Psychological Distress during Ovarian Cancer Treatment: Improving Quality by Examining Patient Problems and Advanced Practice Nursing Interventions
Background/Significance. Ovarian cancer patients are prone to psychological distress. The clinical significance and best practices for distress among this population are poorly understood. Method. Secondary analysis of research records from a six month randomized control trial included 32 women wit...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Nursing Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2011/351642 |
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| _version_ | 1832553977110069248 |
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| author | Cynthia Kline O'Sullivan Kathryn H. Bowles Sangchoon Jeon Elizabeth Ercolano Ruth McCorkle |
| author_facet | Cynthia Kline O'Sullivan Kathryn H. Bowles Sangchoon Jeon Elizabeth Ercolano Ruth McCorkle |
| author_sort | Cynthia Kline O'Sullivan |
| collection | DOAJ |
| description | Background/Significance. Ovarian cancer patients are prone to psychological distress. The clinical significance and best practices for distress among this population are poorly understood. Method. Secondary analysis of research records from a six month randomized control trial included 32 women with primary ovarian cancer. All received 18 advanced practice nurse (APN) visits over six months. Three sub-samples were determined by distress level (high/low) and mental health service consent for high distress. Demographic, clinical factors, patient problems and APN interventions obtained through content analysis and categorized via the Omaha System were compared. Results. Clinically-significant psychiatric conditions were identified in 8/18 (44%) high distress subjects consenting to mental health intervention. High distress subjects who refused mental health intervention had more income and housing problems than the other subjects, received the fewest interventions at baseline, and progressively more throughout the study, exceeding the other sub-samples by study completion. Conclusions. Highly-distressed women not psychologically ready to work through emotional consequences of cancer at treatment onset may obtain support from APNs to manage cancer problems as they arise. Additional studies may identify best practices for all highly-distressed women with cancer, particularly those who do not accept mental health services for distress, but suffer from its effects. |
| format | Article |
| id | doaj-art-de16b1259c91479c824d9aefaf4a3e27 |
| institution | Kabale University |
| issn | 2090-1429 2090-1437 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Nursing Research and Practice |
| spelling | doaj-art-de16b1259c91479c824d9aefaf4a3e272025-02-03T05:52:41ZengWileyNursing Research and Practice2090-14292090-14372011-01-01201110.1155/2011/351642351642Psychological Distress during Ovarian Cancer Treatment: Improving Quality by Examining Patient Problems and Advanced Practice Nursing InterventionsCynthia Kline O'Sullivan0Kathryn H. Bowles1Sangchoon Jeon2Elizabeth Ercolano3Ruth McCorkle4Yale University School of Nursing, New Haven, CT 0653b-0740, USAUniversity of Pennsylvania School of Nursing, Philadelphia, PA 19104-4217, USAYale University School of Nursing, New Haven, CT 0653b-0740, USAYale University School of Nursing, New Haven, CT 0653b-0740, USAYale University School of Nursing, New Haven, CT 0653b-0740, USABackground/Significance. Ovarian cancer patients are prone to psychological distress. The clinical significance and best practices for distress among this population are poorly understood. Method. Secondary analysis of research records from a six month randomized control trial included 32 women with primary ovarian cancer. All received 18 advanced practice nurse (APN) visits over six months. Three sub-samples were determined by distress level (high/low) and mental health service consent for high distress. Demographic, clinical factors, patient problems and APN interventions obtained through content analysis and categorized via the Omaha System were compared. Results. Clinically-significant psychiatric conditions were identified in 8/18 (44%) high distress subjects consenting to mental health intervention. High distress subjects who refused mental health intervention had more income and housing problems than the other subjects, received the fewest interventions at baseline, and progressively more throughout the study, exceeding the other sub-samples by study completion. Conclusions. Highly-distressed women not psychologically ready to work through emotional consequences of cancer at treatment onset may obtain support from APNs to manage cancer problems as they arise. Additional studies may identify best practices for all highly-distressed women with cancer, particularly those who do not accept mental health services for distress, but suffer from its effects.http://dx.doi.org/10.1155/2011/351642 |
| spellingShingle | Cynthia Kline O'Sullivan Kathryn H. Bowles Sangchoon Jeon Elizabeth Ercolano Ruth McCorkle Psychological Distress during Ovarian Cancer Treatment: Improving Quality by Examining Patient Problems and Advanced Practice Nursing Interventions Nursing Research and Practice |
| title | Psychological Distress during Ovarian Cancer Treatment: Improving Quality by Examining Patient Problems and Advanced Practice Nursing Interventions |
| title_full | Psychological Distress during Ovarian Cancer Treatment: Improving Quality by Examining Patient Problems and Advanced Practice Nursing Interventions |
| title_fullStr | Psychological Distress during Ovarian Cancer Treatment: Improving Quality by Examining Patient Problems and Advanced Practice Nursing Interventions |
| title_full_unstemmed | Psychological Distress during Ovarian Cancer Treatment: Improving Quality by Examining Patient Problems and Advanced Practice Nursing Interventions |
| title_short | Psychological Distress during Ovarian Cancer Treatment: Improving Quality by Examining Patient Problems and Advanced Practice Nursing Interventions |
| title_sort | psychological distress during ovarian cancer treatment improving quality by examining patient problems and advanced practice nursing interventions |
| url | http://dx.doi.org/10.1155/2011/351642 |
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