Immediate versus delayed self-reporting of symptoms and side effects during chemotherapy: Does timing matter?

被引:44
作者
Coolbrandt, Annemarie [1 ]
Van den Heede, Koen [2 ,3 ]
Vanhove, Ellen [1 ]
De Bom, Ann [1 ]
Milisen, Koen [3 ,4 ]
Wildiers, Hans [5 ]
机构
[1] Univ Hosp Leuven, Dept Hematol Oncol, B-3000 Louvain, Belgium
[2] Univ Hosp Leuven, Nursing Competence Ctr, B-3000 Louvain, Belgium
[3] Katholieke Univ Leuven, Ctr Hlth Serv & Nursing Res, B-3000 Louvain, Belgium
[4] Univ Hosp Leuven, Dept Geriatr Med, B-3000 Louvain, Belgium
[5] Univ Hosp Leuven, Dept Med Oncol, B-3000 Louvain, Belgium
关键词
Cancer patients; Chemotherapy; Side effects; Symptom assessment; Self-report; CANCER-PATIENTS; RESPONSE SHIFT; PATIENT; CARE; FEASIBILITY; FATIGUE; NURSES;
D O I
10.1016/j.ejon.2010.06.010
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Purpose: The aim of this study was to examine how patients recall symptoms at a delayed self-report. Accurate insight into toxicity symptoms during chemotherapy is essential so that nurses and doctors can assess therapeutic tolerance and adjust supportive care accordingly. Method: A non-experimental, longitudinal design was employed. Using the Therapy-Related Symptoms Checklist (TRSC), respondents (n = 142) reported their initial symptoms during the first 7 days of the chemotherapy cycle at two different times: (1) each day of the first seven days after the chemotherapy administration (immediate self-report), and (2) at their next hospital visit for chemotherapy (delayed self-report). We compared the number and severity of symptoms and side effects reported in the immediate and delayed self-reports. Results: Respondents reported significantly fewer symptoms and fewer severe symptoms in the delayed self-report. For 22 out of 25 symptoms the delayed-reported grade was significantly lower than the immediate-reported maximum grade. Compared to the immediate-reported median grade, significant differences occurred in only 10 out of the 25 symptoms. In all cases, except fatigue, the delayed-reported grade was significantly higher than the immediate-reported median grade. Conclusions: This study indicates that delayed self-report of chemotherapy side effects is not an appropriate measure of actual symptoms and side effects experienced by patients. Delayed self-report gives a weaker insight into actual symptom burden. Fatigue is at particular risk to be minimized at the delayed self-report. Therefore it is recommended to assess chemotherapy-related symptoms and side effects by means of immediate self-report. (C) 2010 Elsevier Ltd. All rights reserved.
引用
收藏
页码:130 / 136
页数:7
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