Gynecological cancer inpatients need more supportive nursing care than outpatients: a comparative study

Mawardika, Tina; Afiyanti, Yati; Rahmah, Hayuni

doi:10.1186/s12912-019-0355-x

Cited by 14 publications

(14 citation statements)

References 22 publications

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“…Similarly, both inpatients groups of patients and their FCs have more needs as compared to outpatients. Mawardika et al [57] reported that gynaecological cancer patients' physical and psychological supportive care is comparatively higher (44 times) for those receiving inpatient care than those receiving outpatient care. Besides, the financial cost associated with hospitalization is considerably higher than outpatient and as such, they logically have more needs.…”

Section: Discussionmentioning

confidence: 99%

Supporting the patients with advanced cancer and their family caregivers: what are their palliative care needs?

Chua

Pang²,

Yee

et al. 2020

BMC Cancer

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Background: The impact and consequences of cancer on the patients and their family caregivers (FCs) are closely intertwined. Caregivers' burdens can be increased due to the patients' unmet needs and unresolved problems. Additionally, the caregivers' unmet needs may adversely affect their own well-being and the patients' health outcomes. This study aims to determine the palliative care needs and the factors associated with these needs in patients with advanced solid cancer and their FCs. Methods: In a cross-sectional survey, 599 patients with advanced solid tumours and 599 FCs were recruited from the largest ambulatory cancer centre and the inpatient ward of the largest hospital in Singapore. Determinants of patients' and FCs' needs were assessed by the Comprehensive Needs Assessment Tool (CNAT) and CNAT-C respectively. Clinical characteristics of patients were obtained from medical records. Results: The FCs (median age 51 years) were younger than the patients (median age 62 years), and were mostly female (62.6%) whereas the gender distribution of patients was quite balanced (49.2% male and 50.8% female). Both patients and FCs had "information" and "practical support" in their top three domains of palliative care needs. The second highest domain of needs was "psychological problems" (16.4 ± 21.5) in patients and "health-care staff" (23.4 ± 26.5) in FCs. The item that had the highest need score in "information" domain for both patients and FCs was "financial support for patients, either from government and/ or private organizations". Under clinical setting, the inpatients (19.2 ± 16.4) and their FCs (26.0 ± 19.0) tend to have higher needs than the outpatients (10.5 ± 12.1) and their FCs (14.7 ± 14.3). In terms of palliative care, higher total CNAT score was observed in both patients (16.6 ± 12.9 versus 13.3 ± 15.2) and their FCs (25.1 ± 18.6 versus 17.7 ± 16.7) who received palliative care. In terms of patients' KPS scores, patients with lower KPS scores tend to have higher needs. Conclusion: Overall, the findings confirm that patients with advanced cancer and their FCs have many palliative care needs irrespective of their clinical settings. Initiatives and interventions for the development of a comprehensive support system for both patients with advanced cancer and their FCs are warranted and can be derived from these findings.

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Section: Discussionmentioning

confidence: 99%

Supporting the patients with advanced cancer and their family caregivers: what are their palliative care needs?

Chua

Pang²,

Yee

et al. 2020

BMC Cancer

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“…Among others, the advanced stage of cancer is in its turn confirmed to be a predictor of mental distress in women with breast and ovarian cancer [ 40 , 41 ]. Overall, our findings point to the importance of the establishment of a program taking into account and responding to specific psychological needs of patients with breast and gynecological cancer [ 42 , 43 ].…”

Section: Discussionmentioning

confidence: 90%

Predictors of mental health disorders in women with breast and gynecological cancer after radical surgery: A cross-sectional study

Aquil

Mouallif

Guerroumi

et al. 2021

Annals of Medicine &Amp; Surgery

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Introduction In lower-middle-income countries, significant progress has been made in the therapeutic management of cancers. However, mental health disorders related to these diseases are usually underestimated by the health system. The aim of this study is to investigate the predictive factors for mental health disorders in Moroccan women with breast or gynecological cancer treated by radical surgery. Material and methods A cross-sectional study was carried out on Moroccan women treated by radical surgery for breast or gynecological cancer (N = 200). For each cancer type, patients were divided into two groups following age criteria. Hospital Anxiety and Depression Scale and Body image scale were used. Results Age had a significant effect on mental health disorders but not the type of cancer. Younger women showed significantly greater mental health disorders than older women (p ≤ 0.001). The predictive model for high anxiety and depression included the effect of the following variables: Being younger, having lower income, and advanced tumor stage. For higher body image dissatisfaction, the variables are as follows: being younger, having fewer children, lower-income, and advanced tumor stage. Conclusion The association of mental health disorders in patients with breast or gynecological cancer increases their distress. The establishment of management protocols for these disorders is strongly recommended in oncology departments.

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“…Considering the quality of current evidence, we find that Outcome: FACT-F: functional assessment of cancer therapy fatigue; FACT-G: functional assessment of cancer therapy-general; BDI: Beck Depression Inventory; SAI: state anxiety inventory; HADS: hospital anxiety and depression scale; HDRS: Hamilton depression rating scale; ESAS: Edmonton symptom assessment scale; VAS: visual analog scale. 6 Evidence-Based Complementary and Alternative Medicine Evidence-Based Complementary and Alternative Medicine research on art therapy of gynecologic cancer patients is insufficient. We cannot draw the conclusion that art therapy benefits gynecologic cancer patients in the psychological outcome, QOL, and cancer-related symptoms.…”

Section: Discussionmentioning

confidence: 99%

“…For example, cervical cancer is the fourth most common cancer in women, and the seventh overall, accounting for 7.5% of all female cancer deaths [4]. e patients with gynecological cancer may suffer from psychological distress, fatigue, sleep disturbance, urinary/bowel issues, lymphedema, menopausal symptoms, and sexuality issues [5][6][7]. Side effects of treatment, complications, and cumulative organ toxicities may alter the patient's body function, interfere with daily activities, have a negative impact on QOL [8], as well as distorting their psychological states, body image, body awareness, and selfesteem [2].…”

Section: Introductionmentioning

confidence: 99%

The Effect of Art Therapy in Women with Gynecologic Cancer: A Systematic Review

Huang

Liu

et al. 2020

Evidence-Based Complementary and Alternative Medicine

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Objectives. The purpose of this study was to evaluate the evidence of art therapy on the psychological outcome, quality of life (QOL), and cancer-related symptoms in women with gynecological cancer. Methods. A systematic literature search was conducted. The randomized controlled trials, quasiexperimental studies, case reports, and qualitative studies were all included. Result. 1,587 articles were retrieved. A total of 9 articles met the inclusion criteria. The existing studies provided initial evidence to suggest that art therapy may benefit gynecological cancer patients with respect to improving psychological outcome and QOL, reducing fatigue related to cancer, and improving subjective overall health condition. However, the quality of the current evidence limits the efficacy of these findings. Conclusion. Research on art therapy of gynecologic cancer patients is insufficient. We cannot draw the conclusion that art therapy benefits gynecological cancer patients in the psychological outcome, QOL, and cancer-related symptoms. More rigorous research is needed.

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Gynecological cancer inpatients need more supportive nursing care than outpatients: a comparative study

Cited by 14 publications

References 22 publications

Supporting the patients with advanced cancer and their family caregivers: what are their palliative care needs?

Supporting the patients with advanced cancer and their family caregivers: what are their palliative care needs?

Predictors of mental health disorders in women with breast and gynecological cancer after radical surgery: A cross-sectional study

The Effect of Art Therapy in Women with Gynecologic Cancer: A Systematic Review

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