Journal of pain and symptom management
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J Pain Symptom Manage · Oct 2017
Randomized Controlled Trial Multicenter StudyWeb-based tailored psycho-education for breast cancer patients at the onset of the survivorship phase: a multicenter randomized controlled trial.
Many breast cancer patients have unmet informational and psychosocial needs after treatment completion. A psychoeducational intervention may be well suited to support these patients. ⋯ Although the effectiveness was not demonstrated, a subgroup of women treated for breast cancer can probably be supported by the program. The results of the present study are a starting point for further development and use of the program.
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J Pain Symptom Manage · Oct 2017
Multicenter StudyStability and priority of symptoms and symptom clusters among allogeneic HSCT patients within a 5-year longitudinal study.
Due to toxicity and invasiveness, allogeneic hematopoietic stem cell transplantation causes severe and longstanding symptom burden. Longitudinal studies on symptoms and symptom clusters (SC) would be helpful to optimize symptom control but are rare to date. ⋯ Given its high stability, severity, and impact on QoL, fatigue should have priority in symptom management. The treatment of this symptom could be enhanced by also incorporating interventions addressing dyspnea and loss of appetite.
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J Pain Symptom Manage · Oct 2017
Multicenter StudyAttachment insecurity in advanced cancer patients: psychometric properties of the German version of the Brief Experiences in Close Relationships Scale (ECR-M16-G).
Attachment insecurity refers to difficulty in trusting and relying on others in times of need. Its underlying factors attachment anxiety and attachment avoidance have been empirically associated with impaired coping in advanced cancer and, therefore, should be considered in individually tailored medical and psychosocial treatment. ⋯ The ECR-M16-G is a valid and reliable measure of attachment insecurity in patients with advanced cancer and can be recommended as a tool for clinical care and further research.
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J Pain Symptom Manage · Oct 2017
Multicenter StudyEvaluation of Emergency Department Management of Opioid-Tolerant Cancer Patients with Acute Pain.
There are no previously published studies examining opioid doses administered to opioid-tolerant cancer patients during emergency department (ED) encounters. ⋯ Patients with daily home use less than 200 OMEs generally received adequate initial PRN opioid doses during their ED visit. However, patients with higher home opioid usage were at increased likelihood of being undertreated.
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J Pain Symptom Manage · Oct 2017
Multicenter StudyRelationship between spirituality, meaning in life, psychological distress, wish for hastened death, and their influence on quality of life in palliative care patients.
Spiritual, existential, and psychological issues represent central components of quality of life (QOL) in palliative care. A better understanding of the dynamic nature underlying these components is essential for the development of interventions tailored to the palliative context. ⋯ Both spiritual well-being and meaning in life appear to be potential protective factors against psychological distress at the end of life. Since nonphysical determinants play a major role in shaping QOL at the end of life, there is a need for the development of meaning-oriented and spiritual care interventions tailored to the fragility of palliative patients.