The change of symptom clusters in gastric cancer patients during the perioperative period: a longitudinal study.
Gastric cancer
Symptom cluster
Symptoms
Journal
Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer
ISSN: 1433-7339
Titre abrégé: Support Care Cancer
Pays: Germany
ID NLM: 9302957
Informations de publication
Date de publication:
27 May 2024
27 May 2024
Historique:
received:
25
01
2024
accepted:
17
05
2024
medline:
27
5
2024
pubmed:
27
5
2024
entrez:
27
5
2024
Statut:
epublish
Résumé
The purpose of this study was to describe the number, type and trajectory of symptom clusters during the perioperative period in patients with gastric cancer at four different time points. The study also aimed to identify the changes and consistency of these symptom clusters over time. This was a longitudinal study. This study was conducted in a tertiary cancer hospital with 205 patients with gastric cancer. The M.D. Anderson Symptom Inventory Gastrointestinal Cancer Module was used to assess the incidence and severity of symptom clusters. Exploratory factor analysis was used to extract symptom clusters. The study identified four symptom clusters in patients with gastric cancer during the perioperative period: gastrointestinal symptom cluster, physical symptom cluster, psychological symptom cluster, and sleep disturbance symptom cluster. These clusters were observed across two to four time points. The findings of this study provide scientific evidence for medical staff and researchers to better understand the symptoms of patients with gastrointestinal cancer during the perioperative period. These findings can help develop individualized interventions for managing symptoms. Gastric cancer patients suffered from various symptom clusters, which lasted from one day before surgery to one month after surgery. They should be given careful consideration by clinical staff.
Identifiants
pubmed: 38801426
doi: 10.1007/s00520-024-08587-z
pii: 10.1007/s00520-024-08587-z
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
387Informations de copyright
© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Références
Sung H et al (2021) Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin 71(3):209–249
doi: 10.3322/caac.21660
pubmed: 33538338
Lin Y et al (2020) Common and Co-Occurring Symptoms Experienced by Patients With Gastric Cancer. Oncol Nurs Forum 47(2):187–202
doi: 10.1188/20.ONF.187-202
pubmed: 32078617
Dodd MJ, Miaskowski C, Paul SM (2001) Symptom clusters and their effect on the functional status of patients with cancer. Oncol Nurs Forum 28(3):465–470
pubmed: 11338755
Wang XS et al (2004) Chinese version of the M D Anderson Symptom Inventory: validation and application of symptom measurement in cancer patients. Cancer 101(8):1890–901
doi: 10.1002/cncr.20448
pubmed: 15386315
Choi S, E. Ryu (2018) Effects of symptom clusters and depression on the quality of life in patients with advanced lung cancer. Eur J Cancer Care (Engl) 27(1)
Kim HJ et al (2005) Symptom clusters: concept analysis and clinical implications for cancer nursing. Cancer Nurs 28(4):270–82 (quiz 283-4)
doi: 10.1097/00002820-200507000-00005
pubmed: 16046888
Kim GM et al (2017) Prevalence and prognostic implications of psychological distress in patients with gastric cancer. BMC Cancer 17(1):283
doi: 10.1186/s12885-017-3260-2
pubmed: 28427439
pmcid: 5399416
Climent M et al (2017) Weight loss and quality of life in patients surviving 2 years after gastric cancer resection. Eur J Surg Oncol 43(7):1337–1343
doi: 10.1016/j.ejso.2017.01.239
pubmed: 28222970
Oh HJ et al (2018) Acid Secretion and Its Relationship to Esophageal Reflux Symptom in Patients with Subtotal Gastrectomy. Dig Dis Sci 63(3):703–712
doi: 10.1007/s10620-018-4923-9
pubmed: 29372475
Shim EJ et al (2019) Trajectory of severity of postoperative delirium symptoms and its prospective association with cognitive function in patients with gastric cancer: results from a prospective observational study. Support Care Cancer 27(8):2999–3006
doi: 10.1007/s00520-018-4604-4
pubmed: 30607674
Cleeland CS et al (2000) Assessing symptom distress in cancer patients: the M.D. Anderson Symptom Inventory. Cancer 89(7):1634–46
doi: 10.1002/1097-0142(20001001)89:7<1634::AID-CNCR29>3.0.CO;2-V
pubmed: 11013380
Li JJ et al (2021) Change in symptom clusters perioperatively in patients with lung cancer. Eur J Oncol Nurs 55:102046
doi: 10.1016/j.ejon.2021.102046
pubmed: 34710809
Chen RW et al (2019) Validation and Application of the Chinese Version of the M. D. Anderson Symptom Inventory Gastrointestinal Cancer Module (MDASI-GI-C). J Pain Symptom Manage 57(4):820–827
doi: 10.1016/j.jpainsymman.2019.01.007
pubmed: 30684634
Russell J et al (2019) Stability of Symptom Clusters in Patients With Lung Cancer Receiving Chemotherapy. J Pain Symptom Manage 57(5):909–922
doi: 10.1016/j.jpainsymman.2019.02.002
pubmed: 30768960
pmcid: 6486424
Kim HJ et al (2008) Treatment-related symptom clusters in breast cancer: a secondary analysis. J Pain Symptom Manage 36(5):468–479
doi: 10.1016/j.jpainsymman.2007.11.011
pubmed: 18718735
Harris CS, Kober K, Cooper B, Conley YP, Hammer MJ, Dhruva AA, Cartwright F, Paul S, Levine J, Miaskowski C (2022) Symptom clusters in oncology outpatients: stability and consistency across a cycle of chemotherapy. BMJ Support Palliat Care 13(e3):e1198–e1211
Pozzar RA, Hammer MJ, Cooper BA, Kober KM, Chen LM, Paul SM, Conley YP, Cartwright F, Wright F, Levine JD, Miaskowski C (2022) Stability of Symptom Clusters in Patients With Gynecologic Cancer Receiving Chemotherapy. Cancer Nurs 45(4):E706–E718
doi: 10.1097/NCC.0000000000000988
pubmed: 34560709
Fu L et al (2022) Symptom Clusters and Quality of Life in Gastric Cancer Patients Receiving Chemotherapy. J Pain Symptom Manage 63(2):230–243
doi: 10.1016/j.jpainsymman.2021.09.003
pubmed: 34537311
Hammer MJ et al (2022) Identification of Distinct Symptom Profiles in Cancer Patients Using a Pre-Specified Symptom Cluster. J Pain Symptom Manage 64(1):17–27
doi: 10.1016/j.jpainsymman.2022.03.007
pubmed: 35339613
Sullivan CW et al (2018) Stability of Symptom Clusters in Patients With Breast Cancer Receiving Chemotherapy. J Pain Symptom Manage 55(1):39–55
doi: 10.1016/j.jpainsymman.2017.08.008
pubmed: 28838866
Pozzar RA et al (2022) Stability of Symptom Clusters in Patients With Gynecologic Cancer Receiving Chemotherapy. Cancer Nurs 45(4):E706-e718
doi: 10.1097/NCC.0000000000000988
pubmed: 34560709
Wanden-Berghe C, Patino-Alonso MC, Galindo-Villardón P, Sanz-Valero J (2019) Complications associated with enteral nutrition: CAFANE Study. Nutrients 11(9):2041
Mesía R, Virizuela Echaburu JA, Gómez J, Sauri T, Serrano G, Pujol E (2019) Opioid-induced constipation in oncological patients: new strategies of management. Curr Treat Options Oncol 20(12):91
Smith JT, Smith MS (2013) Does a preoperative bowel preparation reduce bowel morbidity and length of stay after scoliosis surgery? A randomized prospective study. J Pediatr Orthop 33(8):e69-71
doi: 10.1097/BPO.0b013e318296e032
pubmed: 23812136
Han CJ et al (2019) Symptom Clusters in Patients With Gastrointestinal Cancers Using Different Dimensions of the Symptom Experience. J Pain Symptom Manage 58(2):224–234
doi: 10.1016/j.jpainsymman.2019.04.035
pubmed: 31077784
pmcid: 6679763
Apfel CC et al (1999) A simplified risk score for predicting postoperative nausea and vomiting: conclusions from cross-validations between two centers. Anesthesiology 91(3):693–700
doi: 10.1097/00000542-199909000-00022
pubmed: 10485781
Gan TJ et al (2020) Fourth Consensus Guidelines for the Management of Postoperative Nausea and Vomiting. Anesth Analg 131(2):411–448
doi: 10.1213/ANE.0000000000004833
pubmed: 32467512
Hackett AF, Yeung CK, Hill GL (1979) Eating patterns in patients recovering from major surgery–a study of voluntary food intake and energy balance. Br J Surg 66(6):415–418
doi: 10.1002/bjs.1800660613
pubmed: 466026
Wong ML et al (2017) Differences in Symptom Clusters Identified Using Ratings of Symptom Occurrence vs. Severity in Lung Cancer Patients Receiving Chemotherapy. J Pain Symptom Manage 54(2):194–203
doi: 10.1016/j.jpainsymman.2017.04.005
pubmed: 28533161
pmcid: 5557657
Wang SY et al (2008) Symptom clusters and relationships to symptom interference with daily life in Taiwanese lung cancer patients. J Pain Symptom Manage 35(3):258–266
doi: 10.1016/j.jpainsymman.2007.03.017
pubmed: 18201865
Zhang M et al (2018) Application and efficacy evaluation of an NBASS-APS pain management model in postoperative analgesia for gastric cancer patients. J buon 23(5):1426–1431
pubmed: 30570869
Lin S et al (2013) Pain, fatigue, disturbed sleep and distress comprised a symptom cluster that related to quality of life and functional status of lung cancer surgery patients. J Clin Nurs 22(9–10):1281–1290
doi: 10.1111/jocn.12228
pubmed: 23574291
Wu JM et al (2019) Association between Interleukin-6 Levels and Perioperative Fatigue in Gastric Adenocarcinoma Patients. J Clin Med 8(4).
Yang HY et al (2022) Relationship Between Symptom Distress and Fatigue Characteristics in Patients with Gastric Cancer During 1 Month after Gastrectomy. Clin Nurs Res 31(3):463–472
doi: 10.1177/10547738211035284
pubmed: 34353134
Oliveira M et al (2016) Surgical Oncology: Evolution of Postoperative Fatigue and Factors Related to Its Severity. Clin J Oncol Nurs 20(1):E3-8
doi: 10.1188/16.CJON.E3-E8
pubmed: 26800419
Guo M et al (2019) Symptom clusters and related factors in oesophageal cancer patients 3 months after surgery. J Clin Nurs 28(19–20):3441–3450
doi: 10.1111/jocn.14935
pubmed: 31162849
Fitzgerald P et al (2015) The relationship between depression and physical symptom burden in advanced cancer. BMJ Support Palliat Care 5(4):381–388
doi: 10.1136/bmjspcare-2012-000380
pubmed: 24644172