Abstract：
PURPOSE/OBJECTIVES:To describe the presence, frequency, severity, and distress of symptoms in outpatients with advanced hepatocellular carcinoma toward the end of life, and the variability in psychological and physical symptom distress between and within patients over time. . DESIGN:A prospective, longitudinal, descriptive design. . SETTING:Outpatient clinics at two healthcare institutions. . SAMPLE:18 patients (15 men and 3 women) with hepatocellular carcinoma and a mean age of 63.3 years (range = 54-81 years). . METHODS:Data were collected monthly for six months. Patients completed the Memorial Symptom Assessment Scale, which reports a total score, and three subscales that provide global distress, psychological distress, and physical distress scores. . MAIN RESEARCH VARIABLES:Global, psychological, and physical distress. . FINDINGS:Patients reported lack of energy and pain as the most frequent and distressing symptoms. Problems with sexual interest or activity was the fourth most present symptom after drowsiness. Global Distress Index mean scores had notable variability between and within patients over time. During data collection, six patients died. None were referred to palliative care. . CONCLUSIONS:Gaining knowledge about symptom distress and prevalent symptoms experienced by patients with advanced hepatocellular carcinoma is critical for designing symptom management strategies that are comprehensive and tailored to patients to optimize their quality of life as they approach death. . IMPLICATIONS FOR NURSING:Nurses play a vital role in advocating for, initiating, and providing comprehensive holistic care based on individual patient needs by facilitating discussions about apparent and less apparent distressing symptoms, including those related to sexuality.
journal_name
Oncol Nurs Forumjournal_title
Oncology nursing forumauthors
Hansen L,Dieckmann NF,Kolbeck KJ,Naugler WE,Chang MFdoi
10.1188/17.ONF.665-673subject
Has Abstractpub_date
2017-11-01 00:00:00pages
665-673issue
6eissn
0190-535Xissn
1538-0688journal_volume
44pub_type
杂志文章abstract：PURPOSE/OBJECTIVES:To explore the topic of moral distress in nurses related to witnessing futile care. DATA SOURCES:Literature related to moral distress and futility; analysis of narratives written by 108 nurses attending one of two national continuing education courses on end-of-life care regarding their experiences ...
journal_title：Oncology nursing forum
pub_type： 杂志文章,评审
doi：10.1188/06.ONF.922-930
更新日期：2006-09-01 00:00:00
abstract：PURPOSE/OBJECTIVES:To measure the effect of clinical decision support (CDS) on oncology nurse evidence-based practice (EBP). . DESIGN:Longitudinal cluster-randomized design. . SETTING:Four distinctly separate oncology clinics associated with an academic medical center. . SAMPLE:The study sample was comprised of rand...
journal_title：Oncology nursing forum
pub_type： 杂志文章
doi：10.1188/16.ONF.E170-E177
更新日期：2016-07-01 00:00:00
abstract：PURPOSE/OBJECTIVES:To explore the experience of being touched in people diagnosed with cancer and undergoing IV chemotherapy. RESEARCH APPROACH:Qualitative, phenomenologic. SETTING:Central New York and northern Pennsylvania, both in the northeastern United States . PARTICIPANTS:11 Caucasian, English-speaking adult...
journal_title：Oncology nursing forum
pub_type： 杂志文章
doi：10.1188/15.ONF.517-526
更新日期：2015-09-01 00:00:00
abstract：:Acute tumor lysis syndrome (TLS) is a metabolic complication that occurs in some patients with cancer and frequently is triggered by chemotherapy. TLS results from a rapid destruction of a large number of tumor cells, which causes several potentially fatal biochemical changes. If not identified and treated quickly, TL...
journal_title：Oncology nursing forum
pub_type： 杂志文章,评审
doi：
更新日期：1993-01-01 00:00:00
abstract：PROBLEM IDENTIFICATION:Patients with cancer experience multiple symptoms, but current practice is driven by guidelines that address single symptoms. Identifying symptom management strategies recommended across two or more symptoms could relieve multiple symptoms and reduce patient burden. LITERATURE SEARCH:The Oncolog...
journal_title：Oncology nursing forum
pub_type： 杂志文章
doi：10.1188/20.ONF.498-511
更新日期：2020-09-01 00:00:00
abstract：:Pain management, a primary focus of the oncology nurse, is undergoing a technologic boom. Assessment of high-tech treatments in medicine is an underdeveloped and controversial area. This paper is intended to promote critical thinking about methods of high-tech pain relief such as subcutaneous, IV, and intraspinal anal...
journal_title：Oncology nursing forum
pub_type： 杂志文章
doi：
更新日期：1991-09-01 00:00:00
abstract：PURPOSE/OBJECTIVES:To describe the most current trends in quality-of-life (QOL) research in cervical cancer survivors and to discuss directions for future research. DATA SOURCES:A literature search was conducted among five electronic databases using the terms cervical or cervix cancer, quality of life, survivors, surv...
journal_title：Oncology nursing forum
pub_type： 杂志文章,评审
doi：10.1188/11.ONF.E107-E117
更新日期：2011-03-01 00:00:00
abstract：PURPOSE/OBJECTIVES:To provide evidence-based research information about 31 herbs and natural products that have shown potential in early research to decrease cancer growth or as adjuncts with cancer treatment. DATA SOURCES:Names of herbs and natural products with potential to decrease cancer growth have been selected ...
journal_title：Oncology nursing forum
pub_type： 杂志文章,评审
doi：10.1188/04.ONF.E75-E90
更新日期：2004-07-13 00:00:00
abstract：PURPOSE/OBJECTIVES:To provide an overview of current issues surrounding the prevention of and screening for lung, breast, cervical, colorectal, ovarian, prostate, and skin cancer. DATA SOURCES:Original research, review articles, and published guidelines. DATA SYNTHESIS:Although morbidity and mortality rates have decr...
journal_title：Oncology nursing forum
pub_type： 杂志文章,评审
doi：10.1188/02.ONF.853-861
更新日期：2002-06-01 00:00:00
abstract：OBJECTIVES:To explore and estimate relationships among the elements of the symptom cluster in survivors of brain tumors aged 8-12 years during early survivorship. SAMPLE & SETTING:Child participants completed treatment at least six months and less than six years prior to enrollment at Children's Hospital of Alabam...
journal_title：Oncology nursing forum
pub_type： 杂志文章
doi：10.1188/18.ONF.775-785
更新日期：2018-11-01 00:00:00
abstract：PURPOSE/OBJECTIVES:To identify and compare levels of distress and sources of problems among patients with breast cancer in early survivorship. DESIGN:Descriptive, cross-sectional. SETTING:A National Cancer Institute-designated comprehensive cancer center. SAMPLE:100 breast cancer survivors were selected to represent...
journal_title：Oncology nursing forum
pub_type： 杂志文章
doi：10.1188/15.ONF.E17-E23
更新日期：2015-01-01 00:00:00
abstract：PURPOSE/OBJECTIVES:To describe physical health, mental health, and life changes among family caregivers of patients with lung cancer. DESIGN:Cross-sectional quantitative study. SETTING:A university outpatient oncology center, two Veterans Affairs outpatient clinics, and a private outpatient oncology practice in India...
journal_title：Oncology nursing forum
pub_type： 杂志文章
doi：10.1188/13.ONF.53-61
更新日期：2013-01-01 00:00:00
abstract：:I am a nurse in a bone marrow transplantation unit at the University of Florida Health Shands Hospital in Gainesville. We are a high-risk center in the sense that we care for transplant patients who have been denied at other centers. Our patients are very sick with resistant disease and often with multiple comorbiditi...
journal_title：Oncology nursing forum
pub_type： 评论,信件
doi：10.1188/17.ONF.10
更新日期：2017-01-01 00:00:00
abstract：PURPOSE/OBJECTIVES:To determine oncology nurses' perspectives of the receptiveness of survivors to receiving health behavior guidance, with secondary purposes to (a) explore other elements of oncology nurses' perceptions of the teachable moment and (b) examine differences in outcomes between American and Canadian nurse...
journal_title：Oncology nursing forum
pub_type： 杂志文章
doi：10.1188/15.ONF.602-609
更新日期：2015-11-01 00:00:00
abstract：:Syndrome of inappropriate antidiuretic hormone (SIADH) is a condition characterized by serum hypoosmolality and hyponatremia, resulting from the aberrant or sustained secretion of antidiuretic hormone (ADH). Its most frequent cause is malignancy, of which small cell or oat cell bronchogenic carcinoma is most common. B...
journal_title：Oncology nursing forum
pub_type： 杂志文章,评审
doi：
更新日期：1989-05-01 00:00:00
abstract：PROBLEM IDENTIFICATION:Identifying people with hematologic cancer who are at risk of deteriorating and dying is essential to enable open, honest discussions, leading to appropriate decision making and effective end-of-life care. . LITERATURE SEARCH:PubMed, CINAHL®, PsycINFO, and the Cochrane Central Register of Contro...
journal_title：Oncology nursing forum
pub_type： 杂志文章,评审
doi：10.1188/16.ONF.E178-E187
更新日期：2016-09-01 00:00:00
abstract：PURPOSE/OBJECTIVES:To review current knowledge about the causes, pathophysiology, treatment, and nursing care of patients with acute myelogenous leukemia (AML). DATA SOURCES:Articles, books, and proceedings of national meetings. DATA SYNTHESIS:AML, an an often fatal disease, is characterized by signs of anemia, throm...
journal_title：Oncology nursing forum
pub_type： 杂志文章,评审
doi：
更新日期：1994-04-01 00:00:00
abstract：PURPOSE/OBJECTIVES:To develop and test an interactive multimedia module prototype designed to accommodate adults with limited literacy and without computer skills. DESIGN:Experimental, randomized, controlled, pretest, post-test. SETTING:Cancer treatment centers in California, Louisiana (pilot). New Hampshire, Pennsyl...
journal_title：Oncology nursing forum
pub_type： 临床试验,杂志文章,随机对照试验
doi：
更新日期：2001-10-01 00:00:00
abstract：OBJECTIVES:To examine the experiences with, opinions of, and reactions to online cancer information of loved ones of people with cancer. SAMPLE & SETTING:10 loved ones of people with cancer recruited from a pool of participants who completed a survey about cancer website experiences. METHODS & VARIABLES:Quali...
journal_title：Oncology nursing forum
pub_type： 杂志文章
doi：10.1188/18.ONF.354-358
更新日期：2018-05-01 00:00:00
abstract：PURPOSE/OBJECTIVES:To ascertain the critical issues in current advanced practice nurse (APN) roles in oncology. DESIGN:Descriptive. SETTING:National. SAMPLE:368 Oncology Nursing Society (ONS) APNs in oncology practice. METHODS:Subjects completed an 11-page self-administered questionnaire comprised of 62 multiple-ch...
journal_title：Oncology nursing forum
pub_type： 杂志文章
doi：
更新日期：2001-11-01 00:00:00
abstract：:Cognitive therapists believe that an individual's emotional reaction to a stressful situation is influenced by his or her perception of that situation. This article reports the findings of a cross-sectional survey comparing thought and image patterns in patients with cancer receiving first-time chemotherapy with patie...
journal_title：Oncology nursing forum
pub_type： 杂志文章
doi：
更新日期：1993-04-01 00:00:00
abstract：PURPOSE/OBJECTIVES:To describe computer experience and preferences for multimedia design. DESIGN:Prospective, descriptive. SETTING:Physician office and outpatient cancer centers in an urban area in the southeastern United States. SAMPLE:Convenience sample of 22 volunteer patients with cancer from four racial groups....
journal_title：Oncology nursing forum
pub_type： 杂志文章
doi：10.1188/06.ONF.787-792
更新日期：2006-07-01 00:00:00
abstract：PURPOSE/OBJECTIVES:To describe factors related to diagnosis, identity disclosure, and social support among lesbian, gay, bisexual, and transgender (LGBT) patients with cancer, and to explore associations between these factors and self-rated health. DESIGN:Cross-sectional self-report survey design using descriptive and...
journal_title：Oncology nursing forum
pub_type： 杂志文章
doi：10.1188/15.ONF.44-51
更新日期：2015-01-01 00:00:00
abstract：PURPOSE/OBJECTIVES:To explore women's perspectives of the experience of surviving breast cancer. DESIGN:Descriptive, phenomenologic. SETTING:A community in the Southwestern United States. SAMPLE:Eight women, ages 34-70 (mean = 54.6 years), who had completed breast cancer therapy. Average time since completion of the...
journal_title：Oncology nursing forum
pub_type： 杂志文章
doi：
更新日期：1997-09-01 00:00:00
abstract：PURPOSE/OBJECTIVES:To review nursing assessment and implications of oral complications from cancer therapy. DATA SOURCES:Published articles, books, and monographs. DATA SYNTHESIS:Cancer and cancer therapy disturb the normal integrity and function of the oral cavity, leading to alterations in structure and function. S...
journal_title：Oncology nursing forum
pub_type： 杂志文章,评审
doi：
更新日期：1996-06-01 00:00:00
abstract：:Existing breast self-examination (BSE) educational approaches have not been successful in gaining older women's compliance in proficient BSE. The experimental study detailed in this article was designed to determine whether there is a difference in BSE performance between women taught BSE individually using self-model...
journal_title：Oncology nursing forum
pub_type： 临床试验,杂志文章,随机对照试验
doi：
更新日期：1991-04-01 00:00:00
abstract：:In December 1991, Patient Self-Determination Amendment (PSDA) legislation was implemented. The PSDA requires facilities funded by Medicare/Medicaid to inform patients of their decision-making rights regarding medical care. An advance directive (AD), a living will, or a durable power of attorney for health care contain...
journal_title：Oncology nursing forum
pub_type： 杂志文章
doi：
更新日期：1992-07-01 00:00:00
abstract：PURPOSE/OBJECTIVES:To examine the lived experience of individuals when confronted with a life-threatening disease. RESEARCH APPROACH:Qualitative, phenomenologic using Giorgi's approach. SETTING:Patients' homes in the Midwest. PARTICIPANTS:Five women and two men, aged 44-74 years, who had a variety of diagnoses, incl...
journal_title：Oncology nursing forum
pub_type： 杂志文章
doi：10.1188/03.ONF.593-598
更新日期：2003-07-01 00:00:00
abstract：:Many professional nurses see the lack of autonomy, an essential element in the definition of a professional, as a deterrent to achieving true professional status. Autonomy in nursing is seen in the context of self-governance, shared governance, and nurses' participation in the decision-making process with regard to pa...
journal_title：Oncology nursing forum
pub_type： 杂志文章
doi：
更新日期：1989-09-01 00:00:00
abstract：:Despite what the title of this presentation implied, no magic pills are available that can be given to prevent patients from getting very sick or falling off that thin line between physical compensation and critical illness. A large part of the prevention of crises comes from redefining the nature of what you view as ...
journal_title：Oncology nursing forum
pub_type： 杂志文章,评审
doi：
更新日期：2000-07-01 00:00:00
