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Symptom clusters and quality of life in survivors of lung cancer.
Oncol Nurs Forum. 2006 Sep 01; 33(5):931-6.ON

Abstract

PURPOSE/OBJECTIVES

To explore the prevalence and intensity of depression, fatigue, and pain in survivors of lung cancer; to examine the relationship of symptoms in a cluster; and to examine the relationship of the symptom cluster to quality of life (QOL).

DESIGN

Secondary data analysis.

SETTING

Online lung cancer support group.

SAMPLE

51 patients diagnosed with lung cancer.

METHODS

Mailed survey with self-report of depression, fatigue, and pain measured by subscales of the Short-Form 36 Health Status Survey and QOL measured by the Fox Simple QOL Scale. Pearson's correlation and multiple regression analyses were used to examine the possible symptom cluster.

MAIN RESEARCH VARIABLES

Depression, fatigue, pain, and QOL.

FINDINGS

Depression, fatigue, and pain were found in a majority of survivors, with pain being the least common symptom. Fatigue was the most intense of the three symptoms. Two significantly correlated symptoms were depression and fatigue. The cluster explained 29% (p less than 0.01) of the variance in QOL in the lung cancer survivors.

CONCLUSIONS

The data provided preliminary support for the presence of a symptom cluster in patients with lung cancer consisting of depression and fatigue. The cluster had a negative relationship with QOL. Survivors of lung cancer have depression and fatigue that affect QOL.

IMPLICATIONS FOR NURSING

Healthcare providers must assess the potential for symptoms to cluster, adversely affecting key patient outcomes such as QOL. Through increased knowledge of symptom clusters, clinicians will be able to more effectively target the most distressing set of symptoms for intervention.

Authors+Show Affiliations

School of Nursing, University of Virginia, Charolottesville, USA. foxsherry@aol.comNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16955121

Citation

Fox, Sherry W., and Debra E. Lyon. "Symptom Clusters and Quality of Life in Survivors of Lung Cancer." Oncology Nursing Forum, vol. 33, no. 5, 2006, pp. 931-6.
Fox SW, Lyon DE. Symptom clusters and quality of life in survivors of lung cancer. Oncol Nurs Forum. 2006;33(5):931-6.
Fox, S. W., & Lyon, D. E. (2006). Symptom clusters and quality of life in survivors of lung cancer. Oncology Nursing Forum, 33(5), 931-6.
Fox SW, Lyon DE. Symptom Clusters and Quality of Life in Survivors of Lung Cancer. Oncol Nurs Forum. 2006 Sep 1;33(5):931-6. PubMed PMID: 16955121.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Symptom clusters and quality of life in survivors of lung cancer. AU - Fox,Sherry W, AU - Lyon,Debra E, Y1 - 2006/09/01/ PY - 2006/9/7/pubmed PY - 2006/10/13/medline PY - 2006/9/7/entrez SP - 931 EP - 6 JF - Oncology nursing forum JO - Oncol Nurs Forum VL - 33 IS - 5 N2 - PURPOSE/OBJECTIVES: To explore the prevalence and intensity of depression, fatigue, and pain in survivors of lung cancer; to examine the relationship of symptoms in a cluster; and to examine the relationship of the symptom cluster to quality of life (QOL). DESIGN: Secondary data analysis. SETTING: Online lung cancer support group. SAMPLE: 51 patients diagnosed with lung cancer. METHODS: Mailed survey with self-report of depression, fatigue, and pain measured by subscales of the Short-Form 36 Health Status Survey and QOL measured by the Fox Simple QOL Scale. Pearson's correlation and multiple regression analyses were used to examine the possible symptom cluster. MAIN RESEARCH VARIABLES: Depression, fatigue, pain, and QOL. FINDINGS: Depression, fatigue, and pain were found in a majority of survivors, with pain being the least common symptom. Fatigue was the most intense of the three symptoms. Two significantly correlated symptoms were depression and fatigue. The cluster explained 29% (p less than 0.01) of the variance in QOL in the lung cancer survivors. CONCLUSIONS: The data provided preliminary support for the presence of a symptom cluster in patients with lung cancer consisting of depression and fatigue. The cluster had a negative relationship with QOL. Survivors of lung cancer have depression and fatigue that affect QOL. IMPLICATIONS FOR NURSING: Healthcare providers must assess the potential for symptoms to cluster, adversely affecting key patient outcomes such as QOL. Through increased knowledge of symptom clusters, clinicians will be able to more effectively target the most distressing set of symptoms for intervention. SN - 1538-0688 UR - https://www.unboundmedicine.com/medline/citation/16955121/Symptom_clusters_and_quality_of_life_in_survivors_of_lung_cancer_ L2 - http://store.ons.org/article/find?doi=10.1188/06.ONF.931-936 DB - PRIME DP - Unbound Medicine ER -