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dc.contributor.authorFarrell, Carole
dc.contributor.authorHeaven, Cathy
dc.contributor.authorBeaver, Kinta
dc.contributor.authorMaguire, Peter
dc.date.accessioned2009-07-29T13:44:24Z
dc.date.available2009-07-29T13:44:24Z
dc.date.issued2005-01
dc.identifier.citationIdentifying the concerns of women undergoing chemotherapy. 2005, 56 (1):72-7 Patient Educ Counsen
dc.identifier.issn0738-3991
dc.identifier.pmid15590225
dc.identifier.doi10.1016/j.pec.2003.12.008
dc.identifier.urihttp://hdl.handle.net/10541/75850
dc.description.abstractThis cross-sectional study aimed to identify key concerns of cancer patients receiving in-patient chemotherapy, determine the prevalence of anxiety and depression, and assess whether ward nurses could identify patients' concerns. Thirty-three women on a chemotherapy ward in the northwest of England who had breast, ovarian, cervical or uterine cancer were interviewed using a Concerns Checklist and the Hospital Anxiety and Depression Scale. Patients expressed an average of 10.3 concerns (range: 2-27). Eighty percent of these were not identified by the nurses, who showed a clear bias towards physical symptoms and treatment-related concerns. The nurses were unable to identify the three main concerns in 70% of patients. Twenty-four percent of patients were found to be probable cases of anxiety and/or depression; there was a moderate correlation between the number of concerns and levels of anxiety and depression. Given the body of evidence that lack of identification of concerns leads to unmet needs, increased psychological distress, dissatisfaction with care and possible complaints, this study has provided clear evidence for the need to address this key area of care, and has highlighted the potential of the Concerns Checklist in busy clinical environments.
dc.language.isoenen
dc.subject.meshAdaptation, Psychological
dc.subject.meshAdult
dc.subject.meshAged
dc.subject.meshAntineoplastic Agents
dc.subject.meshAnxiety
dc.subject.meshAttitude of Health Personnel
dc.subject.meshAttitude to Health
dc.subject.meshBreast Neoplasms
dc.subject.meshCross-Sectional Studies
dc.subject.meshDepression
dc.subject.meshEngland
dc.subject.meshFemale
dc.subject.meshGenital Neoplasms, Female
dc.subject.meshHumans
dc.subject.meshMiddle Aged
dc.subject.meshNeeds Assessment
dc.subject.meshNursing Assessment
dc.subject.meshNursing Methodology Research
dc.subject.meshNursing Records
dc.subject.meshNursing Staff, Hospital
dc.subject.meshPrevalence
dc.subject.meshPsychiatric Status Rating Scales
dc.subject.meshQuality of Life
dc.subject.meshQuestionnaires
dc.subject.meshStress, Psychological
dc.subject.meshWomen
dc.titleIdentifying the concerns of women undergoing chemotherapy.en
dc.typeArticleen
dc.contributor.departmentChristie Hospital NHS Trust, Wilmslow Road, Withington, Manchester M20 4BX, UK.en
dc.identifier.journalPatient Education and Counselingen
html.description.abstractThis cross-sectional study aimed to identify key concerns of cancer patients receiving in-patient chemotherapy, determine the prevalence of anxiety and depression, and assess whether ward nurses could identify patients' concerns. Thirty-three women on a chemotherapy ward in the northwest of England who had breast, ovarian, cervical or uterine cancer were interviewed using a Concerns Checklist and the Hospital Anxiety and Depression Scale. Patients expressed an average of 10.3 concerns (range: 2-27). Eighty percent of these were not identified by the nurses, who showed a clear bias towards physical symptoms and treatment-related concerns. The nurses were unable to identify the three main concerns in 70% of patients. Twenty-four percent of patients were found to be probable cases of anxiety and/or depression; there was a moderate correlation between the number of concerns and levels of anxiety and depression. Given the body of evidence that lack of identification of concerns leads to unmet needs, increased psychological distress, dissatisfaction with care and possible complaints, this study has provided clear evidence for the need to address this key area of care, and has highlighted the potential of the Concerns Checklist in busy clinical environments.


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