Symptom Severity, Psychological Distress and Care Needs in Early Stage Lung Cancer Patients After Surgery
Date Issued
2011
Date
2011
Author(s)
Huang, I-Chin
Abstract
Lung cancer is one of the most life-threatening cancers. Fortunately, due to the current medical advancement in cancer screening, patients are able to be diagnosed in early stage of lung cancer and receive operation. However, limited information has known about the distress and needs of these patients. The purposes of this study are to (1) examine the levels of symptom severity, psychological distress (anxiety, depression, and uncertainty), and care needs; and (2) factors related to care needs in operable lung cancer patients. A cross-sectional study was conducted to recruit operable lung cancer patients (3 month to 5 year after their surgery) in a medical center in Northern Taiwan. Patients were assessed by trained nurses with structured interview by several instruments, including EORTC Core Quality of Life Questionnaire (QLQ-C30) with 13-item Lung Cancer-Specific Questionnaire Module (LC-13), Hospital Anxiety and Depression Scale (HADS), Mishel’s Uncertainty in Illness Scale Chinese Version (MUIS), 34-item Short-form SCNS in Chinese version (SCNS-SF34-C), and Background Information Form (BIF).
A total of 150 subjects were recruited. The results showed that (1) in general, patients experienced mild symptom severity with the top five symptoms as dyspnea, sleep disorder, pain of other places, cough, and fatigue; (2) there are about 16 to 20% of subjects were identified as anxiety or suspected as anxiety and depression or suspected as depression, respectively; (3) patients had moderate to high levels of uncertainty; (4) patients had relatively low to moderate levels of care needs, ranking as their mean scores as health system and information needs, psychological needs, patients care and support needs, physical and daily living needs, and sexual needs; and (5) Patients’ overall care needs were associated to higher symptom severity, higher anxiety level, lower income, having married, diagnosis as non-small cell lung cancer which explained 49.4% variance. The results provide the information to develop evidence based services to meet operable lung cancer patients’ care needs and further to facilitate their life quality.
Subjects
Lung Cancer
Symptom severity
Distress
Anxiety
Depression
Uncertainty
Care needs
SDGs
Type
thesis
File(s)![Thumbnail Image]()
Loading...
Name
ntu-100-R98426020-1.pdf
Size
23.32 KB
Format
Adobe PDF
Checksum
(MD5):4df9d2902cc5c108a9d60674b161ceaa