Abstract CN72
Background
Lung cancer is usually diagnosed at advanced stage with a high burden of symptoms, deterioration in quality of life (QOL) and significant emotional impact. Interventions in these patients are aimed at improving QOL through physical and emotional symptoms management. It is important for the advanced practice nurse (APN) to know baseline health status of patients before treatment initiation to address interventions to improve their outcomes.
To describe the burden of symptoms, QOL and emotional status of outpatients with lung cancer before starting the antitumor treatment.
Methods
This is an observational study, evaluating consecutive patients with advanced lung cancer from January to April 2023 from the outpatient clinic of the lung functional unit (UFP). The intensity of the symptoms, QOL, anxiety, depression and APN interventions will be measured using validated and ad-hoc constructed questionnaires with Likert-type responses. The analysis was descriptive using percentages, frequencies, and measures of dispersion.
Results
48 patients, 60.0% men, 75.9% aged 60-75, 83.6% diagnosed with advanced non-small cell lung cancer. Symptoms burden: dyspnea 52.7%, cough 70.4%, pain 65.8%, sleep disturbance 59%, asthenia 63.5%, anorexia 28.2%, constipation 32.2%. The scores for quality of life were 54.2/100, anxiety 5.3/21, and depression 4.3/21. General interventions carried out by the APN consisted of health education on symptoms and toxicity management, treatment and queries about the disease. Specific interventions consisted of placing a peripheral venous access 12.5%, consultation with a psycho-oncologist 6.3%, psychosocial committee 2.08%, social worker 2.08%, smoking cessation 2.08% and referrals to other specialists 2.08%.
Conclusions
The outpatients seen have low QOL scores, a high burden of symptoms and a certain level of anxiety and depression. Knowing the most prevalent symptoms, the QOL and the emotional state of the patients at the beginning of the treatment will allow the APN to optimize the interventions to address the different physical and emotional symptoms and improve the quality of life of these patients.
Clinical trial identification
Editorial acknowledgement
Legal entity responsible for the study
I. Brao Pérez.
Funding
Has not received any funding.
Disclosure
All authors have declared no conflicts of interest.
Resources from the same session
CN22 - Survivorship care in melanoma cancer survivors
Presenter: Riley Fadden
Session: Poster session 25
Resources:
Abstract
CN23 - Understand the patients’ perspectives based on their profile to improve health-related quality of life assessment in breast cancer
Presenter: Cynthia Lesbros
Session: Poster session 25
Resources:
Abstract
CN31 - A qualitative study investigating the perception of simultaneous care in nurses
Presenter: Daniela Tregnago
Session: Poster session 25
Resources:
Abstract
CN32 - Exploring the content and outcomes of meaning-centered interventions in palliative care: A scoping review
Presenter: Yasemin Eskigülek
Session: Poster session 25
Resources:
Abstract
CN33 - Health care professionals’ perceptions regarding shared clinical decision-making in both acute and palliative cancer care, a qualitative study and its clinical implications
Presenter: Helena Ullgren
Session: Poster session 25
Resources:
Abstract
CN34 - Pallium game: The use of a card game in palliative care
Presenter: Bruno Magalhães
Session: Poster session 25
Resources:
Abstract
CN42 - A pharmacist-led interprofessional medication adherence program improved adherence to oral anticancer therapies: The OpTAT randomized controlled trial
Presenter: Carole Bandiera
Session: Poster session 25
Resources:
Abstract
CN43 - Development, implementation and evaluation of a cancer survivorship care program
Presenter: Flore Herman
Session: Poster session 25
Resources:
Abstract
CN45 - Exercise training following surgery and chemotherapy for ovarian cancer: A realist evaluation of a co-designed implementation process
Presenter: deirdre mc grath
Session: Poster session 25
Resources:
Abstract
CN46 - Experiences and sexuality of participants with a permanent colostomy after cancer treatment: A qualitative study
Presenter: kelly Van der Eecken
Session: Poster session 25
Resources:
Abstract