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Padjadjaran of Nursing Journal

Original

Vol. 7 No. 1 (2019): Jurnal Keperawatan Padjadjaran

The Experience of Symptom Cluster and Symptom Alleviation Self-Care in Patients with Head and Neck Cancer: A Qualitative Study

DOI
https://doi.org/10.24198/jkp.v7i1.858
Submitted
July 20, 2018
Published
2019-04-28

Abstract

Patients with head and neck cancer usually experience physical and psychological changes and adjustments related to the disease and management of therapy. The patients will experience symptom cluster and will use effective symptom alleviation self-care to relieve the symptoms. The proper identification of symptom cluster and the effectiveness of using symptom alleviation self-care will be the basis for the success of disease management. This study aimed to investigate the symptom cluster and symptom alleviation self-care in patients with head and neck cancer, and which has an impact on the quality of life. This research was a pilot study using a qualitative design and involved five patients at the public hospital in Semarang, Indonesia. The qualitative design has been chosen to explore the varied of symptom experienced by the patients about the nature, number, location, duration and intensity of experiences, which may different experiences of symptom cluster and symptom alleviation self-care for each patient with Head and Neck Cancer. Data were collected through semi-structured interviews and analyzed used the qualitative content analysis process. Three themes were identified in this study, including: the patients’ experience of symptom cluster, the patients’ experience of symptom alleviation self-care, and the impaired quality of life domain. The results of this study showed that the patients’ experience sickness and gastrointestinal symptom cluster during illness and undergoing therapy, as well as variations in the symptom alleviation self-care, including: diet/ nutrition/ lifestyle changes, mind/ body/ spiritual control, biological treatment, herbal treatment, and prescribed medicine. The symptom cluster and symptom alleviation self-care has an impact on the patients’ outcome that is the quality of life. This study showed that the experience of symptom cluster and symptom alleviation self-care varied and highly individualized, which has an impact on the quality of life. The importance of proper identification about symptom cluster and the effectiveness of using symptom alleviation self-care by the nurses will be the basis for the success of disease management to improve the patients’ quality of life. Therefore, optimizing the nurses’ role is needed as the basis for the development of symptom management nursing programs.

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References

  1. Barsevick, A. (2016). Defining the Symptom Cluster: How Far Have We Come? Seminars in Oncology Nursing, 32(4), 334-350. https://doi.org/10.1016/j.soncn.2016.08.001.
  2. Caldeira S, Carvalho EC de, Vieira M. Between spiritual wellbeing and spiritual distress: possible related factors in elderly patients with cancer. Rev Lat Am Enfermagem. 2014;22(1):28-34. doi:10.1590/0104-1169.3073.2382.
  3. Cassileth, B. R. (2011). The Complete Guide to Complementary Therapies in Cancer Care. Retrieved from http://techcrunch.com/gallery/the-complete-guide-to-wearable-jewelry/.
  4. Chen, M. L., & Lin, C. C. (2007). Cancer Symptom Clusters: A Validation Study. Journal of Pain and Symptom Management, 34(6), 590-599. https://doi.org/10.1016/j.jpainsymman.2007.01.008.
  5. Cheng, K. K. F., & Lee, D. T. F. (2011). Effects of pain, fatigue, insomnia, and mood disturbance on functional status and quality of life of elderly patients with cancer. Critical Reviews in Oncology/Hematology, 78(2), 127-137. https://doi.org/10.1016/j.critrevonc.2010.03.002.
  6. Christanti, J., & Prasetyo, A. (2012). Tingkat Ketahanan Hidup Penderita Kanker Nasofaring pada Berbagai Modalitas Terapi Studi Kasus yang Menjalani Terapi Konvensional dan Pengobatan Komplementer Alternatif. M Med Indones, 46(2), 130-146.
  7. Deng, G., & Cassileth, B. (2013). Complementary or alternative medicine in cancer care—myths and realities. Nature Publishing Group, 1-9. https://doi.org/10.1038/nrclinonc.2013.125.
  8. Dodd, M., & Faan, R. N. (2001). Advancing the science of symptom management.
  9. Dodd, M. J., Miaskowski, C., & Lee, K. A. (2004). Occurrence of Symptom Clusters. J Natl Cancer Inst Monogr, 2004(32), 76-78. https://doi.org/10.1093/jncimonographs/lgh008.
  10. Dodd, M. J., Miaskowski, C., & Paul, S. M. (2001). Symptom clusters and their effect on the functional status of patients with cancer. Oncol Nurs Forum, 28(3).
  11. Elo, S., & Kyngäs, H. (2008). The qualitative content analysis process. J Adv Nurs, 62(1), 107-115. https://doi.org/https://doi.org/10.1111/j.1365-2648.2007.04569.x.
  12. Haisfield-Wolfe, M. E., McGuire, D. B., & Krumm, S. (2012). Perspectives on coping among patients with head and neck cancer receiving radiation. Oncol Nurs Forum, 39(3), E249-E257. https://doi.org/10.1188/12.ONF.E249-E257.
  13. Jemal, A., Bray, F., Center, M. M., Ferlay, J., Ward, E., & Forman, D. (2011). Global cancer statistics. CA Cancer J Clin, 61(2), 69-90. https://doi.org/10.3322/caac.20107.
  14. Jiménez, A., Madero, R., Alonso, A., Martínez-Marín, V., Vilches, Y., Martínez, B., … Feliu, J. (2011). Symptom clusters in advanced cancer. Journal of Pain and Symptom Management, 42(1), 24-31. https://doi.org/10.1016/j.jpainsymman.2010.10.266.
  15. Kim, H.-J., McGuire, D. B., Tulman, L., & Barsevick, A. M. (2005). Symptom clusters: concept analysis and clinical implications for cancer nursing. Cancer Nurs, 28(4), 270-284.
  16. Kirkova, J., Aktas, A., Walsh, D., & Davis, M. P. (2011). Cancer symptom clusters: Clinical and research methodology. Journal of Palliative Medicine, 14(10), 1149-1166. https://doi.org/10.1089/jpm.2010.0507.
  17. Krishnatreya, M., Rahman, T., A., C. K., J., D. S., Nandy, P., & Baishya, N. (2014). Pre-Treatment Performance Status and Stage at Diagnosis in Patients with Head and Neck Cancers. Asian Pacific Journal of Cancer Prevention, 15(19), 8479-8482.
  18. Kurniawati, D., Kuhuwael, F. G., & Punagi, A. Q. (2013). Penilaian kualitas hidup penderita karsinoma nasofaring berdasarkan Karnofsky Scale, EORTC QLQ-C30 dan EORTC QLQ-H & N35. ORLI, 43(2), 110-120.
  19. Leung, S. W., Lee, T.-F., Chien, C.-Y., Chao, P.-J., Tsai, W.-L., & Fang, F.-M. (2011). Health-related Quality of life in 640 head and neck cancer survivors after radiotherapy using EORTC QLQ-C30 and QLQ-H&N35 questionnaires. BMC Cancer, 11(128). https://doi.org/10.1186/1471-2407-11-128.
  20. Mujar, N. M. M., Dahlui, M., Emran, N. A., Hadi, I. A., Wai, Y. Y., Arulanantham, S., … Taib, N. A. M. (2017). Complementary and alternative medicine (CAM) use and delays in presentation and diagnosis of breast cancer patients in public hospitals in Malaysia. PLoS ONE, 12(4), 1-12. https://doi.org/10.1371/journal.pone.0176394.
  21. Olver, I. N. & Eliott, A. J. & Koczwara, B. (2014) A Qualitative Study Investigating Chemotherapy-Induced Nausea As A Symptom Cluster. Support Care Cancer 22(2749-2756). https://doi.org/10.1007/s00520-014-2276-2.
  22. Pinzon-Perez, H., & Pérez, M. A. (2016). Complementary, Alternative, and Integrative Health: A Multicultural Perspective. San Fransisco: Jossey-Bass A Wiley Brands.
  23. Richard, A. A., & Shea, K. (2011). Delineation of self-care and associated concepts. J Nurs Scholarsh, 43(3), 255-264. https://doi.org/10.1111/j.1547-5069.2011.01404.x.
  24. Temtap, S., & Nilmanat, K. (2011). Symptom experience and management among people with acute myeloid leukaemia in Thailand. International Journal of Palliative Nursing, 17(8), 381-386.
  25. Wesa, K., Gubili, J., & Cassileth, B. (2008). Integrative Oncology: Complementary Therapies for Cancer Survivors. Hematol Oncol Clin N Am, 22, 343-353. https://doi.org/10.1016/j.hoc.2008.02.002.
  26. Williams, P. D., Lantican, L. S., Bader, J. O., & Lerma, D. (2014). Symptom monitoring, alleviation, and self-care among Mexican Americans during cancer treatment. Clinical Journal of Oncology Nursing, 18(5), 547-554. https://doi.org/10.1188/14.CJON.547-554.
  27. Williams, P. D., Lopez, V., Ying, C. S., Piamjariyakul, U., Wenru, W., Hung, G. T. Y., … Williams, A. R. (2010). Symptom Monitoring and Self-care Practices Among Oncology Adults in China. Cancer Nursing, 33(3), 184-193. https://doi.org/10.1097/NCC.0b013e3181c29598.