title: A pilot study to evaluate  an outpatient service for people  with advanced lung cancer.
abstract: Many patients with lung cancer are symptomatic from diagnosis, and quality of life (QoL) may be maximised through the use of specialist palliative care in parallel with other treatments. This study explored anxiety, depression, and QoL in five patients, predominantly male (n=4) and with mean age 74 years, using a 'Breathing Space' clinic over a 4-week period. Breathing Space is a nurse-led multidisciplinary outpatient clinic using integrative care with lung cancer patients. The patients received weekly interventions to improve their wellbeing. Qualitative data were collected to explore their expectations and experiences of the clinic, and quantitative data were captured using the Eastern Cooperative Oncology Group Performance Status Rating (ECOG-PSR), the Hospital Anxiety and Depression Scale (HADS), the EQ-VAS, and the EQ-5D. These data were analysed using thematic content analysis and SPSS respectively. It was found that preconceived ideas about clinic attendance were replaced with positive impressions. Anxiety and EQ-VAS scores improved for all patients, and depression scores improved for four of the five patients, although no tests of significance were made. The qualitative data indicated that there were psychosocial benefits to attending the clinic.
authors.affiliation: Queen's University Belfast, School of Sociology, Social Policy and Social Work, Belfast, Northern Ireland. a.roulston@qub.ac.uk
authors.forename: Audrey
authors.initials: A
authors.lastname: Roulston
authors.forename: David
authors.initials: D
authors.lastname: Bickerstaff
authors.forename: Tommy
authors.initials: T
authors.lastname: Haynes
authors.forename: Lesley
authors.initials: L
authors.lastname: Rutherford
authors.forename: Louise
authors.initials: L
authors.lastname: Jones
mesh_terms: D000223:Adaptation, Psychological; D000368:Aged; D000369:Aged, 80 and over; D001007:Anxiety / Q000451:nursing / Q000517:prevention & control*; D003863:Depression / Q000451:nursing / Q000517:prevention & control*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000451:nursing / Q000523:psychology*; D008297:Male; D009660:Northern Ireland; D010044:Outpatient Clinics, Hospital / Q000706:statistics & numerical data; D010166:Palliative Care / Q000379:methods / Q000706:statistics & numerical data; D010865:Pilot Projects; D057184:Practice Patterns, Nurses' / Q000706:statistics & numerical data; D011446:Prospective Studies; D011788:Quality of Life; D012934:Social Isolation; D012944:Social Support