Post-treatment symptoms among ethnic minority breast cancer survivors
Post-treatment symptoms among ethnic minority breast cancer survivors
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DOI：
10.1188/05.onf.250-256
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发表时间：
2005-03-01
影响因子：
1.9
通讯作者：
Favila-Penney, W
中科院分区：
文献类型：
--
作者：
Eversley, R;Estrin, D;Favila-Penney, W
目的/目标：确定接受乳腺癌手术和术后治疗的女性治疗后症状范围和数量的种族差异。设计：回顾性研究。地点：社区社会服务机构和公共卫生诊所。方法：对 116 名接受乳腺癌手术的女性进行面对面访谈。样本：主要是加州北部城市地区的低收入女性。参与者是通过张贴的有关该研究的传单招募的。主要研究变量：结果（抑郁、疲劳、疼痛和淋巴水肿引起的肿胀）和人口统计学（种族、年龄、收入、保险、教育和婚姻状况）。调查结果：典型参与者年龄 47 岁，受过 12 年教育，为人父母（74%）、未婚（67%）、异性恋（88%）、无保险（68%）和就业（66%）。 30% 是白种人，30% 是非裔美国人，25% 是拉丁裔，15% 是其他种族背景的女性。非裔美国女性和拉丁裔女性报告疼痛发生率增加，症状数量增加。拉丁裔的疲劳和抑郁症发病率也较高。在多变量分析中，症状数量的增加与收入减少、接受化疗、乳房切除术以及拉丁裔种族有关。结论：这些数据表明低收入和少数族裔妇女的治疗后症状发生率增加。对护理的影响：需要负担得起的、文化上适当的症状管理干预措施。护理将在设计、测试和提供此类干预措施方面发挥至关重要的作用。
Purpose/Objectives: To determine racial and ethnic differences in the range and number of post-treatment symptoms among women who have undergone surgical and postsurgical treatment for breast cancer. Design: Retrospective study.Setting: Community-based social services agency and public health clinic.Methods: Face-to-face interview of 116 women who had undergone breast cancer surgery.Sample: Primarily low-income women in an urban area in northern California. Participants were recruited via posted flyers regarding the study.Main Research Variables: Outcomes (depression, fatigue, pain, and swelling from lymphedema) and demographics (ethnicity, age, income, insurance, education, and marital status).Findings: The typical participant was 47 years old, had 12 years of education, and was a parent (74%), unmarried (67%), heterosexual (88%), uninsured (68%), and employed (66%). Thirty percent were Caucasian, 30% African American, 25% Latina, and 15% women of other ethnic backgrounds. African American women and Latinas reported increased rates of pain and an increased number of symptoms. Latinas also reported higher rates of fatigue and depression. In multivariate analyses, an increased number of symptoms were associated with decreased income, with receiving chemotherapy, with having a mastectomy, and with Latina ethnicity.Conclusions: These data suggest an increased rate of post-treatment symptoms experienced by low-income and ethnic minority women.Implications for Nursing: A need exists for affordable, culturally appropriate symptom management interventions. Nursing will have a vital role in designing, testing, and offering such interventions.