摘要:

The purpose of this research was to identify concerns and issues related to quality of life in long-term female cancer survivors and to discuss the implications of these issues for nursing. Data were collected by mailed questionnaire to 188 female long-term cancer survivors whose mean age was 61 years. Respondents were recruited through a Michigan tumor registry. The newly developed Long-Term Quality of Life (LTQL) instrument was used to measure quality of life in four domains: physical, psychological, social, and spiritual. We hypothesized that physical concerns would be minimal, whereas psychological, social, and spiritual areas would encompass salient issues. Our hypotheses were supported, with the lowest levels of quality of life found in the areas of spiritual/philosophical views, diet and exercise habits, and social/emotional support; the highest area of quality of life was physical, i.e., the absence of somatic concerns. Long-term survivors have resolved many of the physical concerns resulting from their illness and treatment. However, nursing interventions can still improve quality of life in the psychological, social, and spiritual areas. A multipurpose support group for survivors is recommended, including “exercise partners” to support regular exercise, group discussions of spirituality and philosophical views of life, and community service activities with women's organizations and/or newly diagnosed women.

ISSN:0162-220X    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

The purpose of this study was to explore the hypothesis that women with breast cancer had specific preferences about the degree of control they wanted over treatment decision making. One hundred fifty women, newly diagnosed with breast cancer, were interviewed and their preferences for participation in treatment decision making were established using a measurement tool designed to elicit decision-making preferences (Degner LF, Sloan JF. Decision making during serious illness: What role do patients really want to play?J Clin Epidemiol1992;45:944-50). Two hundred women with benign breast disease served as a descriptive comparison group. Unfolding theory (Coombs CH.A theory of data.New York: John Wiley & Sons, 1964) provided a means of analyzing the data so that the degree of control preferred by each woman could be established. The majority of the newly diagnosed women preferred to play a passive role in treatment decision making, leaving the decision-making responsibility to their physician, whereas the benign control group preferred a collaborative role in which joint decisions could be made between the patient and the physician. The implications of the results for patient participation are discussed.

ISSN:0162-220X    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

In this retrospective questionnaire study of a convenience sample of 244 Australian women, type of causal attributions and their impact on coping strategies adopted by women with breast cancer were studied in relation to women's adjustment to their illness. Although 70% of the women made attributions about their cancer's origins, these women were not significantly better adjusted than women who had not made an attribution. Of those women who had made a causal attribution, type of attribution, whether controllable or uncontrollable (based on perceptions as to the controllability/uncontrollability of the cause of the disease), determined the extent to which women exhibited information-seeking behavior. In the present study, women who perceived the cause of their cancer as emanating from uncontrollable circumstances were more active in seeking information about breast cancer than women who perceived the cause of their cancer as emanating from controllable circumstances. Different types of coping strategies adopted by women were associated with adjustment. Women who rated their adjustment as excellent displayed lower levels of help-lessness, made fewer changes to their social behavior, were more anxiously preoccupied with their illness, sought more alternatives to medical therapy, and exhibited more information-seeking behavior than did their less-well-adjusted counterparts. The theoretical and practical implications of these results are discussed.

ISSN:0162-220X    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

This phenomenological study was designed to explore the lived experience of having cancer, as perceived by people who have been diagnosed and treated for cancer. The aim of the study was to add to the knowledge and understanding of this complex human phenomenon. Data were collected through in-depth interviews with nine people who were in the remission or recovery phase of cancer. The interviews were taperecorded and transcribed verbatim for each participant. Through intersubjective interactions and thematic analysis, the essential description of the lived experience of having cancer was constructed. The overriding theme of the lived experience of having cancer is “experiencing existential changes.” Five basic subthemes were identified in the participants accounts, all of which are part of the existential changed involved in the lived experience of having cancer. These are: uncertainty, vulnerability, isolation, discomfort, and redefinition. The study can increase the understanding of what it is like to have cancer.

ISSN:0162-220X    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Pain associated with cancer and its treatment continues to be a significant concern for those persons diagnosed with the illness. This article will focus on pain syndromes associated with surgical interventions for women with breast cancer. Postmastectomy pain syndromes including postaxillary dissection pain and phantom breast pain will be described in terms of their nature, incidence, and temporal course based on current literature findings. Treatment strategies and implications for nursing interventions employed in caring for these women will also be discussed. Nurses can use information about postmastectomy pain syndromes to educate their patients, to cooperate in successfully managing effects of the disease and treatment, and to help women cope after breast cancer surgery.

ISSN:0162-220X    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Pain can cause both physical and psychological distress that has a negative impact on a patient's quality of life. The purpose of this descriptive study was to determine whether cancer patients (N = 60) with pain (n = 30) had higher scores of depression, anxiety, somatization, and hostility than did cancer patients without pain (n = 30). The study was conducted in a midwestern medical center hospital during a 9-month period. Psychological variables were measured using subscales of the Brief Symptom Inventory (BSI). Patients who reported pain completed the McGill Pain Questionnaire (MPQ) and Visual Analogue Scale. Significant positive correlations were found between total MPQ scores and all four subscales of the BSI (r =0.60-0.78, p < 0.05). Patients with pain scored higher on all four subscales of the BSI, with significant differences occurring in somatization (t =2.05, p < 0.05) and hostility (t =1.93, p < 0.05). The findings suggest a relationship between pain intensity and psychological status. Nursing interventions aimed at reducing these factors may help to decrease the pain, in addition to then decreasing the psychological distress experienced by patients with cancer.

ISSN:0162-220X    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

In an effort to understand the effect of cancer diagnosis and treatment in children and adolescents, and to identify issues that should be addressed with newly diagnosed patients, 85 patients with Ewing's sarcoma family tumors (ESFT) were interviewed about their experience of having cancer. This represents 90% of all eligible patients who survived at least 3 years since their diagnosis and who were treated for ESFT at the National Cancer Institute (NCI) from 1965-1993. The mean age of patients at the time of diagnosis was 15.8 ± 5.3 years, and mean time since diagnosis was 13.6 ± 6.4 years. Patients from this cohort had a disease usually related to poor outcome. Patients answered five open-ended written questions. Negative experiences that they described included transient and permanent discomfort and disabilities related to cancer; disruption of life or relationships; and emotional aspects of cancer diagnosis or treatment. Positive aspects of having cancer included changed attitudes about self and life, improved relationships with others, or better job performance. Advice for newly diagnosed patients most often dealt with the emotional aspects of cancer. The importance of patient-to-patient support was frequently described. Overall, having cancer was not an entirely negative experience, and it may result in introspection and improved relationships with others.

ISSN:0162-220X    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:0162-220X    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:0162-220X    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:0162-220X    

出版商:OVID    

年代:1996

数据来源: OVID