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Dimensions of Distress in Lung Cancer
Lee Ann Johnson1, Ann M Schreier1, Melvin Swanson1
1East Carolina University.
Patients with advanced lung cancer experience distress beyond psychological factors, including family and physical issues. This highlights the need for comprehensive distress screening in cancer care.
Area of Science:
- Oncology Nursing
- Psycho-oncology
- Cancer Patient Support
Background:
- Psychological distress is common in advanced lung cancer patients undergoing chemotherapy.
- Existing tools like the National Comprehensive Cancer Network Distress Thermometer and Problem List for Patients (DT-PL) and the Hospital Anxiety and Depression Scale (HADS) assess distress.
- Understanding the multifaceted nature of distress is crucial for effective patient care.
Purpose of the Study:
- To compare distress domains between distressed and non-distressed patients with advanced lung cancer.
- To examine the relationship between the DT-PL and HADS in this patient population.
Main Methods:
- Cross-sectional, descriptive, exploratory study design.
- Recruitment of advanced lung cancer patients receiving chemotherapy from a US comprehensive cancer center.
- Data collection using the DT-PL and HADS, analyzed with descriptive statistics, t tests, and chi-square analysis.
Main Results:
- Significant differences in three distress domains were identified between non-distressed and clinically distressed patient groups.
- The study found correlations between the DT-PL and HADS, suggesting they capture overlapping aspects of patient distress.
- Distress encompasses psychological, family, and physical problems in advanced lung cancer.
Conclusions:
- Distress in advanced lung cancer is complex, involving more than just psychological symptoms.
- The findings underscore the importance of a holistic approach to assessing and managing distress in these patients.
- Implications for nursing practice include utilizing comprehensive screening tools to address the diverse needs of cancer patients.
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