Triggers of uncertainty about recurrence and long-term treatment side effects in older African American and Caucasian breast cancer survivors
Triggers of uncertainty about recurrence and long-term treatment side effects in older African American and Caucasian breast cancer survivors
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DOI：
10.1188/04.onf.633-639
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发表时间：
2004-05-01
影响因子：
1.9
通讯作者：
Stewart, J
中科院分区：
文献类型：
--
作者：
Gil, KM;Mishel, MH;Stewart, J
目的/目标：研究老年非裔美国人和高加索人长期不确定性的来源。乳腺癌幸存者的关注频率的触发不确定性癌症复发和身体症状与长期治疗的副作用。设计：在一个更大的随机对照治疗结果研究的背景下，数据收集从10个每月随访电话的护士。设置：农村和城市地区，北卡罗来纳州。样本：244名老年妇女（（X）超过酒吧年龄= 64岁）; 73名非洲、美国妇女和171名白人妇女在乳腺癌诊断后的5到9年。结果：最常见的触发因素是听到别人的癌症和新的疼痛。最常见的症状是疲劳，关节僵硬，和。痛苦虽然没有种族差异发生在经验的症状，白人妇女比非洲裔美国妇女更有可能报告说，他们的恐惧复发是由听到别人的癌症，环境，触发器，和信息或争议的乳腺癌在媒体上讨论。结论：在癌症诊断和治疗后，疾病的不确定性持续了很长时间，大多数女性经历了关于复发和一系列症状和治疗副作用的不确定性的多重触发。护士可以帮助癌症幸存者识别，监测和管理疾病的不确定性和情绪困扰。
Purpose/Objectives: To examine the sources of uncertainty in older African American and Caucasian long-term. breast cancer survivors by focusing on frequency of triggers of uncertainty about cancer recurrence and physical symptoms linked to long-term treatment side effects.Design: In the context of a larger randomized controlled treatment-outcome study, data were gathered from 10 monthly follow-up telephone calls by nurses.Setting: Rural and urban regions of,North Carolina.Sample: 244 older women ((X) over bar age = 64 years); 73 African, American women and 171 Caucasian women who were five to nine years after breast cancer diagnosis.Findings: The most frequent triggers were hearing about someone else's cancer and new aches and pains. The most frequent symptoms were fatigue, joint stiffness, and. pain. Although no ethnic differences occurred in the experience of symptoms, Caucasian women were more likely than African American women to report that their fears of recurrence were triggered by hearing about someone else's cancer, environmental,triggers, and information or controversy about breast cancer discussed in the media.Conclusions: Illness uncertainty persisted long after cancer diagnosis and treatment, with most women experiencing multiple triggers of uncertainty about recurrence and a range of symptoms and treatment side effects.Implications for Nursing: Nurses can help cancer survivors to identify, monitor, and manage illness uncertainty and emotional distress.