title: Identifying the concerns of women undergoing chemotherapy.
abstract: This cross-sectional study aimed to identify key concerns of cancer patients receiving in-patient chemotherapy, determine the prevalence of anxiety and depression, and assess whether ward nurses could identify patients' concerns. Thirty-three women on a chemotherapy ward in the northwest of England who had breast, ovarian, cervical or uterine cancer were interviewed using a Concerns Checklist and the Hospital Anxiety and Depression Scale. Patients expressed an average of 10.3 concerns (range: 2-27). Eighty percent of these were not identified by the nurses, who showed a clear bias towards physical symptoms and treatment-related concerns. The nurses were unable to identify the three main concerns in 70% of patients. Twenty-four percent of patients were found to be probable cases of anxiety and/or depression; there was a moderate correlation between the number of concerns and levels of anxiety and depression. Given the body of evidence that lack of identification of concerns leads to unmet needs, increased psychological distress, dissatisfaction with care and possible complaints, this study has provided clear evidence for the need to address this key area of care, and has highlighted the potential of the Concerns Checklist in busy clinical environments.
authors.affiliation: Christie Hospital NHS Trust, Wilmslow Road, Withington, Manchester M20 4BX, UK.
authors.forename: Carole
authors.initials: C
authors.lastname: Farrell
authors.forename: Cathy
authors.initials: C
authors.lastname: Heaven
authors.forename: Kinta
authors.initials: K
authors.lastname: Beaver
authors.forename: Peter
authors.initials: P
authors.lastname: Maguire
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000970:Antineoplastic Agents / Q000009:adverse effects*; D001007:Anxiety / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology / Q000523:psychology; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D001943:Breast Neoplasms / Q000188:drug therapy / Q000523:psychology; D003430:Cross-Sectional Studies; D003863:Depression / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology / Q000523:psychology; D004739:England / Q000453:epidemiology; D005260:Female; D005833:Genital Neoplasms, Female / Q000188:drug therapy / Q000523:psychology; D006801:Humans; D008875:Middle Aged; D020380:Needs Assessment; D009730:Nursing Assessment; D015404:Nursing Methodology Research; D009737:Nursing Records; D009741:Nursing Staff, Hospital / Q000523:psychology; D015995:Prevalence; D011569:Psychiatric Status Rating Scales; D011788:Quality of Life; D013315:Stress, Psychological / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology / Q000523:psychology; D011795:Surveys and Questionnaires; D014930:Women / Q000523:psychology*
chemical_list: D000970:Antineoplastic Agents