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J Pediatr Oncol Nurs · Sep 2010
Differences in symptom occurrence, frequency, intensity, and distress in adolescents prior to and one week after the administration of chemotherapy.
- Amy J Walker, Vivian Gedaly-Duff, Christine Miaskowski, and Lillian Nail.
- University of California, San Francisco, CA, USA. johnsoam@ohsu.edu
- J Pediatr Oncol Nurs. 2010 Sep 1; 27 (5): 259-65.
Purpose/ObjectivesThe purpose of this study was to describe differences in occurrence, frequency, intensity, and distress of symptoms prior to (T1) and one week following (T2) the administration of intravenous chemotherapy.DesignLongitudinal, descriptive.SettingsTwo regional children's cancer centers in the Pacific Northwest.SampleA total of 51 adolescents 10 to 19 years old receiving cancer chemotherapy.MethodsMemorial Symptom Assessment Scale (MSAS 7-12).FindingsNo significant differences were found in symptom occurrence rates between T1 and T2. Fatigue was the only symptom with significantly greater frequency and intensity, and nausea was the only symptom with significantly greater distress at T2 compared with T1.ConclusionsAdolescents receiving chemotherapy experience multiple symptoms that persist over time.Implications For NursingIn monitoring for symptoms, nurses need to be aware of the extent to which symptoms are present throughout treatment, as evidenced by these findings that symptom occurrence was significant even prior to receiving a subsequent course of chemotherapy.
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