 0.000) indicating a multiplicative effect. This suggests that women may perceive low levels of associated distress when considering symptoms individually, but when NOS increase, ADE significantly increases. Reported symptoms in descending order are: sweats/hot flashes (61.8%), difficulty sleeping (61.1%), fatigue (57.3%), emotional upset (56.7%), vaginal dryness (48.1%), shoulder/ arm discomfort (46.6%), difficulty concentrating (38.2%), sexual problems (36.5%), pain (33.6), numbness/tingling in hands/feet (29%), temperature fluctuations (27.5%), hair loss/thinning (24.4%), bowel problems (22.9%), increase in appetite (22.9%), referred sensation (22.1%), arm/breast swelling (16.9%), and vaginal discharge (12.2%). Symptom clusters that include these symptoms were identified from the literature. The findings were used to identify nursing sensitive interventions that would address specific aspects of symptom experience.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
32nd Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Las Vegas, Nevada, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleSYMPTOM EXPERIENCE AMONG BREAST CANCER SURVIVORS AND TARGETED INTERVENTIONSen_GB
dc.contributor.authorCartwright-Alcarese, Francesen_US
dc.author.detailsFrances Cartwright-Alcarese, RN PhD AOCN, Director of Nursing, Oncology, NYU Hospitals Center, New York, New York, USA, email: runfran123@aol.comen_US
dc.identifier.urihttp://hdl.handle.net/10755/164698-
dc.description.abstractBreast cancer survivors report continued distress resulting from symptom experience associated with the diagnosis, treatment and recovery. Breast cancer symptoms have been identified as a priority area for research (NCI, ONS, IOM). The purpose of this study was to describe a baseline of symptoms among breast cancer survivors and to explore the relationship among the dimensions of symptom experience: number of symptoms (NOS), severity of symptoms (SOS), and amount of distress experienced (ADE), symptom clusters and multiplicative effect of numerous symptoms. This information was used to identify interventions that would target specific problems and concerns. Lazarus and Folkman's Stress and Coping Theory guided this study and suggest that symptom experience generates specific needs that will guide the need for specific nursing sensitive problem-focused and emotion-focused interventions. Using a descriptive, correlational design, data were collected from 131 breast cancer survivors (one month to five years post treatment) using the Breast Cancer Treatment Response Inventory, a tool that demonstrated strong psychometric properties in women with breast cancer. Descriptive statistics and a Pearson correlation matrix were calculated and reported for NOS, SOS, and ADE. The means were: NOS on a range of 0 to 23 = 6.6 (SD = 4.04), SOS and ADE on a range of 0 - 40 = 10.9 (SD = 8.40) and 10.4 (SD = 8.92) respectively. NOS was significantly correlated to ADE (r = 0.883, p = 0.000) indicating a multiplicative effect. This suggests that women may perceive low levels of associated distress when considering symptoms individually, but when NOS increase, ADE significantly increases. Reported symptoms in descending order are: sweats/hot flashes (61.8%), difficulty sleeping (61.1%), fatigue (57.3%), emotional upset (56.7%), vaginal dryness (48.1%), shoulder/ arm discomfort (46.6%), difficulty concentrating (38.2%), sexual problems (36.5%), pain (33.6), numbness/tingling in hands/feet (29%), temperature fluctuations (27.5%), hair loss/thinning (24.4%), bowel problems (22.9%), increase in appetite (22.9%), referred sensation (22.1%), arm/breast swelling (16.9%), and vaginal discharge (12.2%). Symptom clusters that include these symptoms were identified from the literature. The findings were used to identify nursing sensitive interventions that would address specific aspects of symptom experience.en_GB
dc.date.available2011-10-27T12:05:22Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:05:22Z-
dc.conference.date2007en_US
dc.conference.name32nd Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationLas Vegas, Nevada, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.