Kiratiya Wongkalasin

Effects of End-of-Life Care Program on Illness Uncertainty and Distressing Symptoms in Patients with Lung Cancer

Authors

Keywords:

Uncertainty, Distressing symptoms, End of life care, Lung cancer

Abstract

A single group, quasi-experimental, repeated three times measurement aimed to study effects of an end-of-life care program on illness uncertainty and distressing symptoms in patients with lung cancer. Samples of this study were 18 patients who were admitted at Thammasat University hospital. Experimental instrument of this study was an end-of-life care program for patients with lung cancer. Data collection instruments comprised of illness uncertainty instrument and distressing symptoms instrument. The reliability yielded Cronbach’s alpha coefficients of these two instruments were .80 and .72, respectively. Data was analyzed by using descriptive statistics, repeated measures analysis of variance, and the Friedman Test. 

The study's findings revealed that the experimental group's average score on illness uncertainty was significantly lower after receiving the program than before receiving the program in both the immediate and follow-up periods (p < .05). Additionally, the experimental group's median score for distressing symptoms was considerably lower after receiving the program than before receiving the program in both the immediate and follow-up periods (p < .05).

The findings of this study suggest that end of life care program can reduce illness uncertainty and distressing symptoms in end-of-life patients with lung cancer.

Author Biography

Yaowarat Matchim, Faculty of Nursing, Thammasat University

 

 

References

Allemani, C., Matsuda, T., Di Carlo, V., Harewood, R., Matz, M., Nikšić, M., ... Coleman, M. P. (2018). Global surveillance of trends in cancer survival 2000-14 (CONCORD-3): analysis of individual records for 37 513 025 patients diagnosed with one of 18 cancers from 322 population-based registries in 71 countries. Lancet. 391(10125), 1023 - 1075.

Anseekaew, P. (2018). The Effects of an End-of-life Care Program on The Palliative Care Outcomes and Perceived Peaceful End of Life Among End-stage Cancer Patients. A Dissertation Submitted in Partial Fulfillment of the Requirements for the Master of Nursing Science Thammasat University. (in Thai).

Athey, V.L., Walters, S.J., & Rogers, T.K. (2018). Symptoms at lung cancer diagnosis are ssociated with major differences in prognosis. Thorax. 73(12), 1177 - 1181.

Aubin, M., Vézina, L., Verreault, R., Simard, S., Hudon, É., Desbiens, J.-F., Daneault, S. (2022). Distress experienced by lung cancer patients and their family caregivers in the first year of their cancer journey. Palliative & Supportive Care. 20(1), 15 - 21.

Chen, Z., He, G., Zhao, Y., Han, C., Xu, L., Jian, H., . . . He, Y. (2022). Symptom burden and emotional distress in advanced lung cancer: the moderating effects of physicians’ communication skills and patients’ disease understanding. Supportive Care in Cancer. 30(11), 9497 - 9505.

Chinda, M., Jaturapatporn, D., Kirshen, A.J., & Udomsubpayakul, U. (2011). Reliability and validity of a Thai version of the edmonton symptom assessment scale (ESAS-Thai). Journal of pain and symptom management. 42(6), 954 – 960.

Choi, S., & Ryu, E. (2018). Effects of symptom clusters and depression on the quality of life in patients with advanced lung cancer. European Journal of Cancer Care. 27(1), e12508.

Dauphin, S., Van Wolputte, S., Jansen, L., De Burghgraeve, T., Buntinx, F., & van den Akker, M. (2019). Using Liminality and Subjunctivity to Better Understand How Patients With Cancer Experience Uncertainty Throughout Their Illness Trajectory. Qualitative Health Research. 30(3), 356 - 365.

Guan, T., Qan’ir, Y., & Song, L. (2021). Systematic review of illness uncertainty management interventions for cancer patients and their family caregivers. Supportive Care in Cancer. 29(8), 4623 - 4640.

Hansen, M. I. T., Haugen, D. F., Sigurdardottir, K. R., Kvikstad, A., Mayland, C. R., Schaufel, M. A., (2020). Factors affecting quality of end-of-life hospital care - a qualitative analysis of free text comments from the i-CODE survey in Norway. BioMed Central Palliative Care. 19(1), 98.

Ha, X.T., Thanasilp, S., & Thato, R. (2019). The effect of uncertainty management program on quality of life among Vietnamese women at 3 weeks postmastectomy. Cancer Nursing. 42(4), 261 - 270.

Hui, D., Bohlke, K., Bao, T., Campbell, T.C., Coyne, P.J., Currow, D.C., . . . Campbell, M.L. (2021). Management of Dyspnea in Advanced Cancer: ASCO Guideline. Journal of Clinical Oncology. 39(12), 1389 - 1411.

International Agency for Research on Cancer. (2020). Global cancer observatory—Globocan. Retrieved March 11, 2023 from https://gco.iarc.fr/today/data/factsheets/cancers/15-Lung-fact-sheet.pdf.

Lee, J., & Kim, M. (2018). Relationships among uncertainty, distress, and quality of life in lung cancer patients: mediating effect of resilience. Journal of muscle and joint health. 25(2), 148 - 156.

Li, T., Pan, K., Ellinwood, A.K., & Cress, R.D. (2021). Survival Trends of Metastatic Lung Cancer in California by Age at Diagnosis, Gender, Race/Ethnicity, and Histology, 1990-2014. Clinical Lung Cancer. 22(4), e602 - e611.

McCorkle, R.U., & Young, K. (1978). Development of a symptom distress scale. Cancer nursing. 1(5), 373 - 378.

Ministry of Public Health. (2022). Public Health Statistics A.D. 2021. Nonthaburi: Ministry of Public Health. (in Thai).

Mishel, M.H. (1988). Uncertainty in Illness. Image: the Journal of Nursing Scholarship. 20(4), 225 - 232.

Mishel, M.H., & Epstein, D. (1997). Uncertainty in illness scales manual. Chapel Hill, NC: University of North Carolina.

Morhaf, A.l., Monica, Z.S., Fiona, M.W., Richard, D.N., Bernardo, H. L., & Matthew, J.T. (2021). Experiences along the diagnostic pathway for patients with advanced lung cancer in the USA: a qualitative study. BMJ Open. 11(4), e045056. doi:10.1136/bmjopen-2020-045056

National Cancer Institute. (2019). Annual Report 2020. Nonthaburi: Ministry of Public Health. (in Thai).

Onanong, W. (2018). The effects of a peaceful end-of-life care program on peaceful death as perceived by end-stage cancer patients receiving chemotherapy. A Dissertation Submitted in Partial Fulfillment of the Requirements for the Master of Nursing Science Thammasat University. (in Thai).

Onanong, W., Matchim, Y., Chatrkaw, P., & Armer, J.M. (2020). The effects of a peaceful end-of-life-care program on peaceful death as perceived by end-stage cancer patients receiving chemotherapy. Science & Technology Asia. 25(3), 131 - 140.

Pochanart, A., Wonghongkul, T., & Sukonthasarn, A. (2013). Effect of Supportive - Educative Nursing System on Uncertainty inIllness among Newly Diagnosed Breast Cancer Patients. Nursing Journal. 40(3), 75 - 84.

Ruland, C.M., & Moore, S.M. (1998). Theory construction based on standards of care: a proposed theory of the peaceful end of life. Nursing outlook. 46(4), 169-175.

Sleeman, K.E., Gomes, B., de Brito, M., Shamieh, O., & Harding, R. (2021). The burden of serious health-related suffering among cancer decedents: Global projections study to 2060. Palliative medicine. 35(1), 231 - 235.

Srisatidnarakul, B. (2020). Effect Size, Power Analysis, Optimal Sample Size Calculations Using G*Power Software. Bangkok: Chulalongkorn University press. (in Thai).

Syamsir, P.G., Rondhianto, R., & Wijaya, D. (2023). Uncerainty in illness for patient with lung cancer: A literature review. 5th International Agronursing Conference Faculty of Nursing, University of Jemcer, Indonesia. Retrieved July 23, 2023 from https://jurnal.unej.ac.id /index.php /prosiding/article/view/40223.

Tan, J.Y., Molassiotis, A., Lloyd‐Williams, M., & Yorke, J. (2018). Burden, emotional distress and quality of life among informal caregivers of lung cancer patients: An exploratory study. European Journal of Cancer Care. 27(1), e12691.

Tarhani, M., Goudarzi, F., Hasanv, S., Ebrahimzadeh, F., & Rassouli, M. (2020). Uncertainty, anxiety, depression and the quality of life in patients with cancer. Oncology and Radiotherapy. 1(46), 20 - 27.

Temel, J.S., Petrillo, L.A., & Greer, J.A. (2022). Patient-centered palliative care for patients with advanced lung cancer. Journal of Clinical Oncology. 40(6), 626 - 634.

The Committee of the Mini-Mental State Examination-Thai version, 1999. (2002). the Mini-Mental State Examination-Thai version = MMSE-Thai 2002. Bangkok: Institute of Geriatric Medicine, Department of Medical Services, Ministry of Public Health. (in Thai).

Tian, X., Jin, Y., Chen, H., Tang, L., & Jiménez-Herrera, M.F. (2021). Relationships among Social Support, Coping Style, Perceived Stress, and Psychological Distress in Chinese Lung Cancer Patients. Asia-Pacific journal of oncology nursing. 8(2), 172 - 179.

Tuominen, L., Stolt, M., Meretoja, R., & Leino-Kilpi, H. (2019). Effectiveness of nursing interventions among patients with cancer: An overview of systematic reviews. Journal of clinical nursing. 28(13 - 14), 2401 - 2419.

Verduzco-Aguirre, H.C., Babu, D., Mohile, S.G., Bautista, J., Xu, H., Culakova, E., . . . Loh, K.P. (2021). Associations of Uncertainty With Psychological Health and Quality of Life in Older Adults With Advanced Cancer. Journal of Pain and Symptom Management. 61(2), 369-376.

Wang, T., Sun, J., Gu, D., Shen, S., Zhou, Y., & Wang, Z. (2023). Dyadic effects of social support, illness uncertainty on anxiety and depression among lung cancer patients and their caregivers: a cross-sectional study. Supportive Care in Cancer. 31(7), 402.

Wongpakaran, N., Wongpakaran, T., Bookamana, P., Pinyopornpanish, M., Maneeton, B., Lerttrakarnnon, P., . . . Jiraniramai, S. (2011). Diagnosing delirium in elderly Thai patients: Utilization of the CAM algorithm. BioMed Central family practice. 12(1), 65.

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Published

2024-01-15

How to Cite

Wongkalasin, K., Matchim, Y., Kanhasing, R., & Kanan, P. (2024). Kiratiya Wongkalasin: Effects of End-of-Life Care Program on Illness Uncertainty and Distressing Symptoms in Patients with Lung Cancer. Princess of Naradhiwas University Journal, 16(1), 59–78. Retrieved from https://li01.tci-thaijo.org/index.php/pnujr/article/view/259356

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