Supportive care needs of women with lung cancer

Margaret I. Fitch, Rose Steele

Abstract


The main purpose of this exploratory study was to identify the supportive care needs of women with lung cancer who attend an ambulatory regional cancer centre. Lung cancer has more than a physical impact on those who are diagnosed with the disease, yet relatively little has been reported on the supportive care needs beyond those for symptom management.

A total of 34 women diagnosed with lung cancer participated in this exploratory study by completing a self-report questionnaire (Supportive Care Needs Survey). The data provided clear indication that a range of needs exists for this group of women and many needs remain unmet. Lack of energy, pain, and concern about those close to them were the most frequently reported needs. Patients expressed difficulty managing their needs and many experienced emotional distress because of their difficulties. Suggestions for practice and future research are offered to assist cancer nurses in caring for this group of patients.


Full Text:

PDF

References


Ashbury, F.D., Findley, H., Reynolds, B., & McKerracher, K. (1998).

A Canadian survey of cancer patients’ experiences: Are their needs

being met? Journal of Pain and Symptom Management, 16(5),

–306.

Bailey, A.J., Parmar, M.K.B., & Stephens, R.J. (1998). Patientreported

short-term and long-term physical and psychologic

symptoms. Journal of Clinical Oncology, 16(9), 3082–3093.

Bonevski, B., Sanson-Fisher, R., Girgis, A., Burton, L., Cook, P.,

Boyes, A., & the Supportive Care Review Group. (2000).

Evaluation of an instrument to assess the needs of patients with

cancer. Cancer, 88(1), 217–25.

Bradley, N., Davis, L., & Chow, E. (2005). Symptom distress in

patients attending an outpatient palliative radiotherapy clinic.

Journal of Pain and Symptom Management, 30(2), 123–131.

Brown, J., & Radke, K. (1998). Nutritional assessment, intervention,

and evaluation of weight loss in patients with non-small cell lung

cancer. Oncology Nursing Forum, 25(3), 547–53.

Bruera, E., Michaud, M., Vigano, A., Neumann, C., Watanabee, S., &

Hanson, J. (2001). Multidisciplinary symptom control clinic in a

cancer centre: A retrospective study. Supportive Care in Cancer,

, 162–168.

Chapple, A., Ziebland, S., & MacPherson, A. (2004). Stigma, shame,

and blame experienced by patients with lung cancer: A qualitative

study. British Medical Journal, 328, 1470–1474.

Charles, K., Sellick, S.M., Montesanto, B., & Mohide, E.A. (1996).

Priorities for cancer survivors regarding psychosocial needs.

Journal of Psychosocial Oncology, 14(2), 57–72.

Chow, E., Tsao, M., & Harth, T. (2004). Does psychosocial

intervention improve survival in cancer? A meta-analysis.

Palliative Medicine, 18, 25–31.

Corner, J., Plant, H., A’Hern, R., & Bailey, C. (1996). Nonpharmacological

intervention for breathlessness in lung cancer.

Palliative Medicine, 10(4), 299–305.

Edmonds, P., Karlsen, S., Khan, S., & Addington-Hall, J. (2001). A

comparison of the palliative care needs of patients dying from

chronic respiratory diseases and lung cancer. Palliative Medicine,

(4), 287–95.

Erridge, S. (2003). Treatment and survival of British Columbia

patients with lung cancer. Paper presentation at the 10th

International Conference on Lung Cancer, Vancouver, August.

Fallen, H., & Schmidt, M. (2004). Prognostic value of depressive

coping and depressions in survival of lung cancer patients.

Psycho-Oncology, 13(5), 359–363.

Fitch, M., Ung, Y., Winterhoff, M., & Steele, R. (May, 2002).

Identifying supportive care needs of lung cancer patients. Paper

presented at the Canadian Association of Psychosocial Oncology

Annual Research Conference, Halifax, Nova Scotia, Canada.

Given, C.W., Given, B.A., & Stommel, M. (1994). The impact of age,

treatment, and symptoms on the physical and mental health of

cancer patients. Cancer, 74, 2128–38.

Groff, L. (2002). The gender lens: A new look at women’s lungs.

Update ORCS, 18(3), 1, 4–5.

Hollen, P.J., Gralla, R.J., & Rittenberg, C.N. (2004). Quality of life as

a clinical trial endpoint: Determining the appropriate interval for

repeated assessments in patients with advanced lung cancer.

Supportive Care in Cancer, 12(11), 767–773.

Hopwood, P., & Stephens, R.J. (1995). Symptoms at presentation for

treatment in patients with lung cancer: Implications for the

evaluation of palliative treatment. British Journal of Cancer 71,

–36.

Hopwood, P., & Stephens, R.J. (2000). Depression in patients with

lung cancer: Prevalence and risk factors derived from quality-oflife

data. Journal of Clinical Oncology, 18(4), 893–903.

John, L.D. (2001). Quality of life in patients receiving radiation

therapy for non-small cell lung cancer. Oncology Nursing

Forum, 28(5), 807–813.

Kennett, C., & Payne, M. (2005). Understanding why palliative care

patients “like day care†and “getting out.†Journal of Palliative

Care, 21(4), 292–298.

Kiteley, C., & Fitch, M.I. (2006). Understanding the symptoms

experienced by individuals with lung cancer. Canadian Oncology

Nursing Journal, 16(1), 25–30.

Krishnasamy, M., Wilkie, E., & Haviland, J. (2001). Lung cancer

health care needs assessment: Patients’ and informal carers’

responses to a national mail questionnaire survey. Palliative

Medicine, 15(3), 213–27.

Maliski, S., Sarna, L., Evangelista, L., & Padilla, G. (2003). The

aftermath of lung cancer: Balancing the good and bad. Cancer

Nursing, 26(3), 237–244.

Moore, K.A., Mery, C.M., Jaklitsch, M.T., Estocain, A.P., Bueno, R.,

Swanson, S.J., et al. (2003). Menopausal effects on presentation,

treatment, and survival of women with non-small cell lung cancer.

Annals of Thoracic Surgery, 76(6), 1789–1795.

Morasso, G., Capelli, M., Viterbori, P., DiLeo, S., Alberisio, A.,

Costantini, M., et al. (1999). Psychological and symptom distress

in terminal cancer patients with met and unmet needs. Journal of

Pain and Symptom Management, 17(6), 402–9.

National Cancer Institute of Canada. (2006). Canadian cancer

statistics 2006. Toronto, ON: Author.

O’Driscoll, M., Corner, J., & Bailey, C. (1999). The experience of

breathlessness in lung cancer. European Journal of Cancer

Care, 8(1), 37–43.

Radzikowska, E., Glaz, P., & Roszkowski, K. (2002). Lung cancer in

women: Age, smoking, histology, performance status, stage, initial

treatment and survival. Population-based study of 20,561 cases.

Annals of Oncology, 13(7), 1087–93.

Sarna, L., Brown, J.K., Cooley, M.E., Williams, R.D., Chernecky, C.,

Padilla, G., & Danao, L.L. (2005). Quality of life and meaning of

illness of women with lung cancer. Oncology Nursing Forum

Online, 32(1), E9–19.

Sarna, L., Evangelista, L., Tashkin, D., Padilla, G., Holmes, C.,

Brecht, M., & Grannis, F. (2004). Impact of respiratory symptoms

and pulmonary function on quality of life of long-term survivors

of non-small cell lung cancer. Chest, 125(2), 439–445.

Sarna, L., Lindsey, A.M., Dean, H., Brecht, M.L., & McCorkle, R.

(1994). Weight change and lung cancer: Relationships with

symptom distress, functional status and smoking. Research in

Nursing & Health, 17(5), 371–9.

Siegfried, J.M. (2001). Women and lung cancer: Does oestrogen play

a role? Lancet Oncology, 2(8), 506–513.

Solano, J., & Higginson, I. (2006). A comparison of symptom

prevalence in far advanced cancer, AIDS, heart disease, chronic

obstructive pulmonary disease and renal disease. Journal of Pain

and Symptom Management, 31(1), 58–68.

Trippoli, S., Varani, M., Lucioni, C., & Messori, A. (2001). Quality of

life and utility in patients with non-small cell lung cancer.

Pharmacoeconomics, 19(8), 855–863.

Voogt, E., van der Heide, A., van Leeuwen, A.F., Visser, A.P. Cleiren,

M.P., Passchier, J., et al. (2005). Positive and negative affect after

diagnosis of advanced cancer. Psychooncology, 14(4), 262–273.

Whelan, T.J., Mohide, E.S., Willan, A.R., Arnold, A., Tew, A., Sellick,

S., et al. (1997). The supportive care needs of newly diagnosed

cancer patients attending a regional cancer centre. Cancer, 80(8),

–1524.

Zabora, J., Brintzenhofeszoc, K., Curbow, B., Hooker, C., &

Piantadosi, S. (2001). The prevalence of psychological distress by

cancer site. Psychooncology, 10(1), 19–28.


Refbacks

  • There are currently no refbacks.