Association among cachexia syndrome, symptom distress, and quality of life in pancreatic cancer patients
View File(s)
- Author(s)
- Details
-
Yun-Jen Chou, MS, RN; Shiow-Ching Shun
- Sigma Affiliation
- Non-member
Visitor Statistics
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Country | Visits |
---|
Top Visiting Cities
City | Visits |
---|
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Chou, Yun-Jen by View
Title | Page Views |
---|
Popular Works for Chou, Yun-Jen by Download
Title | Downloads |
---|
View Citations
Citations
Background: Cachexia syndrome is common in pancreatic cancer patients, and it will increase the mortality rate and decrease quality of life (QoL). However, there is no study with longitudinal design to explore the relationship among cachexia syndrome, symptom distress and QoL. Therefore, this study was to explore if the cachexia syndrome pre-operation was the significant factors to predict the longitudinal QoL after operation.
Methods: A longitudinal design was used in this study, and the data collected at 1~2 weeks before operation (T0), 2 months (T1), 3 months (T2), and 6 months (T3) after operation. Patients who scheduled to operate were recruited from surgery clinics at a medical center in Taipei. A structured questionnaire with Fatigue Symptom Inventory, Symptom Severity Scale, and Functional Assessment of Cancer Therapy-General Scale were used to collect patients’ fatigue, symptom distress and QoL, respectively. In addition, the questionnaire included patients’ demographic and clinical characteristic. In this study, cachexia syndrome was defined as patients’ total body weight loss > 5% over the past 6 months. The generalized estimating equation (GEE) was used to examine the significant associated factors with QoL after operation.
Results: Totally, 45 pancreatic cancer patients participated in this study. Among patients, 64.6% (N=29) was recognized as cachexia syndrome. Patients with cachexia syndrome had more percentage to accept chemotherapy (χ2=9.504; p=.002), suffer from fistula after operation (χ2=5.237; p=.022), and had higher level of fatigue intensity (t= -2.889; p=.06) and duration (t=-2.363; p=.023) than those with non-cachexia syndrome . In the GEE analysis, the patients with higher level of symptom distress had lower level of QoL (β = -.323, p < .0001) after control the significant different factors at baseline between the two groups.
Conclusions: This study found that cachexia syndrome wasn’t a significant associated factor with QoL. In addition, symptom distress was the significant factor affecting longitudinal QoL in pancreatic cancer patients. Therefore, healthcare providers should pay more attention and assist pancreatic cancer patients to manage symptom distress since they diagnosed to increase the level of QoL.
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship
Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository.
Type | Poster |
Acquisition | Proxy-submission |
Review Type | None: Event Material, Invited Presentation |
Format | Text-based Document |
Evidence Level | N/A |
Research Approach | N/A |
Keywords | Cachexia Syndrome; Quality of Life; Symptom Distress |
Name | 28th International Nursing Research Congress |
Host | Sigma Theta Tau International |
Location | Dublin, Ireland |
Date | 2017 |
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Related items
Showing items related by title, author, creator and subjects.
-
A comparison of fatigue among resectable colorectal and pancreatic cancer patients
Kuo, Hsuan-Ju; Shun, Shiow-Ching (2017-07-13)Purpose: Both colorectal and pancreatic cancer patients suffer from gastrointestinal associated symptoms that cause nutrition insufficiency. Under impaired nutritional status, cancer patients are prone to experience ... -
Fatigue, physical fitness and quality of life in patients with Hepatitis C virus infection during the combination therapy
Shun, Shiow-Ching; Liu, Chen-Hua (2016-03-21)Session presented on Tuesday, November 10, 2015: Introduction: An increasing incidence of liver cancer mainly attributed to Hepatitis C Virus (HCV) infection has been observed in Taiwan over the last 20 years. The current ... -
Association between treatment-related symptoms and quality of life among a sample of patients with breast cancer
Tsai, Ching-Fen; Liu, Chien-Liang; Liao, Yuan-Mei (2016-03-17)Session presented on Friday, July 24, 2015: Purpose: Patients with breast cancer receiving disease related treatments might trigger early onset of menopause and lead to early exposure of menopause related symptoms. ... -
Understanding self-care coping styles in patients with chronic heart failure
Li, Chia-Chien; Shun, Shiow-Ching (2014-11-17)Session presented on Saturday, July 26, 2014: Background: Heart failure (HF) is a serious disease with poor prognosis and large numbers of people suffer from heart failure around the world. The physical and psychological ... -
State of the science: Symptoms and quality of life in individuals with pancreatic cancer undergoing surgery
Burrell, Sherry A.; Yeo, Theresa Pluth; Smeltzer, Suzanne C. (2012-9-12)Purpose: The purpose of this integrative review was to examine the science regarding symptoms and quality of life (QoL) in individuals with pancreatic cancer (PC) undergoing surgery with or without adjuvant therapy. Methods: ...