Supportive Care in Lung Cancer: Milestones Over the Past 40 Years

Molassiotis, Alex; Uyterlinde, Wilma; Hollen, Patricia J.; Sarna, Linda; Palmer, Patricia Niessner; Krishnasamy, Meinir

doi:10.1097/jto.0000000000000407

Cited by 34 publications

(33 citation statements)

References 102 publications

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“…Patients with lung cancer are reported to have a greater symptom burden compared to patients with other cancers diagnosis (Li & Girgis, ), and especially surgically treated lung cancer patients experience a high symptom burden postsurgery (Ilonen et al, ; Oksholm et al, ). Our data converge with the existing knowledge by showing that our participants’ most common unmet need in the physical domain were pain, dyspnoea, lack of energy, and reduced physical functioning (Maguire et al, ; Molassiotis et al, ; Oksholm et al, ). However, this study provides knowledge about how this symptom burden affects patients` daily life and recovery at home, which is seldom described.…”

Section: Discussionsupporting

confidence: 89%

Longing to get back on track: Patients’ experiences and supportive care needs after lung cancer surgery

Kyte

Ekstedt

Rustøen

et al. 2019

Journal of Clinical Nursing

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Aims and objectives This study aims to describe surgically treated lung cancer patients’ experiences of coming home after discharge from hospital to expand the knowledge about their supportive care needs. Background Existing research reports that patients suffer from a high symptom burden after lung cancer surgery. Such burden has negative impacts on their physical, emotional and social wellbeing. Few studies have explored the surgically treated patients’ supportive care needs after being discharged from hospital. Design This study used a qualitative descriptive design, following the EQUATOR guidelines (COREQ). Methods The information about 14 patients’ experiences was collected from semi‐structured interviews. The interviews were conducted in their homes within three weeks after their discharge from hospital. The data were analysed using qualitative content analysis. Results The main theme of the study, “Longing to get back on track with their lives”, consisted of four categories: “Burdened with problems related to postoperative symptoms and treatment”, “Struggling for the needed support”, “A pendulum between being in need of support and being independent”, and “Striving to adapt to a new way of life”. The participants experienced many problems related to postoperative symptoms and treatment. Information and support from healthcare professionals were deficient. Life was characterised by striving to be independent and adapting to a new lifestyle. Conclusions The findings demonstrate the supportive care needs of surgically treated lung cancer patients. Nurses and other healthcare professionals could offer more individualised support during the first few weeks after the patients’ discharge by including them and their caregivers in the discharge planning. Relevance to clinical practice Knowledge of patients’ perspectives and experiences of everyday life at home after lung cancer surgery can provide hospital nurses with a better understanding of what is important for such patients beyond hospitalisation. This knowledge should be included in discharge planning.

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Section: Discussionsupporting

confidence: 89%

Longing to get back on track: Patients’ experiences and supportive care needs after lung cancer surgery

Kyte

Ekstedt

Rustøen

et al. 2019

Journal of Clinical Nursing

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“…Despite the complexity of symptomatology in people with lung cancer, non-pharmacological symptom management intervention research has focused on breathlessness, cough and fatigue as single symptoms [ 7 ]. Breathlessness self-management techniques are clinically cost-effective [ 8 – 10 ].…”

Section: Introductionmentioning

confidence: 99%

Management of the respiratory distress symptom cluster in lung cancer: a randomised controlled feasibility trial

Yorke

Lloyd‐Williams

Smith

et al. 2015

Support Care Cancer

Self Cite

139

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BackgroundBreathlessness, cough and fatigue are distressing symptoms for patients with lung cancer. There is evidence that these three symptoms form a discreet symptom cluster. This study aimed to feasibly test a new non-pharmacological intervention for the management of the Respiratory Distress Symptom Cluster (breathlessness-cough-fatigue) in lung cancer.MethodThis was a multi-centre, randomised controlled non-blinded parallel group feasibility trial. Eligible patients (patients with primary lung cancer and ‘bothered’ by at least two of the three cluster symptoms) received usual care plus a multicomponent intervention delivered over two intervention training sessions and a follow-up telephone call or usual care only. Follow-up was for 12 weeks, and end-points included six numerical rating scales for breathlessness severity, Dyspnoea-12, Manchester Cough in Lung Cancer scale, FACIT-Fatigue scale, Hospital Anxiety and Depression scale, Lung Cancer Symptom Scale and the EQ-5D-3L, collected at baseline, week 4 and week 12.ResultsOne hundred seven patients were randomised over 8 months; however, six were removed from further analysis due to protocol violations (intervention group n = 50 and control group n = 51). Of the ineligible patients (n = 608), 29 % reported either not experiencing two or more symptoms or not being ‘bothered’ by at least two symptoms. There was 29 % drop-out by week 4, and by week 12, a further two patients in the control group were lost to follow-up. A sample size calculation indicated that 122 patients per arm would be needed to detect a clinically important difference in the main outcome for breathlessness, cough and fatigue.ConclusionsThe study has provided evidence of the feasibility and acceptability of a new intervention in the lung cancer population and warrants a fully powered trial before we reach any conclusions. The follow-on trial will test the hypothesis that the intervention improves symptom cluster of breathlessness, cough and fatigue better than usual care alone. Full economic evaluation will be conducted in the main trial.

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“…Diagnosis of cancer is often unexpected, and ability of the patients to adapt to this condition is of paramount importance. Moreover, access to adequate care and support is crucial for cancer patients (1)(2)(3).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the spiritual health of cancer patients and their nurses in Iran

Aghakhani

Akbari

Abbasi

et al. 2016

J Nurs Midwifery Sci

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Background and Purpose: Cancer is associated with significant changes in the lifestyle of patients. Spiritual well-being has been shown to be an inherent element of health, quality of life, increased survival rate, and enhanced adaptability of cancer patients with the disease. This study aimed to evaluate the spiritual health of cancer patients and their nurses. Methods: This descriptive, correlational, cross-sectional study was conducted on 60 hospitalized cancer patients and 60 nurses in the hospitals affiliated to Urmia University of Medical Sciences, Iran during March-October 2014. Participants were selected via accident sampling, and data were collected using the Spiritual Well-being Scale (SWBS). Data analysis was performed in SPSS version 16 using descriptive statistics, Chi-square and T-test. Results: In cancer patients, mean scores of religious, existential and spiritual well-being were 52±2.32, 46±1.23 and 99±3.73, respectively. In the studied nurses, these scores were 29±4.43, 40±1.17 and 70±4.02, respectively. A significant difference was observed between the scores of spiritual well-being between cancer patients and nurses (P=0.001). Conclusion: According to the results of this study, spiritual well-being largely contributes to the mental health of cancer patients. Therefore, higher spiritual well-being of nurses could enhance the spiritual health of cancer patients as well.

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Supportive Care in Lung Cancer: Milestones Over the Past 40 Years

Cited by 34 publications

References 102 publications

Longing to get back on track: Patients’ experiences and supportive care needs after lung cancer surgery

Longing to get back on track: Patients’ experiences and supportive care needs after lung cancer surgery

Management of the respiratory distress symptom cluster in lung cancer: a randomised controlled feasibility trial

Evaluation of the spiritual health of cancer patients and their nurses in Iran

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