Physical and Psychological Predictors of Quality of Life in Chinese Colorectal Cancer Patients During Chemotherapy

Zhang, Meifen; Peng, Lifen; Liu, Weiyan; Wen, Yu; Wu, Xiaodan; Zheng, Ming‐Hua; Zhu, Yaping; Liu, Qianwen; Chan, Sally Wai‐Chi

doi:10.1097/ncc.0000000000000190

Cited by 18 publications

(27 citation statements)

References 21 publications

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“…By contrast, men tend to hide their vulnerability and may not accurately report the severity of their symptoms in a survey setting (Haj et al, ). This study found that a higher stage of disease was associated with the severity of the symptom clusters, which is consistent with previous studies (Zhang et al, ). In addition, a negative relationship was found between resilience and the severity of the symptom clusters.…”

Section: Discussionsupporting

confidence: 93%

Symptom clusters and related factors in oesophageal cancer patients 3 months after surgery

Guo

Wang

Yin

et al. 2019

Journal of Clinical Nursing

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Aim To explore symptom clusters experienced by patients with oesophageal cancer 3 months after surgery and examine whether symptom clusters are related to demographic, clinical and quality of life variables. Background There are multiple symptoms in patients with oesophageal cancer after surgery, which seriously affect their quality of life. Exploring the mechanics of concurrent symptoms such as symptom clusters may facilitate the development of strategies to reduce the impact of these symptoms and improve quality of life. Design Cross‐sectional survey. The STROBE Statement was chosen as the EQUATOR checklist. Methods A convenience sample of 128 oesophageal cancer patients was followed up at 3 months after surgery. Participants completed the demographic questionnaire, the M. D. Anderson Symptom Inventory for Gastrointestinal Cancer, the Functional Assessment of Cancer Therapy‐General and the Connor‐Davidson Resilience Scale. Exploratory factor analysis, stepwise regression and correlation analysis were applied. Results Four symptom clusters were identified: dysphagia–psychological, chemoradiotherapy side‐effect, digestive tract reconstruction and fatigue–sleep. Gender, stage of disease and resilience influenced the dysphagia–psychological symptom cluster. Gender, stage of disease, resilience and treatment were significant factors affecting the chemoradiotherapy side‐effect and fatigue–sleep symptom clusters. Gender, stage of disease, resilience and anastomotic position were significant factors influencing the digestive tract reconstruction symptom cluster. The correlations between symptom clusters and quality of life were significant, with the highest correlation between the dysphagia–psychological cluster and quality of life. Conclusions Nurses should pay more attention to symptom management in patients with oesophageal cancer 3 months after surgery by focusing on four symptom clusters. It is necessary to implement individualised care depending on the influence factors including gender, stage of disease, resilience, treatment and anastomotic position. Relevance to clinical practice These findings will help develop targeted interventions to facilitate further symptom management for transitional nursing from the peri‐operative phase to long‐term rehabilitation.

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Section: Discussionsupporting

confidence: 93%

Symptom clusters and related factors in oesophageal cancer patients 3 months after surgery

Guo

Wang

Yin

et al. 2019

Journal of Clinical Nursing

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“…Greater self‐efficacy has been reported to be associated with better symptom management, improved functioning and higher QoL scores (Akin et al., ; Cunningham et al., ; Curtis et al., ; Kiaei, ; Kreitler et al., ; Lev et al., ; Liang et al., ; Zhang et al., , ). For instance, a study conducted by Zhang et al.…”

Section: Discussionmentioning

confidence: 99%

“…For instance, a study conducted by Zhang et al. (, ) found that greater self‐efficacy in patients with colorectal cancer undergoing adjuvant chemotherapy was associated with fewer daily life impairments and distress symptoms. Another study reported that the higher fatigue scores in patients with breast cancer were significantly related to lower self‐efficacy in physical activity scores (Haas, ).…”

Section: Discussionmentioning

confidence: 99%

“…The importance of self‐efficacy for cancer patients’ well‐being has been studied in various types of cancers. The significance of self‐care self‐efficacy in cancer patients’ well‐being has been shown in many studies (Blomberg et al., ; Cunningham, Lockwood, & Cunningham, ; Lam, Li, Chiu, & Chan, ; Lev & Owen, ; Soltannezhad, Farsi, & Moroei, ; Zhang et al., , ). Studies involving patients with cancer have revealed that self‐efficacy had a significant impact on emotional adjustment to illness and health and reduced stress (Curtis, Groarke, & Sullivan, ; Kreitler, Peleg, & Ehrenfeld, ; Lev & Owen, ).…”

Section: Introductionmentioning

confidence: 96%

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Investigation of the relationship among fatigue, self-efficacy and quality of life during chemotherapy in patients with breast, lung or gastrointestinal cancer

Akın

Güner

2018

Eur J Cancer Care

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To explore the relationship between fatigue and self-efficacy, and quality of life (QoL) during chemotherapy of patients with breast, lung or gastrointestinal cancers. This study is a descriptive-correlational research. The study population comprised of patients with breast, lung and gastrointestinal cancer treated at the outpatient chemotherapy unit. Patients' self-efficacy and QoL were assessed using Functional Assessment of Chronic Illness Therapy-Fatigue scale and Strategies Used by Patients to Promote Health scale. The sample included 236 patients receiving chemotherapy for lung cancer (30.9%), gastrointestinal (25.8%) or breast cancers (25.4%). The patients had little confidence in performing self-care self-efficacy during chemotherapy for the management of illness and chemotherapy-related side effects. The study found that the patients with cancer were moderately fatigued and all the domains of QoL of patients with cancer undergoing chemotherapy were considerably impaired. Positive correlations were found between self-efficacy scores and fatigue scores (p < 0.001), and QoL scores (p < 0.001). Better self-efficacy beliefs were associated with better QoL and lower fatigue. Improving the cancer patients' self-confidence in performing self-care behaviours may have a positive impact on performing cognitive and behavioural fatigue management strategies and can influence positively the patients' QoL during chemotherapy.

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“…The possible explanations are as follows: first, those having received chemotherapy may have benefited more from the inhibition of disease progress, which would result in low levels of psychological distress. Second, there was a decline in depression, anxiety, and the impact of the adverse effects of chemotherapy in patients with the passing of time because of the acceptance of the diagnosis and management 51–53…”

Section: Discussionmentioning

confidence: 99%

Prevalence and related factors of psychological distress among cancer inpatients using routine Distress Thermometer and Chinese Health Questionnaire screening

Chiou¹,

Chiu²,

Wang³

et al. 2016

NDT

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BackgroundClinical practice guidelines suggest routine screening for distress among cancer patients for immediate early psychiatric care. However, previous studies focusing on routine screening for psychological distress among cancer inpatients in Taiwan are scant. Thus, the aim of this study was to evaluate the prevalence and related factors of psychological distress and mental illness among cancer inpatients in Taiwan.Patients and methodsThis study was conducted as a retrospective chart review in a general hospital in southern Taiwan. Cancer inpatients were regularly screened by nursing staff using the Distress Thermometer and the 12-item Chinese Health Questionnaire. Positive screening results on either instrument were followed by a non-commanded referral to psychiatrists for clinical psychiatric diagnosis and treatment.ResultsOf the 810 participants in this study, 179 (22.1%) were recognized as having psychological distress. Younger age (odds ratio [OR] =1.82), having head and neck cancer (OR =2.43), and having not received chemotherapy (OR =1.58) were significantly related to psychological distress. Among the 56 patients (31.3%) with psychological distress who were referred to psychiatrists, the most common mental illness was adjustment disorder (n=22, 39.2%), followed by major depressive disorder (n=13, 23.2%), depressive disorder not otherwise specified (n=6, 10.7%), and anxiety disorder not otherwise specified (n=4, 7.1%).ConclusionOur study indicated that cancer inpatients with psychological distress were more likely to be younger in age, have head and neck cancer, and have not received chemotherapy. The most common psychiatric disorder was adjustment disorder. Early detection of psychological distress and prompt psychiatric consultation and management are very important for cancer inpatients.

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Physical and Psychological Predictors of Quality of Life in Chinese Colorectal Cancer Patients During Chemotherapy

Abstract: Enhanced self-efficacy, reduced symptom distress, and lower general anxiety would improve QOL during chemotherapy for CRC patients.These instruments can help identify CRC patients at risk of low QOL for additional psychotherapy or specific treatment modifications.

Cited by 18 publications

References 21 publications

Symptom clusters and related factors in oesophageal cancer patients 3 months after surgery

Symptom clusters and related factors in oesophageal cancer patients 3 months after surgery

Investigation of the relationship among fatigue, self-efficacy and quality of life during chemotherapy in patients with breast, lung or gastrointestinal cancer

Prevalence and related factors of psychological distress among cancer inpatients using routine Distress Thermometer and Chinese Health Questionnaire screening

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