Treatment Modalities, Analgesic Use, Cancer Stage, and Cancer Location on Symptom Clusters in Head and Neck Cancer Patients
Keywords:
Treatment modalities, analgesics use, cancer stage, cancer location, symptom cluster
Abstract
Introduction: Head and neck cancer patients generally have the same symptoms, but the prevalence and severity can vary. The prevalence and severity of symptoms in a cluster are related to the overall symptom experience. The prevalence and severity of symptoms in a cluster can be related to the patient's health and illness state. Objectives: This research aims to determine the relationship between treatment modalities, analgesic use, cancer stage, and cancer location on symptom clusters in head and neck cancer patients. Methods: The method used is analytical observational with a cross-sectional approach. The sample inclusion criteria were as follows: head and neck cancer without metastatic disease to the brain, cooperative and good at communicating, and age 18-70 years. Meanwhile, the exclusion criteria are not completing the questionnaire due to critical condition, mental disorders, death, and patient going home. The sampling technique used was consecutive sampling, consisting of 111 patients at Dr. Kariadi Central General Hospital of Semarang. Data analysis using Spearman Rho. Results: The relationship between the significance values of the treatment modality variables for sickness and gastrointestinal symptom clusters, the use of analgesics for gastrointestinal symptom clusters, the location of cancer for emotional symptom clusters, and the stage with symptom clusters is <0.05. The research results also show that several variables also have a significance value of > 0.05. Conclusions: Good identification of treatment modalities, use of analgesics, cancer stage, and cancer location is expected to be able to overcome symptom clusters in head and neck cancer.
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References
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Chen, M. L., & Lin, C. C. (2007). Cancer Symptom Clusters: A Validation Study. Journal of Pain and Symptom Management, 34(6), 590–599. https://doi.org/10.1016/j.jpainsymman.2007.01. 008
Cheng, K. K. F., & Lee, D. T. F. (2011). Effects of pain, fatigue, insomnia, and mood disturbance on functional status and quality of life of elderly patients with cancer. Critical Reviews in Oncology/Hematology, 78(2), 127–137. https://doi.org/10.1016/j.critrevonc.2010.03.002
Dodd, M., & Faan, R. N. (2001). Advancing the science of symptom management.
Dong, S. T., Butow, P. N., Costa, D. S. J., Lovell, M. R., & Agar, M. (2014a). Symptom clusters in patients with advanced cancer: A systematic review of observational studies. Journal of Pain and Symptom Management, 48(3), 411–450. https://doi.org/10.1016/j.jpainsymman. 2013.10.027
Dong, S. T., Butow, P. N., Costa, D. S. J., Lovell, M. R., & Agar, M. (2014b). Symptom Clusters In Patients With Advanced Cancer: A Systematic Review Of Observational Studies. J Pain Symptom Manage, 48(3), 411–450.
Dong, S. T., Costa, D. S. J., MClin, P. N. B., Lovell, M. R., Agar, M., Velikova, G., Teckle, P., Tong, A., Tebbutt, N. C., Clarke, S. J., Hoek, K. van der, King, M. T., GradDipMedStat, & Fayers, P. M. (2016). Symptom Clusters In Advanced Cancer Patients: An Empirical Comparison Of Statistical Methods And The Impact On Quality Of Life. Journal of Pain and Symptom Management, 51(1), 88–98.
Fitriatuzzakiyyah, N., Sinuraya, R. K., & Puspitasari, I. M. (2017). Cancer Therapy with Radiation: The Basic Concept of Radiotherapy and Its Development in Indonesia. Indonesian Journal of Clinical Pharmacy, 6(4), 311–320. https://doi.org/10.15416/ijcp.2017.6.4.311
Franceschini, J., Jardim, J. R., Fernandes, A. L. G., Jamnik, S., & Santoro, I. L. (2013). Relationship between the magnitude of symptoms and the quality of life: a cluster analysis of lung cancer patients in Brazil. J Bras Pneumol, 39(August 2012), 23–31.
Fu, L., Feng, X., Jin, Y., Lu, Z., Li, R., Xu, W., T.Chang, V., Hu, Y., & Ye, X. (2022). Symptom Clusters and Quality of Life in Gastric Cancer Patients Receiving Chemotherapy. Journal of Pain and Symptom Management, 63(2). https://doi.org/https://doi.org/10.1016/j.jpainsymman. 2021.09.003
Guo, M., Wang, C., Yin, X., Nie, L., & Wang, G. (2019). Symptom Clusters And Related Factors In Oesophageal Cancer Patients 3 Months After Surgery. J Clin Nurs, 28(19–20), 3441–3450.
Hanna, E. Y., Mendoza, T. R., Rosenthal, D. I., Gunn, G. B., Sehra, P., Yucel, E., & Cleeland, C. S. (2015). The Symptom Burden Of Treatment‐Naive Patients With Head And Neck Cancer. Cancer, 121(5), 766–773.
Ho, S., Rohan, K., Parent, J., Tager, F., & McKinley, P. (2015). A longitudinal study of depression, fatigue, and sleep disturbances as a symptom cluster in women with breast cancer. J Pain Symptom Manage, 49, 707–715.
Ji, Y., Zhang, Y., Shi, Z., Wang, P., Chen, T., Fan, Z., & Jiang, E. (2023). The Symptom Cluster And Core Symptoms Of Early Recovery In Patients After Esophageal Cancer Surgery: A Network Analysis. Henan University.
Johnstone, P. A. S., Lee, J., Zhou, J.-M., Ma, Z., Portman, D., Jim, H., & Yu, H.-H. M. (2017). A modified Edmonton Symptom Assessment Scale for symptom clusters in radiation oncology patients. Cancer Medicine, 6(9), 2034–2041. https://doi.org/10.1002/cam4.1125
Jordan, K., Proskorovsky, I., Lewis, P., Ishak, J., Payne, K., Lordan, N., Kyriakou, C., Williams, C. D., Peters, S., & Davies, F. E. (2014). Effect Of General Symptom Level, Specific Adverse Events, Treatment Patterns, And Patient Characteristics On Health-Related Quality Of Life In Patients With Multiple Myeloma: Results Of A European, Multicenter Cohort Study. Support Care Cancer, 22(2), 417–426.
Kenne Sarenmalm, E., Browall, M., & Gaston-Johansson, F. (2014). Symptom burden clusters: A challenge for targeted symptom management. A longitudinal study examining symptom burden clusters in breast cancer. Journal of Pain and Symptom Management, 47(4), 731–741. https://doi.org/10.1016/j.jpainsymman.2013.05.012
Kirkova, J., Aktas, A., Walsh, D., & Davis, M. P. (2011). Cancer symptom clusters: Clinical and research methodology. Journal of Palliative Medicine, 14(10), 1149–1166. https://doi.org/ 10.1089/jpm.2010.0507
Mathew, A., Tirkey, A. J., Li, H., Steffen, A., Lockwood, M. B., Patil, C. L., & Doorenbos, A. Z. (2021). Symptom Clusters In Head And Neck Cancer: A Systematic Review And Conceptual Model. Seminars in Oncology Nursing, 37(5). https://doi.org/https://doi.org/10.1016/j.soncn. 2021.151215
McKenzi, E., Zhang, L., Zaki, P., Chan, S., Ganesh, V., Razvi, Y., Tsao, M., Barnes, E., Hwang, M. K., DeAngelis, C., & Chow, E. (2019). Re-Analysis Of Symptom Clusters In Advanced Cancer Patients Attending A Palliative Outpatient Radiotherapy Clinic. Ann Palliat Med, 8(2), 140–149.
Mu’jizah, K., Yusuf, A., & Fitryasari, R. (2014). Efektivitas Pain Management Program (PMP)Terhadap Nyeri Dan Kualitas Hidup Pasien Kanker Di Yayasan Kanker Indonesia Cabang Jawa Timur. Universitas Airlangga.
Otto, S. E. (2005). Buku Saku Keperawatan Onkologi (J. F. Budi & E. Meiliya (Eds.)). EGC.
Palliative Care Prescribing Guidelines. LANCASHIRE AND SOUTH CUMBRIA SPECIALIST PALLIATIVE CARE SERVICES- 2012. (2014).
Stapleton, S. J., Holden, J., Epstein, J., & Wilkie, D. J. (2016). Symptom clusters in patients with cancer in the hospice/palliative care setting. Supportive Care in Cancer, 24(9), 3863–3871. https://doi.org/10.1007/s00520-016-3210-6
Sung, H., Ferlay, J., Siegel, R. L., Laversanne, M., Soerjomataram, I., Jemal, A., & Bray, F. (2021). Global Cancer Statistics 2020: GLOBOCAN Estimates Of Incidence And Mortality Worldwide For 36 Cancers In 185 Countries. CA Cancer J Clin, 71, 209–249.
Swarm, R. A., Anghelescu, D. L., Benedetti, C., Buga, S., & Chwistek, M. (2016). Adult Cancer Pain version 2.2016. NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®). National Comprehensive Cancer Network, Inc.
Yunus, B., & Praja, W. W. (2016). Prevalensi Terjadinya Xerostomia Setelah Dilakukan Terapi Radiasi pada Penderita Kanker Kepala dan Leher. Makassar Dental Journal, 5(2), 8–27.
Published
2024-06-15
How to Cite
ika sari, wyssie. (2024). Treatment Modalities, Analgesic Use, Cancer Stage, and Cancer Location on Symptom Clusters in Head and Neck Cancer Patients. PROFESSIONAL HEALTH JOURNAL, 6(1), 80-88. https://doi.org/10.54832/phj.v6i1.736
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