Emotional factors associated to self-management in persons diagnosed with cancer
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Introduction: Persons diagnosed with cancer and who are under treatment suffer from physical, emotional, and social stress which in turn has an impact on their mental health. Therefore, it is important to explore the self-management practices aimed at relieving the burden of the related stress associated factors.
Method: This is a transversal and predictive study with intentional and non probabilistic sampling on 160 persons diagnosed with cancer. The Partners in Health (PIH), Self-rated Health, Depresion of the PHQ-8, as well as the Analogous Visual Scales were used. A multiple linear regression model, the effect of the difference, and the statistical power using the stepwise method were all calculated.
Results: Two statistically significant predicting variables (p <.05) were identified: sleep problems β= -1.310 and depressive disorder β= -.440, with a variance of 10 %, Durbin-Watson test of 1,658, effect size of 0.15, and a power of 0.95.
Discussion and conclusion: Persons with cancer usually demonstrate deficient self-management practices. Emotional factors which drive these behaviors were identified: stress, depressive disorder, and sleep problems. It is suggested to conduct further research in order to identify other social and demographic barriers related to the self-management of cancer.
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Sarria-Bardales G, Limache-García A. Control del cáncer en el Perú: un abordaje integral para un problema de salud pública. Rev Peru Med Exp Salud Publica. 2013; 30(1): 93-8. https://dx.doi.org/10.1590/s1726-46342013000100018
Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018; 68(6): 394-424. http://dx.doi.org/10.3322/caac.21492
Piñeros M, Ramos W, Antoni S, Abriata G, Medina LE, Miranda JJ, et al. Cancer patterns, trends, and transitions in Peru: A regional perspective. Lancet Oncol. 2017; 18(10): 573-86. https://doi.org/10.1016/S1470-2045(17)30377-7
Ramos-Muñoz WC, Guerrero-Ramírez NN. Análisis de la Situación del Cáncer en el Perú. Lima: Ministerio de Salud; 2020. https://bit.ly/3iTFCPz
Allemani C, Matsuda T, Di Carlo V, Harewood R, Matz M, Nikšić M, et al. Global surveillance of trends in cancer survival 2000-14 (CONCORD-3): Analysis of individual records for 37 513 025 patients diagnosed with one of 18 cancers from 322 population-based registries in 71 countries. Lancet. 2018; 391(10125): 1023-75. https://doi.org/10.1016/S0140-6736(17)33326-3
Stenning-Persivale K, Savitzky-Franco MJ, Cordero-Morales A, Cruzado-Burga J, Poquioma E, Díaz-Nava E, et al. The mortality-incidence ratio as an indicator of five-year cancer survival in metropolitan Lima. Ecancermedicalscience. 2018; 12: 1-8. https://doi.org/10.3332/ecancer.2018.799
National Cancer Institute. Cancer Statistics. Estados Unidos de América: NCI; Actualizado 2020. https://bit.ly/3l6R3Gi
Zebrack BJ. Psychological, social, and behavioral issues for young adults with cancer. Cancer. 2011; 117(S10): 2289-94. https://doi.org/10.1002/cncr.26056
Naughton MJ, Weaver KE. Physical and mental health among cancer survivors: Considerations for long-term care and quality of life. N C Med J. 2014; 75(4): 283-6. https://doi.org/10.18043/ncm.75.4.283
Stanton AL. What happens now? Psychosocial care for cancer survivors after medical treatment completion. J Clin Oncol. 2012; 30(11): 1215-20. https://doi.org/10.1200/JCO.2011.39.7406
Howell D, Oliver TK, Keller-Olaman S, Davidson JR, Garland S, Samuels C, et al. Sleep disturbance in adults with cancer: A systematic review of evidence for best practices in assessment and management for clinical practice. Ann Oncol. 2014; 25(4): 791-800. https://doi.org/10.1093/annonc/mdt506
Pitman A, Suleman S, Hyde N, Hodgkiss A. Depression and anxiety in patients with cancer. BMJ. 2018; 361: 1-11. https://doi.org/10.1136/bmj.k1415
Cuthbert CA, Farragher JF, Hemmelgarn BR, Ding Q, McKinnon GP, Cheung WY. Self-management interventions for cancer survivors: A systematic review and evaluation of intervention content and theories. Psycho-oncology. 2019; 28(11): 2119-40. https://doi.org/10.1002/pon.5215
Cuthbert CA, Samawi HH, Hemmelgarn BR, Cheung WY. Effectiveness and components of self-management interventions in adult cancer survivors: A protocol for a systematic review and planned meta-analysis. Syst Rev. 2018; 7(238): 1-7. https://doi.org/10.1186/s13643-018-0902-7
McCorkle R, Ercolano E, Lazenby M, Schulman-Green D, Schilling LS, Lorig K, et al. Self-management: Enabling and empowering patients living with cancer as a chronic illness. CA Cancer J Clin. 2011; 61(1): 50-62. https://doi.org/10.3322/caac.20093
Baydoun M, Barton DL, Arslanian-Engoren C. A cancer specific middle-range theory of symptom self-care management: A theory synthesis. J Adv Nurs. 2018; 74(12): 2935-46. https://doi.org/10.1111/jan.13829
Organización Panamericana de la Salud. Cuidados innovadores para las condiciones crónicas: Organización y prestación de atención de alta calidad a las enfermedades crónicas no transmisibles en las Américas. Washington, DC: OPS; 2013. p. 30. https://bit.ly/3u2XP2j
Corbin J, Strauss A. Managing chronic illness at home: Three lines of work. Qual. Sociol. 1985; 8(3): 224-247. https://doi.org/10.1007/BF00989485
Lorig KR, Holman H. Self-management education: History, definition, outcomes, and mechanisms. Ann Behav Med. 2003; 26(1): 1-7. https://doi.org/10.1207/S15324796ABM2601_01
Fernández-Cantón SB. La atención centrada en el paciente: una visión general sobre su enfoque en los servicios de salud. Bol. conamed OPS. 2019; 4(23): 13-23. https://bit.ly/2TFGO0l
Audulv Å, Ghahari S, Kephart G, Warner G, Packer TL. The taxonomy of everyday self-management strategies (TEDSS): A framework derived from the literature and refined using empirical data. Patient Educ Couns. 2019; 102(2): 367-375. https://doi.org/10.1016/j.pec.2018.08.034
Cheng H, Sit JWH, Cheng KKF. A qualitative insight into self-management experience among Chinese breast cancer survivors. Psycho-oncology. 2017; 26(7): 1044-49. https://doi.org/10.1002/pon.4279
Williams AR, Mowlazadeh B, Sisler L, Williams PD. Self-reported assessment of symptoms and self-care within a cohort of U.S. veterans during outpatient care for cancer. Clin J Oncol Nurs. 2015; 19(5): 595-602. https://doi.org/10.1188/15.CJON.595-602
Kim SH, Kim K, Mayer DK. Self-management intervention for adult cancer survivors after treatment: A systematic review and meta-analysis. Oncol Nurs Forum. 2017; 44(6): 719-28. https://doi.org/10.1188/17.ONF.719-728
Boland L, Bennett K, Connolly D. Self-management interventions for cancer survivors: a systematic review. Support Care Cancer. 2018; 26(5): 1585-95. https://doi.org/10.1007/s00520-017-3999-7
Heinze SB, Williams PD. Symptom alleviation and self-care among breast cancer survivors after treatment completion. Clin J Oncol Nurs. 2015; 19(3): 343-9. https://doi.org/10.1188/15.CJON.343-349
Williams PD, Lopez V, Ying CS, Piamjariyakul U, Wenru W, Hung GT, et al. Symptom monitoring and self-care practices among oncology adults in China. Cancer Nurs. 2010; 33(3): 184-93. https://doi.org/10.1097/NCC.0b013e3181c29598
Schulman-Green D, Bradley EH, Knobf MT, Prigerson H, DiGiovanna MP, McCorkle R. Self-management and transitions in women with advanced breast cancer. J Pain Symptom Manage. 2011; 42(4): 517-25. https://doi.org/10.1016/j.jpainsymman.2010.12.007
Shneerson C, Taskila T, Holder R, Greenfield S, Tolosa I, Damery S, et al. Patterns of self-management practices undertaken by cancer survivors: Variations in demographic factors. Eur J Cancer Care (Engl). 2015; 24(5): 683-94. https://doi.org/10.1111/ecc.12252
Peñarrieta-de Córdova MI, Reyes G, Krederdt S, Flores F, Resendiz E, Chávez-Flores E. Automanejo en enfermedades crónicas: diabetes mellitus tipo 2, hipertensión arterial y cáncer. Rev. investig. Univ. Norbert Wiener. 2015; 4: 43-56. https://bit.ly/37lcqMd
Battersby MW, Ask A, Reece MM, Markwick MJ, Collins JP. The partners in health scale: The development and psychometric properties of a generic assessment scale for chronic condition self-management. Aust J Prim Health. 2003; 9(3): 41-52. https://doi.org/10.1071/PY03022
Ostby PL, Armer JM, Smith K, Stewart BR. Patient perceptions of barriers to self-management of breast cancer-related lymphedema. West J Nurs Res. 2018; 40(12): 1800-17. https://doi.org/10.1177/0193945917744351
Geng Z, Ogbolu Y, Wang J, Hinds PS, Qian H, Yuan C. Gauging the effects of self-efficacy, social support, and coping style on self-management behaviors in chinese cancer survivors. Cancer Nurs. 2018; 41(5): 1-10. https://doi.org/10.1097/NCC.0000000000000571
Dunne S, Coffey L, Sharp L, Timmons A, Desmond D, Gooberman-Hill R, et al. Barriers to active self-management following treatment for head and neck cancer: Survivors' perspectives. Psycho-oncology. 2018; 27(10): 2382-8. https://doi.org/10.1002/pon.4835
Kidd LA. Consequences, control and appraisal: Cues and barriers to engaging in self-management among people affected by colorectal cancer-a secondary analysis of qualitative data. Health Expect. 2014; 17(4): 565-78. https://doi.org/10.1111/j.1369-7625.2012.00785.x
Syed IA, Nathan PC, Barr R, Rosenberg-Yunger ZR, D'Agostino NM, Klassen AF. Examining factors associated with self-management skills in teenage survivors of cancer. J Cancer Surviv. 2016; 10: 686-91. https://doi.org/10.1007/s11764-016-0514-y
Lorig K, Ritter PL, Turner RM, English K, Laurent DD, Greenberg J. A diabetes self-management program: 12-month outcome sustainability from a nonreinforced pragmatic trial. J Med Internet Res. 2016; 18(12): 1-11. https://doi.org/10.2196/jmir.6484
Smith D, Harvey P, Lawn S, Harris M, Battersby M. Measuring chronic condition self-management in an Australian community: Factor structure of the revised partners in health (PIH) scale. Qual Life Res. 2017; 26: 149-59. https://doi.org/10.1007/s11136-016-1368-5
Peñarrieta-de Córdova MI, Vergel-Camacho O, Schmith-Álvarez L, Lezama-Vigo S, Rivero-Álvarez R, Taipe-Cancho J, et al. Validación de un instrumento para evaluar el automanejo en enfermedades crónicas en el primer nivel de atención en salud. Rev. Cient. de Enferm. 2011; V(1): 15-21. https://bit.ly/2ViYMGq
Lawn S, Battersby M, Harvey P, Pols R, Ackland A. A behavioural therapy approach to self-management: The Flinders program. Diabetes Voice. 2009; 54: 30-2. https://bit.ly/3BSzaB8
Lorig K, Stewart A, Ritter P, González V, Laurent D, Lynch J. Outcome measures for health education and other health care interventions. EE.UU.: SAGE Publications Inc; 1996. http://dx.doi.org/10.4135/9781452232966
González VM, Stewart A, Ritter PL, Lorig K. Translation and validation of arthritis outcome measures into Spanish. Arthritis Rheum. 1995; 38(10): 1429-46. https://doi.org/10.1002/art.1780381010
Hernández-Pérez E. Relación entre percepción de salud y calidad de vida en adultos mayores con enfermedades crónicas. [Tesis]. Tampico, Tamaulipas: Universidad Autónoma de Tamaulipas; 2019.
Kroenke K, Strine TW, Spitzer RL, Williams JBW, Berry JT, Mokdad AH. The PHQ-8 as a measure of current depression in the general population. J Affect Disord. 2009; 114(1-3): 163-73. https://doi.org/10.1016/j.jad.2008.06.026
León-Hernández RC, Peñarrieta-De Córdova MI, Gutiérrez-Gómez T. Capítulo V. Validación de instrumentos de indicadores de salud y psicosociales. Red de automanejo de enfermedades crónicas. En: Gutiérrez-Gómez T, Castañeda-Hidalgo H (Coords.). Estrategias de aprendizaje en cronicidad. México: Universidad Autónoma de Tamaulipas; 2019.
Lesage FX, Berjot S. Validity of occupational stress assessment using a visual analogue scale. Occup Med (Lond). 2011; 61(6): 434-6. https://doi.org/10.1093/occmed/kqr037
Albuja-Calo JP. Validación de la prueba de keiraku cervical para medir el estrés académico en los estudiantes de la carrera de terapia física, en el periodo octubre- diciembre del 2016 en la Pontificia Universidad Católica del Ecuador. [Tesis]. Ecuador: Pontificia Universidad Católica del Ecuador; 2018. https://bit.ly/2WqzEOu
Wolfe F, Michaud K, Li T. Sleep disturbance in patients with rheumatoid arthritis: Evaluation by medical outcomes study and visual analog sleep scales. J Rheumatol. 2006; 33(10): 1942-51. https://bit.ly/3zQyXg0
Carvajal-Valcárcel A, Martínez-García M, Centeno-Cortés C. Versión española del Edmonton Symptom Assessment Sytem (ESAS): un instrumento de referencia para la valoración sintomática del paciente con cáncer avanzado. Med. paliat. 2013; 20(4): 143-9. https://doi.org/10.1016/j.medipa.2013.02.001
Lorig KR, Ritter PL, Jacquez A. Outcomes of border health spanish/english chronic disease self-management programs. Diabetes Educ. 2005; 31(3): 401-9. https://doi.org/10.1177/0145721705276574
Cárdenas-Castro M, Arancibia-Martini H. Potencia estadística y cálculo del tamaño del efecto en G*Power: complementos a las pruebas de significación estadística y su aplicación en psicología. Salud soc. 2014; 5(2): 210-24. https://doi.org/10.22199/S07187475.2014.0002.00006
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