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Exploring the Relationship Between Health-Illness Transition Experiences and Distress Among Patients With Pancreatic
Jessica I Goldberg1, Jessica R Flynn1, Raymond E Baser1
1Memorial Sloan Kettering Cancer Center.
Oncology Nursing Forum
|September 7, 2023
Summary
Patients with pancreatic cancer frequently experience health-illness transitions (HITs). Unmanaged HITs correlate significantly with increased distress, impacting physical and emotional well-being.
Area of Science:
- Oncology
- Psychosocial Oncology
- Cancer Care
Background:
- Pancreatic cancer patients undergo significant health-illness transitions (HITs).
- Understanding the relationship between these transitions and patient distress is crucial for effective care.
Purpose of the Study:
- To investigate the correlation between health-illness transition experiences and distress in pancreatic cancer patients.
- To examine the frequency, extent, and management of HITs in this population.
Main Methods:
- Prospective correlational study involving 55 pancreatic cancer patients undergoing chemotherapy.
- Utilized the Measurement of Transitions in Cancer Scale for HITs and the National Comprehensive Cancer Network Distress Thermometer for distress.
- Assessed frequency, extent, and management of HITs.
Main Results:
- All patients experienced at least one HIT, with the extent decreasing over time.
- A significant correlation was found between unmanaged HITs and higher distress levels.
- Increased distress was associated with greater physical and emotional HITs and poorer management.
Conclusions:
- Health-illness transitions are common in pancreatic cancer patients and can be exacerbated by distress.
- Effective management of HITs is essential to mitigate patient distress.
- Nurses play a vital role in assessing and supporting patients with HITs and their self-management.
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