Risk Factors for a Higher Symptom Burden in Patients With Cancer During the COVID-19 Pandemic.

IF 1.6 4区 医学 Q2 NURSING
Ji Hun Kwak, Lynda A Mackin, Astrid Block, Steven M Paul, Bruce A Cooper, Maura Abbott, Susan M Chang, Marilyn J Hammer, Kord M Kober, Jon D Levine, Rachel Pozzar, Kim F Rhoads, Karin E Snowberg, Katy K Tsai, Erin L Van Blarigan, Katherine Van Loon, Christine Miaskowski
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引用次数: 0

Abstract

Objectives: To evaluate for subgroups of patients with distinct symptom profiles and differences in demographic and clinical characteristics and stress and resilience among these subgroups.

Sample & setting: 1,145 patients with cancer aged 18 years or older completed a survey online. Data were collected between May 2020 and February 2021.

Methods & variables: Patients completed measures for depression, state anxiety, cognitive function, morning fatigue, evening fatigue, morning energy, evening energy, sleep disturbance, pain, stress, and resilience. Latent class profile analysis was used to identify subgroups of patients with distinct symptom profiles. Differences among the subgroups on study measures were evaluated using parametric and nonparametric tests.

Results: Four distinct profiles were identified (none, low, high, and very high). Patients in the high and very high classes reported clinically meaningful levels of all nine symptoms. Differences among the four profiles for stress and resilience exhibited a dose-response effect.

Implications for nursing: Findings can serve as benchmark data of the symptom burden of patients with cancer following the COVID-19 pandemic.

新冠肺炎大流行期间癌症患者症状负担较高的危险因素。
目的:评估具有不同症状特征的患者亚组,以及这些亚组在人口统计学和临床特征以及压力和恢复力方面的差异。样本和设置:1145名18岁或18岁以上的癌症患者在网上完成了一项调查。数据收集于2020年5月至2021年2月。方法和变量:患者完成了抑郁、状态焦虑、认知功能、早疲劳、晚疲劳、晨能、晚能、睡眠障碍、疼痛、压力和恢复力的测量。潜在类别特征分析用于识别具有不同症状特征的患者亚组。使用参数检验和非参数检验来评估亚组之间在研究测量方面的差异。结果:确定了四种不同的特征(无、低、高和极高)。高级别和非常高级别的患者报告了所有九种症状的临床意义水平。压力和恢复力的四种特征之间的差异表现出剂量反应效应。对护理的影响:研究结果可以作为新冠肺炎大流行后癌症患者症状负担的基准数据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Oncology nursing forum
Oncology nursing forum 医学-护理
CiteScore
3.20
自引率
0.00%
发文量
76
审稿时长
>12 weeks
期刊介绍: The mission of the Oncology Nursing Forum, an official publication of ONS, is to Convey research information related to practice, technology, education, and leadership. Disseminate oncology nursing research and evidence-based practice to enhance transdisciplinary quality cancer care. Stimulate discussion of critical issues relevant to oncology nursing.
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