Asian Oncol Nurs.  2017 Jun;17(2):79-86. 10.5388/aon.2017.17.2.79.

A Comparison of Symptoms, Depression, and Quality of Life according to Stages of Survivorship in Lung Cancer Patients

• Chae YJ
• Park JS

• KMID: 2386659
• DOI: http://doi.org/10.5388/aon.2017.17.2.79

Abstract

PURPOSE
This study was a descriptive study to compare symptoms, depression and the quality of life according to stages of survivorship in lung cancer patients.
METHODS
Data were collected from April 1st to September 30th 2016. The subjects of this study were 135 lung cancer patients who were outpatients or inpatients at a university hospital. The instruments used were the MDASI-LC (M.D. Anderson Symptom Inventory-Lung Cancer), the Korean CES-D (Center for Epidemiologic Studies Depression) and FACT-L (Functional Assessment Cancer Therapy-Lung) version 4.
RESULTS
Insensibility/numbness (F=-2.42, p=.016) and trouble walking (F=-2.21, p=.029) symptom scores were significantly higher in the acute survival stage (less than 2 years) than the overextended survival stage (more than 2 years). But there was no significant differences in depression and quality of life between survival stages in lung cancer patients.
CONCLUSION
Lung cancer patients of more than 2 survival years should be managed for relief symptoms such as insensibility/numbness and trouble walking cautiously.

Keyword

Lung Neoplasm; Survivorship; Symptom; Depression; Quality of Life

MeSH Terms

Depression*
Epidemiologic Studies
Humans
Inpatients
Lung Neoplasms*
Lung*
Outpatients
Quality of Life*
Survival Rate*
Walking

Reference

1. Oh CM, Won YJ, Jung KW, Kong HJ, Cho H, Lee JK, et al. Cancer statistics in Korea: incidence, mortality, survival and prevalence in 2013. Cancer Res Treat. 2016; 48:436–50.

2. Cho JA. Survival rate in primary lung cancer patients with metastasis [dissertation]. Seoul: Yonsei Univ.;2010.

3. Lee SY, Park HA. Symptom cluster presented by non-small cell lung cancer patients on gefitinib treatment. J Korean Oncol Nurs. 2009; 9:77–85.

4. Brown KW, Levy AR, Rosberger Z, Edgar L. Psychological distress and cancer survival: a follow-up 10 years after diagnosis. J Psychosom Med. 2003; 65:636–43.

5. Sarna L, Evangelista L, Tashkin D, Padilla G, Holmes C, Brecht ML, et al. Impact of respiratory symptoms and pulmonary function on quality of life of long-term survivors of non-small cell lung cancer. Chest. 2004; 125:439–45.

6. Gift AG, Jablonski A, Stommel M, Given CW. Symptom clusters in elderly patients with lung cancer. Oncol Nurs Forum. 2004; 31:202–12.

7. Kim KS, Yi MS, Bang KS, Cho YE, Lee JL, Lee E. Relationships among activity status, anxiety, depression, social support, symptom experience, and functional status in lung cancer patients based on the theory of unpleasant symptoms. Perspect Nurs Sci. 2013; 10:87–96.

8. Lee JL. Quality of life in non-small cell lung cancer patients: a structural equation model approach [dissertation]. Seoul: Seoul National Univ.;2013.

9. Simonelli LE, Fowler J, Maxwell GL, Andersen BL. Physical sequelae and depressive symptoms in gynecologic cancer survivors: meaning in life as a mediator. Ann Behav Med. 2008; 35:275–84.

10. Radloff LS, The CES-D scale. a self report depression scale for research in the general population. Appl Psychol Meas. 1977; 1:385–401.

11. Mantegna G, Petrillo M, Fuoco G, Venditti L, Terzano S, Anchora LP, et al. Long-term prospective longitudinal evaluation of emotional distress and quality of life in cervical cancer patients who remained disease-free 2-years from diagnosis. BMC Cancer. 2013; 13:127.

12. Ferrell BR, Dow KH, Leigh S, Ly J, Gulasekaram P. Quality of life in long-term cancer survivors. Oncol Nurs Forum. 1995; 22:915–22.

13. Rauma V, Sintonen H, Räsänen JV, Salo JA, Ilonen IK. Long-term lung cancer survivors have permanently decreased quality of life after surgery. Clin Lung Cancer. 2015; 16:40–5.

14. Ko AR. A model for quality of life in lung cancer survivors based on the theory of symptom self-management [dissertation]. Seoul: Chung-Ang Univ.;2015.

15. Lim JW, Han IY. Comparison of quality of life on the stage of cancer survivorship for breast and gynecological cancer survivors. Korean J Soc Welf. 2008; 60:5–27.

16. Mullan F. Seasons of survival: reflections of a physician with cancer. N Engl J Med. 1985; 313:270–3.

17. Cohen J.Statistical power analysis for the behavioral sciences. 2nd ed.Hillsdale, NJ: Lawrence Erlbaum;1988.

18. Cleeland CS. The M. D. Anderson symptom inventory user guide. Houston, TX: The University of Texas MD Anderson Cancer Center. 2016.

19. Choi SH. Effects of symptom clusters and depression on the quality of life in patients with advanced lung cancer [dissertation]. Seoul: Chung-Ang Univ.;2013.

20. Cho MJ, Kim KH. Diagnostic validity of the CES-D (Korean version) in the assessment of DSM-III-R major depression. J Korean Neuropsychiatr Assoc. 1993; 32:381–99.

21. Cella D. FACIT manual: manual of the functional assessment of chronic illness therapy (FACIT) measurement system. Evanston IL: Center on Outcomes, Research and Education. 1997.

22. Yoo H, Suh C, Kim S, Eremenco S, Kim H, Kim S. Korean translation and validation of the functional assessment of cancer therapy-lung (FACT-L) version 4. Qual Life Res. 2006; 15:161–6.

23. Gwak MD, Suh SY. The assessment tools in palliative medicine. Korean J Hosp Palliat Care. 2009; 12:177–93.

24. Ezendam NP, Pijlman B, Bhugwandass C, Pruijt JF, Mols F, Vos MC, et al. Chemotherapy-induced peripheral neuropathy and its impact on health-related quality of life among ovarian cancer survivors: results from the population-based PROFILES registry. Gynecol Oncol. 2014; 135:510–7.

25. Lee CO. Cognitive function and quality of life after chemotherapy in elderly with lung cancer [dissertation]. Seoul: Sahmyook Univ.;2016.

26. Cho HC. Distress and quality of life for breast cancer survivors during follow up periods in Korea [dissertation]. Cheonan: Dankook Univ.;2016.

27. Lee ES, Park JS. The comparison of health promotion behavior, post traumatic growth and quality of life according to stages of survivorship in patients with female genital neoplasm. Korean J Adult Nurs. 2013; 25:312–21.