Symptom Cluster Experiences of Patients Operated for Oral Cancer: A Mixed Methods Study

Mathew, Anju; Lockwood, Mark B.; Steffen, Alana; Tirkey, Amit Jiwan; Pavamani, Simon; Patil, Crystal L.; Doorenbos, Ardith Z.

doi:10.1016/j.soncn.2023.151407

Cited by 3 publications

(2 citation statements)

References 51 publications

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“…A mixed methods study showed that patients treated for oral cancer experience, most of all, difficulty in swallowing, chewing, and/or problems with their teeth. To solve these difficulties, these patients prefer a patient-centered rehabilitation program which is based on personal internal and external contextual factors [50].…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Swallowing after Oral Oncological Treatment: A Five-Year Prospective Study

Speksnijder,

Ortiz-Comino,

de Haan

et al. 2023

Cancers

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Background: Swallowing rehabilitation in curative treated patients with oral cancer is still a challenge. Different factors may influence these patients’ swallowing function. The aim of this study was to identify factors associated with swallowing function up to 5 years after cancer treatment. Methods: Swallowing duration and frequency of 5 mL water and 15 mL applesauce were measured in 123 patients treated for oral cancer. Mixed model analyses were performed to identify associated factors. Results: Age influenced all measured swallowing outcomes. Assessment moment, gender, tumor location, maximum tongue force, and tactile sensory function of the tongue were associated with both water and applesauce swallowing duration, tumor classification was associated with water swallowing duration, and alcohol consumption was associated with applesauce swallowing duration. Assessment moment, cancer treatment, maximum tongue force, and tactile sensory function of the tongue were associated with water and applesauce swallowing frequency. Conclusion: Patients who are older at diagnosis, women, and patients who regularly consume alcohol before their treatment may have poorer swallow functioning after curative oral cancer treatment. Patients that fit these criteria should have their swallowing evaluated during clinical follow-ups and sent to swallowing therapy when needed. During this therapy, optimizing tongue function needs attention to maintain an optimal swallowing function.

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Section: Strengths and Limitationsmentioning

confidence: 99%

Swallowing after Oral Oncological Treatment: A Five-Year Prospective Study

Speksnijder,

Ortiz-Comino,

de Haan

et al. 2023

Cancers

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show abstract

“…In addition to quantitative research methods, qualitative research also has been applied to symptom cluster analysis. For instance, Mathew et al [ 12 ] performed a mixed methods study, in which quantitative and qualitative methods were combined to assess the symptom cluster experiences of patients receiving surgical treatment for oral cancer. Watson et al [ 13 ] conducted a qualitative study to examine how adolescents experience anhedonia, a core symptom of depression, through semi-structural interviews of 2 patient groups: adolescents with a primary diagnosis of depression and those with elevated depressive symptoms.…”

Section: Introductionmentioning

confidence: 99%

A new theory to promote self-management of symptom clusters and healthcare quality in patients with decompensated cirrhosis

Liu,

Luo,

Zhang

et al. 2023

Medicine

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Patients with decompensated cirrhosis, a symptomatic phase of cirrhosis, commonly experience multiple symptoms concurrently, referred to as symptom clusters. Effective self-management of symptoms is known to improve outcomes in various chronic diseases. However, a theory for self-management of symptom clusters in decompensated cirrhosis is lacking. In this study, we applied grounded theory research methodology to construct a new theory of self-management of symptom clusters in these patients. This qualitative study prospectively enrolled 20 patients with decompensated cirrhosis within 1 week after hospital admission. Data related to patients’ experiences, needs, perspectives, and abilities related to their symptoms were collected via a semi-structured, in-depth interview and analyzed with Nvivo version 20 software. Grounded theory methodology with 3 coding steps (open, axial, and selective coding) was applied to generate a theory of self-management of symptom clusters. From the step-by-step coding process, 2 core categories or major themes were identified: patients’ experiences with symptoms and coping with symptoms. The first major theme included symptom clustering, multidimensionality, recurrence, and specificity, while the second consisted of endogenous motivation, endogenous resistance, and external support needs. A new theory of self-management of symptom clusters was then constructed and delineated to enhance self-management among patients with decompensated cirrhosis. Using patient experience data, we developed a new theory of self-management of symptom clusters in patients with decompensated cirrhosis. Use of this theory has the potential to promote patient self-management and guide healthcare providers in planning optimal treatments and implementing timely interventions, ultimately improving in patient outcomes.

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Psychopathology in Cancer Patients and the Role of Cognitive Behavioral Therapy

Çınaroğlu,

Ahlatcıoğlu,

Prins

et al. 2023

Clin Cancer Investig J

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This review article explores the integration of Cognitive Behavioral Therapy (CBT) into oncology care, underscoring its significance in addressing the psychological distress often encountered by cancer patients. Focusing on the efficacy of CBT in improving psychological outcomes, this article navigates through the benefits of CBT in enhancing coping mechanisms, quality of life, and treatment adherence among cancer patients. It highlights the adaptability of CBT across various delivery formatsindividual, group, and digital-tailored to meet diverse patient needs, thereby increasing accessibility and patient engagement. Despite the clear advantages, the review acknowledges the challenges in implementing psychological care within oncology, such as accessibility to trained therapists, maintaining patient adherence, and integrating mental health services into standard oncology practice. These challenges underscore the need for innovation, supportive policies, and comprehensive healthcare provider education to fully realize the potential of psychological interventions within cancer care. The article outlines promising future directions, including expanding access to CBT through digital health technologies and integrating psychological care more seamlessly into oncology. It calls for ongoing research, policy support, and training to ensure that psychological interventions become an integral component of holistic cancer care. In conclusion, this review emphasizes the imperative of a comprehensive approach in oncology that addresses both the physical and psychological needs of cancer patients. By advocating for the integration of CBT and other psychological interventions into cancer care, the article highlights a path toward more compassionate, patient-centered care that supports the overall well-being of individuals navigating the complexities of cancer treatment and recovery.

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Symptom Cluster Experiences of Patients Operated for Oral Cancer: A Mixed Methods Study

Cited by 3 publications

References 51 publications

Swallowing after Oral Oncological Treatment: A Five-Year Prospective Study

Swallowing after Oral Oncological Treatment: A Five-Year Prospective Study

A new theory to promote self-management of symptom clusters and healthcare quality in patients with decompensated cirrhosis

Psychopathology in Cancer Patients and the Role of Cognitive Behavioral Therapy

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