Symptom clusters in oncology patients and implications for symptom research in people with primary brain tumors

被引:89
作者
Armstrong, TS
Cohen, MZ
Eriksen, LR
Hickey, JV
机构
[1] MDACC, Houston, TX 77030 USA
[2] Univ Texas, MD Anderson Canc Ctr, Hlth Sci Ctr, Houston, TX 77030 USA
[3] Univ Texas, Sch Nursing, Hlth Sci Ctr, Houston, TX 77030 USA
[4] Univ Texas, Methodist Hosp, Hlth Sci Ctr, Houston, TX 77030 USA
关键词
symptom clusters; oncology; primary brain tumors;
D O I
10.1111/j.1547-5069.2004.04038.x
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Purpose: To provide a critical analysis of the state of the science of research on symptom clusters in the general oncology population, compared to symptom research in the primary brain tumor population. Organizing Construct: Symptoms are a multidimensional experience that include perceptions of the frequency, intensity, distress, and meaning as symptoms occur and are expressed. A symptom can influence the occurrence and meaning of other symptoms. Methods: Literature pertaining to symptom presentation in people with primary brain tumors and the occurrence of multiple symptoms and symptom clusters in patients with cancer was reviewed and analyzed. Findings: Symptoms occur in clusters in general oncology patients, and these clusters have been shown to influence functional status. The potential effect of tumor biology on symptom clusters is shown by the cluster of symptoms theorized to be associated with proinflammatory cytokine production. In patients with primary brain tumors, few researchers have examined the occurrence of symptoms at the time of diagnosis. Studies to date are retrospective and descriptive and were conducted before the use of modern imaging techniques. Studies of symptom clusters have not been reported for patients with primary brain tumors. Conclusions: Symptom clusters have recently been identified in the general oncology population and might provide a new strategy for assessment and intervention. Neurologic symptoms in patients with. primary brain tumors are those related to increased intracranial pressure and those that are location-dependent within the brain. Therefore, application of the symptom cluster paradigm to guide research is warranted.
引用
收藏
页码:197 / 206
页数:10
相关论文
共 49 条
[1]   Depressive symptoms among women with vulvar dysesthesia [J].
Aikens, JE ;
Reed, BD ;
Gorenflo, DW ;
Haefner, HK .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2003, 189 (02) :462-466
[2]  
*AM BRAIN TUM ASS, 1999, PRIM BRAIN TUM
[3]  
Armstrong T S, 1996, Oncol Nurs Forum, V23, P615
[4]  
Armstrong Terri S, 2003, Oncol Nurs Forum, V30, P601, DOI 10.1188/03.ONF.601-606
[5]  
Ben-Eliyahu S, 1999, INT J CANCER, V80, P880
[6]   Pain and its relation to cognitive function and depressive symptoms:: A Swedish population study of 70-year-old men and women [J].
Bergh, I ;
Steen, G ;
Waern, M ;
Johansson, B ;
Odén, A ;
Sjöström, B ;
Steen, B .
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 2003, 26 (04) :903-912
[7]  
Blesch K S, 1991, Oncol Nurs Forum, V18, P81
[8]   Fatigue in breast cancer survivors: Occurrence, correlates, and impact on quality of life [J].
Bower, JE ;
Ganz, PA ;
Desmond, KA ;
Rowland, JH ;
Meyerowitz, BE ;
Belin, TR .
JOURNAL OF CLINICAL ONCOLOGY, 2000, 18 (04) :743-753
[9]   Characteristics and correlates of fatigue after adjuvant chemotherapy for breast cancer [J].
Broeckel, JA ;
Jacobsen, PB ;
Horton, J ;
Balducci, L ;
Lyman, GH .
JOURNAL OF CLINICAL ONCOLOGY, 1998, 16 (05) :1689-1696
[10]  
Chang VT, 2000, CANCER-AM CANCER SOC, V88, P1175, DOI 10.1002/(SICI)1097-0142(20000301)88:5<1175::AID-CNCR30>3.0.CO