Asian Pacific Journal of Cancer Prevention

Asian Pacific Journal of Cancer Prevention (아시아태평양암예방학회)
권호 표지
DOI QR코드

DOI QR Code

Anxiety and Symptom Assessment in Turkish Gynecologic Cancer Patients Receiving Chemotherapy

  • Nazik, Evsen (Department of Nursing, Adana Health School, Cukurova University) ;
  • Arslan, Sevban (Department of Nursing, Adana Health School, Cukurova University) ;
  • Nazik, Hakan (Department of Obstetric and Gynecologic Oncology, Adana Numune Education Hospital) ;
  • Narin, Mehmet Ali (Department of Obstetric and Gynecologic Oncology, Adana Numune Education Hospital) ;
  • Karlangic, Hatice (Department of Nursing, Adana Health School, Cukurova University) ;
  • Koc, Zeynep (Department of Nursing, Adana Health School, Cukurova University)
  • Published : 2012.07.31
Download PDF
⟨ Previous Next ⟩

Abstract

Diagnosis and treatment procedures in cancers and resulting anxiety negatively affect the individual and the family. Particularly treatment methods may generate psychological symptoms. The aim of this study was to determine the level of such symptoms in Turkish gynecologic cancer patients receiving chemotherapy. A total of 41 patients who were referred to our gynecologic oncology research clinic between January-March 2012, receiving 3 months or more chemotherapy and who agreed to participate were enrolled in study. All the data were collected using a personal information form, Edmonton Symptom Assesment System and State-Trait Anxiety Inventory. Patients received highest point average from fatigue symptom ($6.53{\pm}2.67$) and lowest point average from dyspnea ($1.53{\pm}3.03$) according to Edmonton Symptom Assesment System. The mean State Anxiety score of patients was $43.1{\pm}9.77$ and mean Trait Anxiety score was $46.7{\pm}7.01$. Comparing symptoms of patients and mean State Anxiety score it was found that there was a statistically significant corelation with symptoms like pain (p<0.05), sadness (p<0.001), insomnia (p<0.05), state of well being (p<0.001) and dyspnea (p<0.05). Similarly comparing symptoms of patients and mean Trait Anxiety score demonstrated significant correlations for fatigue (p<0.05), sadness (p<0.01), insomnia (p<0.01) and state of well-being (p<0.01). As a result, patients with gynecological cancers experienced symptoms related to chemotherapy and a moderate level of anxiety. In accordance, appropriate interventions should recommended for the evaluation and improvement of anxiety and symptoms related to treatment in cancer patients.

Keywords

References

  1. Akin S, Durna Z (2012). A comparative descriptive study examining the perceptions of cancer patients, family caregivers, and nurses on patient symptom severity in Turkey. Eur J Oncol Nurs, 27, 1-8.
  2. Beesley VL, Price MA, Butow PN, et al (2011). Physical activity in women with ovarian cancer and its association with decreased distress and improved quality of life. Psychooncology (in press).
  3. Bisseling KC, Kondalsamy-Chennakesavan S, Bekkers RL, Janda M, Obermair A (2009). Depression, anxiety and body image after treatment for invasive stage one epithelial ovarian cancer. Aust N Z J Obstet Gynaecol, 49, 660-6. https://doi.org/10.1111/j.1479-828X.2009.01074.x
  4. Bruera E, Kuehn N, Miller MJ, Selmser P, Macmillan K (1991). The Edmonton symptom assessment system (ESAS): a simple method for the assessment of palliative care patients. J Palliative Care, 7, 6-9.
  5. Casey C, Chen LM, Rabow MW (2011). Symptom management in gynecologic malignancies. Expert Rev Anticancer Ther, 11, 1077-89.
  6. Ciaramella A, Poli P (2001). Assessment of depression among cancer patients: the role of pain, cancer type, and treatment. Psycho Oncology, 10, 156-65. https://doi.org/10.1002/pon.505
  7. Delgado-Guay M, Parsons HA, Li Z, et al (2009). Symptom distress in advanced cancer patients with anxiety and depression in the palliative care setting. Support Care Cancer, 17, 573-9. https://doi.org/10.1007/s00520-008-0529-7
  8. Deshields TL, Potter P, Olsen S, Liu J, Dye L (2011). Documenting the Symptom Experience of Cancer Patients. J Supportive Oncol, 9, 216-23. https://doi.org/10.1016/j.suponc.2011.06.003
  9. Fowler JM, Carpenter KM, Gupta P, Golden-Kreutz DM, Andersen BL (2004). The gynecologic oncology consult: symptom presentation and concurrent symptoms of depression and anxiety. Obstet Gynecol, 103, 1211-7. https://doi.org/10.1097/01.AOG.0000127983.70739.d8
  10. Guidelines for using the Edmonton Symptom Assessment System (ESAS), Regional Palliative Care Program Capital Healt, Agust 25, 2005.
  11. Karabulu N, Erci B, Ozer N, Ozdemir S (2010). Symptom clusters and experiences of patients with cancer. J Adv Nurs, 66, 1011-21. https://doi.org/10.1111/j.1365-2648.2009.05254.x
  12. Kurt Sadirli S, Unsar S (2008). Kanserli hastalarda semptom kontrolunun degerlendirilmesi, [The Symptom assessment in cancer patients] [Dissertation]. Trakya Universitesi Saglik Bilimleri Ensititusu, Edirne.
  13. Massie MJ (2004). Prevalence of depression in patients with cancer. Journal of the National Cancer Institute. Monographs, 32, 57-71.
  14. Molassiotis A, Zheng Y, Denton-Cardew L, Swindell R, Brunton L (2010). Symptoms experienced by cancer patients during the first year from diagnosis: patient and informal caregiver ratings and agreement. Palliative and Supportive Care, 8, 313-24. https://doi.org/10.1017/S1478951510000118
  15. Mystakidou K, Tsilika E, Parpa E, et al (2005). Assessment of anxiety and depression in advanced cancer patients and their relationship with quality of life. Qual Life Res, 14, 1825-33. https://doi.org/10.1007/s11136-005-4324-3
  16. Northouse LL, Mood D, Kershaw T, et al (2002). Quality of life of women with recurrent breast cancer and their family members. J Clin Oncol, 20, 4050-64. https://doi.org/10.1200/JCO.2002.02.054
  17. Oner N, Le Compte A (1985). Durumluluk/Surekli Kaygi Envanteri El Kitabi. (Ikinci Baski). Istanbul: Bogazici Yayinlari.
  18. Powell CB, Kneier A, Chen LM, et al (2008). A randomized study of the effectiveness of a brief psychosocial intervention for women attending a gynecologic cancer clinic. Gynecol Oncol, 111, 137-43. https://doi.org/10.1016/j.ygyno.2008.06.024
  19. Redeker NS, Lev EL, Ruggiero J (2000). Insomnia, fatigue, anxiety, depression, and quality of life of cancer patients undergoing chemotherapy. Scholarly Inquiry for Nursing Practice, 14, 275-90.
  20. Rezk Y, Timmins PF, Smith HS (2011). Review article: palliative care in gynecologic oncology. Am J Hosp Palliat Care, 28, 356-74. https://doi.org/10.1177/1049909110392204
  21. Salvo N, Zeng L, Zhang L, et al (2012). Frequency of reporting and predictive factors for anxiety and depression in patients with advanced cancer. Clin Oncol (R Coll Radiol), 24, 139-48. https://doi.org/10.1016/j.clon.2011.05.003
  22. Shoemaker LK, Estfan B, Induru R, Walsh TD (2011). Symptom management: an important part of cancer care. Cleve Clin J Med, 78, 25-34. https://doi.org/10.3949/ccjm.78a.10053
  23. Sun CC, Bodurka DC, Weaver CB, et al (2005). Rankings and symptom assessments of side effects from chemotherapy: insights from experienced patients with ovarian cancer. Support Care Cancer, 13, 219-27. https://doi.org/10.1007/s00520-004-0710-6
  24. Teunissen S, Wesker W, Kruitwagen C, et al (2007). Symptom prevalence in patients with incurable cancer: a systematic review. J Pain Symptom Manag, 34, 94-104. https://doi.org/10.1016/j.jpainsymman.2006.10.015
  25. Von Gruenigen VE, Hutchins JR, Reidy AM, et al (2006). Gynecologic oncology patients' satisfaction and symptom severity during palliative chemotherapy. Health Qual Life Outcomes, 4, 84. https://doi.org/10.1186/1477-7525-4-84
  26. Yesilbalkan OU, Okgun A (2010). Patients' self reports and caregivers' perception of symptoms in Turkish cancer patients. Eur J Oncol Nursing, 14, 119-24. https://doi.org/10.1016/j.ejon.2009.08.002

Cited by

  1. Determination of Sexual Problems of Turkish Patients Receiving Gynecologic Cancer Treatment: a Cross-sectional Study vol.15, pp.16, 2014, https://doi.org/10.7314/APJCP.2014.15.16.6657
  2. Symptoms and Symptom Clusters in Non Hodgkin's Lymphoma Patients in Turkey vol.15, pp.17, 2014, https://doi.org/10.7314/APJCP.2014.15.17.7153
  3. Comfort and Anxiety Levels of Women with Early Stage Breast Cancer Who Receive Radiotherapy vol.15, pp.5, 2014, https://doi.org/10.7314/APJCP.2014.15.5.2109
  4. Social Support and Quality of Life in Turkish Patients with Gynecologic Cancer vol.15, pp.7, 2014, https://doi.org/10.7314/APJCP.2014.15.7.3081
  5. Effect of chemotherapy counseling by pharmacists on quality of life and psychological outcomes of oncology patients in Malaysia: a randomized control trial vol.15, pp.1, 2017, https://doi.org/10.1186/s12955-017-0680-2