Patterns of symptoms in women after gynecologic surgery.
Oncol Nurs Forum
; 37(2): E133-40, 2010 Mar.
Article
em En
| MEDLINE
| ID: mdl-20189912
ABSTRACT
PURPOSE/OBJECTIVES:
To explore patterns of symptoms over time and the relationships between selected demographic and clinical characteristics.DESIGN:
Secondary analysis of longitudinal data.SETTING:
A hospital and comprehensive cancer center in the northeastern United States. SAMPLE 66 women with gynecologic cancers, postsurgical, and scheduled to receive chemotherapy.METHODS:
A secondary analysis using descriptive and general estimating equation statistical procedures was conducted on symptom and disease data in a subset of a larger nursing intervention study. MAIN RESEARCH VARIABLES Demographic and clinical variables including cancer site, new diagnosis or recurrence, stage, treatment, comorbidities, emotional distress, use of a symptom management tool kit, and 10 symptoms over time.FINDINGS:
Two patterns of symptoms were identified. The first pattern (pain, bowel dysfunction, disturbed sleep, depression, nausea, and lack of appetite) decreased, and the second pattern (fatigue, anxiety, hair loss, and numbness) remained constant over time. The total number of symptoms decreased over time. Factors associated with symptoms, such as the use of a tool kit and emotional distress, were identified.CONCLUSIONS:
Tool kit use by women who experienced fatigue, bowel dysfunction, and anxiety suggests its usefulness as a self-care guide. Explanations for the two patterns of symptoms are discussed. IMPLICATIONS FOR NURSING Postsurgical management should include management and monitoring of symptoms associated with treatment. Screening for emotional distress is recommended in this population. Use of the tool kit could be an effective postsurgical management strategy for women with gynecologic cancers.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
/
Procedimentos Cirúrgicos em Ginecologia
/
Neoplasias dos Genitais Femininos
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Aged80
Idioma:
En
Revista:
Oncol Nurs Forum
Ano de publicação:
2010
Tipo de documento:
Article
País de afiliação:
China