Symptom Clusters in Patients With Pancreatic Cancer Undergoing Surgical Resection: Part II.

Abstract:

OBJECTIVES:To explore the relationship between 16 symptom clusters (SCs), clinical and demographic influencing factors, and clinical outcomes over time in patients with pancreatic cancer (PC) undergoing surgical resection. SAMPLE & SETTING:143 patients with stage II PC undergoing surgical resection were recruited to participate in this longitudinal, exploratory study conducted at Thomas Jefferson University Hospital, a National Cancer Institute-designated cancer center. METHODS & VARIABLES:Quality of life was measured preoperatively and at three, six, and nine months postoperatively. Statistical methods included simple linear and Cox proportional hazard regression. RESULTS:Preoperative pain was significantly associated with the pain-gastrointestinal SC, and preoperative worry was significantly associated with the mood SC. The strongest negative association with emotional well-being across all study time points was found with the preoperative mood SC. The insomnia-digestive problems SC and the nutritional problems SC demonstrated a trend toward poor survival. IMPLICATIONS FOR NURSING:Findings provide evidence that preoperative worry and pain are associated with SC severity and that SCs may have a detrimental effect on quality of life and survival in patients with PC undergoing surgical resection.

journal_name

Oncol Nurs Forum

journal_title

Oncology nursing forum

authors

Burrell SA,Yeo TP,Smeltzer SC,Leiby BE,Lavu H,Kennedy EP,Yeo CJ

doi

10.1188/18.ONF.E53-E66

subject

Has Abstract

pub_date

2018-07-02 00:00:00

pages

E53-E66

issue

4

eissn

0190-535X

issn

1538-0688

journal_volume

45

pub_type

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