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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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Ministry of Public Health. Public Health Statistics. Office of Policy and Strategic Planning Ministry of Public Health. [Internet]. 2018 [cited 2020 April 5] Available from www.moph.go.th. (in Thai).
Rajavithi Hospital Statistics. Patient statistics in the medical record department Rajavithi Hospital 2017-2018. Bangkok: Rajavithi Hospital; 2018. (in Thai)
Wonghongkul T, Dechaprom N, Phumivichuvate L, Losawatkul S. Uncertainty appraisal coping and quality of life in breast cancer survivors. Cancer Nursing 2006;29(3):1-8. (in Thai).
Chaiyot T. Cervical cancer. [Internet]. 2555 [cited 2016 June 20]. Available from http://www.
si.mahidol.ac.th/th/department/obstretrics_gynecology/dept_article_detail.asp?a_id=943. (in Thai).
Piyawat R. Guidelines for screening Diagnosis and treatment Cervical cancer 1000 books. Bangkok: KositPrint; 2018. (in Thai).
Jatupol S. Cervical cancer diagnosis and treatment. Bangkok: P.B. Forest Books Center; 2011. (in Thai)
Wanthakran R, Nitima M, Waritsara T, Surangkarat P. The effect of vaginal stretching device on stenosis in cervical cancer patients after receiving radiotherapy. Journal of the Nursing Council 2014;29(4):121-30. (in Thai)
Malee P. Am I still a woman: Gender identity, sexual orientation and sexual health of women without endometrium. [master’s thesis]. Bangkok: Mahidol University; 2008. (in Thai).
Hospital Based Cancer Registry. Lampang Cancer Center. [Internet]. 2009 [cited 2016 January 12] Available from www.icmr.nic.in/ncrp/ hbcr.pdf. (in Thai).
Patchaneeya, C. Effects of a sexual health promotion program on prevention of teenage in Saraburi
municipal. Journal of Boromarajonani College of Nursing, Bangkok, 2018;33(3): 38-46. (in Thai).
Jarae S. The sexual and reproductive healthcare behaviors of university students engaging in virtual marital relationships. Journal of Boromarajonani College of Nursing 2018;34(3):43-54. (in Thai).
Cella DF. Quali of life: concepts and definition. Journal of Pain and symptom Management 1994;9(3):186-92.
Dodd MJ, Janson S, Facione N. Advancing the science of symptom management. Journal of Advanced
Humphreys J, Janson S, Doneskey D. Dracup K, Lee KA., Puntillo K. et al. Symptom managent theory. In Mary J. Smith Patricia R. Liehr (Eds). Middle range theory for nursing. 3rd ed. New York: Sage publishing; 2014.
Bender MS, Janson SL, Franck LS, Lee KA. Symptom managent theory. In Mary J. Smith Patricia R. Liehr (Eds). Middle range theory for nursing. 4th ed. New York: Springer publishing; 2018.
Portenoy RK, Thaler HT, Kormblith AB, Lepore JM, Friedlander-Klar H, Kiyasu E et al. The memorial symptom assessment scale: an instrument for the evaluation of symptom prevalence, chracteristics and distress. Eur J Cancer 1994;30A(9):1326-36.
Bualuang S, Somchit H, Dodd M, Sarikapan W, Thavatchai V, Kanaungnit P. Symptom experience
and self-care among Thai women with cervical cancer. Pacific Rim Int J Nurs Res 2010;14(3):203-18. (in Thai)
Cella DF, Tulsky DS, Gray G, Sarafian B, Linn E, Bonomi A, Harris J. The functional assessment of cancer therapy scale: development and validation of the general measure. J Clin Oncol 1993;11(3):570-9.
Chusri W. Statistics for Educational Research. Bangkok: Faculty of Eduation Srinakharinwirot University; 2010. (in Thai)
Uraiwan S. Intentions to get cervical cancer screening services for women aged 30-60 years at Ban Phrao Health Promotion Hospital, Muang District, Nong Bua Lam Phu Province. Journal of Community Health Development Khon Kaen University 2015;3(4):529-46. (in Thai)
Amonrat A. Sexual Health Problems. Problem management and needs of women with cervical
cancer after treatment and their spouses. [master’s thesis] Bangkok: Mahidol University, 2013. (in Thai)