Symptom cluster: management and advanced practices in oncology nursing

Salvetti, Marina de Góes; Sanches, Mariana Bucci

doi:10.1590/1980-220x-reeusp-2021-0452en

Cited by 5 publications

(1 citation statement)

References 31 publications

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“…[18] In addition to identifying clusters, it is essential to elucidate sociodemographic and clinical variables of epidemiological importance. [19] The social and demographic aspects of patients with cancer are of great importance in the epidemiology of cancer, such as the age of patients, as such information provides information on the natural history of the disease. [20] Moreover, to successfully treat these patients, the joint and collaborative work of different professionals that make up multidisciplinary and interdisciplinary teams is required to improve the health outcomes of patients with cancer.…”

Section: Introductionmentioning

confidence: 99%

Cancer symptom clusters, cardiovascular risk, and quality of life of patients with cancer undergoing chemotherapy: A longitudinal pilot study

Nunes,

Grippa,

Lopes

et al. 2024

Medicine

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Patients with cancer undergoing chemotherapy may have different cancer symptom clusters (CSC) that negatively impact their quality of life (QoL). These symptoms can sometimes arise from the disease itself or as a result of their cancer treatment. This study aimed to: examine the feasibility of longitudinal testing of CSC pattern and QoL in a sample of adult cancer patients undergoing outpatient chemotherapy; to identify the cardiovascular risk of patients with cancer undergoing outpatient chemotherapy; and to investigate the most prevalent CSC and their impact on the QoL of these patients. A longitudinal pilot study was conducted with eleven participants with a mean age of 56.09 years (range: 27–79) diagnosed with malignant neoplasm and undergoing outpatient chemotherapy treatment were evaluated during 6 cycles of chemotherapy. The CSC, cardiovascular risk, and QoL were assessed using the MSAS, FRS, and EQ-5D-3L™, respectively. Descriptive statistical and non-parametric bivariate analyses were performed. Patients who started chemotherapy treatment generally had a low to moderate cardiovascular risk and were likely to have a family history of hypertension, acute myocardial infarction, and stroke. Cardiovascular risk was found to be correlated with patient age (Rho s = 0.64; P = .033). In addition, the results showed a reduction in the QoL scoring over the 6 chemotherapy sessions. Regarding the most prevalent CSC, 2 clusters were identified: the neuropsychological symptom cluster (difficulty concentrating-sadness-worry) and the fatigue-difficulty sleeping cluster. Between the first and sixth chemotherapy sessions, there was a decrease in the perception of “mild” severity (P = .004) and an increase in the perception of “severe” and “very severe” (P = .003) for all symptoms. Adequate attention to CSC should be the basis for the accurate planning of effective interventions to manage the symptoms experienced by cancer patients.

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Section: Introductionmentioning

confidence: 99%

Cancer symptom clusters, cardiovascular risk, and quality of life of patients with cancer undergoing chemotherapy: A longitudinal pilot study

Nunes,

Grippa,

Lopes

et al. 2024

Medicine

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Symptom clusters and their impact on quality of life among Chinese patients with lung cancer: A cross-sectional study

Li,

Wang,

Liu

et al. 2023

European Journal of Oncology Nursing

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Nursing in oncology ward with intertwined roles: a focused ethnography

et al. 2023

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Background Characteristics of nursing care in the oncology ward depend on this ward’s specific context. This study aimed to investigate the nursing care in the oncology ward regarding the culture of this ward. Methods This qualitative study was conducted in an oncology ward using a focused ethnographic approach. The whole nursing team of the selected ward (N = 16) participated in the study through purposeful sampling. Three methods of observation, interview, and field documents were used for data collection. Data were analyzed by Spradley’s (1980) ethnographic method. Results ‘Nursing in the oncology ward with intertwined roles’ emerged as the main theme. This theme included the following subthemes: ‘Robin Hood nurse,’ ‘a secretive nurse,’ ‘a negligent nurse,’ ‘a snitching nurse,’ ‘a complaining nurse,’ ‘an apathetic senior nurse,’ ‘a stigmatized training nurse,’ ‘a brazen-bodied nurse,’ ‘a compassionate nurse,’ ‘a moonlighting nurse,’ and ‘a drug bartender.’ Conclusion This study provided a deep cultural insight into nursing care in the oncology ward, considering the particular culture of this ward and emphasizing the nurses’ intertwined roles. These roles are on a spectrum, with positive roles, such as compassion, on one side and negative roles, such as negligence, on the other. The results of this study can be provided to nursing managers; therefore, by being aware of nurses’ roles considering the specific subculture of the oncology ward, they can provide psychological interventions to improve the mental health of reluctant and complaining nurses and ethics-based training for secretive, negligent, and snitching nurses to provide quality care to the patient.

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Symptom cluster: management and advanced practices in oncology nursing

Cited by 5 publications

References 31 publications

Cancer symptom clusters, cardiovascular risk, and quality of life of patients with cancer undergoing chemotherapy: A longitudinal pilot study

Cancer symptom clusters, cardiovascular risk, and quality of life of patients with cancer undergoing chemotherapy: A longitudinal pilot study

Symptom clusters and their impact on quality of life among Chinese patients with lung cancer: A cross-sectional study

Nursing in oncology ward with intertwined roles: a focused ethnography

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