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
CN64 - Assessment of depression among lung cancer patients with type 2 diabetes using centre for epidemiologic studies depression scale (CES-D)
Presenter: Maria Lavdaniti
Session: Poster session 25
Resources:
Abstract
CN65 - Assessment of fatigue in elderly hospitalized cancer patients undergoing chemotherapy: A pilot study
Presenter: Maria Lavdaniti
Session: Poster session 25
Resources:
Abstract
CN66 - Cancer symptom clusters, nutritional status and quality of life of patients with cancer undergoing outpatient chemotherapy
Presenter: Luis Carlos Lopes-Júnior
Session: Poster session 25
Resources:
Abstract
CN67 - Comparison of existing guidelines for healthcare professionals on the perceived symptoms of breast cancer patients with registered symptoms in the medical records: Preliminary results
Presenter: Trine Lund-Jacobsen
Session: Poster session 25
Resources:
Abstract
CN68 - Experiences and needs of rectal cancer survivors without or with minor low anterior resection syndrome
Presenter: Fien Serroyen
Session: Poster session 25
Resources:
Abstract
CN69 - Experiences of patients after cytoreductive surgery and hyperthermic intraperitoneal chemotherapy: A qualitative study
Presenter: Jill Dobbelaer
Session: Poster session 25
Resources:
Abstract
CN70 - Out of hours symptom triage and supportive care
Presenter: Kate Mckendry
Session: Poster session 25
Resources:
Abstract
CN71 - SensiEx: A randomized pilot trial Sensorimotor training using whole body vibration exercise to reduce chemotherapy-induced peripheral neuropathy after treatment for breast cancer
Presenter: Malin Backman
Session: Poster session 25
Resources:
Abstract
CN73 - Symptom management in patients with chemotherapy-induced hand-foot syndrome: A qualitative study
Presenter: jie Zhang
Session: Poster session 25
Resources:
Abstract
CN74 - The effect of nursing senior's self-efficacy on symptom management in cancer patients on clinical decision-making skills
Presenter: Sevinç kutlutürkan
Session: Poster session 25
Resources:
Abstract