Abstract:
BACKGROUND:Improvements in some treatment programs for multiple myeloma (MM) are increasing survival. As patients live longer with MM as a chronic disease, the personal financial effects of MM treatment become a serious concern. OBJECTIVE:The objective of this study was to identify the personal financial effects of MM and its treatment in 5 areas: employment, disability, health/medical and life insurance, retirement, and out-of-pocket expenses. METHODS:We mailed a questionnaire about financial issues to 1015 patients who had received intensive treatment for MM at the study site. Data analysis included descriptive statistics and comparisons using independent t tests. RESULTS:Our sample (n = 762; mean age, 61 [SD, 9.26] years) experienced issues with employment (66% employed at diagnosis and treatment; 33% employed at questionnaire time), disability (35% applied), health/medical and life insurance (29% lost coverage and 8% changed coverage), retirement (13% retired during treatment), and out-of-pocket expenses (36% of income in first treatment year and 28% of income during most recent 12 months). CONCLUSIONS:Issues of employment, disability, health insurance, retirement, and out-of-pocket costs for treatment are major challenges for patients. IMPLICATIONS FOR PRACTICE:In the midst of assessing physical needs during clinical trials for chemotherapy and stem cell transplants, healthcare providers must keep sight of patients' personal financial needs so that we can intervene promptly with referrals to social work, rehabilitation therapy, and other healthcare professions to help patients decrease the personal financial effects of MM and its treatment.
journal_name
Cancer Nursjournal_title
Cancer nursingauthors
Goodwin JA,Coleman EA,Sullivan E,Easley R,McNatt PK,Chowdhury N,Stewart CBdoi
10.1097/NCC.0b013e3182693522subject
Has Abstractpub_date
2013-07-01 00:00:00pages
301-8issue
4eissn
0162-220Xissn
1538-9804journal_volume
36pub_type
杂志文章相关文献
CANCER NURSING文献大全abstract::Systematic nursing research activities in South Korea began in the 1970s, but research into oncology did not begin until the mid-1980s. Although the number of Korean oncology nursing studies has increased steadily since then, no national agenda exists for future research in oncology nursing. This study involved a desc...
journal_title:Cancer nursing
pub_type: 杂志文章
doi:10.1097/00002820-200310000-00007
更新日期:2003-10-01 00:00:00
abstract:BACKGROUND:Breast cancer survivors make up a growing population facing treatment that poses long-standing adverse effects including chemotherapy-related body function changes and/or pain. There is limited knowledge of patients' lived experiences of chemotherapy-induced pain (CHIP). OBJECTIVE:The aim of this study was ...
journal_title:Cancer nursing
pub_type: 杂志文章
doi:10.1097/NCC.0000000000000322
更新日期:2016-11-01 00:00:00
abstract::The purpose of this study was to identify perceived home care needs of outpatients receiving treatment for cancer and their caregivers. The purposive subsample consisted of 16 subjects, 8 patients receiving treatment as outpatients and their 8 caregivers. Two interview guides, one for the patients and the other for th...
journal_title:Cancer nursing
pub_type: 杂志文章
doi:
更新日期:1989-04-01 00:00:00
abstract:BACKGROUND:Despite knowing the potential medical consequences of cancer treatment, little is known about how adolescents cognitively and emotionally frame, process, and manage in the early survivorship period. OBJECTIVE:The specific aims were to describe the worries, perceived challenges, and ways of dealing with thes...
journal_title:Cancer nursing
pub_type: 杂志文章
doi:10.1097/NCC.0000000000000629
更新日期:2019-07-01 00:00:00
abstract::Cancer is a major world health problem. Over 7 million new cases of cancer are diagnosed annually, and about half of the cases are in developing countries. Even though half of the world's cancer patients live in developing countries, < 10% of the resources committed to cancer control are available to them. Reports hav...
journal_title:Cancer nursing
pub_type: 杂志文章,多中心研究
doi:
更新日期:1995-06-01 00:00:00
abstract::This study explored the information needs of adult daughters whose mothers had early breast cancer and illustrated the information flows between the daughters and two information providers: patients and health care professionals (HCPs). Participants were 97 daughters, who completed a 30-time self-administered question...
journal_title:Cancer nursing
pub_type: 杂志文章
doi:10.1097/00002820-200002000-00012
更新日期:2000-02-01 00:00:00
abstract:BACKGROUND:Shared decision making (SDM) is a best practice to help patients make optimal decisions by a process of healthcare, especially for women diagnosed with breast cancer and having heavy burden in long-term treatments. To promote successful SDM, it is crucial to assess the level of perceived involvement in SDM i...
journal_title:Cancer nursing
pub_type: 杂志文章
doi:10.1097/NCC.0000000000000607
更新日期:2019-05-01 00:00:00
abstract::Colorectal cancer remains the second leading cause of cancer death in the United States. To fully realize the benefits of early detection of colorectal cancer, screening rates must improve. This study assessed differences in beliefs (from the Health Belief Model) by stage of screening behavior adoption (based on the T...
journal_title:Cancer nursing
pub_type: 杂志文章
doi:10.1097/01.NCC.0000270706.80037.05
更新日期:2007-05-01 00:00:00
abstract::Patients with cancer and bone metastases are vulnerable to severe pain, especially when changing their body position, and many such persons die with unrelieved pain. One step in obtaining acceptable pain control is communicating one's pain to health care providers. This descriptive study aimed to depict possible gende...
journal_title:Cancer nursing
pub_type: 杂志文章
doi:10.1097/00002820-200004000-00005
更新日期:2000-04-01 00:00:00
abstract::Cancer is a leading cause of morbidity and mortality in the United States, affecting one of four Americans. Many nurses without specialized oncology preparation will provide counsel and care for people at risk for or with cancer. In recognition of the cancer-related educational needs for all nurses in the wide variety...
journal_title:Cancer nursing
pub_type: 杂志文章
doi:
更新日期:1995-12-01 00:00:00
abstract:BACKGROUND:No previous research has explored the impact of the many appearance changes that can occur in patients following bone marrow transplantation (BMT). OBJECTIVE:This research aimed to explore in depth patients' experiences of appearance changes following allogeneic BMT to address the lack of knowledge in this ...
journal_title:Cancer nursing
pub_type: 杂志文章
doi:10.1097/NCC.0b013e3181f8f884
更新日期:2011-07-01 00:00:00
abstract::A randomized controlled trial of a nurse-delivered coping and communication support (CCS) intervention tailored to the preferences of middle-aged and older patients with advanced cancer and their family caregivers is tested for its value in improving outcomes for quality cancer care. An intervention study must be reli...
journal_title:Cancer nursing
pub_type: 杂志文章,评审
doi:10.1097/NCC.0b013e31819b5abe
更新日期:2009-05-01 00:00:00
abstract::This article reviews a study of pain management and its barriers in Hong Kong. Using an interview technique, several measures were used to understand the level of concern in patients about pain, the patients' hesitancy in reporting pain, use of analgesics, and adequacy of medication for pain. A total of nine barriers ...
journal_title:Cancer nursing
pub_type: 杂志文章
doi:10.1097/00002820-199906000-00002
更新日期:1999-06-01 00:00:00
abstract:BACKGROUND:Measurement of cancer-related fatigue and nutrition in the same colorectal cancer patient group using fast-track surgery has never been examined previously. The association between fatigue and nutritional status in the same patient group is thus worthwhile to be investigated. OBJECTIVE:The aim of this study...
journal_title:Cancer nursing
pub_type: 杂志文章
doi:10.1097/NCC.0000000000000541
更新日期:2018-11-01 00:00:00
abstract:BACKGROUND:Effects of exercise interventions on patients with breast cancer (BC) have shown benefits regardless of the measured variables, although the type of exercise and its duration during adjuvant therapy are unclear. OBJECTIVE:We investigated the effects of exercise interventions on each measurement, physical fi...
journal_title:Cancer nursing
pub_type: 杂志文章,meta分析
doi:10.1097/NCC.0000000000000682
更新日期:2020-03-01 00:00:00
abstract::This study was designed to develop and test a system to monitor adherence with nonhormonal oral chemotherapeutic agents using an automated voice response (AVR) system plus nursing intervention. Participants were patients diagnosed with solid tumor cancers, primarily breast, colon, and lung cancers, who received the Sy...
journal_title:Cancer nursing
pub_type: 杂志文章
doi:10.1097/NCC.0b013e3181b31114
更新日期:2009-11-01 00:00:00
abstract:BACKGROUND:The relationships among napping and sleep quality, fatigue, and quality of life (QOL) in cancer patients are not clearly understood. OBJECTIVE:The aim of the study was to determine whether daytime napping is associated with nighttime sleep, fatigue, and QOL in cancer patients. METHODS:In total, 187 cancer ...
journal_title:Cancer nursing
pub_type: 杂志文章
doi:10.1097/NCC.0000000000000299
更新日期:2016-09-01 00:00:00
abstract:BACKGROUND:A diagnosis of cancer and its treatment affect couples as a unit, and they must cope and give each other mutual support as dyads. Few studies have focused explicitly on understanding mutual support among couples coping with colorectal cancer (CRC). OBJECTIVE:The aim of this study was to explore the mutual s...
journal_title:Cancer nursing
pub_type: 杂志文章
doi:10.1097/NCC.0000000000000553
更新日期:2018-09-01 00:00:00
abstract::Chronic myelogenous leukemia (CML) results from clonal proliferation of malignant hematologic progenitor cells and is responsible for 7% to 15% of all adult leukemias. The hallmark of CML is a genetic translocation between chromosomes 9 and 22 (the Philadelphia chromosome), which creates the abnormal bcr-abl gene and ...
journal_title:Cancer nursing
pub_type: 杂志文章,评审
doi:10.1097/00002820-200312001-00007
更新日期:2003-12-01 00:00:00
abstract:BACKGROUND:In Taiwan, breast cancer is the most common cancer in women. Most breast cancer patients are willing to receive chemotherapy and experience adverse effects and suffering during the process of chemotherapy. OBJECTIVES:The aim of this study was to explore patients' psychological process when receiving initial...
journal_title:Cancer nursing
pub_type: 杂志文章
doi:10.1097/NCC.0000000000000331
更新日期:2016-11-01 00:00:00
abstract:BACKGROUND:Breast cancer incidence and mortality are rising in Grenada, and there is a lack of knowledge about women's beliefs about breast self-examination (BSE). OBJECTIVE:The objective of this study was to quantify and identify patterns of beliefs about health and BSE in Grenadian women to help plan targeted commun...
journal_title:Cancer nursing
pub_type: 杂志文章
doi:10.1097/NCC.0000000000000218
更新日期:2015-09-01 00:00:00
abstract::Pain is difficult to measure, regardless of etiology. Furthermore, the measurement of pain is complicated by variation in the use of visual analogue scales as well as other pain assessment measures. This brief article reviews situations contributing to confusion regarding pain intensity measures and argues for consist...
journal_title:Cancer nursing
pub_type: 杂志文章,评审
doi:10.1097/00002820-199802000-00006
更新日期:1998-02-01 00:00:00
abstract::Bone marrow transplantation (BMT) is a unique cancer therapy characterized by its novelty, intensity, and toxicity. Although families have been identified as having a critical influence on patient adaptation during the acute phase of BMT, minimal attention has been paid to their experiences during extended survivorshi...
journal_title:Cancer nursing
pub_type: 杂志文章
doi:10.1097/00002820-200006000-00006
更新日期:2000-06-01 00:00:00
abstract::Although the inpatient Oncology Unit, the Medical Oncology Clinic, and Radiation Oncology provided care for many of the same patients, there was no mechanism for sharing nursing information, and little colleague input from one area to another. In order to meet this need, a nurse from each of the clinic areas was added...
journal_title:Cancer nursing
pub_type: 杂志文章
doi:
更新日期:1989-12-01 00:00:00
abstract::An overview providing current knowledge about non-Hodgkin's lymphoma (NHL) is presented. The pathophysiology, epidemiology, clinical signs and symptoms, and the classification system of NHL are outlined. In addition, the staging of NHL, diagnostic procedures, treatment options, and recommendations related to follow-up...
journal_title:Cancer nursing
pub_type: 杂志文章,评审
doi:
更新日期:1990-02-01 00:00:00
abstract::Little is known about men's experience of how cancer affects their role as a father. The aim of this study was to gain an understanding of changes in these men's everyday family lives. The study had an interpretative descriptive design, utilizing the concept of transition as a fore structure. Eight men with different ...
journal_title:Cancer nursing
pub_type: 杂志文章
doi:10.1097/00002820-200212000-00013
更新日期:2002-12-01 00:00:00
abstract::Little is known about how nurses experience caring for dying patients. Yet, entering the patient's world often involves dealing with death and dying and is a major challenge to oncology nurses. The purpose of this article is to describe the shared practices of oncology nurses caring for dying patients. Stories from st...
journal_title:Cancer nursing
pub_type: 杂志文章
doi:10.1097/00002820-199704000-00006
更新日期:1997-04-01 00:00:00
abstract::Watchful waiting is a reasonable alternative to treatment for some older men with localized prostate cancer, but it inevitably brings uncertainty. This study tested the effectiveness of the watchful waiting intervention (WWI) in helping men cognitively reframe and manage the uncertainty of watchful waiting. Based on M...
journal_title:Cancer nursing
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00002820-200409000-00001
更新日期:2004-09-01 00:00:00
abstract:BACKGROUND:Having a child in the family with acute leukemia (AL) is a challenge for the parents and can trigger parental uncertainty. Through positive coping with uncertainty, parents can demonstrate positive psychological changes, including higher adaptability. OBJECTIVES:The purposes of this study were to measure un...
journal_title:Cancer nursing
pub_type: 杂志文章
doi:10.1097/NCC.0000000000000279
更新日期:2016-05-01 00:00:00
abstract::Prostate cancer is the most commonly diagnosed cancer in men in the United States and affects African Americans disproportionately when compared to other ethnic groups. There are unclear reasons for this disparity, but several factors may include race, nutrition, family history of cancer, and screening. With early det...
journal_title:Cancer nursing
pub_type: 杂志文章
doi:10.1097/NCC.0b013e3181982c6e
更新日期:2009-03-01 00:00:00