Suffering With Advanced Cancer

DOI Web Site 被引用文献2件
  • Keith G. Wilson
    From The Rehabilitation Centre, The Ottawa Hospital; Élisabeth Bruyère Research Institute, SCO Health Service; School of Psychology; Department of Medicine, University of Ottawa, Ottawa, ON; Department of Psychiatry, University of Manitoba, Winnipeg, MB; Department of Family Medicine, University of Saskatchewan, Saskatoon, SK; Faculty of Pharmacy, Université Laval, Québec, QC; Grey Nuns Community Hospital; Department of Oncology, University of Alberta, Edmonton, AB; British Columbia Cancer Agency–Cancer...
  • Harvey Max Chochinov
    From The Rehabilitation Centre, The Ottawa Hospital; Élisabeth Bruyère Research Institute, SCO Health Service; School of Psychology; Department of Medicine, University of Ottawa, Ottawa, ON; Department of Psychiatry, University of Manitoba, Winnipeg, MB; Department of Family Medicine, University of Saskatchewan, Saskatoon, SK; Faculty of Pharmacy, Université Laval, Québec, QC; Grey Nuns Community Hospital; Department of Oncology, University of Alberta, Edmonton, AB; British Columbia Cancer Agency–Cancer...
  • Christine J. McPherson
    From The Rehabilitation Centre, The Ottawa Hospital; Élisabeth Bruyère Research Institute, SCO Health Service; School of Psychology; Department of Medicine, University of Ottawa, Ottawa, ON; Department of Psychiatry, University of Manitoba, Winnipeg, MB; Department of Family Medicine, University of Saskatchewan, Saskatoon, SK; Faculty of Pharmacy, Université Laval, Québec, QC; Grey Nuns Community Hospital; Department of Oncology, University of Alberta, Edmonton, AB; British Columbia Cancer Agency–Cancer...
  • Katerine LeMay
    From The Rehabilitation Centre, The Ottawa Hospital; Élisabeth Bruyère Research Institute, SCO Health Service; School of Psychology; Department of Medicine, University of Ottawa, Ottawa, ON; Department of Psychiatry, University of Manitoba, Winnipeg, MB; Department of Family Medicine, University of Saskatchewan, Saskatoon, SK; Faculty of Pharmacy, Université Laval, Québec, QC; Grey Nuns Community Hospital; Department of Oncology, University of Alberta, Edmonton, AB; British Columbia Cancer Agency–Cancer...
  • Pierre Allard
    From The Rehabilitation Centre, The Ottawa Hospital; Élisabeth Bruyère Research Institute, SCO Health Service; School of Psychology; Department of Medicine, University of Ottawa, Ottawa, ON; Department of Psychiatry, University of Manitoba, Winnipeg, MB; Department of Family Medicine, University of Saskatchewan, Saskatoon, SK; Faculty of Pharmacy, Université Laval, Québec, QC; Grey Nuns Community Hospital; Department of Oncology, University of Alberta, Edmonton, AB; British Columbia Cancer Agency–Cancer...
  • Srini Chary
    From The Rehabilitation Centre, The Ottawa Hospital; Élisabeth Bruyère Research Institute, SCO Health Service; School of Psychology; Department of Medicine, University of Ottawa, Ottawa, ON; Department of Psychiatry, University of Manitoba, Winnipeg, MB; Department of Family Medicine, University of Saskatchewan, Saskatoon, SK; Faculty of Pharmacy, Université Laval, Québec, QC; Grey Nuns Community Hospital; Department of Oncology, University of Alberta, Edmonton, AB; British Columbia Cancer Agency–Cancer...
  • Pierre R. Gagnon
    From The Rehabilitation Centre, The Ottawa Hospital; Élisabeth Bruyère Research Institute, SCO Health Service; School of Psychology; Department of Medicine, University of Ottawa, Ottawa, ON; Department of Psychiatry, University of Manitoba, Winnipeg, MB; Department of Family Medicine, University of Saskatchewan, Saskatoon, SK; Faculty of Pharmacy, Université Laval, Québec, QC; Grey Nuns Community Hospital; Department of Oncology, University of Alberta, Edmonton, AB; British Columbia Cancer Agency–Cancer...
  • Karen Macmillan
    From The Rehabilitation Centre, The Ottawa Hospital; Élisabeth Bruyère Research Institute, SCO Health Service; School of Psychology; Department of Medicine, University of Ottawa, Ottawa, ON; Department of Psychiatry, University of Manitoba, Winnipeg, MB; Department of Family Medicine, University of Saskatchewan, Saskatoon, SK; Faculty of Pharmacy, Université Laval, Québec, QC; Grey Nuns Community Hospital; Department of Oncology, University of Alberta, Edmonton, AB; British Columbia Cancer Agency–Cancer...
  • Marina De Luca
    From The Rehabilitation Centre, The Ottawa Hospital; Élisabeth Bruyère Research Institute, SCO Health Service; School of Psychology; Department of Medicine, University of Ottawa, Ottawa, ON; Department of Psychiatry, University of Manitoba, Winnipeg, MB; Department of Family Medicine, University of Saskatchewan, Saskatoon, SK; Faculty of Pharmacy, Université Laval, Québec, QC; Grey Nuns Community Hospital; Department of Oncology, University of Alberta, Edmonton, AB; British Columbia Cancer Agency–Cancer...
  • Fiona O'Shea
    From The Rehabilitation Centre, The Ottawa Hospital; Élisabeth Bruyère Research Institute, SCO Health Service; School of Psychology; Department of Medicine, University of Ottawa, Ottawa, ON; Department of Psychiatry, University of Manitoba, Winnipeg, MB; Department of Family Medicine, University of Saskatchewan, Saskatoon, SK; Faculty of Pharmacy, Université Laval, Québec, QC; Grey Nuns Community Hospital; Department of Oncology, University of Alberta, Edmonton, AB; British Columbia Cancer Agency–Cancer...
  • David Kuhl
    From The Rehabilitation Centre, The Ottawa Hospital; Élisabeth Bruyère Research Institute, SCO Health Service; School of Psychology; Department of Medicine, University of Ottawa, Ottawa, ON; Department of Psychiatry, University of Manitoba, Winnipeg, MB; Department of Family Medicine, University of Saskatchewan, Saskatoon, SK; Faculty of Pharmacy, Université Laval, Québec, QC; Grey Nuns Community Hospital; Department of Oncology, University of Alberta, Edmonton, AB; British Columbia Cancer Agency–Cancer...
  • Robin L. Fainsinger
    From The Rehabilitation Centre, The Ottawa Hospital; Élisabeth Bruyère Research Institute, SCO Health Service; School of Psychology; Department of Medicine, University of Ottawa, Ottawa, ON; Department of Psychiatry, University of Manitoba, Winnipeg, MB; Department of Family Medicine, University of Saskatchewan, Saskatoon, SK; Faculty of Pharmacy, Université Laval, Québec, QC; Grey Nuns Community Hospital; Department of Oncology, University of Alberta, Edmonton, AB; British Columbia Cancer Agency–Cancer...

説明

<jats:sec><jats:title>Purpose</jats:title><jats:p> The alleviation of suffering is a central goal of palliative care, but little research has addressed the construct of suffering as a global experience of the whole person. We inquired into the sense of suffering among patients with advanced cancer to investigate its causes and correlates. </jats:p></jats:sec><jats:sec><jats:title>Patients and Methods</jats:title><jats:p> Semistructured interviews were administered to 381 patients. The interviews inquired about physical symptoms, social concerns, psychological problems, and existential issues. We also asked, “In an overall, general sense, do you feel that you are suffering?” </jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p> Almost half (49.3%) of respondents did not consider themselves to be suffering, and 24.9% felt that they suffered only mildly. However, 98 participants (25.7%) were suffering at a moderate-to-extreme level. The latter participants were more likely to experience significant distress on 20 of the 21 items addressing symptoms and concerns; the highest correlations were with general malaise (rho [ρ]= 0.56), weakness (ρ = 0.42), pain (ρ = 0.40), and depression (ρ = .39). In regression analyses, physical symptoms, psychological distress, and existential concerns, but not social issues, contributed to the prediction of suffering. In qualitative narratives, physical problems accounted for approximately half (49.5%) of patient reports of suffering, with psychological, existential, and social concerns accounting for 14.0%, 17.7%, and 18.8%, respectively. </jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p> Many patients with advanced cancer do not consider themselves to be suffering. For those who do, suffering is a multidimensional experience related most strongly to physical symptoms, but with contributions from psychological distress, existential concerns, and social-relational worries. </jats:p></jats:sec>

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