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Symptoms and uncertainty in breast cancer survivors in Korea: differences by treatment trajectory

Identifieur interne : 007545 ( Istex/Corpus ); précédent : 007544; suivant : 007546

Symptoms and uncertainty in breast cancer survivors in Korea: differences by treatment trajectory

Auteurs : Soo Hyun Kim ; Ran Lee ; Keon Suk Lee

Source :

RBID : ISTEX:FA0838F2508474A090D7AFE596FB5A6BDBA93D5D

Abstract

Aims.  The study compared the levels of symptoms and uncertainty, their associated factors, relationships between them and predictors of uncertainty by treatment trajectory among breast cancer survivors.

Url:
DOI: 10.1111/j.1365-2702.2011.03896.x

Links to Exploration step

ISTEX:FA0838F2508474A090D7AFE596FB5A6BDBA93D5D

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<affiliation> , PhD, RN, Assistant Professor, Department of Nursing, Inha University, Incheon; , RN, MS, Head Nurse, Department of Nursing, National Cancer Center; , RN, MS, Head Nurse, Department of Nursing, National Cancer Center, Goyang, Korea</affiliation>
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<p>
<hi rend="bold">Aims. </hi>
The study compared the levels of symptoms and uncertainty, their associated factors, relationships between them and predictors of uncertainty by treatment trajectory among breast cancer survivors.</p>
<p>
<hi rend="bold">Background. </hi>
Little is known with regard to how uncertainty and symptoms are related to treatment trajectory among breast cancer survivors.</p>
<p>
<hi rend="bold">Design. </hi>
A cross‐sectional descriptive design was used.</p>
<p>
<hi rend="bold">Method. </hi>
A total of 252 women with breast cancer, receiving cancer therapy, or having completed their therapy were recruited from the National Cancer Center in Korea. Measurements used included symptom subscales of the European Organization of Research and Therapy for Cancer QLQ‐C30 and Breast Cancer Module BR23 and the Mishel Uncertainty in Illness Scale.</p>
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<hi rend="bold">Results. </hi>
Women in treatment reported more severe symptoms and higher levels of uncertainty than women having completed treatment. During treatment, most symptoms were positively correlated with the level of uncertainty, whereas, in women who had completed treatment, only dyspnoea, insomnia, systemic therapy side effects and arm symptoms positively correlated with uncertainty. There were also differences in predictors of uncertainty by treatment trajectory. Age, marital status and pain were significant predictors of uncertainty during treatment, while monthly income, dyspnoea and insomnia were predictors of uncertainty after treatment.</p>
<p>
<hi rend="bold">Conclusions. </hi>
Among breast cancer survivors, levels of symptoms and uncertainty, associated factors, relationships between them and predictors of uncertainty differed depending on treatment trajectory.</p>
<p>
<hi rend="bold">Relevance to clinical practice. </hi>
To provide trajectory‐sensitive nursing intervention for uncertainty among breast cancer survivors, age, marital status and pain should be considered during treatment, while factors such as economic status, dyspnoea and insomnia should be taken into account after treatment.</p>
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<correspondenceTo>Soo Hyun Kim, Assistant Professor, Department of Nursing, Inha University, 253 Yonghyun‐dong, Nam‐gu, Incheon 410‐742, Korea. Telephone: 82 32 860 8213. 

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et al.</title>
<title type="short">
<i>Uncertainty in breast cancer survivors</i>
</title>
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<creator creatorRole="author" xml:id="cr1" affiliationRef="#aff-1-1">
<personName>
<givenNames>Soo Hyun</givenNames>
<familyName>Kim</familyName>
</personName>
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<creator creatorRole="author" xml:id="cr2" affiliationRef="#aff-1-1">
<personName>
<givenNames>Ran</givenNames>
<familyName>Lee</familyName>
</personName>
</creator>
<creator creatorRole="author" xml:id="cr3" affiliationRef="#aff-1-1">
<personName>
<givenNames>Keon Suk</givenNames>
<familyName>Lee</familyName>
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<b>Authors:</b>
<i>Soo Hyun Kim</i>
, PhD, RN, Assistant Professor, Department of Nursing, Inha University, Incheon;
<i>Ran Lee</i>
, RN, MS, Head Nurse, Department of Nursing, National Cancer Center;
<i>Keon Suk Lee</i>
, RN, MS, Head Nurse, Department of Nursing, National Cancer Center, Goyang, Korea</unparsedAffiliation>
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<keyword xml:id="k1">breast neoplasms</keyword>
<keyword xml:id="k2">psychological stress</keyword>
<keyword xml:id="k3">signs and symptoms</keyword>
<keyword xml:id="k4">survivors</keyword>
<keyword xml:id="k5">time factors</keyword>
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<p>
<b>Aims. </b>
The study compared the levels of symptoms and uncertainty, their associated factors, relationships between them and predictors of uncertainty by treatment trajectory among breast cancer survivors.</p>
<p>
<b>Background. </b>
Little is known with regard to how uncertainty and symptoms are related to treatment trajectory among breast cancer survivors.</p>
<p>
<b>Design. </b>
A cross‐sectional descriptive design was used.</p>
<p>
<b>Method. </b>
A total of 252 women with breast cancer, receiving cancer therapy, or having completed their therapy were recruited from the National Cancer Center in Korea. Measurements used included symptom subscales of the European Organization of Research and Therapy for Cancer QLQ‐C30 and Breast Cancer Module BR23 and the Mishel Uncertainty in Illness Scale.</p>
<p>
<b>Results. </b>
Women in treatment reported more severe symptoms and higher levels of uncertainty than women having completed treatment. During treatment, most symptoms were positively correlated with the level of uncertainty, whereas, in women who had completed treatment, only dyspnoea, insomnia, systemic therapy side effects and arm symptoms positively correlated with uncertainty. There were also differences in predictors of uncertainty by treatment trajectory. Age, marital status and pain were significant predictors of uncertainty during treatment, while monthly income, dyspnoea and insomnia were predictors of uncertainty after treatment.</p>
<p>
<b>Conclusions. </b>
Among breast cancer survivors, levels of symptoms and uncertainty, associated factors, relationships between them and predictors of uncertainty differed depending on treatment trajectory.</p>
<p>
<b>Relevance to clinical practice. </b>
To provide trajectory‐sensitive nursing intervention for uncertainty among breast cancer survivors, age, marital status and pain should be considered during treatment, while factors such as economic status, dyspnoea and insomnia should be taken into account after treatment.</p>
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<title>Symptoms and uncertainty in breast cancer survivors in Korea: differences by treatment trajectory</title>
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<title>Uncertainty in breast cancer survivors</title>
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<title>Symptoms and uncertainty in breast cancer survivors in Korea: differences by treatment trajectory</title>
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<name type="personal">
<namePart type="given">Soo Hyun</namePart>
<namePart type="family">Kim</namePart>
<affiliation>Authors: Soo Hyun Kim, PhD, RN, Assistant Professor, Department of Nursing, Inha University, Incheon; Ran Lee, RN, MS, Head Nurse, Department of Nursing, National Cancer Center; Keon Suk Lee, RN, MS, Head Nurse, Department of Nursing, National Cancer Center, Goyang, Korea</affiliation>
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<affiliation>Authors: Soo Hyun Kim, PhD, RN, Assistant Professor, Department of Nursing, Inha University, Incheon; Ran Lee, RN, MS, Head Nurse, Department of Nursing, National Cancer Center; Keon Suk Lee, RN, MS, Head Nurse, Department of Nursing, National Cancer Center, Goyang, Korea</affiliation>
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<name type="personal">
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<affiliation>Authors: Soo Hyun Kim, PhD, RN, Assistant Professor, Department of Nursing, Inha University, Incheon; Ran Lee, RN, MS, Head Nurse, Department of Nursing, National Cancer Center; Keon Suk Lee, RN, MS, Head Nurse, Department of Nursing, National Cancer Center, Goyang, Korea</affiliation>
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<dateIssued encoding="w3cdtf">2012-04</dateIssued>
<edition>Accepted for publication: 7 July 2011</edition>
<copyrightDate encoding="w3cdtf">2012</copyrightDate>
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<extent unit="tables">5</extent>
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<abstract>Aims.  The study compared the levels of symptoms and uncertainty, their associated factors, relationships between them and predictors of uncertainty by treatment trajectory among breast cancer survivors.</abstract>
<abstract>Background.  Little is known with regard to how uncertainty and symptoms are related to treatment trajectory among breast cancer survivors.</abstract>
<abstract>Design.  A cross‐sectional descriptive design was used.</abstract>
<abstract>Method.  A total of 252 women with breast cancer, receiving cancer therapy, or having completed their therapy were recruited from the National Cancer Center in Korea. Measurements used included symptom subscales of the European Organization of Research and Therapy for Cancer QLQ‐C30 and Breast Cancer Module BR23 and the Mishel Uncertainty in Illness Scale.</abstract>
<abstract>Results.  Women in treatment reported more severe symptoms and higher levels of uncertainty than women having completed treatment. During treatment, most symptoms were positively correlated with the level of uncertainty, whereas, in women who had completed treatment, only dyspnoea, insomnia, systemic therapy side effects and arm symptoms positively correlated with uncertainty. There were also differences in predictors of uncertainty by treatment trajectory. Age, marital status and pain were significant predictors of uncertainty during treatment, while monthly income, dyspnoea and insomnia were predictors of uncertainty after treatment.</abstract>
<abstract>Conclusions.  Among breast cancer survivors, levels of symptoms and uncertainty, associated factors, relationships between them and predictors of uncertainty differed depending on treatment trajectory.</abstract>
<abstract>Relevance to clinical practice.  To provide trajectory‐sensitive nursing intervention for uncertainty among breast cancer survivors, age, marital status and pain should be considered during treatment, while factors such as economic status, dyspnoea and insomnia should be taken into account after treatment.</abstract>
<subject lang="en">
<genre>keywords</genre>
<topic>breast neoplasms</topic>
<topic>psychological stress</topic>
<topic>signs and symptoms</topic>
<topic>survivors</topic>
<topic>time factors</topic>
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<title>Journal of Clinical Nursing</title>
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<genre>article-category</genre>
<topic>CLINICAL ISSUES</topic>
</subject>
<identifier type="ISSN">0962-1067</identifier>
<identifier type="eISSN">1365-2702</identifier>
<identifier type="DOI">10.1111/(ISSN)1365-2702</identifier>
<identifier type="PublisherID">JOCN</identifier>
<part>
<date>2012</date>
<detail type="volume">
<caption>vol.</caption>
<number>21</number>
</detail>
<detail type="issue">
<caption>no.</caption>
<number>7‐8</number>
</detail>
<extent unit="pages">
<start>1014</start>
<end>1023</end>
<total>10</total>
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<identifier type="DOI">10.1111/j.1365-2702.2011.03896.x</identifier>
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<accessCondition type="use and reproduction" contentType="copyright">© 2011 Blackwell Publishing Ltd</accessCondition>
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