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- Title
Association Between Patient-Reported Symptoms of Dysphagia and Psychological Distress in Head and Neck Cancer Survivors.
- Authors
Eastburn, Kaitlyn; Lingyun Lyu; Harrison, Christine; Atchison, Karley; Moore, Kelly; Pomfret, Sarah; Johnson, Jonas; Lee Nilsen, Marci
- Abstract
OBJECTIVES: To describe the prevalence of and the association between patient-reported dysphagia and psychological distress (anxiety and depression) in head and neck cancer (HNC) survivors. SAMPLE & SETTING: 228 HNC survivors seen at an interprofessional survivorship clinic in Pittsburgh, PA, between October 2018 and January 2020. METHODS & VARIABLES: Dysphagia was evaluated using the Eating Assessment Tool. Anxiety and depression were measured using the Generalized Anxiety Disorder--7 and Patient Health Questionnaire--8, respectively. Descriptive statistics and multiple linear regression were performed. RESULTS: 70% (n = 159) of survivors reported problems with swallowing safely and efficiently. Twenty-seven survivors reported symptoms of major depression, 34 reported mild symptoms of anxiety, and 19 reported moderate to severe symptoms of anxiety and depression. After controlling for treatment modality, age, and stage, dysphagia was associated with increased symptoms of anxiety and depression. IMPLICATIONS FOR NURSING: Oncology nurses can inform their daily practice by implementing regular assessments for anxiety and depression in HNC survivors reporting symptoms of dysphagia.
- Subjects
PENNSYLVANIA; HEAD tumors; ONCOLOGY nursing; STATISTICS; KRUSKAL-Wallis Test; HEALTH facilities; RESEARCH evaluation; CROSS-sectional method; MULTIPLE regression analysis; AGE distribution; HEALTH outcome assessment; DEGLUTITION disorders; RACE; REGRESSION analysis; CANCER patients; PRESUMPTIONS (Law); TREATMENT effectiveness; TUMOR classification; HUMAN services programs; INFORMED consent (Medical law); SEX distribution; MENTAL depression; INTERPROFESSIONAL relations; DESCRIPTIVE statistics; QUESTIONNAIRES; MEDICAL records; ANXIETY; MARITAL status; RADIOTHERAPY; DATA analysis software; PSYCHOLOGICAL stress; NECK tumors; PATIENT safety; SYMPTOMS
- Publication
Oncology Nursing Forum, 2022, Vol 49, Issue 1, p81
- ISSN
0190-535X
- Publication type
Article
- DOI
10.1188/22.ONF.81-89