Identification of symptom clusters in cancer patients at palliative care clinic
Objective: Cancer patients often experience a large number of symptoms together. The aim of this study is to determine the symptom clusters in cancer patients at palliative care clinic. Methods: Hundred and seventy consecutive patients were enrolled in the study. Memorial Symptom Assessment Scale wa...
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Wolters Kluwer Medknow Publications
2017-01-01
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Series: | Asia-Pacific Journal of Oncology Nursing |
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doaj-afa03a4d7f8c49208073901159a37dfe2020-11-24T21:02:09ZengWolters Kluwer Medknow PublicationsAsia-Pacific Journal of Oncology Nursing2347-56252349-66732017-01-014325926410.4103/apjon.apjon_17_17Identification of symptom clusters in cancer patients at palliative care clinicGülçin Senel ÖzalpNeşe UysalGonca OğuzNesteren KoçakŞerife KaracaNihan KadıoğullarıObjective: Cancer patients often experience a large number of symptoms together. The aim of this study is to determine the symptom clusters in cancer patients at palliative care clinic. Methods: Hundred and seventy consecutive patients were enrolled in the study. Memorial Symptom Assessment Scale was used for symptom assessment of the patients. Results: The most experienced symptoms by the patients during the past week before hospitalization in palliative care clinic were lack of energy (95.4%), weight loss (91.2%), lack of appetite (89.4%), pain (88.2%), dry mouth (87.6%), feeling sad (87.6%), feeling nervous (82.9%), worrying (81.2%), and feeling irritable (80.6%). Five symptom clusters were defined. First cluster: pain, feeling nervous, dry mouth, worrying, feeling irritable, weight loss; second cluster: feeling drowsy, numbness/tingling in hands/feet, difficulty in sleeping, dizziness, constipation, I do not look like myself; third cluster: nausea, vomiting; fourth cluster: shortness of breath, difficulty in swallowing, cough, change in the way food tastes; and fifth cluster: feeling bloated, problems with urination, diarrhea, itching, mouth sores, hair loss, swelling of arm or legs, change in the skin. Conclusions: We encountered various symptom clusters in advanced cancer patients. Identification of symptom clusters and knowledge of cluster composition in oncological population may particularly contribute individualization of the treatment.http://www.apjon.org/article.asp?issn=2347-5625;year=2017;volume=4;issue=3;spage=259;epage=264;aulast=ÖzalpClusterpalliative caresymptom |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Gülçin Senel Özalp Neşe Uysal Gonca Oğuz Nesteren Koçak Şerife Karaca Nihan Kadıoğulları |
spellingShingle |
Gülçin Senel Özalp Neşe Uysal Gonca Oğuz Nesteren Koçak Şerife Karaca Nihan Kadıoğulları Identification of symptom clusters in cancer patients at palliative care clinic Asia-Pacific Journal of Oncology Nursing Cluster palliative care symptom |
author_facet |
Gülçin Senel Özalp Neşe Uysal Gonca Oğuz Nesteren Koçak Şerife Karaca Nihan Kadıoğulları |
author_sort |
Gülçin Senel Özalp |
title |
Identification of symptom clusters in cancer patients at palliative care clinic |
title_short |
Identification of symptom clusters in cancer patients at palliative care clinic |
title_full |
Identification of symptom clusters in cancer patients at palliative care clinic |
title_fullStr |
Identification of symptom clusters in cancer patients at palliative care clinic |
title_full_unstemmed |
Identification of symptom clusters in cancer patients at palliative care clinic |
title_sort |
identification of symptom clusters in cancer patients at palliative care clinic |
publisher |
Wolters Kluwer Medknow Publications |
series |
Asia-Pacific Journal of Oncology Nursing |
issn |
2347-5625 2349-6673 |
publishDate |
2017-01-01 |
description |
Objective: Cancer patients often experience a large number of symptoms together. The aim of this study is to determine the symptom clusters in cancer patients at palliative care clinic. Methods: Hundred and seventy consecutive patients were enrolled in the study. Memorial Symptom Assessment Scale was used for symptom assessment of the patients. Results: The most experienced symptoms by the patients during the past week before hospitalization in palliative care clinic were lack of energy (95.4%), weight loss (91.2%), lack of appetite (89.4%), pain (88.2%), dry mouth (87.6%), feeling sad (87.6%), feeling nervous (82.9%), worrying (81.2%), and feeling irritable (80.6%). Five symptom clusters were defined. First cluster: pain, feeling nervous, dry mouth, worrying, feeling irritable, weight loss; second cluster: feeling drowsy, numbness/tingling in hands/feet, difficulty in sleeping, dizziness, constipation, I do not look like myself; third cluster: nausea, vomiting; fourth cluster: shortness of breath, difficulty in swallowing, cough, change in the way food tastes; and fifth cluster: feeling bloated, problems with urination, diarrhea, itching, mouth sores, hair loss, swelling of arm or legs, change in the skin. Conclusions: We encountered various symptom clusters in advanced cancer patients. Identification of symptom clusters and knowledge of cluster composition in oncological population may particularly contribute individualization of the treatment. |
topic |
Cluster palliative care symptom |
url |
http://www.apjon.org/article.asp?issn=2347-5625;year=2017;volume=4;issue=3;spage=259;epage=264;aulast=Özalp |
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