title: Cancer treatment, symptom monitoring, and self-care in adults: pilot study.
abstract: A descriptive study was conducted on self-reported symptoms and self-care by 37 adults receiving chemotherapy primarily for leukemia, lymphomas, or breast cancer or radiation therapy for head and neck or lung cancers. The Therapy-Related Symptom Checklist and demographic and interview forms on self-care for identified symptoms were used. Severe symptoms on the Therapy-Related Symptom Checklist subscales fatigue, eating, nausea, pain, numbness in fingers/toes, hair loss, and constipation were reported by patients on chemotherapy. Those on radiation therapy reported severe symptoms on the eating, fatigue, skin changes, oropharynx, and constipation subscales.Self-care strategies were in the following categories, using complementary medicine as framework: diet/nutrition/lifestyle change (eg, use of nutritional supplements; modifications of food and of eating habits; naps, sleep, and rest); mind/body control (eg, relaxation methods, prayer, music, attending granddaughter's sports events); biologic treatments (vitamins); herbal treatments (green mint tea); and ethnomedicine (lime juice and garlic). The first category was predominantly used by patients in both treatment types. Medications were prescribed also to help control symptoms (eg, pain and nausea). Symptom monitoring and self-care for symptoms identified may be facilitated by the Therapy-Related Symptom Checklist; based on reported symptom severity, care providers may prioritize interventions. A larger study needs to be done on (a) the use of the Therapy-Related Symptom Checklist as a clinical tool to assess symptoms that oncology patients experience during therapy; (b) whether care providers, based on patient-reported symptom severity, can prioritize interventions--and how this influences the efficiency of care; (c) the self-care strategies used by patients on chemotherapy or radiation therapy or both; and (d) how useful these strategies are in alleviating symptoms.
authors.affiliation: School of Nursing, University of Kansas Medical Center, Kansas City, KS 66160, USA. pwilliam@kumc.edu
authors.forename: Phoebe Dauz
authors.initials: PD
authors.lastname: Williams
authors.forename: Ubolrat
authors.initials: U
authors.lastname: Piamjariyakul
authors.forename: Kathleen
authors.initials: K
authors.lastname: Ducey
authors.forename: Jody
authors.initials: J
authors.lastname: Badura
authors.forename: Kristin D
authors.initials: KD
authors.lastname: Boltz
authors.forename: Karmen
authors.initials: K
authors.lastname: Olberding
authors.forename: Anita
authors.initials: A
authors.lastname: Wingate
authors.forename: Arthur R
authors.initials: AR
authors.lastname: Williams
mesh_terms: D000328:Adult; D000368:Aged; D000970:Antineoplastic Agents / Q000009:adverse effects / Q000627:therapeutic use; D000529:Complementary Therapies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000150:complications / Q000188:drug therapy* / Q000532:radiotherapy*; D011832:Radiation Injuries; D012648:Self Care; D012720:Severity of Illness Index
chemical_list: D000970:Antineoplastic Agents