Symptom experiences and quality of life of Vietnamese patients with advanced cancer
Main Article Content
Abstract
Background: Little is known about the symptom experiences and quality of life (QOL) of patients with advanced cancer in Vietnam.
Objectives: To describe the symptom experiences and examine their relationships with QOL of Vietnamese patients with advanced cancer.
Methods: The study was conducted among 120 patients with advanced cancer treated in an Oncology Hospital, Vietnam. Symptom experiences were measured using a Memorial Symptom Assessment Scale (MSAS). QOL was measured using the Functional Assessment of Cancer Therapy-General (FACT-G). Descriptive statistics and Pearson’s product moment correlation coefficient were used to analyze the data.
Results: The participants experienced an average of 15.49 symptoms SD = 5.57, (range = 2 – 28). Sleeping difficulty was the most frequent symptom (M =2.76, SD = 0.86) followed by pain (M = 2.72, SD = 0.82) and worrying (M = 2.56, SD = 0.83), whereas pain was the most severe (M = 2.36, SD = 0.85), followed by distress symptoms (M = 2.19, SD=1.18). Their QOL was at a moderate level (M = 55.43, SD = 9.64), although poorer that other Asian and Western counterparts. Symptom occurrence, symptom frequency, symptom severity, and symptom distress had significant negative correlations with QOL (r = -.598, P <.01; r = -.623, P<.01; r = -.628, P< .01; r = -.565, P< .01, respectively).
Conclusions: Nurses and healthcare professionals should pay attention to patient’s symptom experiences, primarily pain and psychological symptoms.
Downloads
Article Details
บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวิทยาลัยพยาบาลบรมราชชนนี จังหวัดนนทบุรี
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับวิทยาลัยพยาบาลบรมราชชนนี จังหวัดนนทบุรี และคณาจารย์ท่านอื่น ในวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใด ๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว
References
World Health Organization. Noncommuni cable diseases country profiles 2018. [Internet].2018 [cited 2020 Apr 19]. Available from: https://www.who.int/nmh/ countries/ 2018/vnm_en.pdf?ua=1
Bui VB, Do TA, Duong TD, Truong QT. A survey on quality of life of cancer patients and some related factors at Hanoi Medical University Hospital in 2015. [Internet]. 103 Military Hospital Nursing Conference; 2015 [cited 2020 Apr 19]. Available from: http://www.benhvien103. vn/vietnamese/bao-cao-hoi-nghi-khoa-hoc-chao-mung-65-nam-truyen-thong-bvqy103/hoi-nghi-khoa-hoc-dieu-duong /2015-12/1380/.
Le TD, Carney PA, Lee-Lin F, Mori M, Chen Z, Leung H, et al. Differences in knowledge, attitudes, beliefs, and perceived risks regarding colorectal cancer screening among Chinese, Korean, and Vietnamese sub-groups. J Community Health. 2014;39 (2):248-65.
Scott N, Donato-Hunt C, Crane M, Lafontaine M, Varlow M, Seale H, et al. Knowledge, attitudes and beliefs about lung cancer in three culturally and linguistically diverse communities living in Australia: a qualitative study. Health Promot J Austr. 2014;25(1):46-51.
Caplan L. Delay in breast cancer: Implications for stage at diagnosis and survival. Front Public Health. 2014;29(2):87.
Ellis KR, Janevic MR, Kershaw T, Caldwell CH, Janz NK, Northouse L. The influence of dyadic symptom distress on threat appraisals and self-efficacy in advanced cancer and caregiving. Support Care Cancer. 2017;25(1):185-94.
Astrup GL, Hofsø K, Bjordal K, Guren MG, Vistad I, Cooper B, et al. Patient factors and quality of life outcomes differ among four subgroups of oncology patients based on symptom occurrence. Acta Oncol. 2017; 56(3):462-70.
Yen NTK, Weiss B, Trung LT. Caseness rates and risk factors for depression among Vietnamese cancer patients. Asian J Psychiatr. 2016;23:95-8.
Krakauer EL, Nguyen TP, Husain SA, Nguyen TH, Joranson DE, Luong NK, et al. Toward safe accessibility of opioid pain medicines in Vietnam and other developing countries: a balanced policy method. J Pain Symptom Manage. 2015;49(5):916-22.
Thuy Nguyen L, Clemenceau Annoussamy L, LeBaron VT. Challenges encountered by Vietnamese nurses when caring for patients with cancer. Oncol Nurs Forum. 2017;44(2):147-51.
Vu VV, Vo TXH, Pham TTG, Than THH. Studying the situation of pain and quality of life in advanced cancer patients at Ho Chi Minh City Oncology Hospital. Ho Chi Minh City Journal of Medicine. 2010;14 (4):811-22.
Dodd M, Janson S, Facione N, Faucett J, Froelicher ES, Humphreys J, et al. Advancing the science of symptom management. J Adv Nurs. 2001;33(5):668-76.
Sousa VD, Rojjanasrirat W. Translation, adaptation and validation of instruments or scales for use in cross-cultural health care research: a clear and user-friendly guideline. J Eval Clin Pract. 2011;17(2):268-74.
FACIT. Questionnaires 2017.[internet]. 2020 [cited 2020 Apr 19]. Available from:http:// www.facit.org/FACITOrg/Questionnaires.
Nguyen LT, Yates P, Osborne Y. Palliative care knowledge, attitudes and perceived self-competence of nurses working in Vietnam. Int J Palliat Nurs. 2014;20(9):448-56.
Get-Kong S, Hanucharurnkul S, McCorkle R, Viwatwongkasem C, Junda T, Ittichaikulthol W. Symptom experience, palliative care and spiritual well-being among Thais with advanced cancer. Pacific Rim Int J Nurs Res. 2010;14(3): 219-34.
ACHEON Working Group, Kim YC, Ahn JS, Calimag MM, Chao TC, Ho KY, et al. Current practices in cancer pain management in Asia: a survey of patients and physicians across 10 countries. Cancer Med. 2015;4(8):1196-204.
Erol O, Unsar S, Yacan L, Pelin M, Kurt S, Erdogan B. Pain experiences of patients with advanced cancer: A qualitative descriptive study. Eur J Oncol Nurs. 2018;33:28-34.
Zimmermann C, Burman D, Swami N, Krzyzanowska MK, Leighl N, Moore M, et al. Determinants of quality of life in patients with advanced cancer. Support Care Cancer. 2011;19(5):621-9.
Wang Y, Shen J, Xu Y. Symptoms and quality of life of advanced cancer patients at home: a cross-sectional study in Shanghai, China. Support Care Cancer. 2011;19(6):789-97.
Delgado-Guay M, Ferrer J, Rieber AG, Rhondali W, Tayjasanant S, Ochoa J, et al. Financial distress and its associations with physical and emotional symptoms and quality of life among advanced cancer patients. Oncologist. 2015;20(9):1092-8.
Park SA, Chung SH, Lee Y. Factors influencing the quality of life of patients with advanced cancer. Appl Nurs Res. 2017;33:108-12.
Zoëga S, Fridriksdottir N, Sigurdardottir V, Gunnarsdottir S. Pain and other symptoms and their relationship to quality of life in cancer patients on opioids. Qual Life Res. 2013;22(6):1273-80.
Omran S, Mcmillan S. Symptom severity, anxiety, depression, self- efficacy and quality of life in patients with cancer. Asian Pac J Cancer Prev. 2018;19(2): 365-74.
Gestsdottir B, Hjaltadottir I, Gudmannsdottir GD, Jonsson PV, Gunnarsdottir S, Sigurðardottir V. Symptoms and functional status of palliative care patients in Iceland. Br J Nurs. 2015;24(9):478-83.