跳到主要內容

臺灣博碩士論文加值系統

(44.200.194.255) 您好!臺灣時間:2024/07/23 14:00
字體大小: 字級放大   字級縮小   預設字形  
回查詢結果 :::

詳目顯示

我願授權國圖
: 
twitterline
研究生:唐佩玲
研究生(外文):Pei-Ling Tang
論文名稱:放射線治療之癌症病人的症狀困擾、心理痛苦、身體組成及失志變化:縱貫性研究
論文名稱(外文):Change of Symptom Distress, Psychological Distress, Body Composition and Demoralization in Cancer Patients with Radiotherapy: A Longitudinal Study
指導教授:周汎澔周汎澔引用關係
指導教授(外文):Fan-Hao Chou
口試委員:王秀紅金繼春林惠賢劉文山
口試委員(外文):Hsiu-Hung WangChi-Chun ChinHuey-shyan LinWen-Shan Liu
學位類別:博士
校院名稱:高雄醫學大學
系所名稱:護理學系博士班
學門:醫藥衛生學門
學類:護理學類
論文種類:學術論文
論文出版年:2017
畢業學年度:105
語文別:中文
論文頁數:170
中文關鍵詞:症狀困擾心理痛苦身體組成失志癌症
外文關鍵詞:Symptom DistressPsychological DistressBody CompositionDemoralizationCancer
相關次數:
  • 被引用被引用:0
  • 點閱點閱:147
  • 評分評分:
  • 下載下載:0
  • 收藏至我的研究室書目清單書目收藏:0
有關癌症治療對於病人之身體、心理、社會、靈性層面影響甚大,其變化是亟待了解的重要議題。本研究以「全人」方向來考慮,探討個人疾病、症狀困擾、心理痛苦、身體組成與失志變化情形。以了解癌症病人在放射線治療階段至治療後3個月之癌症治療方式在不同階段對頭頸部、胸部及乳房、腹部及骨盆腔三種部位癌症病人造成的影響,發掘並察覺病人失志的影響因子。
本研究採縱貫性研究設計,於南部地區某醫學中心放射腫瘤治療部進行資料收集,共收案101人。收案條件為經醫師確立初診斷為惡性腫瘤,需作癌症放射線治療的病人;年齡18歲以上、知病情、能使用國台語溝通、意識清楚且能以文字填答問卷者;排除條件包括:病人此次治療目的為姑息性放射線治療、經醫師診斷為癌症復發治療的病人及病人無法站立及體力狀況無法填答者。採無記名、自填式填寫方式,研究工具包括社會人口學與疾病治療、症狀困擾量表、心理痛苦溫度計量表、中文版失志量表及身體組成分析儀In Body3.0 之生理測量;資料收集時間點(放射線治療前、治療第二週、治療第四週、治療結束、結束第一個月、結束第三個月) 。統計分析方法包含頻率、百分比、平均值、標準差等描述性統計之外,並以「廣義估計方程式」(Generalized Estimating Equation, GEE)進行主要研究變項間的相關性,經由調整其他相關變項及重複施測時間的影響因素來校正各變項間相依性,探討癌症病人放射治療三個月期間各階段之「症狀困擾」、「心理痛苦」、「身體組成」與「失志」的相關性。
控制共變項後研究發現:
1.頭頸部癌症病人症狀困擾在治療第二週,平均上升7.59 (β = 7.59, p <.0001),達到顯著的差異。有手術及化學治療者顯著影響胸部及乳房癌症病人的症狀困擾( β = -4.58 , p = .0017; β = 2.57, p = .0333 )。腹部及骨盆腔癌症第4期的病人,症狀困擾顯著高於其他期別( β = 16.28, p < .0001)。
2.經濟的來源來自於他人及第1期的頭頸部病人之心理痛苦較高( β = -0.93, p = .0392; β = -1.22, p = .0048)。胸部及乳房癌症病人的心理痛苦,也是第1期的病人心理痛苦較高(β = -1.23, p = .0006),在結束第一個月最低( β = -1.09, p = .0309)。腹部及骨盆腔癌症的病人在治療期間心理痛苦都比治療前降低,雖然在第六個時間點(治療結束第三個月)有上揚的變化,但未達到顯著差異。
3.身體質量指數在頭頸部癌症病人,除了在治療結束第一個月( β = -0.94, p = .0384),顯著的下降外,在其他時間點,並無顯著的改變。在胸部及乳房癌症病人,身體質量指數在治療第四週及治療結束這兩個時間點有下降的情形 ( β = -0.50, p = .0489; β = -2.10, p = .0077);在腹部及骨盆腔癌症的病人呈現治療結束第三個月這個時間點顯著的上升( β = 1.99, p = .0423);男性、年齡>50歲及期別等這些因素都有影響。
4.頭頸部癌症的病人教育程度為高中(職)及無職業者之失志程度有顯著的較高( β = 6.42, p = . 0406; β = 5.70, p = .0459);胸部及乳房癌症病人在治療第二週時間點,失志達到顯著的下降( β = -2.93, p = .0418)。腹部及骨盆腔癌症病人之期別、手術、化學治療失志程度有不同的變化。
本研究發現,我國癌症病人有嚴重的高失志,且失志在不同癌症及時間點有不同差異變化。症狀困擾及心理痛苦為所有癌症病人的失志的顯著因子;身體組成分析結果,為胸部及乳房癌症病人失志的顯著因子。因應癌症病人在不同時間點的變化,病人的健康照護需求也有所不同。由於失志為一個複雜的情緒狀態,可能會有未測量的現象,尤其是時間的軌跡變化因素,因此本研究建議進行更長期的縱貫性資料收集,才能看到失志影響關係之完整樣貌。本研究提供跨專業醫療照護團隊合作在腫瘤臨床心理實務工作的推展上進一步的證據,考慮癌症治療方式在不同階段對病人造成的影響而機動調整,達到最佳團隊合作進而提供病患完整及持續的全人醫療照護。
Cancer treatments have profound implications for the physical, mental, social, and spiritual wellbeing of patients with cancer. This issue has been receiving widespread attention. Thus, this study presents a holistic view of (1) the changes in the symptom distress, psychological distress, body composition, and demoralization of Taiwanese patients with cancer from the beginning of radiation therapy to three months after the treatment, as well as (2) the influences of the aforementioned changes on patients’ level of demoralization. The result indicated:
1. The symptom distress of patients with head and neck cancer is increased, on average, by 2.20 at Week 2 of treatment, which has reached a significant difference. Surgery and chemotherapy have significant impacts on the symptom distress of patients with chest and breast cancer. The symptom distress of patients with stage 4 abdominal and pelvic cancer is significantly higher than that of those in other stages.
2. The psychological distress of patients whose economic source is from others, and patients with stage 1 head and neck cancer, is higher. For patients with chest and breast cancer, those in stage 1 have higher psychological distress, while those after completing the first month treatment have the lowest psychological distress. The psychological distress of patients with abdominal and pelvic cancer during treatment is lower than that before treatment. Although it is increased at the 6th time point (3 months after the completion of the treatment), the difference does not reach a level of significance, and it is not affected by other factors.
3. The BMI of patients with head and neck cancer does not show significant change, except for a significant decrease in the first month after completing the treatment. For patients with chest and breast cancer, their BMI is decreased slightly at the fourth week and upon the completion of the treatment. The BMI of patients with abdominal and pelvic cancer is significantly increased at the third month after completing the treatment, while the factors affecting the BMI include gender (male), age >50, and disease stage.
4. The level of demoralization of patients with head and neck cancer, whose educational background is high school or vocational school, and who are unemployed, is significantly higher. The level of demoralization of patients with chest and breast cancer is decreased significantly at the second week of treatment. The disease stage, surgery, and chemotherapy have impacts on the level of demoralization of patients with abdominal and pelvic cancer.
Investigating the changes of patients with cancer at various time points of the treatment process enabled this study to identify related factors that affected the patients in the adverse situation of treatment. The findings are as follows. Taiwanese patients with cancer were highly demoralized, and that the extent of their demoralization varied according to the body parts that were affected by the disease and the particular stages of treatment they were in. Second, psychological and symptom distress served as predictors of patient demoralization. Third, the relationship between the demoralization levels and the body composition of patients who were affected in their head, neck, abdomen, and pelvis was nonsignificant. These findings are expected to inform the adjustment of treatment plans for patients with cancer and facilitate providing patients with appropriate healthcare services.
第一章 緒 論…1
第一節 問題背景及重要性…5
一、癌症的現況及流行病學…5
二、失志…6
三、影響失志的相關研究…7
四、研究重要性…10
第二節 研究目的與假設…11
一、研究目的…11
二、研究問題…11
三、研究假設…12
第三節 名詞定義…13
第二章 文獻查證與概念架構…15
第一節 文獻查證…15
一、失志…15
(一)失志的概念 …15
(二)失志的測量 …16
(三)癌症病人與失志的研究…19
二、癌症病人症狀困擾…22
(一)症狀困擾的概念…22
(二)症狀困擾的測量…24
(三)症狀困擾與失志的關係…26
三、癌症病人心理痛苦…29
(一)心理痛苦的概念…29
(二)心理痛苦測量…30
(三)心理痛苦與失志的關係…31
四、身體組成…33
(一)身體組成的概念…33
(二)身體組成的測量…35
(三)身體組成與失志的關係…38
第二節 概念架構…41
第三章 研究方法…41
第一節 研究設計及情境…41
第二節 研究樣本及取樣…43
一、研究對象…43
二、樣本數估計…43
第三節 研究工具…45
一、問卷測量工具…45
(一)社會人口學與疾病治療…45
(二)症狀困擾量表…45
(三)心理痛苦溫度計…46
(四)中文版失志量表…47
二、身體組成分析之生理測量…49
三、問卷工具信效度…51
(一)效度…51
(二)信度…51
第四節 研究對象權益維護…52
第五節 資料收集過程…53
第六節 資料處理與分析…56
一、描述性統計…56
二、推論性統計…56
第四章 結果…58
第一節 研究變項描述…58
一、社會人口學及疾病治療…58
二、症狀困擾程度及其隨時間的變化情形…62
三、心理痛苦程度及其隨時間的變化情形…71
四、身體組成分析及其隨時間的變化情形…76
五、失志程度及其隨時間的變化情形…88
第二節 症狀困擾、心理痛苦、身體組成與失志的相關性…91
第五章 討論…95
第一節 症狀困擾、心理痛苦、身體組成、失志情形及其變化…95
一、症狀困擾…95
二、心理痛苦…98
三、身體組成…101
四、失志…105
第二節 症狀困擾、心理痛苦、身體組成與失志的相關性…107
第六章 結論與建議…110
第一節 研究結論…110
第二節 建議與限制…113
一、實務性建議…113
二、未來的研究建議…114
三、研究限制…116
總結…116
參考文獻…118
附件一 量表專家效度專家名單…144
附件二 量表內容…145
附件三 人體試驗委員會審查證明通過書…153
附件四 研究對象參與同意書…154

表目錄
表2-1 失志量表於國內外癌症病人的應用現況…18
表3-1 研究資料收集時間表...43
表4-1 癌症病人社會人口學特質….60
表4-2 癌症病人疾病相關資料….61
表4-3不同時間點症狀困擾總和之分佈...63
表4-4頭頸部癌症病人之各症狀困擾之描述…65
表4-5胸部及乳房癌症病人之各症狀困擾之描述..66
表4-6腹部及骨盆腔癌症病人之各症狀困擾之描述...67
表4-7症狀困擾在不同時間點的變化...69
表4-8調整其它因素,症狀困擾在不同時間點的變化...70
表4-9癌症病人心理痛苦之分佈表..72
表4-10心理痛苦在不同時間點的變化… 74
表4-11調整其它因素,心理痛苦在不同時間點的變化...75
表4-12病人身體組成狀況之分佈…78
表4-13身體組成分析在不同時間點的變化…83
表4-14調整其它因素,身體組成分析在不同時間點的變化…. 85
表4-15失志在不同時間點的變化…90
表4-16調整其它因素,失志在不同時間點的變化…91
表4-17症狀困擾、心理痛苦及身體組成與失志之相關…94
表4-18調整其它因素,症狀困擾、心理痛苦及身體組成與失志之相關…95
表5-1 身體組成分析結果整理…101

圖目錄
圖2-1 症狀困擾、心理痛苦、身體組成與失志之相關性研究架構圖..41
圖3-1 身體組成分析儀In Body3.0…50
圖3-2 資料收集過程及個案流失狀況圖…56
圖4-1 癌症病人之症狀困擾分佈之變化…63
圖4-2 癌症病人心理痛苦之分佈變化…72
圖4-3 癌症病人身體質量指數之分佈變化…79
圖4-4 癌症病人身體總水重之分佈變化…79
圖4-5 癌症病人肌肉重之分佈變化…80
圖4-6 癌症病人體脂肪重狀況之分佈…80
圖4-7 癌症病人失志分佈之變化…88
李玉琪、周汎澔、王秀紅(2015).失志的概念分析.護理雜誌, 62,(3), 83-88。[Li, Y.C., Chou, F.H., Wang, H.H. (2015). Demoralization: A Concept Analysis. Hu Li Za Zhi, 62(3):83-8. doi: 10.6224/JN.62.3.83.]
吳肖琪(2009).全人健康照護計畫醫療區域輔導與資源整合執行成效評估。台北: 衛生福利部。
衛生福利部(2016) .衛生福利部統計處104年死因統計年報:民國104年主要死因分析.取自http://www.mohw.gov.tw/cht/DOS/Statistic.aspx?f_list_no=312&fod_list_no=6201.pdf
Achterberg, W. P., Gambassi, G., Finne-Soveri, H., Liperoti, R., Noro, A., Frijters, D. H., . . . Ribbe, M. W. (2010). Pain in European long-term care facilities: Cross-national study in Finland, Italy and The Netherlands. Pain, 148(1), 70-74. doi: 10.1016/j.pain.2009.10.008
Agarwal, S., & Bodurka, D. C. (2010). Symptom research in gynecologic oncology: A review of available measurement tools. Gynecologic Oncology, 119(2), 384-389. doi: http://dx.doi.org/10.1016/j.ygyno.2010.07.009
Akizuki, N., Akechi, T., Nakanishi, T., Yoshikawa, E., Okamura, M., Nakano, T., Murakami, Y., & Uchitomi, Y. (2010). Development of a brief screening interview for adjustment disorders and major depression in patients with cancer. Cancer, 3(97), 2605-2613.
Alpass, F. M., & Neville, S. (2003). Loneliness, health and depression in older males. Aging Ment Health, 7(3), 212-216. doi: 10.1080/1360786031000101193
Amara, R., Karen, B., Mary, C., Rick, C., Janet, C., ….Diana, C. (2000). Health & Health Care 2010: The Forecast, The Challenge: Wiley.
Andrykowski, M. A., Lykins, E., & Floyd, A. (2008). Psychological health in cancer survivors. Semin oncol nursing, 24(3), 193-201. doi: 10.1016/j.soncn.2008.05.007
Aslani, A., Smith, R. C., Allen, B. J., Pavlakis, N., & Levi, J. A. (1999). Changes in body composition during breast cancer chemotherapy with the CMF-regimen. Breast Cancer Research and Treatment, 57(3), 285-290.
Aslani, A., Smith, R. C., Allen, B. J., Pavlakis, N., & Levi, J. A. (2000). The predictive value of body protein for chemotherapy-induced toxicity. Cancer, 88(4), 796-803.
Bagust, A., & Walley, T. (2000). An alternative to body mass index for standardizing body weight for stature. An International Journal of Medicine, 93(9), 589-596.
Ballard, C., Smith, J., Husebo, B., Aarsland, D., & Corbett, A. (2011). The role of pain treatment in managing the behavioural and psychological symptoms of dementia (BPSD). International Journal of Palliative Nursing, 17(9), 420, 422, 424. doi: 10.12968/ijpn.2011.17.9.420
Bartali, B., Salvini, S., Turrini, A., Lauretani, F., Russo, C. R., Corsi, A. M., . . . Ferrucci, L. (2003). Age and disability affect dietary intake. Journal of Nutrition, 133(9), 2868-2873.
Bauer, J., Capra, S., & Ferguson, M. (2002). Use of the scored Patient-Generated Subjective Global Assessment (PG-SGA) as a nutrition assessment tool in patients with cancer. European Journal of Clinical Nutrition, 56(8), 779-785. doi: 10.1038/sj.ejcn.1601412
Bentzen, S. M. (2006). Preventing or reducing late side effects of radiation therapy: Radiobiology meets molecular pathology. Nature Reviews Cancer, 6(9), 702-713. doi: 10.1038/nrc1950
Berger, M. J., & Doherty, T. J. (2010). Sarcopenia: prevalence, mechanisms, and functional consequences. Interdisciplinary Topics in Gerontology, 37, 94-114. doi: 10.1159/000319997
Berry, P. H. (2007). The pain of residents with terminal cancer in USA nursing homes: Family members'' perspectives. International Journal of Palliative Nursing, 13(1), 20-27. doi: 10.12968/ijpn.2007.13.1.22777
Bosaeus, I., Daneryd, P., Svanberg, E., & Lundholm, K. (2001). Dietary intake and resting energy expenditure in relation to weight loss in unselected cancer patients. International Journal of Cancer, 93(3), 380-383.
Bossola, M., Muscaritoli, M., Costelli, P., Bellantone, R., Pacelli, F., Busquets, S., . . . Doglietto, G. B. (2001). Increased muscle ubiquitin mRNA levels in gastric cancer patients. American journal of physiology. Regulatory, integrative and comparative physiology, 280(5), R1518-1523.
Bozzetti, F., & Mariani, L. (2009). Defining and classifying cancer cachexia: A proposal by the SCRINIO Working Group. Journal of Parenteral and Enteral Nutrition, 33(4), 361-367. doi: 10.1177/0148607108325076
Breitbart, W., Bruera, E., Chochinov, H., & Lynch, M. (1995). Neuropsychiatric syndromes and psychological symptoms in patients with advanced cancer. Journal of Pain and Symptom Management, 10(2), 131-141.
Breitbart, W., Rosenfeld, B., Pessin, H., Kaim, M., Funesti-Esch, J., Galietta, M., . . . Brescia, R. (2000). Depression, hopelessness, and desire for hastened death in terminally ill patients with cancer. The Journal of the American Medical Association, 284(22), 2907-2911.
Briggs, L. (2013). Is the degree of demoralization found among refugee and migrant populations a social-political problem or a psychological one? The European Journal of Psychiatry, 27(1), 27-35. doi:10.4321/S0213-61632013000100004
Butterworth, P., Fairweather, A. K., Anstey, K. J., & Windsor, T. D. (2006). Hopelessness, demoralization and suicidal behaviour: The backdrop to welfare reform in Australia. Australian and New Zealand Journal of Psychiatry, 40(8), 648-656. doi: 10.1111/j.1440-1614.2006.01864.x
Campbell, K. L., Lane, K., Martin, A. D., Gelmon, K. A., & McKenzie, D. C. (2007). Resting energy expenditure and body mass changes in women during adjuvant chemotherapy for breast cancer. Cancer Nursinging, 30(2), 95-100. doi: 10.1097/01.NCC.0000265004.64440.5f
Capuano, G., Grosso, A., Gentile, P. C., Battista, M., Bianciardi, F., Di Palma, A., . . . Di Palma, M. (2008). Influence of weight loss on outcomes in patients with head and neck cancer undergoing concomitant chemoradiotherapy. Head Neck, 30(4), 503-508. doi: 10.1002/hed.20737
Carlson, L. E., & Bultz, B. D. (2003). Cancer distress screening: Needs, models, and methods. J Psychosom Res, 55(5), 403-409.
Cimprich, B. (1995). Symptom management: loss of concentration. Seminars in Oncology Nursing, 11(4), 279-288.
Cimprich, B. (1999). Pretreatment symptom distress in women newly diagnosed with breast cancer. Cancer Nursing, 22(3), 185-194; quiz 195.
Clarke, D. M., & Kissane, D. W. (2002). Demoralization: Its phenomenology and importance. The Australian and New Zealand Journal of Psychiatry, 36(6), 733-742.
Clarke, D. M., McLeod, J. E., Smith, G. C., Trauer, T., & Kissane, D. W. (2005). A comparison of psychosocial and physical functioning in patients with motor neurone disease and metastatic cancer. Journal of Palliative Care, 21(3), 173-179.
Clement, J. P., Bradley, C. J., & Lin, C. (2009). Organizational characteristics and cancer care for nursing home residents. Health Services Research, 44(6), 1983-2003. doi: 10.1111/j.1475-6773.2009.01024.x
Coolbrandt, A., Wildiers, H., Aertgeerts, B., Van der Elst, E., Laenen, A., Dierckx de Casterlé, B., . . . Milisen, K. (2014). Characteristics and effectiveness of complex nursing interventions aimed at reducing symptom burden in adult patients treated with chemotherapy: A systematic review of randomized controlled trials. International Journal of Nursing Studies, 51(3), 495-510. doi: Int J Nurs Stud http://dx.doi.org/10.1016/j.ijnurstu.2013.08.008
Dabrowski, M., Boucher, K., Ward, J. H., Lovell, M. M., Sandre, A., Bloch, J., . . . Buys, S. S. (2007). Clinical experience with the NCCN distress thermometer in breast cancer patients. Journal of the National Comprehensive Cancer Network, 5(1), 104-111.
Dalal, S., Hui, D., Bidaut, L., Lem, K., Del Fabbro, E., Crane, C., . . . Bruera, E. (2012). Relationships among body mass index, longitudinal body composition alterations, and survival in patients with locally advanced pancreatic cancer receiving chemoradiation: A pilot study. Journal of Pain and Symptom Management, 44(2), 181-191. doi: 10.1016/j.jpainsymman.2011.09.010
Davies, M. (2005). Nutritional screening and assessment in cancer-associated malnutrition. European Journal of Oncology Nursing, 9 Suppl 2, S64-73. doi: 10.1016/j.ejon.2005.09.005
de Figueiredo, J. M. (1993). Depression and demoralization: phenomenologic differences and research perspectives. Comprehensive Psychiatry, 34(5), 308-311.
Delano, M. J., & Moldawer, L. L. (2006). The origins of cachexia in acute and chronic inflammatory diseases. Nutrition in Clinical Practic, 21(1), 68-81.
Demark-Wahnefried, W., Campbell, K. L., & Hayes, S. C. (2012). Weight management and its role in breast cancer rehabilitation. Cancer, 118(8 Suppl), 2277-2287. doi: 10.1002/cncr.27466
Detsky, A. S., McLaughlin, J. R., Baker, J. P., Johnston, N., Whittaker, S., Mendelson, R. A., & Jeejeebhoy, K. N. (1987). What is subjective global assessment of nutritional status? Journal of Parenteral and Enteral Nutrition, 11(1), 8-13.
Dormer, N. R., McCaul, K. A., & Kristjanson, L. J. (2008). Risk of suicide in cancer patients in Western Australia, 1981-2002. Medical Journal of Australia, 188(3), 140-143.
Drageset, J., Corbett, A., Selbaek, G., & Husebo, B. S. (2014). Cancer-Related Pain and Symptoms Among Nursing Home Residents: A Systematic Review. Journal of Pain and Symptom Management, 48(4), 699-710.e691. doi: http://dx.doi.org/10.1016/j.jpainsymman.2013.12.238
Duncan, J. G., Forbes-Thompson, S., & Bott, M. J. (2008). Unmet symptom management needs of nursing home residents with cancer. Cancer Nursing, 31(4), 265-273. doi: 10.1097/01.NCC.0000305738.33958.9f
Engel, G. L. (1967). A psychological setting of somatic disease: The ‘‘giving up-given up complex’’. Journal of the Royal Society of Medicine, 60, 555.
Fang, C. K., Chang, M. C., Chen, P. J., Lin, C. C., Chen, G. S., Lin, J., . . . Li, Y. C. (2014). A correlational study of suicidal ideation with psychological distress, depression, and demoralization in patients with cancer. Support Care Cancer, 22(12), 3165-3174. doi: 10.1007/s00520-014-2290-4
Frank, J. D. (1974). Psychotherapy: The restoration of morale. The American Journal of Psychiatry, 131(3), 271-274. doi: 10.1176/ajp.131.3.271
Fredrix, E. W., Saris, W. H., Soeters, P. B., Wouters, E. F., Kester, A. D., von Meyenfeldt, M. F., & Westerterp, K. R. (1990). Estimation of body composition by bioelectrical impedance in cancer patients. European Journal of Clinical Nutrition, 44(10), 749-752.
Freedman, R. J., Aziz, N., Albanes, D., Hartman, T., Danforth, D., Hill, S., . . . Yanovski, J. A. (2004). Weight and body composition changes during and after adjuvant chemotherapy in women with breast cancer. The Journal of Clinical Endocrinology & Metabolism, 89(5), 2248-2253. doi: 10.1210/jc.2003-031874
Ganz, P. A., Kwan, L., Stanton, A. L., Bower, J. E., & Belin, T. R. (2011). Physical and psychosocial recovery in the year after primary treatment of breast cancer. Journal of Clinical Oncology, 29(9), 1101-1109. doi: 10.1200/JCO.2010.28.8043
Garcia-Peris, P., Paron, L., Velasco, C., de la Cuerda, C., Camblor, M., Breton, I., . . . Clave, P. (2007). Long-term prevalence of oropharyngeal dysphagia in head and neck cancer patients: Impact on quality of life. Clinical Nutrition, 26(6), 710-717. doi: 10.1016/j.clnu.2007.08.006
Gessler, S., Low, J., Daniells, E., Williams, R., Brough, V., Tookman, A., & Jones, L. (2008). Screening for distress in cancer patients: is the distress thermometer a valid measure in the UK and does it measure change over time? A prospective validation study. Psychooncology, 17, 538-547.
Goebel, S., Stark, A. M., Kaup, L., von Harscher, M., & Mehdorn, H. M. (2011). Distress in patients with newly diagnosed brain tumours. Psychooncology, 20(6), 623-630. doi: 10.1002/pon.1958
Goebel, S., Strenge, H., & Mehdorn, H. M. (2012). Acute stress in patients with brain cancer during primary care. Support Care Cancer, 20(7), 1425-1434. doi: 10.1007/s00520-011-1225-6
Grandi, S., Sirri, L., Tossani, E., & Fava, G. A. (2011). Psychological characterization of demoralization in the setting of heart transplantation. Journal of Clinical Psychiatry, 72(5), 648-654. doi: 10.4088/JCP.09m05191blu
Grassi, L., Rossi, E., Sabato, S., Cruciani, G., & Zambelli, M. (2004). Diagnostic criteria for psychosomatic research and psychosocial variables in breast cancer patients. Psychosomatics, 45(6), 483-491. doi: 10.1176/appi.psy.45.6.483
Grassi, L., Sabato, S., Rossi, E., Biancosino, B., & Marmai, L. (2005). Use of the diagnostic criteria for psychosomatic research in oncology. Psychother Psychosom, 74(2), 100-107. doi: 10.1159/000083168
Gupta, D., Lammersfeld, C. A., Vashi, P. G., Dahlk, S. L., & Lis, C. G. (2008). Can subjective global assessment of nutritional status predict survival in ovarian cancer? Journal of Ovarian Research, 1(1), 5. doi: 10.1186/1757-2215-1-5
Gupta, D., Lis, C. G., Granick, J., Grutsch, J. F., Vashi, P. G., & Lammersfeld, C. A. (2006). Malnutrition was associated with poor quality of life in colorectal cancer: A retrospective analysis. Journal of Clinical Epidemiology, 59(7), 704-709. doi: 10.1016/j.jclinepi.2005.08.020
Hayes, S. C., Rye, S., Battistutta, D., & Newman, B. (2010). Prevalence of upper-body symptoms following breast cancer and its relationship with upper-body function and lymphedema. Lymphology, 43(4), 178-187.
Hegel, M. T., Collins, E. D., Kearing, S., Gillock, K. L., Moore, C. P., & Ahles, T. A. (2008). Sensitivity and specificity of the Distress Thermometer for depression in newly diagnosed breast cancer patients. Psychooncology, 17(6), 556-560. doi: 10.1002/pon.1289
Heitmann, B. L., Erikson, H., Ellsinger, B. M., Mikkelsen, K. L., & Larsson, B. (2000). Mortality associated with body fat, fat-free mass and body mass index among 60-year-old swedish men-a 22-year follow-up. The study of men born in 1913. International journal of obesity and related metabolic disorders, 24(1), 33-37.
Henry, D. H., Viswanathan, H. N., Elkin, E. P., Traina, S., Wade, S., & Cella, D. (2008). Symptoms and treatment burden associated with cancer treatment: results from a cross-sectional national survey in the U.S. Support Care Cancer, 16(7), 791-801. doi: 10.1007/s00520-007-0380-2
Holland, J. C., Andersen, B., Breitbart, W. S., Dabrowski, M., Dudley, M. M., Fleishman, S., . . . Nccn. (2007). Distress management. Journal of the National Comprehensive Cancer NetworkNetw, 5(1), 66-98.
Holland, J. C., Bultz, B. D., & National comprehensive Cancer, N. (2007). The NCCN guideline for distress management: a case for making distress the sixth vital sign. Journal of the National Comprehensive Cancer NetworkNetw, 5(1), 3-7.
Holland, J. C., Jacobsen, P. B., Riba, M. B., Fever, N., & Neutropenia Practice Guidelines, P. (2001). NCCN: Distress management. Cancer Control, 8(6 Suppl 2), 88-93.
Homsi, J., Walsh, D., Nelson, K. A., LeGrand, S. B., Davis, M., Khawam, E., & Nouneh, C. (2002). The impact of a palliative medicine consultation service in medical oncology. Support Care Cancer, 10(4), 337-342. doi: 10.1007/s00520-002-0341-8
Hotopf, M., Chidgey, J., Addington-Hall, J., & Ly, K. L. (2002). Depression in advanced disease: a systematic review Part 1. Prevalence and case finding. Journal of Palliative Medicine, 16(2), 81-97.
Houtkooper, L. B., Lohman, T. G., Going, S. B., & Howell, W. H. (1996). Why bioelectrical impedance analysis should be used for estimating adiposity. The American Journal of Clinical Nutrition, 64(3 Suppl), 436S-448S.
Howard-Anderson, J., Ganz, P. A., Bower, J. E., & Stanton, A. L. (2012). Quality of life, fertility concerns, and behavioral health outcomes in younger breast cancer survivors: a systematic review. The Journal of the National Cancer Institute, 104(5), 386-405. doi: 10.1093/jnci/djr541
Huhmann, M. B., & Cunningham, R. S. (2005). Importance of nutritional screening in treatment of cancer-related weight loss. Lancet Oncology, 6(5), 334-343. doi: 10.1016/S1470-2045(05)70170-4
Hung, H. C., Chen, H.W., Chang, Y.F., Yang, Y.C., Liu, C.L., Hsieh, R.K., Leu , Y.S. (2010). Evaluation of the reliability and validity of the Mandarin Version of Demoralization Scale for cancer patients. Journal of Internal Medicine of Taiwan, 21, 435.
Husebo, B. S., Ballard, C., Sandvik, R., Nilsen, O. B., & Aarsland, D. (2011). Efficacy of treating pain to reduce behavioural disturbances in residents of nursing homes with dementia: Cluster randomised clinical trial. British Medical Journal, 343, d4065. doi: 10.1136/British Medical Journal.d4065
Illner, K., Brinkmann, G., Heller, M., Bosy-Westphal, A., & Muller, M. J. (2000). Metabolically active components of fat free mass and resting energy expenditure in nonobese adults. American Journal of Physiology - Endocrinology and Metabolism, 278(2), E308-315.
Ingram, C., & Brown, J. K. (2004). Patterns of weight and body composition change in premenopausal women with early stage breast cancer: has weight gain been overestimated? Cancer Nursing, 27(6), 483-490.
Irwin, M. L., McTiernan, A., Baumgartner, R. N., Baumgartner, K. B., Bernstein, L., Gilliland, F. D., & Ballard-Barbash, R. (2005). Changes in body fat and weight after a breast cancer diagnosis: Influence of demographic, prognostic, and lifestyle factors. Journal of Clinical Oncology, 23(4), 774-782. doi: 10.1200/JCO.2005.04.036
Isenring, E., Bauer, J., & Capra, S. (2003). The scored Patient-generated Subjective Global Assessment (PG-SGA) and its association with quality of life in ambulatory patients receiving radiotherapy. European Journal of Clinical Nutrition, 57(2), 305-309. doi: 10.1038/sj.ejcn.1601552
Isenring, E., Bauer, J., Capra, S., & Davies, P. S. (2004). Evaluation of foot-to-foot bioelectrical impedance analysis for the prediction of total body water in oncology outpatients receiving radiotherapy. European Journal of Clinical Nutrition, 58(1), 46-51. doi: 10.1038/sj.ejcn.1601744
Isenring, E. A., Capra, S., & Bauer, J. D. (2004). Nutrition intervention is beneficial in oncology outpatients receiving radiotherapy to the gastrointestinal or head and neck area. British Journal Of Cancer, 91(3), 447-452. doi: 10.1038/sj.bjc.6601962
Jacobsen, J. C., Vanderwerker, L. C., Block, S. D., Friedlander, R.J., Maciejewski , P. K., & Prigerson, H.G. (2006). Depression and demoralization as distinct syndromes: Preliminary data from a cohort of advanced cancer patients. Indian Journal of Palliative Care, 12(1), 15.
Jacobsen, P. B., & Ransom, S. (2007). Implementation of NCCN distress management guidelines by member institutions. Journal of the National Comprehensive Cancer NetworkNetw, 5(1), 99-103.
Jacquelin-Ravel, N., & Pichard, C. (2012). Clinical nutrition, body composition and oncology: A critical literature review of the synergies. Critical Reviews in Oncology/Hematology, 84(1), 37-46. doi: http://dx.doi.org/10.1016/j.critrevonc.2012.02.001
Jansen, L., Koch, L., Brenner, H., & Arndt, V. (2010). Quality of life among long-term (⩾5 years) colorectal cancer survivors – Systematic review. European Journal of Cancer, 46(16), 2879-2888. doi: http://dx.doi.org/10.1016/j.ejca.2010.06.010
Janssen, I., Heymsfield, S. B., Wang, Z. M., & Ross, R. (2000). Skeletal muscle mass and distribution in 468 men and women aged 18-88 yr. Journal of Applied Physiology (1985), 89(1), 81-88.
Johnson, T. V., Garlow, S. J., Brawley, O. W., & Master, V. A. (2012). Peak window of suicides occurs within the first month of diagnosis: implications for clinical oncology. Psychooncology, 21(4), 351-356. doi: 10.1002/pon.1905
Katz, R. C., Flasher, L., Cacciapaglia, H., & Nelson, S. (2001). The psychosocial impact of cancer and lupus: a cross validation study that extends the generality of "benefit-finding" in patients with chronic disease. Journal of Behavioral Medicine, 24(6), 561-571.
Keogh, J. W. L., & MacLeod, R. D. (2012). Body Composition, Physical Fitness, Functional Performance, Quality of Life, and Fatigue Benefits of Exercise for Prostate Cancer Patients: A Systematic Review. Journal of Pain and Symptom Management, 43(1), 96-110. doi: http://dx.doi.org/10.1016/j.jpainsymman.2011.03.006
Kissane, D. W. (2004). The contribution of demoralization to end of life decisionmaking. Hastings Center Report, 34(4), 21-31.
Kissane, D. W., Clarke, D. M., & Street, A. F. (2001). Demoralization syndrome--a relevant psychiatric diagnosis for palliative care. Journal of Palliative Care, 17(1), 12-21.
Kissane, D. W., Patel, S. G., Baser, R. E., Bell, R., Farberov, M., Ostroff, J. S., . . . Shah, J. P. (2013). Preliminary evaluation of the reliability and validity of the Shame and Stigma Scale in head and neck cancer. Head Neck, 35(2), 172-183. doi: 10.1002/hed.22943
Kissane, D. W., Wein, S., Love, A., Lee, X. Q., Kee, P. L., & Clarke, D. M. (2004). The Demoralization Scale: A report of its development and preliminary validation. Journal of Palliative Care, 20(4), 269-276.
Kondrup, J., Allison, S. P., Elia, M., Vellas, B., Plauth, M., Educational, . . . Enteral, N. (2003). ESPEN guidelines for nutrition screening 2002. Clinical Nutrition, 22(4), 415-421.
Kornblith, A. B., Powell, M., Regan, M. M., Bennett, S., Krasner, C., Moy, B., . . . Winer, E. (2007). Long-term psychosocial adjustment of older vs younger survivors of breast and endometrial cancer. Psychooncology, 16(10), 895-903. doi: 10.1002/pon.1146
Kyle, U. G., Kossovsky, M. P., Karsegard, V. L., & Pichard, C. (2006). Comparison of tools for nutritional assessment and screening at hospital admission: a population study. Clinical Nutrition, 25(3), 409-417. doi: 10.1016/j.clnu.2005.11.001
L??nbro, S. (2014). The effect of progressive resistance training on lean body mass in post-treatment cancer patients – A systematic review. Radiotherapy and Oncology, 110(1), 71-80. doi: http://dx.doi.org/10.1016/j.radonc.2013.07.008
Lai, Y. H., Chang, J. T., Keefe, F. J., Chiou, C. F., Chen, S. C., Feng, S. C., . . . Liao, M. N. (2003). Symptom distress, catastrophic thinking, and hope in nasopharyngeal carcinoma patients. Cancer Nursing, 26(6), 485-493.
Laky, B., Janda, M., Cleghorn, G., & Obermair, A. (2008). Comparison of different nutritional assessments and body-composition measurements in detecting malnutrition among gynecologic cancer patients. American Journal of Clinical Nutrition, 87(6), 1678-1685.
Laviano, A., Meguid, M. M., Inui, A., Muscaritoli, M., & Rossi-Fanelli, F. (2005). Therapy insight: Cancer anorexia-cachexia syndrome--when all you can eat is yourself. Nature Clinical Practice Oncology, 2(3), 158-165. doi: 10.1038/ncponc0112
Lee, C. Y., Fang, C. K., Yang, Y. C., Liu, C. L., Leu, Y. S., Wang, T. E., . . . Chen, H. W. (2012). Demoralization syndrome among cancer outpatients in Taiwan. Support Care Cancer, 20(10), 2259-2267. doi: 10.1007/s00520-011-1332-4
Lewis, F., Merckaert, I., Lienard, A., Libert, Y., Etienne, A. M., Reynaert, C., . . . Razavi, D. (2014). Anxiety and its time courses during radiotherapy for non-metastatic breast cancer: a longitudinal study. Radiotherapy and Oncology, 111(2), 276-280. doi: 10.1016/j.radonc.2014.03.016
Liao, M. N., Chen, S. C., Chen, S. C., Lin, Y. C., Chen, M. F., Wang, C. H., . . . Jane, S. W. (2015). Change and predictors of symptom distress in breast cancer patients following the first 4 months after diagnosis. Journal of the Formosan Medical Association, 114(3), 246-253. doi: 10.1016/j.jfma.2013.06.009
Liu, L., Rissling, M., Natarajan, L., Fiorentino, L., Mills, P. J., Dimsdale, J. E., . . . Ancoli-Israel, S. (2012). The longitudinal relationship between fatigue and sleep in breast cancer patients undergoing chemotherapy. Sleep, 35(2), 237-245. doi: 10.5665/sleep.1630
Lonbro, S., Dalgas, U., Primdahl, H., Johansen, J., Nielsen, J. L., Aagaard, P., . . . Overgaard, K. (2013). Progressive resistance training rebuilds lean body mass in head and neck cancer patients after radiotherapy--results from the randomized DAHANCA 25B trial. Radiotherapy and Oncology, 108(2), 314-319. doi: 10.1016/j.radonc.2013.07.002
Lonbro, S., Dalgas, U., Primdahl, H., Overgaard, J., & Overgaard, K. (2013). Feasibility and efficacy of progressive resistance training and dietary supplements in radiotherapy treated head and neck cancer patients--the DAHANCA 25A study. Acta Oncologica, 52(2), 310-318. doi: 10.3109/0284186X.2012.741325
Marchesi, C., & Maggini, C. (2007). Socio-demographic and clinical features associated with demoralization in medically ill in-patients. Social Psychiatry and Psychiatric Epidemiology, 42(10), 824-829.
Marin Caro, M. M., Laviano, A., & Pichard, C. (2007). Nutritional intervention and quality of life in adult oncology patients. Clinical Nutrition, 26(3), 289-301. doi: 10.1016/j.clnu.2007.01.005
Mattox, T. W. (2005). Treatment of unintentional weight loss in patients with cancer. Nutrition in Clinical Practice, 20(4), 400-410.
Matulonis, U. A. (2004). End of life issues in older patients. Seminars in Oncology, 31(2), 274-281.
McCulloch, A. (2001). Social environments and health: cross sectional national survey. British Medical Journal, 323(7306), 208-209.
Mehnert, A., Vehling, S., Hocker, A., Lehmann, C., & Koch, U. (2011). Demoralization and depression in patients with advanced cancer: validation of the German version of the demoralization scale. Journal of Pain and Symptom Management, 42(5), 768-776. doi: 10.1016/j.jpainsymman.2011.02.013
Meijer, A., Roseman, M., Delisle, V. C., Milette, K., Levis, B., Syamchandra, A., . . . Thombs, B. D. (2013). Effects of screening for psychological distress on patient outcomes in cancer: A systematic review. Journal of Psychosomatic Research, 75(1), 1-17. doi: http://dx.doi.org/10.1016/j.jpsychores.2013.01.012
Misono, S., Weiss, N. S., Fann, J. R., Redman, M., & Yueh, B. (2008). Incidence of suicide in persons with cancer. Journal of Clinical Oncology, 26(29), 4731-4738. doi: 10.1200/JCO.2007.13.8941
Morasso, G., Capelli, M., Viterbori, P., Di Leo, S., Alberisio, A., Costantini, M., . . . Henriquet, F. (1999). Psychological and symptom distress in terminal cancer patients with met and unmet needs. Journal of Pain and Symptom Management, 17(6), 402-409.
Mullane, M., Dooley, B., Tiernan, E., & Bates, U. (2009a). Validation of the Demoralization Scale in an Irish advanced cancer sample. Palliative & Supportive Care, 7(3), 323-330. doi: http://dx.doi.org/10.1017/S1478951509990253
Nekolaichuk, C. L., Cumming, C., Turner, J., Yushchyshyn, A., & Sela, R. (2011). Referral patterns and psychosocial distress in cancer patients accessing a psycho-oncology counseling service. Psychooncology, 20(3), 326-332. doi: 10.1002/pon.1765
Ottery, F. D. (1996). Definition of standardized nutritional assessment and interventional pathways in oncology. Nutrition, 12(1 Suppl), S15-19.
Pachler, J., & Wille-Jorgensen, P. (2012). Quality of life after rectal resection for cancer, with or without permanent colostomy. Cochrane Database of Systematic Reviews, 12, CD004323. doi: 10.1002/14651858.CD004323.pub4
Paridaens, R., Thomas, J., Wildiers, J., Vermeiren, P., Lobelle, J. P., di Salle, E., . . . de Belder, K. (1998). Safety, activity and estrogen inhibition by exemestane in postmenopausal women with advanced breast cancer: A phase I study. Anticancer Drugs, 9(8), 675-683.
Pattison, N. A., Dolan, S., Townsend, P., & Townsend, R. (2007). After critical care: A study to explore patients'' experiences of a follow-up service. Journal of Clinical Nursing, 16(11), 2122-2131. doi: 10.1111/j.1365-2702.2006.01589.x
Planas, M., Penalva, A., Burgos, R., Puiggros, C., Perez-Portabella, C., Espin, E., . . . Rossello, J. (2007). Guidelines for colorectal cancer: Effects on nutritional intervention. Clinical Nutrition, 26(6), 691-697. doi: 10.1016/j.clnu.2007.08.009
Poirier, V. J., Kaser-Hotz, B., Vail, D. M., & Straw, R. C. (2013). Efficacy and toxicity of an accelerated hypofractionated radiation therapy protocol in cats with oral squamous cell carcinoma. Veterinary Radiology & Ultrasound, 54(1), 81-88. doi: 10.1111/j.1740-8261.2012.01970.x
Polit, D. F., & Beck, C. T. (2012). Nursing Research: Generation and Assessing Evidence for Nursing practice. Lippincott Williams & Wilkins.
Portenoy, R. K., Thaler, H. T., Kornblith, A. B., Lepore, J. M., Friedlander-Klar, H., Kiyasu, E., . . . et al. (1994). The Memorial Symptom Assessment Scale: an instrument for the evaluation of symptom prevalence, characteristics and distress. European Journal of Cancer, 30A(9), 1326-1336.
Poterucha, T., Burnette, B., & Jatoi, A. (2012). A decline in weight and attrition of muscle in colorectal cancer patients receiving chemotherapy with bevacizumab. Medical Oncology, 29(2), 1005-1009. doi: 10.1007/s12032-011-9894-z
Prado, C. M., Baracos, V. E., McCargar, L. J., Reiman, T., Mourtzakis, M., Tonkin, K., . . . Sawyer, M. B. (2009). Sarcopenia as a determinant of chemotherapy toxicity and time to tumor progression in metastatic breast cancer patients receiving capecitabine treatment. Clinical Cancer Research, 15(8), 2920-2926. doi: 10.1158/1078-0432.CCR-08-2242
Prado, C. M., Lieffers, J. R., McCargar, L. J., Reiman, T., Sawyer, M. B., Martin, L., & Baracos, V. E. (2008). Prevalence and clinical implications of sarcopenic obesity in patients with solid tumours of the respiratory and gastrointestinal tracts: A population-based study. Lancet Oncology, 9(7), 629-635. doi: 10.1016/S1470-2045(08)70153-0
Purnell, J. Q., Mustian, K., Jean-Pierre, P., Palesh, O., Peppone, L. J., Mohile, S. G., . . . Morrow, G. R. (2014). The Psychosocial and Functional Impact of Radiation Therapy. In P. Rubin, S. L. Constine & B. L. Marks (Eds.), ALERT - Adverse Late Effects of Cancer Treatment: Volume 1: General Concepts and Specific Precepts (pp. 257-272). Berlin, Heidelberg: Springer Berlin Heidelberg.
Ravasco, P., Monteiro-Grillo, I., Vidal, P. M., & Camilo, M. E. (2005). Dietary counseling improves patient outcomes: a prospective, randomized, controlled trial in colorectal cancer patients undergoing radiotherapy. Journal of Clinical Oncology, 23(7), 1431-1438. doi: 10.1200/JCO.2005.02.054
Rhodes, V. A., & Watson, P. M. (1987). Symptom distress--the concept: past and present. Seminars in Oncology Nursing, 3(4), 242-247.
Robinson, S., Kissane, D. W., Brooker, J., & Burney, S. (2015). A systematic review of the demoralization syndrome in individuals with progressive disease and cancer: a decade of research. Journal of Pain and Symptom Management, 49(3), 595-610. doi: 10.1016/j.jpainsymman.2014.07.008
Robson, A., Scrutton, F., Wilkinson, L., & MacLeod, F. (2010). The risk of suicide in cancer patients: A review of the literature. Psychooncology, 19(12), 1250-1258. doi: 10.1002/pon.1717
Rodin, G., Lo, C., Mikulincer, M., Donner, A., Gagliese, L., & Zimmermann, C. (2009). Pathways to distress: the multiple determinants of depression, hopelessness, and the desire for hastened death in metastatic cancer patients. Social Science & Medicine, 68(3), 562-569. doi: 10.1016/j.socscimed.2008.10.037
Rodin, G., Zimmermann, C., Rydall, A., Jones, J., Shepherd, F. A., Moore, M., . . . Gagliese, L. (2007). The Desire for Hastened Death in Patients with Metastatic Cancer. Journal of Pain and Symptom Management, 33(6), 661-675. doi: http://dx.doi.org/10.1016/j.jpainsymman.2006.09.034
Rooney, A. G., McNamara, S., Mackinnon, M., Fraser, M., Rampling, R., Carson, A., & Grant, R. (2013). The frequency, longitudinal course, clinical associations, and causes of emotional distress during primary treatment of cerebral glioma. Journal of Neuro-Oncology, 15(5), 635-643. doi: 10.1093/neuonc/not009
Rubin, P., Constine, L. S., & Marks, L. B. (2013). ALERT • Adverse Late Effects of Cancer Treatment: Volume 2: Normal Tissue Specific Sites and Systems: Springer Berlin Heidelberg.
Sales, P. M. G., Carvalho, A. F., McIntyre, R. S., Pavlidis, N., & Hyphantis, T. N. (2014). Psychosocial predictors of health outcomes in colorectal cancer: A comprehensive review. Cancer Treatment Reviews, 40(6), 800-809. doi: http://dx.doi.org/10.1016/j.ctrv.2014.03.001
Sanford, S. D., Wagner, L. I., Beaumont, J. L., Butt, Z., Sweet, J. J., & Cella, D. (2013). Longitudinal prospective assessment of sleep quality: before, during, and after adjuvant chemotherapy for breast cancer. Support Care Cancer, 21(4), 959-967. doi: 10.1007/s00520-012-1612-7
Santarpia, L., Marra, M., Montagnese, C., Alfonsi, L., Pasanisi, F., & Contaldo, F. (2009). Prognostic significance of bioelectrical impedance phase angle in advanced cancer: preliminary observations. Nutrition, 25(9), 930-931. doi: 10.1016/j.nut.2009.01.015
Senesse, P., Assenat, E., Schneider, S., Chargari, C., Magne, N., Azria, D., & Hebuterne, X. (2008). Nutritional support during oncologic treatment of patients with gastrointestinal cancer: who could benefit? Cancer Treatment Reviews, 34(6), 568-575. doi: 10.1016/j.ctrv.2008.03.003
Shim, E. J., Shin, Y. W., Jeon, H. J., & Hahm, B. J. (2008). Distress and its correlates in Korean cancer patients: pilot use of the distress thermometer and the problem list. Psychooncology, 17(6), 548-555. doi: 10.1002/pon.1275
Shun, S. C., Chen, C. H., Sheu, J. C., Liang, J. D., Yang, J. C., & Lai, Y. H. (2012). Quality of life and its associated factors in patients with hepatocellular carcinoma receiving one course of transarterial chemoembolization treatment: a longitudinal study. Oncologist, 17(5), 732-739. doi: 10.1634/theoncologist.2011-0368
Silver, H. J., Dietrich, M. S., & Murphy, B. A. (2007). Changes in body mass, energy balance, physical function, and inflammatory state in patients with locally advanced head and neck cancer treated with concurrent chemoradiation after low-dose induction chemotherapy. Head Neck, 29(10), 893-900. doi: 10.1002/hed.20607
Singer, P., Berger, M. M., Van den Berghe, G., Biolo, G., Calder, P., Forbes, A., . . . Espen. (2009). ESPEN Guidelines on Parenteral Nutrition: intensive care. Clinical Nutrition, 28(4), 387-400. doi: 10.1016/j.clnu.2009.04.024
Stark, D., Kiely, M., Smith, A., Velikova, G., House, A., & Selby, P. (2002). Anxiety disorders in cancer patients: their nature, associations, and relation to quality of life. Journal of Clinical Oncology, 20(14), 3137-3148.
Stephens, C., Alpass, F., Towers, A., & Stevenson, B. (2011). The effects of types of social networks, perceived social support, and loneliness on the health of older people: accounting for the social context. Journal of Aging and Health, 23(6), 887-911. doi: 10.1177/0898264311400189
Strauss, B., Brix, C., Fischer, S., Leppert, K., Fuller, J., Roehrig, B., . . . Wendt, T. G. (2007). The influence of resilience on fatigue in cancer patients undergoing radiation therapy (RT). Journal of Cancer Research and Clinical Oncology, 133(8), 511-518. doi: 10.1007/s00432-007-0195-z
Takesaka, J., Crowley, R., & Casarett, D. (2004). What is the risk of distress in palliative care survey research? Journal of Pain and Symptom Management, 28(6), 593-598. doi: 10.1016/j.jpainsymman.2004.03.006
Tang, P. L., Wang, H.-H., & Chou, F.-H. (2015). A systematic review and meta-analysis of demoralization and Depression in Patients With Cancer. Psychosomatics, 56(6), 634-643. doi: http://dx.doi.org/10.1016/j.psym.2015.06.005
Tang, P. L., Chiou, C. P., Lin, H. S., Wang, C., & Liand, S. L. (2011). Correlates of death anxiety among Taiwanese cancer patients. Cancer Nursing, 34(4), 286-292. doi: 10.1097/NCC.0b013e31820254c6
Tang, P. L., Wang, C., Hung, M. F., & Lin, H. S. (2011). Assessment of symptom distress in cancer patients before and after radiotherapy. Cancer Nursing, 34(1), 78-84. doi: 10.1097/NCC.0b013e3181f04ac8
Taylor, K. L., Shelby, R., Kerner, J., Redd, W., & Lynch, J. (2002). Impact of undergoing prostate carcinoma screening on prostate carcinoma-related knowledge and distress. Cancer, 95(5), 1037-1044. doi: 10.1002/cncr.10781
Theobald, D. E. (2004). Cancer pain, fatigue, distress, and insomnia in cancer patients. Clin Cornerstone, 6 Suppl 1D, S15-21.
Thomas, B. C., Carlson, L. E., & Bultz, B. D. (2009). Cancer patient ethnicity and associations with emotional distress--the 6th vital sign: a new look at defining patient ethnicity in a multicultural context. Journal of Immigrant and Minority Health, 11(4), 237-248. doi: 10.1007/s10903-008-9180-0
Thomas, S. A., & Gonzalez-Prendes, A. A. (2009). Powerlessness, anger, and stress in African American women: implications for physical and emotional health. Health Care for Women International, 30(1-2), 93-113. doi: 10.1080/07399330802523709
Thoresen, L., Fjeldstad, I., Krogstad, K., Kaasa, S., & Falkmer, U. G. (2002). Nutritional status of patients with advanced cancer: the value of using the subjective global assessment of nutritional status as a screening tool. Journal of Palliative Medicine , 16(1), 33-42.
Touger-Decker, R., Mobley, C., & Epstein, J. B. (2014). Nutrition and Oral Medicine: Springer New York.
Tsai, S. (2012). Importance of lean body mass in the oncologic patient. Nutrition in Clinical Practice, 27(5), 593-598. doi: 10.1177/0884533612457949
Tsunoda, A., Nakao, K., Hiratsuka, K., Yasuda, N., Shibusawa, M., & Kusano, M. (2005). Anxiety, depression and quality of life in colorectal cancer patients. International Journal of Clinical Oncology, 10(6), 411-417. doi: 10.1007/s10147-005-0524-7
Vehling, S., Lehmann, C., Oechsle, K., Bokemeyer, C., Krull, A., Koch, U., & Mehnert, A. (2011). Global meaning and meaning-related life attitudes: exploring their role in predicting depression, anxiety, and demoralization in cancer patients. Support Care Cancer, 19(4), 513-520. doi: 10.1007/s00520-010-0845-6
Vehling, S., Lehmann, C., Oechsle, K., Bokemeyer, C., Krull, A., Koch, U., & Mehnert, A. (2012). Is advanced cancer associated with demoralization and lower global meaning? The role of tumor stage and physical problems in explaining existential distress in cancer patients. Psychooncology, 21(1), 54-63. doi: http://dx.doi.org/10.1002/pon.1866
Vehling, S., & Mehnert, A. (2014). Symptom burden, loss of dignity, and demoralization in patients with cancer: a mediation model. Psychooncology, 23(3), 283-290. doi: 10.1002/pon.3417
Wang, G. L., Hsu, S. H., Feng, A. C., Chiu, C. Y., Shen, J. F., Lin, Y. J., & Cheng, C. C. (2011). The HADS and the DT for screening psychosocial distress of cancer patients in Taiwan. Psychooncology, 20(6), 639-646. doi: 10.1002/pon.1952
Wang, J., Liu, F., Gao, H., Wei, W., Zhang, X., Liang, Y., & Cheng, Y. (2008). The symptom-to-treatment delay and stage at the time of treatment in cancer of esophagus. Journal of Clinical Oncology, 38(2), 87-91. doi: 10.1093/jjco/hym169
Watanabe, S. M., Nekolaichuk, C. L., & Beaumont, C. (2012). The Edmonton Symptom Assessment System, a proposed tool for distress screening in cancer patients: Development and refinement. Psychooncology, 21(9), 977-985. doi: 10.1002/pon.1996
Watson, D., & Pennebaker, J. W. (1989). Health complaints, stress, and distress: exploring the central role of negative affectivity. Psychological Review, 96(2), 234-254.
Watson, P. M., Rhodes, V. A., & Germino, B. B. (1987). Symptom distress: future perspectives for practice, education, and research. Seminars in Oncology Nursing, 3(4), 313-315.
Weisman, A. D., & Worden, J. W. (1976). The existential plight in cancer: Significance of the first 100 days. International Journal of Psychiatry in Medicine, 7(1), 1-15.
Weiss, T., Weinberger, M. I., Holland, J., Nelson, C., & Moadel, A. (2012). Falling through the cracks: A review of psychological distress and psychosocial service needs in older Black and Hispanic patients with cancer. Journal of Geriatric Oncology, 3(2), 163-173. doi: http://dx.doi.org/10.1016/j.jgo.2011.12.001
Zabora, J., BrintzenhofeSzoc, K., Curbow, B., Hooker, C., & Piantadosi, S. (2001). The prevalence of psychological distress by cancer site. Psychooncology, 10(1), 19-28.
Zhou, F. L., Zhang, W. G., Wei, Y. C., Xu, K. L., Hui, L. Y., Wang, X. S., & Li, M. Z. (2005). Impact of comorbid anxiety and depression on quality of life and cellular immunity changes in patients with digestive tract cancers. World Journal of Gastroenterology, 11(15), 2313-2318.
Ziegler, L., Hill, K., Neilly, L., Bennett, M. I., Higginson, I. J., Murray, S. A., & Stark, D. (2011). Identifying Psychological Distress at Key Stages of the Cancer Illness Trajectory: A Systematic Review of Validated Self-Report Measures. Journal of Pain and Symptom Management, 41(3), 619-636. doi: http://dx.doi.org/10.1016/j.jpainsymman.2010.06.024 
QRCODE
 
 
 
 
 
                                                                                                                                                                                                                                                                                                                                                                                                               
第一頁 上一頁 下一頁 最後一頁 top
無相關期刊