Symptom clusters in gastric cancer patients at postoperative 3months ; a single institutional study in Korea

2.50
Hdl Handle:
http://hdl.handle.net/10755/165001
Category:
Abstract
Type:
Presentation
Title:
Symptom clusters in gastric cancer patients at postoperative 3months ; a single institutional study in Korea
Author(s):
Kim, Ae Ran; Kim, Sung
Author Details:
Ae Ran Kim, RN, MN, RN, coordinator, Samsung Medical Center, Gangnam-Gu, Seoul, South Korea, email: lionni@hanmail.net; Sung Kim, MD, Department of Surgery
Abstract:
Research Study: Gastric cancer is the most frequently occurring malignancy in Korea. Gastric cancer patients who underwent gastrectomy experience treatment-related symptoms and functional problems. Although individual symptoms of gastric cancer have been investigated previously, researches about symptom clusters of gastric cancer are largely difficult to find. The purpose of this study are to identify symptom clusters of gastric cancer patients treated with gastrectomy and to describe correlations between symptom clusters and quality of life, and between symptom clusters and functions. Symptom cluster means three or more concurrent symptoms which are related to each other and are not required to share the same etiology. We used the conceptual approaches of grouping symptoms to determine symptom-based clusters. This study was undertaken in a single institution, located in Seoul, Korea. Patients were interviewed at postoperative 3months using EORTC QLQ-C30 and QLQ-STO22 questionnaires. We conducted factor analysis (principal components with varimax rotation) to identify symptom clusters with symptom scale scores of patients who completed both questionnaires. A Pearson correlation analysis was conducted to describe relations with symptom cluster, quality of life and functions. 486 patients completed both questionnaires at postoperative 3 months. They were 340 men and 146 women and mean age was 53.29 years. Three symptom clusters were identified; factor 1 (pain, chest and abdominal pains, reflux symptoms, constipation, dysphagia, nausea and vomiting, eating restrictions, and insomnia), factor 2 (anxiety, body image disturbance, fatigue, and financial difficulties), and factor 3 (appetite loss, taste alteration, and dry mouth). Pearson correlation coefficients among these three factors were ranged from 0.52 to 0.63. General health status/ quality of life and all the functional scales were significantly related to the three symptom clusters. Higher symptom clusters represents lower quality of life and functional status. This study explored symptom clusters of gastric cancer patients treated with gastrectomy and how symptom clusters affected on quality of life and functional status. Nurses need to be aware of the disease specific symptoms and to develop nursing interventions related to quality of life or symptom management.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2009
Conference Name:
34th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
San Antonio, Texas, 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 clusters in gastric cancer patients at postoperative 3months ; a single institutional study in Koreaen_GB
dc.contributor.authorKim, Ae Ranen_US
dc.contributor.authorKim, Sungen_US
dc.author.detailsAe Ran Kim, RN, MN, RN, coordinator, Samsung Medical Center, Gangnam-Gu, Seoul, South Korea, email: lionni@hanmail.net; Sung Kim, MD, Department of Surgeryen_US
dc.identifier.urihttp://hdl.handle.net/10755/165001-
dc.description.abstractResearch Study: Gastric cancer is the most frequently occurring malignancy in Korea. Gastric cancer patients who underwent gastrectomy experience treatment-related symptoms and functional problems. Although individual symptoms of gastric cancer have been investigated previously, researches about symptom clusters of gastric cancer are largely difficult to find. The purpose of this study are to identify symptom clusters of gastric cancer patients treated with gastrectomy and to describe correlations between symptom clusters and quality of life, and between symptom clusters and functions. Symptom cluster means three or more concurrent symptoms which are related to each other and are not required to share the same etiology. We used the conceptual approaches of grouping symptoms to determine symptom-based clusters. This study was undertaken in a single institution, located in Seoul, Korea. Patients were interviewed at postoperative 3months using EORTC QLQ-C30 and QLQ-STO22 questionnaires. We conducted factor analysis (principal components with varimax rotation) to identify symptom clusters with symptom scale scores of patients who completed both questionnaires. A Pearson correlation analysis was conducted to describe relations with symptom cluster, quality of life and functions. 486 patients completed both questionnaires at postoperative 3 months. They were 340 men and 146 women and mean age was 53.29 years. Three symptom clusters were identified; factor 1 (pain, chest and abdominal pains, reflux symptoms, constipation, dysphagia, nausea and vomiting, eating restrictions, and insomnia), factor 2 (anxiety, body image disturbance, fatigue, and financial difficulties), and factor 3 (appetite loss, taste alteration, and dry mouth). Pearson correlation coefficients among these three factors were ranged from 0.52 to 0.63. General health status/ quality of life and all the functional scales were significantly related to the three symptom clusters. Higher symptom clusters represents lower quality of life and functional status. This study explored symptom clusters of gastric cancer patients treated with gastrectomy and how symptom clusters affected on quality of life and functional status. Nurses need to be aware of the disease specific symptoms and to develop nursing interventions related to quality of life or symptom management.en_GB
dc.date.available2011-10-27T12:10:47Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:10:47Z-
dc.conference.date2009en_US
dc.conference.name34th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationSan Antonio, Texas, 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.-
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