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Symptom clusters in patients with nasopharyngeal carcinoma during radiotherapy. | LitMetric

Symptom clusters in patients with nasopharyngeal carcinoma during radiotherapy.

Eur J Oncol Nurs

State Key Laboratory of Oncology in South China and Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou 510060, Guangdong, China; Department of Nasopharyngeal Carcinoma, Sun Yat-sen University Cancer Center, Guangzhou 510060, Guangdong, China.

Published: June 2017

AI Article Synopsis

  • The study aimed to explore the various symptom clusters experienced by nasopharyngeal carcinoma patients during radiotherapy, despite advancements in treatment technology.
  • A total of 130 Chinese NPC patients were surveyed using specific questionnaires, leading to the identification of four main symptom clusters: general, gastrointestinal, nutrition impact, and social interaction impact, with nutrition impact being the most severe.
  • The findings highlighted significant correlations between the severity of these symptoms and their impact on patients' quality of life, indicating a need for targeted interventions, particularly for issues related to nutrition.

Article Abstract

Purpose: Despite the improvement in radiotherapy (RT) technology, patients with nasopharyngeal carcinoma (NPC) still suffer from numerous distressing symptoms simultaneously during RT. The purpose of the study was to investigate the symptom clusters experienced by NPC patients during RT.

Methods: First-treated Chinese NPC patients (n = 130) undergoing late-period RT (from week 4 till the end) were recruited for this cross-sectional study. They completed a sociodemographic and clinical data questionnaire, the Chinese version of the M. D. Anderson Symptom Inventory - Head and Neck Module (MDASI-HN-C) and the Chinese version of the Functional Assessment of Cancer Therapy - Head and Neck Scale (FACT-H&N-C). Principal axis factor analysis with oblimin rotation, independent t-test, one-way analysis of variance (ANOVA) and Pearson product-moment correlation were used to analyze the data.

Results: Four symptom clusters were identified, and labelled general, gastrointestinal, nutrition impact and social interaction impact. Of these 4 types, the nutrition impact symptom cluster was the most severe. Statistically positive correlations were found between severity of all 4 symptom clusters and symptom interference, as well as weight loss. Statistically negative correlations were detected between the cluster severity and the QOL total score and 3 out of 5 subscale scores.

Conclusion: The four clusters identified reveal the symptom patterns experienced by NPC patients during RT. Future intervention studies on managing these symptom clusters are warranted, especially for the nutrition impact symptom cluster.

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Source
http://dx.doi.org/10.1016/j.ejon.2017.02.004DOI Listing

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