Abstract
Purpose
The purpose of this study to verify the symptom clusters of colorectal cancer patients and also identify the influence of the symptom clusters upon colorectal patient symptom clusters identify acording exper.
Methods
101 colorectal cancer patients were the subjects of this study. As for a research tool, the global health status/QOL was used including the sub-scales of QLQ-C30. In the functional scales and the symptom scales, the sub-scales of QLQ-C30 and QLQ-CR29 were used. Results: The result of this study shows us there are 7 kinds of symptom clusters.
Results
The result of this study shows us there are 7 kinds of symptom clusters, bowel movement problems, abdominal-pelvic problems, feces problems, urination problems, dry mouth-taste problems, side effect problems, and elimination problems.
Conclusion
Based on the result, the symptom clusters in colorectal cancer patients were confirmed to be influencing the subjects' quality of life and functions. The efficient management of symptom clusters that subjects experience leads to promoting colorectal cancer patients' physical and emotional status, thereby contributing to an improvement in their quality of life.
Figures and Tables
References
1. National Cancer Information Center. National cancer statistics. Accessed April 17, 2014. http://www.cancer.go.kr/cms/statics/survival_rate/index.html.
2. Hong SJ. The effects of accelerated postoperative recovery nursing intervention for colore-ctal cancer patients [dissertation]. Seoul: Korea Univ.;2010.
3. Allal AS, Bieri S, Pelloni A, Spataro V, Anchisi S, Ambrosetti P, et al. Sphincter-sparing surgery after preoperative radiotherapy for low rectal cancers: feasibility, oncologic results and quality of life outcomes. BR J Cancer. 2000; 82:1131–1137.
4. Cotrim H, Pereira G. Impact of colorectal cancer on patient and family: Implication for care. Eur J Oncol Nurs. 2008; 12:217–226.
5. Lee PS. A study on self-esteem and social support and quality of life in ostomates. [dissertation]. Seoul: EwhaWomans Univ.;2009.
6. Kim H, Yoo HJ, Kim YJ, Han OS, Lee KH, Lee JH, et al. Development and validation of Korean Functional Assessment Cancer Therapy-General (FACT-G). Korean J Clin Psychol. 2003; 22:215–229.
7. Dodd MJ, Miaskowski C, Paul SM. Symptom clusters and their effect on the functional status of patients with cancer. Oncol Nurs Forum. 2001; 28:465–470.
8. Beck SL, Dudley WN, Barsevick AM. Pain, sleep, disturbance, and fatigue in patients with cancer: using a mediation model to test a symptom cluster. Oncol Nurs Forum. 2005; 32:542.
9. Kim HJ, Mcguire DB, Tulman L, Barsevick AM. Symptom clusters concept analysis and clinical limplications for cancer nursing. Cancer Nurs. 2005; 28:270–282.
10. Lee SY, Park HA. Symptom cluster presented by non-small cell lung cancer patients on gefitinib treatment. J Korean Oncol Nurs. 2009; 9:77–85.
11. Kim GD, Kim KH. Symptom cluster and quality of life in patients with breast cancer undergoing chemotherapy. Korean J Adult Nurs. 2011; 23:434–445.
12. Fox SW, Lyon DE. Symptom clusters and quality of life in survivors of lung cancer. Oncol Nurs Forum. 2006; 33:931–936.
13. Chun NM, Kwon JY, Noh GO, Kim SH. Symptom cluster in women with gynecologic cancer. J Korean Clin Nurs Res. 2008; 14:61–70.
14. Kim SH, Lee R, Lee KS. Symptom cluster in patients with breast cancer. J Korean Acad Adult Nurs. 2009; 21:705–717.
15. Cho MS, Kwon IG, Kim HS, Kim KH, Ryu EJ. Identification and validation of symptom clusters in patients with hepatocellular carcinoma. J Korean Acad Nurs. 2009; 39:683–692.
16. Gaston-Johansson F, Fall-Dickson JM, Bakos AB, Kennedy MJ. Fatigue, pain and depression in pre-autotransplant breast cancer patient. Cancer Pract. 1999; 7:240–247.
17. Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007; 39:175–191.
18. Yun YH, Park YS, Lee ES, Bang SM, Heo DS, Park SY. Validation of the Korean version of the EORTC QLQ-C30. Qual Life Res. 2004; 13:863–868.
19. Whistance RN, Conroy T, Chie W, Costantini A, Sezer O, Koller M, et al. Clinical and psychometric validation of the EORTC QLQ-CR29 questionnaire module to assess health-related quality of life in patients with colorectal cancer. Eur J Cancer. 2009; 45:3017–3026.
20. Kim JH, Choi KS, Kim TW, Hong YS. Quality of life in colorectal cancer patients with chemotherapy-induced peripheral neuropathy. J Korean Oncol Nurs. 2011; 11:254–262.
21. Lee JL, Kim KS. The relationships between stigma, distress, and quality of life in patients with lung cancer. J Korean Oncol Nurs. 2011; 11:237–246.
22. Lee SJ. Management of the symptoms after a resection of the rectum. J Korean Soc Coloproctol. 2008; 24:62–71.
23. Hwang DY. The secret of 1.5meters. Seoul: The Early Morning Publisher;2003. p. 107–110.
24. Park CW, Nam YS. Prognostic analysis in colorectal cancers requiring emergency operations. J Korean Surg Soc. 2005; 69:54–59.
25. Kim BP, Kwon KH, Min HS. A clinical study of colorectal cancer. J Korean Surg Soc. 1998; 54(3):374–382.
26. Kim JW. The quality of life after rectal cancer surgery. Korean J Gastroenterol. 2006; 47:295–299.
27. Walsh D, Rybicki L. Symptom clustering in advanced cancer. Support Care Cancer. 2006; 14:831–836.
28. Gift AG, Jablonski A, Stommel M, Given CW. Symptom clusters in elderly patients with lung cancer. Oncol Nurs Forum. 2004; 31:202–212.
29. Lee SH, Ahn BK, Baek SU. Effect of an irinotencan, 5-Fluorouracil, and Leucovorin com bination chemotherapy (FOLFIRI) in metastatic colorectal. J Korean Soc Coloproctol. 2007; 23:333–337.
30. Miaskowski C, Cooper BA, Paul SM, Dodd M, Lee K, Aouizerat BE, et al. Subgroups of patients with cancer with different symptom experiences and quality of life outcomes: a cluster analysis. Oncol Nurs Forum. 2006; 33:E79–E89.