Prevalence of Psychological Symptoms in Community-Dwelling Chinese American Patients with Chronic Cancer Pain

Pandey, Deepali; Lam, Kin; Cheung, William; Mahmood, Ashraf; Hicks, Stephanie; Portenoy, Russell K.; Chen, Jack; Dhingra, Lara

doi:10.1007/s10903-021-01148-0

Cited by 3 publications

(1 citation statement)

References 47 publications

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“…Cancer-related pain (CRP) remains one of the most distressing symptoms for cancer patients and survivors, leading to significant functional disability and a negative impact on quality of life. 1,2 Pain affects an estimated 55% of persons during anticancer treatment, up to 66% of individuals with advanced cancer, 2,3 and persists in half of cancer survivors after the completion of treatment. 4 Pain has long been recognized as one of the most common reasons for emergency care 5 and cancer patient hospitalizations, and currently accounts for up to 28% of unplanned and potentially preventable hospitalizations.…”

Section: Introductionmentioning

confidence: 99%

Nurse-Administered Auricular Point Acupressure for Cancer-Related Pain

Van de Castle,

Lukkahatai,

Billing

et al. 2023

Integr Cancer Ther

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Purpose: The study aimed to (1) examine the feasibility of providing a training course on auricular point acupressure (APA) for clinical oncology nurses to integrate APA into real-world nursing care settings, and (2) examine the effectiveness of APA on cancer-related pain (CRP) under usual inpatient oncology ward conditions. Methods: This was a 2-phase feasibility study. Phase 1, an in-person, 8 hour training program was provided to oncology nurses. Phase 2, a prospective and feasibility study was conducted to evaluate the integration of APA into nursing care activities to manage CRP. Oncology patients were included if their pain was rated at ≥4 on a 0 to 10 numeric rating scale in the past 24 hours. Patients received 1 APA treatment administered by the nurses and were instructed to stimulate the points for 3 days. Study outcomes (pain intensity, fatigue, and sleep disturbance), pain medication use, and APA practice were measured by a phone survey daily. Results: Ten oncology nurses received APA training in phase 1. APA had been added to the hospital’s electronic health records (EHRs) as a pain treatment. In phase 2, 33 oncology patients received APA treatment with a 100% adherence rate (pressing the seeds 3 times per day, 3 minutes per time based on the suggestion). The side effects of APA were minimal (~8%-12% felt tenderness on the ear). After 3 days of APA, patients reported 38% pain relief, 39% less fatigue, and 45% improvement in sleep disturbance; 24% reduced any type of pain medication use and 19% reduced opioid use (10 mg opioids using milligram morphine equivalent). The major barrier to integrating APA into routine nursing practice was time management (how to include APA in a daily workflow). Conclusion: It is feasible to provide 8-hour training to oncology nurses for mastering APA skill and then integrating APA into their daily nursing care for patients with CRP. Based on the promising findings (decreased pain, improved fatigue and sleep disturbance, and less opioid use), the next step is to conduct a randomized clinical trial with a larger sample to confirm the efficacy of APA for oncology nurses to treat CRP in real-world practice. ClinicalTrial.gov identifier number: NCT04040140.

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Section: Introductionmentioning

confidence: 99%

Nurse-Administered Auricular Point Acupressure for Cancer-Related Pain

Van de Castle,

Lukkahatai,

Billing

et al. 2023

Integr Cancer Ther

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End-of-life care for patients with cancer: Clinical, geographical, and sociocultural differences

Ostan

Varani

Pannuti³

et al. 2023

Pall Supp Care

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Objectives Timely, effective and personalized identification of the multidimensional needs in patients with advanced cancer are major goals of appropriate palliative care (PC) delivery. However, there is considerable variation in structures, processes, and patient demographics that might influence the intensity of end-of-life care. This study aims to characterize patterns in clinical and demographic characteristics at the inception point and their association with the intensity of care during the last month of life in advanced cancer patients assisted at home. Methods Cancer patients entered in home PC during 2020 in Italy were considered. The association between home PC services during the last month of life (primary outcome) and demographic data, performance status (Karnofsky Performance Score [KPS]), symptoms, and therapies at the entry was explored in this retrospective study. Results Among 1,721 consecutive patients (919 in Centre-North and 802 in Centre-South Italy), patients from Centre-South were younger (p < 0.001), had worse KPS (p < 0.001), and shorter survival (p = 0.010). Patient age was inversely associated with the number of total/physician/nurses services during the last month of life (p < 0.001, p = 0.001, and p = 0.008, respectively). Patients with severe symptoms (asthenia, pain, and anxiety) at inception needed more PC services at the end of life (p = 0.026, p = 0.008, and p = 0.038, respectively). The distribution of workload differed according to the geographical area, with higher number of PC services provided by physicians (p < 0.001) in Centre-North and by nurses (p = 0.002) in Centre-South. Significance of results These findings highlight major disparity in access and nature of PC in a country with universal access to health services. Studies aimed at comparing PC models among different countries should pay attention to the local heterogeneity within each health-care system.

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Mental health burdens among North American Asian adults living with chronic conditions: a systematic review

Islam

Parikh

Lappen

et al. 2023

Epidemiologic Reviews

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Asians are likely to experience a high burden of chronic conditions, including but not limited to, diabetes, cardiovascular disease, and cancer, due to differences in biologic, genetic, and environmental factors across Asian ethnic groups. A diagnosis of any chronic condition can contribute to increased mental health burdens, including depression, psychological distress, and post-traumatic stress disorder (PTSD). However, few studies have examined these co-morbidities across distinct Asian ethnic groups, an important limitation given the differences in social, cultural, and behavioral drivers of mental health burdens within and across Asian ethnicities. To understand the disparities in mental health burdens among Asians living with a chronic health condition, we conducted a systematic literature review of relevant peer-reviewed databases to identify studies reporting on mental health burdens (e.g., depression, anxiety, distress, and PTSD) in distinct Asian ethnic groups in North America. Thirteen studies met the inclusion criteria for this review and collectively demonstrated a high burden of depression, psychological distress, and PTSD among Asians living with chronic conditions. Moreover, there were distinct disparities in mental health burdens across chronic condition and across Asian ethnic group. Despite the detrimental impact of poor mental health on chronic disease specific outcomes, such as mortality and poor quality of life, a dearth of data exists characterizing mental health outcomes among Asian ethnicities living in North America with chronic conditions. Future work should prioritize estimating national prevalence of mental health outcomes among adults with chronic conditions by Asian ethnicities to inform culturally tailored interventions to address this public health burden. Abbreviations: BDI-II, Beck’s Depression Inventory; BRFSSS, Behavioral Risk Factor Surveillance System; CES-D, Center for Epidemiological Studies-Depression; CHQ-9, 9-question Chinese Health Questionnaire; CINAHL, Cumulative Index to Nursing and Allied Health Literature; DSM-IV-TR, Diagnostic and Statistical Manual of Mental Disorders Text Revision Fourth Edition; ESAS, Edmonton Symptom Assessment Scale; GDS-SF, Geriatric Depression Scale-Short Form; JBI, Joanna Briggs Institute; NHANES, National Health and Nutrition Examination Survey; NHIS, National Health Interview Survey; NLAAS, National Latino and Asian American Study; PHQ-9, 9-question Patient Health Questionnaire; PHQ-9K, 9-question Korean Patient Health Questionnaire; PRISMA, Preferred Reporting Items for Systematic Reviews and Meta-analyses; PTSD, Post-traumatic stress disorder; SD, Standard deviation; T2D, Type-2 diabetes mellitus; U.S., United States

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Prevalence of Psychological Symptoms in Community-Dwelling Chinese American Patients with Chronic Cancer Pain

Cited by 3 publications

References 47 publications

Nurse-Administered Auricular Point Acupressure for Cancer-Related Pain

Nurse-Administered Auricular Point Acupressure for Cancer-Related Pain

End-of-life care for patients with cancer: Clinical, geographical, and sociocultural differences

Mental health burdens among North American Asian adults living with chronic conditions: a systematic review

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