Symptoms, self-care, and quality of life of Chinese American patients with cancer

被引:35
作者
Chou, Fang-yu [1 ]
Dodd, Marylin
Abrams, Donald
Padilla, Geraldine
机构
[1] San Francisco State Univ, Sch Nursing, San Francisco, CA 94132 USA
[2] Univ Calif San Francisco, Sch Nursing, San Francisco, CA 94143 USA
[3] Univ Calif San Francisco, Sch Med, San Francisco, CA 94143 USA
关键词
D O I
10.1188/07.ONF.1162-1167
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Purpose/Objectives: To explore the cancer symptom experience, self-care strategies, and quality of life (QOL) among Chinese Americans during outpatient chemotherapy. Design: Descriptive, exploratory cohort study. Setting: An outpatient infusion unit at a public urban county medical center. Sample: 25 Chinese-speaking patients with cancer completed the study. Participants were first-generation immigrants with low levels of acculturation; 88% could not read English; 64% had an annual household income of less than $20,000. Methods: Participants completed a basic demographics data sheet, the Suinn-Lew Acculturation Scale, the Memorial Symptom Assessment Scale and Self-Care Diary weekly for three weeks, and the Multidimensional QOL Scale-Cancer and Short-Form 36 Health Survey at the start and end of one chemotherapy cycle. Study instruments were translated into Chinese. Main Research Variables: Symptoms, self-care, QOL, and acculturation. Findings: Participants reported experiencing about 14 symptoms weekly. Lack of energy, hair loss, dry mouth, sleep difficulty, and loss of appetite were reported most frequently. On average, about two self-care strategies per symptom were reported and were low to moderate in effectiveness. About 20% of the sample listed Chinese medicine as part of their self-care strategies. A moderate level of QOL was reported. Conclusions: Using translated standardized questionnaires can be a feasible method of data collection in studies with non-English-speaking patients. However, having well-trained, bilingual data collectors is important. More attention to long-term cancer self-management in minority patients with cancer is needed. Implications for Nursing: Further research is needed with larger samples, more efficient community-based recruitment strategies, and the development and testing of culturally sensitive interventions.
引用
收藏
页码:1162 / 1167
页数:6
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