Quality of Life and Health Status of Dyads of Women With Lung Cancer and Family Members

Sarna, Linda; Cooley, Mary E.; Brown, Jean K.; Williams, Roma D.; Chernecky, Cynthia; Padilla, Geraldine; Danao, Leda L.

doi:10.1188/06.onf.1109-1116

Cited by 36 publications

(29 citation statements)

References 50 publications

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“…Despite this change, most studies of symptoms and/or QoL in patients with LC are based on selected populations predominantly consisting of white, middle-income men with advanced LC [2]. Sarna's work on women with LC provides a notable exception [8][9][10][11][12][13]. Existing studies examining differences in symptom experience between women and men with LC are generally crosssectional, with inconclusive findings [14,15].…”

Section: Introductionmentioning

confidence: 92%

Symptoms and problems with functioning among women and men with inoperable lung cancer—A longitudinal study

et al. 2008

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The aim of this study is to compare the prevalence and intensity of symptoms and problems with functioning between women and men with inoperable lung cancer (LC) during 3 months post-diagnosis. One hundred and fifty-nine patients completed the EORTC QLQ C-30+LC13 at three time points: close to diagnosis and prior to treatment, and one, and 3 months later. Descriptive cross-sectional analyses and longitudinal analyses using repeated measure ANOVA were conducted. These patients reported many and intense symptoms and problems with functioning. The most salient finding from the cross-sectional analysis was that women reported both more, and more intense problems with emotional functioning close to diagnosis. Statistically significant improvements over time were found in both men and women with regard to emotional functioning, dyspnea, insomnia, cough, pain in arm/shoulder, while physical functioning, fatigue, constipation, dysphagia, peripheral neuropathy and alopecia deteriorated significantly over time. The longitudinal analyses suggest that, with the exception of emotional functioning, gender differences were not only related to biological sex alone, but were also found to be related to other components of the patients' life situation, such as education, age, civil status and type of LC. Sensitivity to different symptom experiences and responses to those experiences between and within women and men is also necessary in the management of symptoms in patients with inoperable LC.

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Section: Introductionmentioning

confidence: 92%

Symptoms and problems with functioning among women and men with inoperable lung cancer—A longitudinal study

et al. 2008

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“…34,68,69 The limited body of research that is available has shown that more than a third of spouses of lung cancer patients exhibit significant distress 40,70 and lower levels of QoL than the general population. 71 Persson et al 72 compared health-related QoL (HRQoL) in significant others of patients dying from lung cancer, with a general population sample. Further, they explore the course of HRQoL from diagnosis (T1), at a time point close to the patient's death (T2), and 6 months after the patient's death (T3).…”

Section: The Impact On Carersmentioning

confidence: 99%

The impact of lung cancer on patients and carers

Ellis¹

2012

Chron Respir Dis

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This article aims to provide a brief review of the literature with regard to the impact of lung cancer on patients and their informal carers. Compared to other types of cancer, the distress associated with lung cancer has been found to be the most intense. Rather than focusing on symptoms in isolation recent emphasis regarding the symptom experience has been on symptoms clusters, as understanding these clusters may improve the management of ongoing and unrelieved symptoms. However, the disparities in methodology are significant barriers to producing comparable results, although recent efforts have been made to address these. Whilst research into symptoms has enormous potential for the management of symptom clusters, it needs to move away from the essentially reductionist stance which currently dominates and broaden its scope to one that acknowledges the complexity of the experience of symptom clusters from the perspective of the patient and their informal carer. Poor management of symptoms complicates patient care and potentially contributes to the heavy burden which often falls on family caregivers, especially as the disease progresses. The majority of studies focus on the experiences of primary care providers, most often the partner/spouse. Such studies have shown that spouses of patients with lung cancer exhibit significant distress and lower levels of quality of life than the general population. Research also indicates that significant others go through a transition process due to changes brought about by the diagnosis of lung cancer and struggle to endure and overcome difficulties and distress. Significant others were seen to suffer during this process of transition and experienced altered relationships. Clinicians working with patients suffering from lung cancer and their carers should intervene to enhance their quality of life from diagnosis, during the disease trajectory and during bereavement. Interventions need to be developed to support both patients and carers.

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“…20,21,22 Both the patient and the next of kin are dependent on each other"s life situations and quality of life. 21,22,23 The next of kin have a higher quality of life than those with lung cancer, but this quality of life is not only affected by the disease of the patient, but also by the health status of the next of kin. 23 The next of kin want to feel comfortable with assistance and that they have done what is necessary.…”

mentioning

confidence: 99%

“…21,22,23 The next of kin have a higher quality of life than those with lung cancer, but this quality of life is not only affected by the disease of the patient, but also by the health status of the next of kin. 23 The next of kin want to feel comfortable with assistance and that they have done what is necessary. They do not want to feel guilt due to not being a good next of kin or informal carer, or that they have been using the term "burden" in relation to their ill relative.…”

mentioning

confidence: 99%

Balancing a Changed Life Situation: The Lived Experience From Next of Kin to Persons With Inoperable Lung Cancer

Steinvall

Johansson

Berterö

2010

Am J Hosp Palliat Care

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The purpose of this study was to identify and describe the experiences of quality of life/life situation among those who were next of kin to persons with inoperable lung cancer. Data were collected in qualitative interviews, where 11 next of kin articulated their lived experiences, and were interpreted through interpretive phenomenology. Four themes were identified: changed life situation, experiences of uncertainty due to awareness of the ill person"s changed health status, interpersonal relationships, and false hopes due to health care professionals" treatment. These four themes gave a structure presenting the essence: balancing a changed life situation. The findings of the study point out the importance of promoting support for the next of kin, since they are significantly affected by the changed life situation.There is a need to identify their needs and to support them.

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Quality of Life and Health Status of Dyads of Women With Lung Cancer and Family Members

Abstract: Additional study is needed to identify family members at risk for diminished QOL and with compromised health status because these factors might affect ability to support patients with lung cancer.

Cited by 36 publications

References 50 publications

Symptoms and problems with functioning among women and men with inoperable lung cancer—A longitudinal study

Symptoms and problems with functioning among women and men with inoperable lung cancer—A longitudinal study

The impact of lung cancer on patients and carers

Balancing a Changed Life Situation: The Lived Experience From Next of Kin to Persons With Inoperable Lung Cancer

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