Identification of symptom clusters in cancer patients at palliative care clinic

Objective: Cancer patients often experience a large number of symptoms together. The aim of this study is to determine the symptom clusters in cancer patients at palliative care clinic. Methods: Hundred and seventy consecutive patients were enrolled in the study. Memorial Symptom Assessment Scale wa...

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Main Authors: Gülçin Senel Özalp, Neşe Uysal, Gonca Oğuz, Nesteren Koçak, Şerife Karaca, Nihan Kadıoğulları
Format: Article
Language:English
Published: Elsevier 2017-01-01
Series:Asia-Pacific Journal of Oncology Nursing
Subjects:
Online Access:http://www.apjon.org/article.asp?issn=2347-5625;year=2017;volume=4;issue=3;spage=259;epage=264;aulast=Özalp
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author Gülçin Senel Özalp
Neşe Uysal
Gonca Oğuz
Nesteren Koçak
Şerife Karaca
Nihan Kadıoğulları
author_facet Gülçin Senel Özalp
Neşe Uysal
Gonca Oğuz
Nesteren Koçak
Şerife Karaca
Nihan Kadıoğulları
author_sort Gülçin Senel Özalp
collection DOAJ
description Objective: Cancer patients often experience a large number of symptoms together. The aim of this study is to determine the symptom clusters in cancer patients at palliative care clinic. Methods: Hundred and seventy consecutive patients were enrolled in the study. Memorial Symptom Assessment Scale was used for symptom assessment of the patients. Results: The most experienced symptoms by the patients during the past week before hospitalization in palliative care clinic were lack of energy (95.4%), weight loss (91.2%), lack of appetite (89.4%), pain (88.2%), dry mouth (87.6%), feeling sad (87.6%), feeling nervous (82.9%), worrying (81.2%), and feeling irritable (80.6%). Five symptom clusters were defined. First cluster: pain, feeling nervous, dry mouth, worrying, feeling irritable, weight loss; second cluster: feeling drowsy, numbness/tingling in hands/feet, difficulty in sleeping, dizziness, constipation, I do not look like myself; third cluster: nausea, vomiting; fourth cluster: shortness of breath, difficulty in swallowing, cough, change in the way food tastes; and fifth cluster: feeling bloated, problems with urination, diarrhea, itching, mouth sores, hair loss, swelling of arm or legs, change in the skin. Conclusions: We encountered various symptom clusters in advanced cancer patients. Identification of symptom clusters and knowledge of cluster composition in oncological population may particularly contribute individualization of the treatment.
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spelling doaj.art-afa03a4d7f8c49208073901159a37dfe2023-08-02T01:21:16ZengElsevierAsia-Pacific Journal of Oncology Nursing2347-56252349-66732017-01-014325926410.4103/apjon.apjon_17_17Identification of symptom clusters in cancer patients at palliative care clinicGülçin Senel ÖzalpNeşe UysalGonca OğuzNesteren KoçakŞerife KaracaNihan KadıoğullarıObjective: Cancer patients often experience a large number of symptoms together. The aim of this study is to determine the symptom clusters in cancer patients at palliative care clinic. Methods: Hundred and seventy consecutive patients were enrolled in the study. Memorial Symptom Assessment Scale was used for symptom assessment of the patients. Results: The most experienced symptoms by the patients during the past week before hospitalization in palliative care clinic were lack of energy (95.4%), weight loss (91.2%), lack of appetite (89.4%), pain (88.2%), dry mouth (87.6%), feeling sad (87.6%), feeling nervous (82.9%), worrying (81.2%), and feeling irritable (80.6%). Five symptom clusters were defined. First cluster: pain, feeling nervous, dry mouth, worrying, feeling irritable, weight loss; second cluster: feeling drowsy, numbness/tingling in hands/feet, difficulty in sleeping, dizziness, constipation, I do not look like myself; third cluster: nausea, vomiting; fourth cluster: shortness of breath, difficulty in swallowing, cough, change in the way food tastes; and fifth cluster: feeling bloated, problems with urination, diarrhea, itching, mouth sores, hair loss, swelling of arm or legs, change in the skin. Conclusions: We encountered various symptom clusters in advanced cancer patients. Identification of symptom clusters and knowledge of cluster composition in oncological population may particularly contribute individualization of the treatment.http://www.apjon.org/article.asp?issn=2347-5625;year=2017;volume=4;issue=3;spage=259;epage=264;aulast=ÖzalpClusterpalliative caresymptom
spellingShingle Gülçin Senel Özalp
Neşe Uysal
Gonca Oğuz
Nesteren Koçak
Şerife Karaca
Nihan Kadıoğulları
Identification of symptom clusters in cancer patients at palliative care clinic
Asia-Pacific Journal of Oncology Nursing
Cluster
palliative care
symptom
title Identification of symptom clusters in cancer patients at palliative care clinic
title_full Identification of symptom clusters in cancer patients at palliative care clinic
title_fullStr Identification of symptom clusters in cancer patients at palliative care clinic
title_full_unstemmed Identification of symptom clusters in cancer patients at palliative care clinic
title_short Identification of symptom clusters in cancer patients at palliative care clinic
title_sort identification of symptom clusters in cancer patients at palliative care clinic
topic Cluster
palliative care
symptom
url http://www.apjon.org/article.asp?issn=2347-5625;year=2017;volume=4;issue=3;spage=259;epage=264;aulast=Özalp
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AT nesterenkocak identificationofsymptomclustersincancerpatientsatpalliativecareclinic
AT serifekaraca identificationofsymptomclustersincancerpatientsatpalliativecareclinic
AT nihankadıogulları identificationofsymptomclustersincancerpatientsatpalliativecareclinic