Symptom burden in advanced breast cancer patients and its association between death anxiety and psychological distress

Su, Zhongge; Zhou, Yijun; Han, Xinkun; Pang, Ying; He, Shuangzhi; Tang, Lili

doi:10.21147/j.issn.1000-9604.2022.03.09

Cited by 19 publications

(18 citation statements)

References 41 publications

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“…Symptom severity and interference were moderate in the present study. Unlike this finding, previous reports on locally advanced and metastatic breast cancer patients reported symptom severity and interference as mild (Lam et al, 2018; Su et al, 2022). Type and stage of cancer, treatment regimens, number of chemotherapy cycles, financial status, educational level, and ethnicity may affect symptom burden as documented in previous literature (Baik et al, 2020; Chan et al, 2019; Su et al, 2022).…”

Section: Discussioncontrasting

confidence: 91%

“…Unlike this finding, previous reports on locally advanced and metastatic breast cancer patients reported symptom severity and interference as mild (Lam et al, 2018; Su et al, 2022). Type and stage of cancer, treatment regimens, number of chemotherapy cycles, financial status, educational level, and ethnicity may affect symptom burden as documented in previous literature (Baik et al, 2020; Chan et al, 2019; Su et al, 2022). A higher symptom burden found in the present study than in other reports can be explained by the fact that this study's sample included only metastatic breast cancer patients.…”

Section: Discussioncontrasting

confidence: 91%

“…A sociodemographic information form was developed based on the relevant literature by the researchers (Su et al, 2022;Tabrizi et al, 2017).…”

Section: Methodsmentioning

confidence: 99%

“…A sociodemographic information form was developed based on the relevant literature by the researchers (Su et al, 2022; Tabrizi et al, 2017). The form contained 11 questions on sociodemographic and clinical characteristics.…”

Section: Methodsmentioning

confidence: 99%

“…Considering what is available in the existing literature, reports investigating symptom burden in advanced breast cancer are limited (Ecclestone et al, 2016; Su et al, 2022). Existing research examining the functional status and self‐efficacy in breast cancer mainly focuses on early‐stage breast cancer (Novakov, 2021; Shelby et al, 2014; Sitlinger et al, 2019), and less attention has been paid to the potential role of self‐efficacy in functional status of patients with advanced breast cancer.…”

Section: Introductionmentioning

confidence: 99%

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Impact of symptom burden and self‐efficacy on functional status in advanced breast cancer patients: A path analysis

Karahan

İzgü

2023

Nursing & Health Sciences

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This correlational study aims at exploring the correlations between symptom burden, functional status, and self‐efficacy in advanced breast cancer patients and to analyze their paths of influence. The study was performed with 122 patients with advanced breast cancer receiving outpatient chemotherapy between April 10, 2021 and April 29, 2022. Data were collected using a sociodemographic information form, the MD Anderson Symptom Inventory, the Functional Living Index‐Cancer, and the Symptom Management Self‐Efficacy Scale for Breast Cancer Related to Chemotherapy. Kruskal–Wallis, Mann–Whitney U, and Spearman correlation tests and path analysis were used for data evaluation. Less‐educated individuals had a higher symptom burden and poorer self‐efficacy. Low‐income level was related to poor self‐efficacy. Symptom severity did not directly influence functional status but affected it indirectly through self‐efficacy, while symptom interference and self‐efficacy had a direct impact on functional status. This study mainly concludes that symptom burden and self‐efficacy affect functional status in advanced breast cancer patients receiving chemotherapy. Self‐efficacy‐enhancing interventions may be helpful strategies for symptom relief and improvement in functional status in this population.

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