RELATIONSHIP OF FATIGUE, PAIN AND FUNCTIONAL STATUS IN PEOPLE WITH CANCER RECEIVING CHEMOTHERAPY

2.50
Hdl Handle:
http://hdl.handle.net/10755/165160
Category:
Abstract
Type:
Presentation
Title:
RELATIONSHIP OF FATIGUE, PAIN AND FUNCTIONAL STATUS IN PEOPLE WITH CANCER RECEIVING CHEMOTHERAPY
Author(s):
Siefert, Mary Lou
Author Details:
Mary Lou Siefert, APRN, DNSc, AOCN, Research Associate, Yale University School of Nursing, New Haven, Connecticut, USA, email: mlsiefert@aya.yale.edu
Abstract:
Topic: Symptom distress from fatigue, the most commonly reported and most distressing symptom or pain negatively affects functional status and quality of life in individuals with cancer. The relationships and patterns of prevalence of the concurrent existence of fatigue and pain and functional status changes over time are not well understood. Knowledge gained from examining the relationships of concurrent symptoms and functional status over time will enhance the understanding of their relationships and patterns of occurrence. Purpose: The study's purpose was to examine the relationship of three concepts, fatigue, pain and functional status over time in a sample cancer patients receiving outpatient chemotherapy. The aims were to describe the levels of the three concepts over time and to explore their relationships with each other and with demographic, clinical, treatment and biological variables. Framework: The Winningham Psychobiological Entropy model which proposes a complex interrelationship among fatigue and other factors including, symptoms, disease characteristics, functional status and treatments was used to guide the study. The model encourages the management of symptoms, accompanied by adequate information and support for those with symptoms. Methods: A descriptive correlational design was used to examine the three main outcome variables, fatigue (0-10), pain (0-10), and functional status (0-4) over time of treatment in a sample of the total available population; breast cancer (n=9), colorectal cancer (n=21), lung cancer (n=21) and lymphoma (n=19). Retrospective data were extracted by the researcher from medical records in a hospital based outpatient chemotherapy clinic. Descriptive, correlational and mixed modeling methods were employed to describe the sample and examine the relationships among disease, treatment and biological variables with fatigue, pain and functional status. Findings: Fatigue was the most frequently reported symptom; pain was rarely reported and almost exclusively by subjects with lung cancer or lymphoma in their early treatments. Fatigue and functional status impairment were highly associated over time and had similar relationships with other variables. The patterns and severity of symptoms and functional status impairment in people with colorectal cancer and lymphoma warrant further investigation. Targeted interventions for specific populations should be developed and tested to address specific patterns of symptoms and functional status impairment.
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.titleRELATIONSHIP OF FATIGUE, PAIN AND FUNCTIONAL STATUS IN PEOPLE WITH CANCER RECEIVING CHEMOTHERAPYen_GB
dc.contributor.authorSiefert, Mary Louen_US
dc.author.detailsMary Lou Siefert, APRN, DNSc, AOCN, Research Associate, Yale University School of Nursing, New Haven, Connecticut, USA, email: mlsiefert@aya.yale.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/165160-
dc.description.abstractTopic: Symptom distress from fatigue, the most commonly reported and most distressing symptom or pain negatively affects functional status and quality of life in individuals with cancer. The relationships and patterns of prevalence of the concurrent existence of fatigue and pain and functional status changes over time are not well understood. Knowledge gained from examining the relationships of concurrent symptoms and functional status over time will enhance the understanding of their relationships and patterns of occurrence. Purpose: The study's purpose was to examine the relationship of three concepts, fatigue, pain and functional status over time in a sample cancer patients receiving outpatient chemotherapy. The aims were to describe the levels of the three concepts over time and to explore their relationships with each other and with demographic, clinical, treatment and biological variables. Framework: The Winningham Psychobiological Entropy model which proposes a complex interrelationship among fatigue and other factors including, symptoms, disease characteristics, functional status and treatments was used to guide the study. The model encourages the management of symptoms, accompanied by adequate information and support for those with symptoms. Methods: A descriptive correlational design was used to examine the three main outcome variables, fatigue (0-10), pain (0-10), and functional status (0-4) over time of treatment in a sample of the total available population; breast cancer (n=9), colorectal cancer (n=21), lung cancer (n=21) and lymphoma (n=19). Retrospective data were extracted by the researcher from medical records in a hospital based outpatient chemotherapy clinic. Descriptive, correlational and mixed modeling methods were employed to describe the sample and examine the relationships among disease, treatment and biological variables with fatigue, pain and functional status. Findings: Fatigue was the most frequently reported symptom; pain was rarely reported and almost exclusively by subjects with lung cancer or lymphoma in their early treatments. Fatigue and functional status impairment were highly associated over time and had similar relationships with other variables. The patterns and severity of symptoms and functional status impairment in people with colorectal cancer and lymphoma warrant further investigation. Targeted interventions for specific populations should be developed and tested to address specific patterns of symptoms and functional status impairment.en_GB
dc.date.available2011-10-27T12:13:36Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:13:36Z-
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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