Symptom Experiences and Quality of Life in Patients with Cervical Cancer after Completion of Treatment

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Jureeratn Juabmee
Bualuang Sumdaengrit
Tiraporn Junda

Abstract

Introduction: Currently, the number of new cervical cancer cases is enhancing. Increased evolution makes the treatment so effective leading to a higher survival rate of cervical cancer patients. However, the impact of the disease and various treatment methods, including surgical treatment, radiation therapy, or chemotherapy, often interfere patients’ daily life physically, family, socially, and mentally. These all affect quality of life among patients. Research objectives: This study aimed to describe the symptom experiences and quality of life in cervical cancer patients after treatment completion. Research methodology: This descriptive study was guided by the Symptom Management Theory developed by faculties of University of California, San Francisco. Participants were 120 women with cervical cancer after treatment completion at the gynecologic outpatient department, Rajavithi hospital. Inclusion criteria were: (a) women 60 years of age and under; and (b) treatment completion above 6 months. Data were collected from September 2018 - March 2019 using three instruments including (1) the Personal, Disease, and Treatment Questionnaires; (2) the Memorial Symptom Assessment Scale (MSAS); and (3) the Functional Assessment of Cancer Therapy-Cervix (FACT-Cx.). Data were analyzed using descriptive statistics. Results: Participants aged between 23-60 years old, with a mean age of 46.07 years (SD = 9.20). The top 5 symptoms that occurred in the patients were: 1) Difficulty sleeping, 2) Feeling irritable, 3) Worrying, 4) Feeling drowsy, and 5) “I don’t look Like Myself” (35.80%, 35.00%, 34.20%, 32.50%, and 31.70%, respectively). Overall quality of life score was 115.89 (SD = 12.33). Mean scores of subscales were as follows: physical well-being = 23.67 (SD=3.76); social/family well-being = 20.14 (SD.=5.74); emotional well-being = 15.89 (SD=3.09); functional well-being = 16.20 (SD=5.08); and addition concerns for cervical cancer = 39.25 (SD=3.27). Conclusions: Our results help nurses and healthcare providers to gain understanding concerning common symptoms in cervical cancer patients after treatment completion. These were difficulty sleeping, feeling irritable, worrying, feeling drowsy, and “I don’t look Like Myself”. All of these symptoms affect the overall quality of life in various aspects. Ultimately, nurses and healthcare teams can take better care of these patients. Implications: Results of the study would be used as a guideline to care for cervical cancer patients after treatment completion. Hence, the patients would be able to return to normal conditions and improve their quality of life.

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Juabmee, J., Sumdaengrit, B., & Junda, T. (2021). Symptom Experiences and Quality of Life in Patients with Cervical Cancer after Completion of Treatment . Journal of Health and Nursing Research (Journal of Boromarajonani College of Nursing, Bangkok), 37(2), 203-215. Retrieved from https://he01.tci-thaijo.org/index.php/bcnbangkok/article/view/251396
Section
Research articles

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