FACTORS CONTRIBUTING TO MAINTENANCE OF USUAL ACTIVITIES DURING RADIATION THERAPY

2.50
Hdl Handle:
http://hdl.handle.net/10755/165151
Category:
Abstract
Type:
Presentation
Title:
FACTORS CONTRIBUTING TO MAINTENANCE OF USUAL ACTIVITIES DURING RADIATION THERAPY
Author(s):
Poirier, Patricia
Author Details:
Patricia Poirier, PhD, RN, AOCN, Clinical Nurse Specialist, St. Vincent Hospital, Worcester, Massachusetts, USA, email: mainedreams@aol.com
Abstract:
Topic: Cancer treatment may impact the ability of patients to maintain their usual activities such as work, household chores, and social activities. Purpose: Self-management and performance status are priority topics for the 2003-2005 ONS Research Agenda. The purpose of this study was to examine factors related to maintenance of usual activities during radiation therapy. Framework: The role performance mode of the Roy Adaptation Model guided the design of the study, the selection of variables, and the specification of the relations among variables. Methods: Seventy-seven participants receiving radiation therapy were recruited from one community hospital. The study employed a prospective, longitudinal design. Participants were asked to rate the extent to which they were continuing to perform their usual activities on a scale of 0 (not at all) to 10 (all the time). Karnofsky Performance Status Scale (KPS) was used to measure performance status. Data were collected at baseline prior to starting radiation, weekly during treatment, and at one month post-treatment. The study consisted of repeated observations over time for the same set of participants; thus longitudinal regression analysis was used to capture changes with time as the single within-subjects factor. Paired t-tests were used to test for significant differences in usual activities at each measurement point. Findings: Study participants maintained relatively high performance status throughout the course of treatment. However, the ability to perform usual activities decreased significantly from baseline to the end of treatments t(76) = 7.45, p<.0001. Ability to perform usual activities was highly negatively correlated with fatigue and site-specific side effects at each measurement point. In a longitudinal regression analysis, work, availability of sick leave benefits, living situation, fatigue, KPS, and presence of co-morbidities were predictive of ability to perform usual activities throughout the trajectory of radiation therapy. Management of side effects of treatment, including fatigue, and supporting patients' need to work or not work during treatment may help patients continue to perform those activities important to them during radiation therapy. Nurses can identify patients at high risk for inability to maintain usual activities, such as those who live alone or have co-existing medical conditions, and intervene early on in treatment.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2006
Conference Name:
31st Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Boston, Massachusetts, 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.titleFACTORS CONTRIBUTING TO MAINTENANCE OF USUAL ACTIVITIES DURING RADIATION THERAPYen_GB
dc.contributor.authorPoirier, Patriciaen_US
dc.author.detailsPatricia Poirier, PhD, RN, AOCN, Clinical Nurse Specialist, St. Vincent Hospital, Worcester, Massachusetts, USA, email: mainedreams@aol.comen_US
dc.identifier.urihttp://hdl.handle.net/10755/165151-
dc.description.abstractTopic: Cancer treatment may impact the ability of patients to maintain their usual activities such as work, household chores, and social activities. Purpose: Self-management and performance status are priority topics for the 2003-2005 ONS Research Agenda. The purpose of this study was to examine factors related to maintenance of usual activities during radiation therapy. Framework: The role performance mode of the Roy Adaptation Model guided the design of the study, the selection of variables, and the specification of the relations among variables. Methods: Seventy-seven participants receiving radiation therapy were recruited from one community hospital. The study employed a prospective, longitudinal design. Participants were asked to rate the extent to which they were continuing to perform their usual activities on a scale of 0 (not at all) to 10 (all the time). Karnofsky Performance Status Scale (KPS) was used to measure performance status. Data were collected at baseline prior to starting radiation, weekly during treatment, and at one month post-treatment. The study consisted of repeated observations over time for the same set of participants; thus longitudinal regression analysis was used to capture changes with time as the single within-subjects factor. Paired t-tests were used to test for significant differences in usual activities at each measurement point. Findings: Study participants maintained relatively high performance status throughout the course of treatment. However, the ability to perform usual activities decreased significantly from baseline to the end of treatments t(76) = 7.45, p&lt;.0001. Ability to perform usual activities was highly negatively correlated with fatigue and site-specific side effects at each measurement point. In a longitudinal regression analysis, work, availability of sick leave benefits, living situation, fatigue, KPS, and presence of co-morbidities were predictive of ability to perform usual activities throughout the trajectory of radiation therapy. Management of side effects of treatment, including fatigue, and supporting patients' need to work or not work during treatment may help patients continue to perform those activities important to them during radiation therapy. Nurses can identify patients at high risk for inability to maintain usual activities, such as those who live alone or have co-existing medical conditions, and intervene early on in treatment.en_GB
dc.date.available2011-10-27T12:13:26Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:13:26Z-
dc.conference.date2006en_US
dc.conference.name31st Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationBoston, Massachusetts, 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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